News coverage of controversial emerging technologies. Evidence for the issue attention cycle in print and online media.

PubMed

Anderson, Ashley A; Brossard, Dominique; Scheufele, Dietram A

2012-01-01

This study analyzes the issue attention cycle for print and online media coverage of a scientific publication examining the deaths of Chinese factory workers due to lung damage from chronic exposure to nanoparticles. The results of the nanoparticle study, published in 2009, embody news values that would make the study a prime candidate for press coverage, namely, novelty, negativity, controversy, and potential widespread impact. Nevertheless, mentions of the event in traditional English-language print media were nearly nonexistent. Online media, on the other hand, gave the story greater coverage. This case study exemplifies why online media may not be bound to the same issue attention cycle that print media are for controversial scientific events.

Enhancing vaccine safety capacity globally: a lifecycle perspective

PubMed Central

Chen, Robert T.; Shimabukuro, Tom T.; Martin, David B.; Zuber, Patrick L.F.; Weibel, Daniel M.; Sturkenboom, Miriam

2015-01-01

Major vaccine safety controversies have arisen in several countries beginning in the last decades of 20th Century. Such periodic vaccine safety controversies are unlikely to go away in the near future as more national immunization programs mature with near elimination of target vaccine-preventable diseases that result in relative greater prominence of adverse events following immunizations, both true reactions and temporally coincidental events. There are several ways in which vaccine safety capacity can be improved in the future to potentially mitigate the impact of future vaccine safety controversies. This paper aims to take a “lifecycle” approach, examining some potential pre- and post-licensure opportunities to improve vaccine safety, in both developed (specifically U.S. and Europe) and low- and middle- income countries. PMID:26433922

Overview of current surgical strategies for aortic disease in patients with Marfan syndrome.

PubMed

Miyahara, Shunsuke; Okita, Yutaka

2016-09-01

Marfan syndrome is a heritable, systemic disorder of the connective tissue with a high penetrance, named after Dr. Antoine Marfan. The most clinically important manifestations of this syndrome are cardiovascular pathologies which cause life-threatening events, such as acute aortic dissections, aortic rupture and regurgitation of the aortic valve or other artrioventricular valves leading to heart failure. These events play important roles in the life expectancy of patients with this disorder, especially prior to the development of effective surgical approaches for proximal ascending aortic disease. To prevent such catastrophic aortic events, a lower threshold has been recommended for prophylactic interventions on the aortic root. After prophylactic root replacement, disease in the aorta beyond the root and distal to the arch remains a cause for concern. Multiple surgeries are required throughout a patient's lifetime that can be problematic due to distal lesions complicated by dissection. Many controversies in surgical strategies remain, such as endovascular repair, to manage such complex cases. This review examines the trends in surgical strategies for the treatment of cardiovascular disease in patients with Marfan syndrome, and current perspectives in this field.

History Textbook Controversies in Japan. ERIC Digest.

ERIC Educational Resources Information Center

Masalski, Kathleen Woods

Currently, there is a controversy in Japan about textbook treatments of Japanese military actions during World War II. This digest examines: (1) the importance of history textbooks in schools in Japan and the United States; (2) the context of history textbook controversies in Japan; (3) the current issues and contending positions in the Japanese…

The cytoskeleton and gravitropism in higher plants

NASA Technical Reports Server (NTRS)

Blancaflor, Elison B.

2002-01-01

The cellular and molecular mechanisms underlying the gravitropic response of plants have continued to elude plant biologists despite more than a century of research. Lately there has been increased attention on the role of the cytoskeleton in plant gravitropism, but several controversies and major gaps in our understanding of cytoskeletal involvement in gravitropism remain. A major question in the study of plant gravitropism is how the cytoskeleton mediates early sensing and signal transduction events in plants. Much has been made of the actin cytoskeleton as the cellular structure that sedimenting amyloplasts impinge upon to trigger the downstream signaling events leading to the bending response. There is also strong molecular and biochemical evidence that the transport of auxin, an important player in gravitropism, is regulated by actin. Organizational changes in microtubules during the growth response phase of gravitropism have also been well documented, but the significance of such reorientations in controlling differential cellular growth is unclear. Studies employing pharmacological approaches to dissect cytoskeletal involvement in gravitropism have led to conflicting results and therefore need to be interpreted with caution. Despite the current controversies, the revolutionary advances in molecular, biochemical, and cell biological techniques have opened up several possibilities for further research into this difficult area. The myriad proteins associated with the plant cytoskeleton that are being rapidly characterized provide a rich assortment of candidate regulators that could be targets of the gravity signal transduction chain. Cytoskeletal and ion imaging in real time combined with mutant analysis promises to provide a fresh start into this controversial area of research.

Queering Home Corner

ERIC Educational Resources Information Center

Taylor, Affrica; Richardson, Carmel

2005-01-01

A recent Australian controversy over the representation of a same-sex family on national children's television highlighted the fact that early childhood remains a domain of strongly defended heteronormative family privilege. The authors use this controversial event as a springboard into an analysis of the interplay between the hegemonic discourses…

Women's Athletics: Coping with Controversy.

ERIC Educational Resources Information Center

Hoepner, Barbara J., Ed.

This book is a collection of papers discussing controversial topics in women's athletics. Section one, "Overview--Women's Rights," includes articles on women's rights and equal opportunities in sports, the emergence of women in sports, and significant events in a century of American women's sports. Section two, "Women's Intercollegiate…

Testing and the Public Interest.

ERIC Educational Resources Information Center

Educational Testing Service, Princeton, NJ.

The 1976 Educational Testing Service (ETS) Invitational Conference served as a platform for individuals who have been prominent in educational measurement and research to present their views on issues surrounding the testing controversy. The 1976 ETS "The Testing Scene: Chaos and Controversy," presents a historical review of events surrounding the…

The Potential Cardiotoxic Effects of Exercise.

PubMed

La Gerche, André

2016-04-01

The emerging controversy related to the potential cardiotoxic effects of high doses of intense exercise need to be considered among the much stronger evidence that supports the pleomorphic benefits of exercise as a whole. However, there is fairly compelling evidence to support the association between long-term sport practice and an increased prevalence of atrial fibrillation and the fact that this relates to a chronic altered atrial substrate. This article was designed to challenge the reader with speculative science that suggests that exercise might promote permanent structural changes in the myocardium which can, in some individuals, predispose to arrhythmias. In terms of long-term health outcomes, it would seem that these small risks are outweighed by the many other benefits of exercise, including a likely decrease in atherosclerotic vascular events, although some recent results have brought into question whether the protective benefits of exercise on vascular events also extends to high-intensity exercise training. Above all else, in this article we sought to highlight current controversies to stimulate research on the many unanswered questions. In particular, there is a lack of adequately powered prospective studies from which we can measure health outcomes and their relationship to exercise-induced cardiac remodelling. Copyright © 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

The Columbus Controversy: A Historian Walks through the Battlefield of Ideas.

ERIC Educational Resources Information Center

Thernstrom, Stephan

1992-01-01

Reviews controversies concerning celebrating the 500th anniversary of Columbus' landing in America. Summarizes historians' perspectives concerning that event, including the following: (1) who was first; (2) discovery or invasion; (3) native population numbers; (4) how so few conquered so many; (5) Columbus and slavery; and (6) Columbus and…

Collective judicial management of mass toxic tort controversies: lessons and issues from the Agent Orange litigation.

PubMed

Novey, L B

1988-01-01

Viewing the Agent Orange litigation as a case study, this article explores the feasibility and desirability of strengthening the powers of the courts to manage toxic tort controversies en masse. The Agent Orange lawsuit, brought on behalf of potentially millions of Vietnam War veterans and family members, charged that herbicides used for military purposes during the war caused a wide range of health problems. This article first reviews the current national debate over how mass toxic tort controversies should be handled, including key legislative reform options, and describes how attention is increasingly focused on ways that the court system might better cope with mass toxic torts. The principal events of the Agent Orange litigation are then summarized, by which the litigation was consolidated into a massive class action, the class action was settled, and a streamlined plan for distributing the settlement fund was adopted. The article evaluates the outcome of the litigation, and discusses whether the solution there can and should be broadly applied to other mass toxic tort cases. This question depends, in part, on a series of complex legal and practical issues, but the author suggests that the question will also depend on what institutional role we expect the judiciary to play within society.

The Emergency Public Relations Protocol: How to Work Effectively on Controversial Projects in an Academic Health Setting

PubMed Central

Rosser, B. R. Simon; Kilian, Gunna; West, William G.

2012-01-01

Certain research topics - including studies of sexual behavior, substance use, and HIV risk -- are more likely to be scrutinized by the media and groups opposed to this area of research. When studying topics that others might deem controversial, it is critical that researchers anticipate potential negative media events prior to their occurrence. By developing an Emergency Public Relations Protocol at the genesis of a study, researchers can identify and plan for events that might result in higher scrutiny. For each identified risk, a good protocol details procedures to enact before, during and after a media event. This manuscript offers recommendations for developing a protocol based on both Situational Crisis Communication Theory and our experience as an HIV prevention research group who recently experienced such an event. The need to have procedures in place to monitor and address social media is highlighted. PMID:23565067

The Emergency Public Relations Protocol: How to Work Effectively on Controversial Projects in an Academic Health Setting.

PubMed

Rosser, B R Simon; Kilian, Gunna; West, William G

2013-03-01

Certain research topics - including studies of sexual behavior, substance use, and HIV risk -- are more likely to be scrutinized by the media and groups opposed to this area of research. When studying topics that others might deem controversial, it is critical that researchers anticipate potential negative media events prior to their occurrence. By developing an Emergency Public Relations Protocol at the genesis of a study, researchers can identify and plan for events that might result in higher scrutiny. For each identified risk, a good protocol details procedures to enact before, during and after a media event. This manuscript offers recommendations for developing a protocol based on both Situational Crisis Communication Theory and our experience as an HIV prevention research group who recently experienced such an event. The need to have procedures in place to monitor and address social media is highlighted.

Conservation of biodiversity: a useful paradigm for forest ecosystem management.

Treesearch

A.B. Carey; R.O. Curtis

1996-01-01

The coniferous forests of the Western Hemlock Zone of western Oregon and western Washington are remarkable in the longevity and stature of their trees, long intervals between stand-replacing events, capacity to produce timber, diversity of life forms and species, and controversy over their management. The controversy is hardly new (Overton and Hunt 1974). But the...

Campus Activities and the First Amendment: Defining the Boundaries of Freedom of Expression.

ERIC Educational Resources Information Center

Smaldone, Karen

1991-01-01

Four situations involving freedom of speech that could occur on college campuses are offered to help campus activities administrators consider in advance the implications of controversial events and possible techniques for managing them. The situations include a controversial pro-choice speaker, an X-rated movie, heckling in a public area, and…

The Cretaceous/Tertiary Extinction Controversy.

ERIC Educational Resources Information Center

McCartney, Kevin

1984-01-01

The cause of the Cretaceous/Tertiary extinction has become a major geologic controversy. Current evidence for the two opposing views is reviewed to provide an introduction to the controversy and to form the basis for a seminar of discussion topic. (Author/JN)

Con: bulbomembranous anastomotic urethroplasty for pelvic fracture urethral injuries

PubMed Central

Tausch, Timothy J.

2015-01-01

Current literature remains controversial regarding whether to treat patients sustaining pelvic fracture urethral injuries (PFUIs) with primary endoscopic realignment (PER) versus suprapubic tube (SPT) placement alone with elective bulbomembranous anastomotic urethroplasty (BMAU). Success rates for PER following PFUI are wide-ranging, depending on various authors’ definitions of what defines a successful outcome. At our institution, for SPT/BMAU patients, the mean time to definitive resolution of stenosis was dramatically shorter compared to PER cases. The vast majority of PER patients required multiple endoscopic urethral interventions and/or experienced various other adverse events which were rarely noted among the SPT/BMAU group. While PER does occasionally result in urethral patency without the need for further intervention, the risk of delay in definitive treatment and potential for adverse events has led to a preference for SPT and elective BMAU at our institution. PMID:26816814

Reading & Listening with Purpose: Teaching Controversial Song Lyrics Using the ELA Common Core Standards in History/Social Studies

ERIC Educational Resources Information Center

Bender, Rachel A.; Sharp, Kimberlee A.

2013-01-01

This paper presents a method for social studies teachers to incorporate song lyrics into the study of controversial historical events and issues. Using the Hunt and Metcalf "Seven Problematic Areas of the Social Studies" as the rubric for selecting appropriate songs, the Teacher Candidate (TC) explains how song lyrics make viable text…

Successful Treatment of a Drug-Resistant Epilepsy by Long-term Transcranial Direct Current Stimulation: A Case Report.

PubMed

San-Juan, Daniel; Sarmiento, Carlos Ignacio; González, Katia Márquez; Orenday Barraza, José Manuel

2018-01-01

Transcranial direct current stimulation (tDCS) is a reemerged noninvasive cerebral therapy used to treat patients with epilepsy, including focal cortical dysplasia, with controversial results. We present a case of a 28-year-old female with left frontal cortical dysplasia refractory to antiepileptic drugs, characterized by 10-15 daily right tonic hemi-body seizures. The patient received a total of seven sessions of cathodal tDCS (2 mA, 30 min). The first three sessions were applied over three consecutive days, and the remaining four sessions of tDCS were given each at 2-week intervals. At the 1-year follow-up, the patient reported to have a single seizure per month and only mild adverse events.

Successful Treatment of a Drug-Resistant Epilepsy by Long-term Transcranial Direct Current Stimulation: A Case Report

PubMed Central

San-Juan, Daniel; Sarmiento, Carlos Ignacio; González, Katia Márquez; Orenday Barraza, José Manuel

2018-01-01

Transcranial direct current stimulation (tDCS) is a reemerged noninvasive cerebral therapy used to treat patients with epilepsy, including focal cortical dysplasia, with controversial results. We present a case of a 28-year-old female with left frontal cortical dysplasia refractory to antiepileptic drugs, characterized by 10–15 daily right tonic hemi-body seizures. The patient received a total of seven sessions of cathodal tDCS (2 mA, 30 min). The first three sessions were applied over three consecutive days, and the remaining four sessions of tDCS were given each at 2-week intervals. At the 1-year follow-up, the patient reported to have a single seizure per month and only mild adverse events. PMID:29479337

Ethical Perspectives on the Current Controversy Regarding Openness in Adoption.

ERIC Educational Resources Information Center

Tavis, Timothy M.

This paper outlines current changes in American adoption practice and the controversies surrounding these changes. It includes a discussion of the role that neo-Kantian and utilitarian perspectives have played in American adoption policy and practice, and offers an alternative, the communitarian perspective, described by Sandel (1984). Adoption…

Childhood Psychological Disorders: Current Controversies. Making Sense of Psychology

ERIC Educational Resources Information Center

Bursztyn, Alberto M., Ed.

2011-01-01

This accessible, informative book will help teachers, parents, and practitioners make sense of current issues and controversies surrounding childhood disabilities. Almost 12 percent of children in American schools have been identified as disabled in ways that interfere with their capacity to learn. Yet parents of children with disabilities often…

The management of systemic lupus erythematosus: Facts and controversies.

PubMed

Elbirt, Daniel; Sthoeger, Dalia; Asher, Ilan; Sthoeger, Zev Moshe

2010-01-01

Systemic lupus erythematosus is a multisystem disease of unknown etiology in which dysregulation of the innate and adaptive immune systems has a major effect in the pathogenesis of the disease. The treatment should be tailored for each patient according to how the disease manifests itself. Although there is no cure for systemic lupus erythematosus, the current treatment, using anti-inflammatory, antimalarial, and immunosuppressive agents, is fairly effective, but serious adverse events are possible. New biologic agents that target various components of the immune system recently have been developed for the treatment of patients with systemic lupus erythematosus. Copyright 2010 Elsevier Inc. All rights reserved.

Size and density avalanche scaling near jamming.

PubMed

Arévalo, Roberto; Ciamarra, Massimo Pica

2014-04-28

The current microscopic picture of plasticity in amorphous materials assumes local failure events to produce displacement fields complying with linear elasticity. Indeed, the flow properties of nonaffine systems, such as foams, emulsions and granular materials close to jamming, that produce a fluctuating displacement field when failing, are still controversial. Here we show, via a thorough numerical investigation of jammed materials, that nonaffinity induces a critical scaling of the flow properties dictated by the distance to the jamming point. We rationalize this critical behavior by introducing a new universal jamming exponent and hyperscaling relationships, and we use these results to describe the volume fraction dependence of the friction coefficient.

Hair Transplantation Controversies.

PubMed

Avram, Marc R; Finney, Robert; Rogers, Nicole

2017-11-01

Hair transplant surgery creates consistently natural appearing transplanted hair for men. It is increasingly popular procedure to restore natural growing hair for men with hair loss. To review some current controversies in hair transplant surgery. Review of the English PubMed literature and specialty literature in hair transplant surgery. Some of the controversies in hair transplant surgery include appropriate donor harvesting technique including elliptical donor harvesting versus follicular unit extraction whether manual versus robotic, the role of platelet-rich plasma and low-level light surgery in hair transplant surgery. Hair transplant surgery creates consistently natural appearing hair. As with all techniques, there are controversies regarding the optimal method for performing the procedure. Some of the current controversies in hair transplant surgery include optimal donor harvesting techniques, elliptical donor harvesting versus follicular unit extraction, the role of low-level light therapy and the platelet-rich plasma therapy in the procedure. Future studies will further clarify their role in the procedure.

Prevention of sudden cardiac death in young athletes: controversies and conundrums.

PubMed

Rowland, Thomas

2011-01-01

Strategies for preventing sudden cardiac death in young athletes are predicated on the assumption that: (1) these events reflect pre-existing, clinically silent heart disease, and (2) means for detecting these abnormalities on the pre-participation evaluation are both feasible and accurate. Recent controversy has surrounded both of these presumptions. Some evidence suggests that the myocardial hypertrophy accompanying sports training itself might serve as a substrate for fatal arrhythmias. As well, vigorous debate has arisen over the optimal content of the pre-participation evaluation, particularly regarding the inclusion of routine screening electrocardiograms. As the rarity of these fatal events does not lend itself to an experimental approach, such disagreements are not easily resolved. Consequently, it is expected that decisions regarding approaches to prevention of sudden death in athletes will be dictated largely by region-specific financial, political, and cultural factors. This chapter examines the aetiologies of sudden cardiac death in young athletes as well as the controversies surrounding the prevention of these tragedies. Copyright © 2011 S. Karger AG, Basel.

Is there a single origin of life?

NASA Astrophysics Data System (ADS)

Soffen, Gerald A.

The emergence of the first life on the earth is now established as an early event, and closely related to the evolving earth. Laboratory experiments examining possible chemical events have revealed a multitude of plausible pathways. Lack of knowledge of the primitive terrestrial conditions contemporary with the evolving prebolic organic chemistry limits reconstruction techniques. The primitive earth's aqueous history is essential to unraveling this problem. Based on our current knowledge of other planets of the solar system, we do not expect close analogues to the early earth. We still do not know if there was a second origin or if only earth has life. This may depend upon the question of the survival of information bearing chemical systems in a dynamic or chaotic environment and the chemical protection afforded within such a system. Water is the central molecule of controversy: the blessing and the curse of the chemist. New and novel chemical mechanisms and systems abound.

Relations among Functional Systems in Behavior Analysis

PubMed Central

Thompson, Travis

2007-01-01

This paper proposes that an organism's integrated repertoire of operant behavior has the status of a biological system, similar to other biological systems, like the nervous, cardiovascular, or immune systems. Evidence from a number of sources indicates that the distinctions between biological and behavioral events is often misleading, engendering counterproductive explanatory controversy. A good deal of what is viewed as biological (often thought to be inaccessible or hypothetical) can become publicly measurable variables using currently available and developing technologies. Moreover, such endogenous variables can serve as establishing operations, discriminative stimuli, conjoint mediating events, and maintaining consequences within a functional analysis of behavior and need not lead to reductionistic explanation. I suggest that explanatory misunderstandings often arise from conflating different levels of analysis and that behavior analysis can extend its reach by identifying variables operating within a functional analysis that also serve functions in other biological systems. PMID:17575907

Event attribution: Human influence on the record-breaking cold event in January of 2016 in Eastern China

NASA Astrophysics Data System (ADS)

Qian, C.; Wang, J.; Dong, S.; Yin, H.; Burke, C.; Ciavarella, A.; Dong, B.; Freychet, N.; Lott, F. C.; Tett, S. F.

2017-12-01

It is controversial whether Asian mid-latitude cold surges are becoming more likely as a consequence of Arctic warming. Here, we present an event attribution study in mid-latitude Eastern China. A strong cold surge occurred during 21st-25th January 2016 affecting most areas of China, especially Eastern China. Daily minimum temperature (Tmin) records were broken at many stations. The area averaged anomaly of Tmin over the region (20-44N, 100-124E) for this pentad was the lowest temperature recorded since modern meteorological observations started in 1960. This cold event occurred in a background of the warmest winter Tmin since 1960. Given the vast damages caused by this extreme cold event in Eastern China and the previous mentioned controversy, it is compelling to investigate how much anthropogenic forcing agents have affected the probability of cold events with an intensity equal to or larger than the January 2016 extreme event. We use the Met Office Hadley Centre system for Attribution of extreme weather and Climate Events and station observations to investigate the effect of anthropogenic forcings on the likelihood of such a cold event. Anthropogenic influences are estimated to have reduced the likelihood of an extreme cold event in mid-winter with the intensity equal to or stronger than the record of 2016 in Eastern China by about 2/3.

Science and Social Studies Teachers' Beliefs and Practices about Teaching Controversial Issues: Certain Comparisons

ERIC Educational Resources Information Center

Kus, Zafer

2015-01-01

The current study aims to investigate social studies and science teachers' attitudes and classroom practices associated with controversial issues. The study is a qualitative research based on data collected through interviews and observation. Social studies and Science teachers participated in the current study which was conducted in Kirsehir, a…

Limits to biodiversity cycles from a unified model of mass-extinction events

NASA Astrophysics Data System (ADS)

Feulner, Georg

2011-04-01

Episodes of species mass extinction dramatically affected the evolution of life on Earth, but their causes remain a source of debate. Even more controversy surrounds the hypothesis of periodicity in the fossil record, with conflicting views still being published in the scientific literature, often even based on the same state-of-the-art datasets. From an empirical point of view, limitations of the currently available data on extinctions and possible causes remain an important issue. From a theoretical point of view, it is likely that a focus on single extinction causes and strong periodic forcings has strongly contributed to this controversy. Here I show that if there is a periodic extinction signal at all, it is much more likely to result from a combination of a comparatively weak periodic cause and various random factors. Tests of this unified model of mass extinctions on the available data show that the model is formally better than a model with random extinction causes only. However, the contribution of the periodic component is small compared to factors such as impacts or volcanic eruptions.

Fast magnetic reconnection supported by sporadic small-scale Petschek-type shocks

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

Shibayama, Takuya, E-mail: shibayama@stelab.nagoya-u.ac.jp; Nakabou, Takashi; Kusano, Kanya

2015-10-15

Standard magnetohydrodynamic (MHD) theory predicts reconnection rate that is far too slow to account for a wide variety of reconnection events observed in space and laboratory plasmas. Therefore, it was commonly accepted that some non-MHD (kinetic) effects play a crucial role in fast reconnection. A recently renewed interest in simple MHD models is associated with the so-called plasmoid instability of reconnecting current sheets. Although it is now evident that this effect can significantly enhance the rate of reconnection, many details of the underlying multiple-plasmoid process still remain controversial. Here, we report results of a high-resolution computer simulation which demonstrate thatmore » fast albeit intermittent magnetic reconnection is sustained by numerous small-scale Petschek-type shocks spontaneously formed in the current sheet due to its plasmoid instability.« less

The current management of carotid atherosclerotic disease: who, when and how?

PubMed Central

Ritter, Jens C.; Tyrrell, Mark R.

2013-01-01

Ischaemic stroke represents a major health hazard in the western world, which has a severe impact on society and the health-care system. Roughly, 10% of all first ischaemic strokes can be attributed to significant atherosclerotic disease of the carotid arteries. Correct management of these lesions is essential in the prevention and treatment of carotid disease-related ischaemic events. The close relationship between diagnosis and medical and surgical management makes it necessary that all involved physicians and surgeons have profound knowledge of management strategies beyond their specific speciality. Continuous improvement in pharmacological therapy and operative techniques as well as frequently changing guidelines represent a constant challenge for the individual health-care professional. This review gives a thorough outline of the up-to-date evidence-based management of carotid artery disease and discusses its current controversies. PMID:23197661

Visualizing Social Justice: Using Controversial Images in Social Studies Classrooms

ERIC Educational Resources Information Center

Hawley, Todd S.; Crowe, Alicia R.; Mooney, Evan

2016-01-01

In this article, we promote the use of controversial images to enhance the discussion of social justice issues in schools. Controversial images provide rich opportunities for students to question what is occurring currently in society as well as what has occurred in the past. We provide an example set of activities to be used in teacher education…

Surface currents associated with external kink modes in tokamak plasmas during a major disruption

NASA Astrophysics Data System (ADS)

Ng, C. S.; Bhattacharjee, A.

2017-10-01

The surface current on the plasma-vacuum interface during a disruption event involving kink instability can play an important role in driving current into the vacuum vessel. However, there have been disagreements over the nature or even the sign of the surface current in recent theoretical calculations based on idealized step-function background plasma profiles. We revisit such calculations by replacing step-function profiles with more realistic profiles characterized by a strong but finite gradient along the radial direction. It is shown that the resulting surface current is no longer a delta-function current density, but a finite and smooth current density profile with an internal structure, concentrated within the region with a strong plasma pressure gradient. Moreover, this current density profile has peaks of both signs, unlike the delta-function case with a sign opposite to, or the same as the plasma current. We show analytically and numerically that such current density can be separated into two parts, with one of them, called the convective current density, describing the transport of the background plasma density by the displacement, and the other part that remains, called the residual current density. It is argued that consideration of both types of current density is important and can resolve past controversies.

Prevention and management of pelvic organ prolapse

PubMed Central

Giarenis, Ilias

2014-01-01

Pelvic organ prolapse is a highly prevalent condition in the female population, which impairs the health-related quality of life of affected individuals. Despite the lack of robust evidence, selective modification of obstetric events or other risk factors could play a central role in the prevention of prolapse. While the value of pelvic floor muscle training as a preventive treatment remains uncertain, it has an essential role in the conservative management of prolapse. Surgical trends are currently changing due to the controversial issues surrounding the use of mesh and the increasing demand for uterine preservation. The evolution of laparoscopic and robotic surgery has increased the use of these techniques in pelvic floor surgery. PMID:25343034

Controversial Issues--Teachers' Attitudes and Practices in the Context of Citizenship Education

ERIC Educational Resources Information Center

Oulton, Christopher; Day, Vanessa; Dillon, Justin; Grace, Marcus

2004-01-01

Current conceptions of citizenship favour public involvement in dialogue on controversial issues such as GM food. 'Students with higher levels of civic knowledge are more likely to expect to participate in political and civic activities as adults' (Kerr et al., 2003, p. 4). Young people need to be aware of the nature of controversy and be able to…

"...Not Simply Say That They Are All Nazis." Controversy in Discussions of Current Topics in German Civics Classes

ERIC Educational Resources Information Center

Jahr, David; Hempel, Christopher; Heinz, Marcus

2016-01-01

Studies have shown that the Requirement of Controversy defined in the German Beutelsbach Consensus is repeatedly violated in the practice of teaching Civic Education. However, little is known about the impact that different teaching settings have on the quality of controversy in the classroom. In this article, two scenes of classroom discussions…

Lymphatic dysregulation in intestinal inflammation: new insights into inflammatory bowel disease pathomechanisms.

PubMed

Becker, F; Yi, P; Al-Kofahi, M; Ganta, V C; Morris, J; Alexander, J S

2014-03-01

Alterations in the intestinal lymphatic network are well-established features of human and experimental inflammatory bowel disease (IBD). Such lymphangiogenic expansion might enhance classic intestinal lymphatic transport, eliminating excess accumulations of fluid, inflammatory cells and mediators, and could therefore be interpreted as an 'adaptive' response to acute and chronic inflammatory processes. However, whether these new lymphatic vessels are functional, unregulated or immature (and what factors may promote 'maturation' of these vessels) is currently an area under intense investigation. It is still controversial whether impaired lymphatic function in IBD is a direct consequence of the intestinal inflammation, or a preceding lymphangitis-like event. Current research has uncovered novel regulatory factors as well as new roles for familiar signaling pathways, which appear to be linked to inflammation-induced lymphatic alterations. The current review summarizes mechanisms amplifying lymphatic dysregulation and remodeling in intestinal inflammation at the organ, cell and molecular levels and discusses the influence of lymphangiogenesis and intestinal lymphatic transport function as they relate to IBD pathophysiology.

Everything You Need To Know To Understand the Current Controversies You Learned from Psychological Research: A Comment on the Rind and Lilienfeld Controversies.

ERIC Educational Resources Information Center

Sternberg, Robert J.

2002-01-01

Discusses applications of theories and research in psychology to understand controversies generated by two recent articles, explaining the need to distinguish between rational and intuitive thinking, recognize the power of context, think reflectively, and realize the costs of defying the crowd, and noting steps one can take to be wiser and more…

Use of Electrocardiogram as Part of the Preparticipation Examination.

PubMed

Chain, Kelly; Gregory, Andrew

2016-01-01

A sudden cardiac event or death in a young athlete is a traumatic and memorable event. These tragic events have long-lasting and widespread influences that not only affect the person's immediate family, but also have profound effects on the team, school, and entire community. Over the past several decades there has been a significant research effort in the area of sudden cardiac death (SCD) in athletes in hopes of decreasing preventable deaths. One area of research and discussion that has emerged is the use of electrocardiograms (EKGs) in preparticipation screening examinations as a tool to help identify athletes at risk for SCD. The use of an EKG in addition to a detailed history and physical examination is a controversial and frequently debated topic. To help sort through some of the controversy, this article discusses some of the pros and cons of incorporating the EKG as a screening modality in the preparticipation evaluation for clearance to participate in sports. Copyright 2016, SLACK Incorporated.

Playing Indian at Halftime: The Controversy over American Indian Mascots, Logos, and Nicknames in School-Related Events

ERIC Educational Resources Information Center

Pewewardy, Cornel D.

2004-01-01

This article discusses the creation of stereotypical Indian mascots, how society reinforces and accepts those stereotypes, how negative stereotypes have affected the relationship between American Indians and the rest of society, and it suggests solutions educators might use to eliminate these mascots from school-related events. The intent of this…

Blasphemy or art: what art should be censored and who wants to censor it?

PubMed

Dunkel, Curtis S; Hillard, Erin E

2014-01-01

Current events have marked the increasing tension between freedom of artistic expression and religious tolerance and sensitivity. While there have been several controversies in the West concerning art critical of Christianity, a more complex dynamic has arisen as some Western artists have created art critical of Islam. Research was undertaken to examine what aspects of artwork lead to the most aversive reactions and desire to ban art and individual differences in response to controversial art. Of particular interest was the response to artwork critical of Christianity in comparison to artwork critical of Islam. Studies 1 and 2 suggest that the artwork that mixes the sacred and profane (whether critical of Christianity or Islam) is particularly likely to elicit a negative emotional response and is more likely to be the target for censorship. Also consistent across Studies 1 and 2 individuals who based their moral foundation on purity and have Christian religious beliefs were more likely to endorse banning said artwork. In Study 3 an even more complex picture emerged in which non-Christians were more likely to endorse banning art critical of Islam in comparison to art critical of Christianity.

The chilling effect: how do researchers react to controversy?

PubMed

Kempner, Joanna

2008-11-18

Can political controversy have a "chilling effect" on the production of new science? This is a timely concern, given how often American politicians are accused of undermining science for political purposes. Yet little is known about how scientists react to these kinds of controversies. Drawing on interview (n = 30) and survey data (n = 82), this study examines the reactions of scientists whose National Institutes of Health (NIH)-funded grants were implicated in a highly publicized political controversy. Critics charged that these grants were "a waste of taxpayer money." The NIH defended each grant and no funding was rescinded. Nevertheless, this study finds that many of the scientists whose grants were criticized now engage in self-censorship. About half of the sample said that they now remove potentially controversial words from their grant and a quarter reported eliminating entire topics from their research agendas. Four researchers reportedly chose to move into more secure positions entirely, either outside academia or in jobs that guaranteed salaries. About 10% of the group reported that this controversy strengthened their commitment to complete their research and disseminate it widely. These findings provide evidence that political controversies can shape what scientists choose to study. Debates about the politics of science usually focus on the direct suppression, distortion, and manipulation of scientific results. This study suggests that scholars must also examine how scientists may self-censor in response to political events.

Sudden cardiac death in the young

PubMed Central

Ackerman, Michael; Atkins, Dianne L; Triedman, John K

2016-01-01

Although the occurrence of sudden cardiac death (SCD) in a young person is a rare event, it is traumatic and often widely publicized. In recent years, SCD in this population has been increasingly seen as a public health and safety issue. This review presents current knowledge relevant to the epidemiology of SCD and to strategies for prevention, resuscitation and identification of those at greatest risk. Areas of active research and controversy include the development of best practices in screening, risk stratification approaches and post-mortem evaluation, and identification of modifiable barriers to providing better outcomes after resuscitation of young SCD victims. Institution of a national registry of SCD in the young will provide data that will help to answer these questions. PMID:26951821

Commentary: Beyond Stressful Life Events and Depression?--Reflections on Bogdan et al. (2014)

ERIC Educational Resources Information Center

Belsky, Jay

2014-01-01

In light of continuing disagreement, even at the meta-analytic level, as to whether the gene- × -environment (G×E) interaction involving 5-HTTLPR and stressful life events (SLEs) predicts depression, Bogdan and associates (this issue, Bogdan et al., 2014) sought to extend research on what has become a highly controversial general (GxE) and…

Six controversial issues on subclinical Cushing's syndrome.

PubMed

Chiodini, Iacopo; Albani, Adriana; Ambrogio, Alberto Giacinto; Campo, Michela; De Martino, Maria Cristina; Marcelli, Giorgia; Morelli, Valentina; Zampetti, Benedetta; Colao, Annamaria; Pivonello, Rosario

2017-05-01

Subclinical Cushing's syndrome is a condition of hypercortisolism in the absence of signs specific of overt cortisol excess, and it is associated with an increased risk of diabetes, hypertension, fragility fractures, cardiovascular events and mortality. The subclinical Cushing's syndrome is not rare, being estimated to be between 0.2-2 % in the adult population. Despite the huge number of studies that have been published in the recent years, several issues remain controversial for the subclinical Cushing's syndrome screening, diagnosis and treatment. The Altogether to Beat Cushing's syndrome Group was founded in 2012 for bringing together the leading Italian experts in the hypercortisolism-related diseases. This document represents the Altogether to Beat Cushing's syndrome viewpoint regarding the following controversial issues on Subclinical Cushing's syndrome (SCS): (1) Who has to be screened for subclinical Cushing's syndrome? (2) How to screen the populations at risk? (3) How to diagnose subclinical Cushing's syndrome in patients with an adrenal incidentaloma? (4) Which consequence of subclinical Cushing's syndrome has to be searched for? (5) How to address the therapy of choice in AI patients with subclinical Cushing's syndrome? (6) How to follow-up adrenal incidentaloma patients with subclinical Cushing's syndrome surgically or conservatively treated? Notwithstanding the fact that most studies that faced these points may have several biases (e.g., retrospective design, small sample size, different criteria for the subclinical Cushing's syndrome diagnosis), we believe that the literature evidence is sufficient to affirm that the subclinical Cushing's syndrome condition is not harmless and that the currently available diagnostic tools are reliable for identifying the majority of individuals with subclinical Cushing's syndrome.

Why Map Issues? On Controversy Analysis as a Digital Method

PubMed Central

2015-01-01

This article takes stock of recent efforts to implement controversy analysis as a digital method in the study of science, technology, and society (STS) and beyond and outlines a distinctive approach to address the problem of digital bias. Digital media technologies exert significant influence on the enactment of controversy in online settings, and this risks undermining the substantive focus of controversy analysis conducted by digital means. To address this problem, I propose a shift in thematic focus from controversy analysis to issue mapping. The article begins by distinguishing between three broad frameworks that currently guide the development of controversy analysis as a digital method, namely, demarcationist, discursive, and empiricist. Each has been adopted in STS, but only the last one offers a digital “move beyond impartiality.” I demonstrate this approach by analyzing issues of Internet governance with the aid of the social media platform Twitter. PMID:26336325

Cardiovascular benefits and risks of testosterone replacement therapy in older men with low testosterone.

PubMed

Chrysant, Steven G; Chrysant, George S

2018-04-01

Many studies have shown that low testosterone (T) levels have been associated with increased risk for cardiovascular (CV) events, type 2 diabetes mellitus (T2DM), and strokes. In contrast, many other studies have demonstrated that normal T levels or the normalization of low T levels with testosterone replacement therapy (TRT) is associated with decreased incidence of CV events, T2DM, and strokes, besides improving sexual function and the quality of life. However, recent studies have indicated that TRT could lead to increased incidence of CV events and strokes. These latter studies have created a great controversy among physicians regarding these findings, who question the validity of their results. In order to get a better perspective on the current status of TRT in hypogonadal men, a focused Medline and EMBASE search of the English language literature was conducted between 2010 and 2017 using the terms hypogonadism, low Testosterone, cardiovascular disease, testosterone replacement therapy, benefits, risks, older men, mechanism of action, and 58 papers with pertinent information were selected and 48 papers were rejected. The selected papers will be discussed in this review. In conclusion, based on the current status of TRT, the majority of studies indicate that TRT is safe and is associated with prevention of CVD and strokes in hypogonadal men. However, the evidence is not uniform and the therefore, decision to administer TRT should be discussed with the patient till more definitive information becomes available.

Debating Diversity: Ethics and Controversial Public Issues

ERIC Educational Resources Information Center

Darr, Christopher R.

2016-01-01

Courses: Ethics, Organizational Communication, Political Communication. Objectives: After completing this unit activity, students should be able to (1) apply multiple ethical perspectives to real-world diversity issues in a debate format, and (2) explain the role of informational and social category diversity in current controversies.

The "Magic Cure" A Review of the Current Controversial Approaches for Treating Learning Disabilities.

ERIC Educational Resources Information Center

Silver, Larry B.

1987-01-01

In view of popular press coverage of controversial approaches to treating learning disabilities, the article briefly reviews evidence concerning the following: neurophysiological retraining (patterning, optometric visual training, cerebellar-vestibular remediation, and applied kinesiology); and orthomolecular medicine (concerning megavitamins,…

The Hippocampus Supports High-Resolution Binding in the Service of Perception, Working Memory and Long-Term Memory

PubMed Central

Yonelinas, Andrew P.

2013-01-01

It is well established that the hippocampus plays a critical role in our ability to recollect past events. A number of recent studies have indicated that the hippocampus may also play a critical role in working memory and perception, but these results have been highly controversial because other similar studies have failed to find evidence for hippocampal involvement. Thus, the precise role that the hippocampus plays in cognition is still debated. In the current paper, I propose that the hippocampus supports the generation and utilization of complex high-resolution bindings that link together the qualitative aspects that make up an event; these bindings are essential for recollection, and they can also contribute to performance across a variety of tasks including perception and working memory. An examination of the existing patient literature provides support for this proposal by showing that hippocampal damage leads to impairments on perception and working memory tasks that require complex high-resolution bindings. Conversely, hippocampal damage is much less likely to lead to impairments on tasks that require only low-resolution or simple associations/relations. The current proposal can be distinguished from earlier accounts of hippocampal function, and it generates a number of novel predictions that can be tested in future studies. PMID:23721964

The Chilling Effect: How Do Researchers React to Controversy?

PubMed Central

Kempner, Joanna

2008-01-01

Background Can political controversy have a “chilling effect” on the production of new science? This is a timely concern, given how often American politicians are accused of undermining science for political purposes. Yet little is known about how scientists react to these kinds of controversies. Methods and Findings Drawing on interview (n = 30) and survey data (n = 82), this study examines the reactions of scientists whose National Institutes of Health (NIH)-funded grants were implicated in a highly publicized political controversy. Critics charged that these grants were “a waste of taxpayer money.” The NIH defended each grant and no funding was rescinded. Nevertheless, this study finds that many of the scientists whose grants were criticized now engage in self-censorship. About half of the sample said that they now remove potentially controversial words from their grant and a quarter reported eliminating entire topics from their research agendas. Four researchers reportedly chose to move into more secure positions entirely, either outside academia or in jobs that guaranteed salaries. About 10% of the group reported that this controversy strengthened their commitment to complete their research and disseminate it widely. Conclusions These findings provide evidence that political controversies can shape what scientists choose to study. Debates about the politics of science usually focus on the direct suppression, distortion, and manipulation of scientific results. This study suggests that scholars must also examine how scientists may self-censor in response to political events. PMID:19018657

Current controversies in Niemann-Pick C1 disease: steroids or gangliosides; neurons or neurons and glia.

PubMed

Erickson, Robert P

2013-05-01

There has been a recent explosion in research on Niemann-Pick type C disease. Much of the work has used mouse models or cells in culture to elucidate the pathophysiological mechanisms resulting in the phenotype of the disease. This work has generated several contrasting views on the mechanism, which are labeled 'controversies' here. In this review, two of these controversies are explored. The first concerns which stored materials are causative in the disease: cholesterol, gangliosides and sphingolipids, or something else? The second concerns which cells in the body require Npc1 in order to function properly: somatic cells, neurons only, or neurons and glia? For the first controversy, a clear answer has emerged. More research will be needed in order to definitively solve the second controversy.

The Relative Value Unit: History, Current Use, and Controversies.

PubMed

Baadh, Amanjit; Peterkin, Yuri; Wegener, Melanie; Flug, Jonathan; Katz, Douglas; Hoffmann, Jason C

2016-01-01

The relative value unit (RVU) is an important measuring tool for the work performed by physicians, and is currently used in the United States to calculate physician reimbursement. An understanding of radiology RVUs and current procedural terminology codes is important for radiologists, trainees, radiology managers, and administrators, as this knowledge would help them to understand better their current productivity and reimbursement, as well as controversies regarding reimbursement, and permit them to adapt to reimbursement changes that may occur in the future. This article reviews the components of the RVU and how radiology payment is calculated, highlights trends in RVUs and resultant payment for diagnostic and therapeutic imaging and examinations, and discusses current issues involving RVU and current procedural terminology codes. Copyright © 2015 Mosby, Inc. All rights reserved.

The current revolution in newborn screening: new technology, old controversies.

PubMed

Tarini, Beth A

2007-08-01

Newborn screening has provided a model of a successful public health screening program for the past 40 years. However, the history of newborn screening is not without controversy. Many of these controversies have been rekindled with the introduction of tandem mass spectrometry, a technology that has greatly increased our ability to detect potential disease in asymptomatic newborns. This review highlights the challenges raised by this and future technological advances as we strive to maintain the success of newborn screening in the 21st century.

Dispelling confusion about traumatic dissociative amnesia.

PubMed

McNally, Richard J

2007-09-01

How survivors of trauma remember--or forget--their most terrifying experiences lies at the core of one of the most bitter controversies in psychiatry and psychology: the debate regarding repressed memories of childhood sexual abuse. Most experts hold that traumatic events--those experienced as overwhelmingly terrifying and often life-threatening--are remembered very well; however, traumatic dissociative amnesia theorists disagree. Although acknowledging that traumatic events are usually memorable, these theorists nevertheless claim that a sizable minority of survivors are incapable of remembering their trauma. That is, the memory is stored but dissociated (or "repressed") from awareness. However, the evidence that these theorists adduce in support of the concept of traumatic dissociative amnesia is subject to other, more plausible interpretations. The purpose of this review is to dispel confusion regarding the controversial notion of dissociated (or repressed) memory for trauma and to show how people can recall memories of long-forgotten sexual abuse without these memories first having been repressed.

Discussion of the Controversy Concerning a Historical Event Among Pre-service Teachers

NASA Astrophysics Data System (ADS)

Justi, Rosária; Mendonça, Paula Cristina Cardoso

2016-10-01

As part of a teacher training project, 16 future chemistry teachers participated in a dramatisation activity (a mock trial of the Fritz Haber case), in which they discussed a controversy concerning an event from the history of science: the awarding of the Nobel Prize in Chemistry to Fritz Haber in 1918. Preparations for the role-play activity, the dramatisation of the mock trial, and the subsequent discussions were video-recorded. We also collected the written material produced by the pre-service teachers and the reflective journals they produced during their involvement with the activity. This article discusses the contributions of such an experience to future teachers' knowledge on aspects related to both nature of science and argumentation, as well as to their views on their future actions related to authentic teaching of and about science. The results show that such contributions were meaningful.

Teaching About the Creation/Evolution Controversy. Fastback 134.

ERIC Educational Resources Information Center

Bergman, Jerry

The booklet discusses questions related to teaching engendered by the creation/evolution controversy, presents current positions of educators and textbooks, and recommends a two-model teaching approach. It is divided into six chapters. Chapter I defines and summarizes evolution and creationism as different belief structures, and outlines various…

Hot Buttons. Unraveling 10 Controversial Issues in Education.

ERIC Educational Resources Information Center

Walling, Donovan R., Ed.

This book is a collection of essays that deal with 10 current controversial issues. The issues are also the topics of 10 recent fastbacks from the Phi Delta Kappa fastback series published between 1993 and 1996. Following the introduction, the articles include the following: (1) "Accountability" (Jack Frymier); (2) "Assessment…

Primary prophylaxis of venous thromboembolism in children.

PubMed

Cole, Catherine H

2010-06-01

Venous thromboembolism (VTE) is rare in children and young adolescents, and occurs predominantly in those with congenital heart disease in whom guidelines exist for VTE prophylaxis. For other paediatric patients, the rarity of the event makes writing an evidence-based clinical practice guideline difficult because each of the known risk factors contributes only a small increase in risk. Thrombophilia screening is controversial because few results assist with prediction of likely thrombosis and may not alter recommendations for prophylaxis. Recent publications highlight the importance of non-pharmacological prevention of VTE in children and adolescents undergoing surgery and the importance of liaison among surgeon, anaesthetist and haematologist. This annotation was written with the aim of collating current evidence for VTE prophylaxis and emphasising the need for further research in vulnerable subgroups.

Subclinical hypothyroidism: summary of evidence in 2014.

PubMed

Baumgartner, Christine; Blum, Manuel R; Rodondi, Nicolas

2014-01-01

Subclinical hypothyroidism, which is defined as elevated thyroid-stimulating hormone (TSH) levels with free thyroxine concentrations within the reference range, is a common disorder that increases with age and affects up to 18% of the elderly, with a higher prevalence in women compared to men. Prospective data have shown an increased risk of coronary heart disease events, heart failure, and cardiovascular mortality among affected adults. Conflicting results have been found on the association between subclinical hypothyroidism and cognitive impairment, depression and the risk of fractures. Management strategies including screening and treatment of subclinical hypothyroidism are still controversial, while the ongoing European randomised controlled trial "TRUST" targets to solve these uncertainties. This narrative review aims to assess current evidence on the clinical aspects, as well as screening and treatment recommendations in adults with subclinical hypothyroidism.

Current therapy for laser-induced retinal injury: overview of clinical and experimental approaches

NASA Astrophysics Data System (ADS)

Schuschereba, Steven T.; Scales, David K.

1997-05-01

Adequate treatment strategies do not exist for retinal laser injuries. To gain a better understanding of available treatments, data form a variety of human laser accident cases and relevant experimental work was evaluated. Most laser eye injury cases are not attended by an ophthalmologist for several hours to days after injury and most patients are not treated.Of the few cases receiving treatment; only the FDA approved glucocortocoids are available for use. Their use, however, is still controversial. Experimental animal work during the acute phase of injury indicates that productive efforts have targeted neuroprotection, inflammation, ischemia- reperfusion, and lipid peroxidation. Late stage issues for treatment are scarring, retinal hole persistence and expansion, and traction. In summary, treatments for acute and late phase injury are currently inadequate. Preserving existing neural elements should be the top priority in these injuries. We recommend that relevant treatments begin immediately after injury. Other approaches are necessary to target early and late phase secondary damage events that are entrenched.

Climate Change Attribution: When Is It Appropriate to Accept New Methods?

NASA Astrophysics Data System (ADS)

Lloyd, Elisabeth A.; Oreskes, Naomi

2018-03-01

The most common approaches to detection and attribution (D&A) of extreme weather events using fraction of attributable risk or risk ratio answer a particular form of research question, namely "What is the probability of a certain class of weather events, given global climate change, relative to a world without?" In a set of recent papers, Trenberth et al. (2015, https://doi.org/10.1038/nclimate2657) and Shepherd (2016, https://doi.org/10.1007/s40641-016-0033-y) have argued that this is not always the best tool for analyzing causes, or for communicating with the public about climate events and extremes. Instead, they promote the idea of a "storyline" approach, which asks complementary questions, such as "How much did climate change affect the severity of a given storm?" From the vantage of history and philosophy of science, a proposal to introduce a new approach or to answer different research questions—especially those of public interest—does not appear particularly controversial. However, the proposal proved highly controversial, with the majority of D&A scientists reacting in a very negative and even personal manner. Some suggested the proposed alternatives amount to a weakening of standards, or an abandonment of scientific method. Here, we address the question: Why is this such a controversial proposition? We argue that there is no "right" or "wrong" approach to D&A in any absolute sense, but rather that in different contexts, society may have a greater or lesser concern with errors of a particular type. How we view the relative risk of overestimation versus underestimation of harm is context-dependent.

AACR Centennial Series: The Biology of Cancer Metastasis: Historical Perspective

PubMed Central

Talmadge, James E; Fidler, Isaiah J

2014-01-01

Metastases resistant to therapy is the major cause of death from cancer. Despite almost 200 years of study, the process of tumor metastasis remains controversial. Stephen Paget initially identified the role of host-tumor interactions on the basis of a review of autopsy records. His “seed and soil” hypothesis was substantiated a century later with experimental studies and numerous reports have confirmed these seminal observations. Inarguably, an improved understanding of the metastatic process and the attributes of the cells selected by this process are critical to the treatment of patients with systemic disease. In many patients, metastasis has occurred by the time of diagnosis, such that metastasis prevention may not be relevant, and treatment of systemic disease, as well as the identity of patients with early disease, should be our goal. During the last three decades, revitalized research has focused on new discoveries in the biology of metastasis. While our understanding of the molecular events that regulate metastasis has improved; nonetheless, the relevant contributions and timing of molecular lesion(s) potentially involved in its pathogenesis remain unclear. The history of pioneering observations and discussion of current controversies should help investigators understand the complex and multifactorial interactions between the host and selected tumor cells that contribute to fatal metastasis and allow for the design of successful therapy. PMID:20610625

General Education Today. A Critical Analysis of Controversies, Practices, and Reforms.

ERIC Educational Resources Information Center

Gaff, Jerry G.

The range of controversies and changes emerging from the current revival of general education are examined, and many ideas, examples, and recommendations for achieving realistic and successful curricular reform are offered. Instead of either offering an apology for general education or advocating any particular approach, the book draws on solid…

A Cross-Disciplinary Examination of Print Resources on Abortion

ERIC Educational Resources Information Center

Johnson, Wendell G.

2011-01-01

Abortion is a highly-charged, emotional topic which often appears in the news, particularly during the confirmation process for a Supreme Court nominee. Community College students continue to ask reference librarians for print resources dealing with this controversial issue. Often we turn to the reliable series "Current Controversies," "At Issue,"…

Cardiac Arrest Resuscitation.

PubMed

Guyette, Francis X; Reynolds, Joshua C; Frisch, Adam

2015-08-01

Cardiac arrest is a dynamic disease that tests the multitasking and leadership abilities of emergency physicians. Providers must simultaneously manage the logistics of resuscitation while searching for the cause of cardiac arrest. The astute clinician will also realize that he or she is orchestrating only one portion of a larger series of events, each of which directly affects patient outcomes. Resuscitation science is rapidly evolving, and emergency providers must be familiar with the latest evidence and controversies surrounding resuscitative techniques. This article reviews evidence, discusses controversies, and offers strategies to provide quality cardiac arrest resuscitation. Copyright © 2015 Elsevier Inc. All rights reserved.

Controversies about sugars consumption: state of the science.

PubMed

Rippe, James M; Marcos, Ascensión

2016-11-01

Few topics in nutrition generate more controversy and debate than the putative associations between added sugars and health. With this as background, a group of researchers in the area of sugars and health gathered at the European Nutrition Conference (FENS) in 2015 to discuss these controversies and provide evidence-based science. The purpose of the current article was to provide a brief summary of some of the highlights from each of the presenters and serve as an Introduction to the supplement which contains full articles based on their presentations.

HTLV-1 Tax Functions as a Ubiquitin E3 Ligase for Direct IKK Activation via Synthesis of Mixed-Linkage Polyubiquitin Chains.

PubMed

Wang, Chong; Long, Wenying; Peng, Chao; Hu, Lin; Zhang, Qiong; Wu, Ailing; Zhang, Xiaoqing; Duan, Xiaotao; Wong, Catherine C L; Tanaka, Yuetsu; Xia, Zongping

2016-04-01

The HTLV-1 oncoprotein Tax plays a key role in CD4+ T cell transformation by promoting cell proliferation and survival, mainly through permanent activation of the NK-κB pathway and induction of many NF-κB target genes. Elucidating the underlying molecular mechanism is therefore critical in understanding HTLV-1-mediated transformation. Current studies have suggested multiple but controversial mechanisms regarding Tax-induced IKK activation mainly due to blending of primary Tax-induced IKK activation events and secondary IKK activation events induced by cytokines secreted by the primary Tax-induced IKK-NF-κB activation events. We reconstituted Tax-stimulated IKK activation in a cell-free system to dissect the essential cellular components for primary IKK activation by Tax and studied the underlying biochemical mechanism. We found that Tax is a putative E3 ubiquitin ligase, which, together with UbcH2, UhcH5c, or UbcH7, catalyzes the assembly of free mixed-linkage polyubiquitin chains. These free mixed-linkage polyubiquitin chains are then responsible for direct IKK activation by binding to the NEMO subunit of IKK. Our studies revealed the biochemical function of Tax in the process of IKK activation, which utilizes the minimal cellular ubiquitination components for NF-κB activation.

HTLV-1 Tax Functions as a Ubiquitin E3 Ligase for Direct IKK Activation via Synthesis of Mixed-Linkage Polyubiquitin Chains

PubMed Central

Wang, Chong; Long, Wenying; Peng, Chao; Hu, Lin; Zhang, Qiong; Wu, Ailing; Zhang, Xiaoqing; Duan, Xiaotao; Wong, Catherine C. L.; Tanaka, Yuetsu; Xia, Zongping

2016-01-01

The HTLV-1 oncoprotein Tax plays a key role in CD4+ T cell transformation by promoting cell proliferation and survival, mainly through permanent activation of the NK-κB pathway and induction of many NF-κB target genes. Elucidating the underlying molecular mechanism is therefore critical in understanding HTLV-1-mediated transformation. Current studies have suggested multiple but controversial mechanisms regarding Tax-induced IKK activation mainly due to blending of primary Tax-induced IKK activation events and secondary IKK activation events induced by cytokines secreted by the primary Tax-induced IKK-NF-κB activation events. We reconstituted Tax-stimulated IKK activation in a cell-free system to dissect the essential cellular components for primary IKK activation by Tax and studied the underlying biochemical mechanism. We found that Tax is a putative E3 ubiquitin ligase, which, together with UbcH2, UhcH5c, or UbcH7, catalyzes the assembly of free mixed-linkage polyubiquitin chains. These free mixed-linkage polyubiquitin chains are then responsible for direct IKK activation by binding to the NEMO subunit of IKK. Our studies revealed the biochemical function of Tax in the process of IKK activation, which utilizes the minimal cellular ubiquitination components for NF-κB activation. PMID:27082114

Perspectives on ethics

PubMed Central

Parker, C

2007-01-01

In his recent paper about understanding ethical issues, Boyd suggests that traditional approaches based on principles or people are understood better in terms of perspectives, especially the perspective‐based approach of hermeneutics, which he uses for conversation rather than controversy. However, we find that Boyd's undefined contrast between conversation and controversy does not point to any improvement in communication: disputes occur during conversation and controversy may be conducted in gentle tones. We agree with Boyd, that being prepared to listen and learn are excellent attitudes, but his vague attempts to establish these and similar virtues in hermeneutic theory are not plausible. Additionally, the current controversy about the use of human embryos in stem cell therapy research shows Boyd missing the opportunity to illustrate how conversation would improve understanding. PMID:17209105

Improvements for Differential Functioning of Items and Tests (DFIT): Investigating the Addition of Reporting an Effect Size Measure and Power

ERIC Educational Resources Information Center

Wright, Keith D.

2011-01-01

Standardized testing has been part of the American educational system for decades. Controversy from the beginning has plagued standardized testing, is plaguing testing today, and will continue to be controversial. Given the current federal educational policies supporting increased standardized testing, psychometricians, educators and policy makers…

Controversy in the Composition Classroom: Debate as a Mode of Pre-Writing.

ERIC Educational Resources Information Center

McClish, Glen

Controversy and debate can be effectively employed as the central pre-writing activity in the composition classroom. The current model of prewriting in the composition classroom is the reflective model, which involves relatively private exploration of issues and ideas leading to paper topics. Although in the short run it is easier for both student…

The American Trial Jury: Current Issues and Controversies. Looking at the Law.

ERIC Educational Resources Information Center

Ryan, John Paul

1999-01-01

Discusses the controversial issues involved in the jury systems, such as jury selection, jury service, civic participation, and the role of the mass media. Stresses the importance of maintaining the public courtroom as a means for encouraging fair trials and not allowing closed courtrooms. Provides an accompanying article, "The Citizen's Jury," by…

The Evolution/Creation Science Controversy: Educate Rather Than Debate.

ERIC Educational Resources Information Center

Jane, Beverley

This paper is linked to the theme History and Philosophy of Science. The Evolution and creation science controversy is now in the general public's arena and poses a challenge for school science. The paper begins by briefly describing the current situation concerning this issue in Australia and the United States of America. In the subject Biology,…

Bisphosphonate Treatment: Risk Management in Long Duration Spaceflight

NASA Technical Reports Server (NTRS)

Fogarty, Jennifer A.; Aunon, Serena M.

2007-01-01

Bisphosphonates are a class of pharmaceuticals used to treat diverse bone disorders such as osteoporosis, Paget's disease, and multiple myeloma. They constitute a class of drugs which adhere to bony surfaces and interfere with the resorptive activity of osteoclasts. They also represent a potential countermeasure towards the loss of bone mass experienced by astronauts during spaceflight. Recently, the medical literature has revealed cases of osteonecrosis of the jaw in individuals receiving intravenous bisphosphonate therapy with a smaller number of cases occurring in individuals receiving the oral form of the medication. Risk management for long duration missions requires consideration of mission success and lifetime health care of astronauts. We performed MEDLINE and PubMed searches (1966 December 2006) using the following keywords: osteonecrosis, jaw, bisphosphonates. Additional references were obtained from the citations of the retrieved articles. Injectable bisphosphonates such as pamidronate and zoledronic acid have been highlighted recently in the literature due to a possible link with osteonecrosis of the jaw. The mechanism of action remains unclear but may be linked to physiologic microdamage in the jawbones resulting from suppression of bone metabolism. The most predisposing factors appear to be the type and dose of bisphosphonate used, a history of dental surgery, trauma, and/or dental infection. In addition, patients diagnosed with a malignancy such as breast cancer or multiple myeloma, who have been on intravenous bisphosphonate therapy for several months seem to be at increased risk. The use of oral bisphosphonates appears to place patients more at risk from acute events such as gastrointestinal tract injury or perforation. Although some studies report little to no increase in GI events compared to placebo, we must remember that in microgravity, astronauts may be unable to comply with medication instructions. They may have difficulty remaining upright for the required 30-45 minutes post-ingestion. We are currently unaware if this inability to comply with instructions on the package insert may lead to an increased risk for GI events. There is a potential long-term complication that resides with both forms of bisphosphonate therapy. In order to repair normally occurring physiologic microdamage to bone, both osteoclastic resorption and osteoblastic bone deposition must be functional. Controversy exists in the literature regarding whether prolonged use of bisphosphonates may lead to the suppression of bone turnover and accumulation of microdamage. Bisphosphonates are a powerful class of drugs that suppress bone turnover, but may cause serious adverse clinical events such as gastrointestinal tract injury or osteonecrosis of the jaw. Unfortunately, little to no data exists currently which may help us provide answers regarding the risks of their use in a healthy astronaut cohort. While controversy exists in the literature regarding their mechanism and long-term consequences, the potential mission impact or lifetime health care impact of an adverse clinical event resulting from bisphosphonate therapy must be considered.

Weathering a political storm. A contextual perspective on a psychological research controversy.

PubMed

Garrison, Ellen Greenberg; Kobor, Patricia Clem

2002-03-01

In the spring of 1999, a storm of controversy arose at the local, state, and national levels surrounding an article on the effects of child sexual abuse published in 1998 in Psychological Bulletin. The article was vehemently denounced by various media outlets, conservative grassroots organizations, members of the general public, state legislatures, and ultimately by the United States Congress. The authors chronicle these unprecedented events and related challenges faced by the American Psychological Association. The authors also describe the Association's efforts to resolve the crisis, while staunchly upholding academic freedom and scientific integrity, and review the lessons learned for the field of psychology.

Social responsibility and global health: lessons from the Rio Olympics Zika controversy.

PubMed

Hellmann, Fernando; Rohde, Luzilena de Souza Prudêncio; Verdi, Marta; Garrafa, Volnei; Manchola-Castillo, Camilo

2018-03-30

The outbreak of Zika virus infection in the Americas and its possible association with microcephaly raised several concerns among global health authorities regarding the organisation of the Olympic and Paralympic Games scheduled for August and September 2016, in the city of Rio de Janeiro, Brazil. It generated an international controversy over the continuation of the Games with debates on the ethical principle of social responsibility. Based on the principles of social responsibility and health in the Universal Declaration of Bioethics and Human Rights, the present comment ponders on the application of such principles in the context of mega-events and global health.

J Wave Syndromes: History and Current Controversies

PubMed Central

Liu, Tong; Zheng, Jifeng

2016-01-01

The concept of J wave syndromes was first proposed in 2004 by Yan et al for a spectrum of electrocardiographic (ECG) manifestations of prominent J waves that are associated with a potential to predispose affected individuals to ventricular fibrillation (VF). Although the concept of J wave syndromes is widely used and accepted, there has been tremendous debate over the definition of J wave, its ionic and cellular basis and arrhythmogenic mechanism. In this review article, we attempted to discuss the history from which the concept of J wave syndromes (JWS) is evolved and current controversies in JWS. PMID:27721848

Poliomyelitis in the United States: A Historical Perspective and Current Vaccination Policy.

ERIC Educational Resources Information Center

Farizo, Karen M.; And Others

1990-01-01

Examines poliomyelitis in the United States by reviewing clinical manifestations and outcomes, history, recent epidemiologic characteristics, characteristics of currently available vaccines, controversies surrounding vaccination policy, current poliovirus vaccination recommendations, and prospects for worldwide eradication. Poliomyelitis remains…

Euthanasia: an overview and the jewish perspective.

PubMed

Gesundheit, Benjamin; Steinberg, Avraham; Glick, Shimon; Or, Reuven; Jotkovitz, Alan

2006-10-01

End-of-life care poses fundamental ethical problems to clinicians. Defining euthanasia is a difficult and complex task, which causes confusion in its practical clinical application. Over the course of history, abuse of the term has led to medical atrocities. Familiarity with the relevant bioethical issues and the development of practical guidelines might improve clinical performance. To define philosophical concepts, to present historical events, to discuss the relevant attitudes in modern bioethics and law that may be helpful in elaborating practical guidelines for clinicians regarding euthanasia and end-of-life care. Concepts found in the classic sources of Jewish tradition might shed additional light on the issue and help clinicians in their decision-making process. An historical overview defines the concepts of active versus passive euthanasia, physician-assisted suicide and related terms. Positions found in classical Jewish literature are presented and analyzed with their later interpretations. The relevance and application in modern clinical medicine of both the general and Jewish approaches are discussed. The overview of current bioethical concepts demonstrates the variety of approaches in western culture and legal systems. Philosophically and conceptually, there is a crucial distinction between active and passive euthanasia. The legitimacy of active euthanasia has been the subject of major controversy in recent times in various countries and religious traditions. The historical overview and the literature review demonstrate the need to provide clearer definitions of the concepts relating to euthanasia, for in the past the term has led to major confusion and uncontrolled abuse. Bioethical topics should, therefore, be included in medical training and continuing education. There are major debates and controversies regarding the current clinical and legal approaches. We trust that classical Jewish sources might contribute to the establishment of clinical definitions, meaningful approaches and practical guidelines for clinicians.

Consumerism: The Past is Prologue

ERIC Educational Resources Information Center

Herrmann, Robert O.

1973-01-01

Without knowledge of past events, controversies, and historical figures we can have little appreciation of the forces that have shaped our history. In the area of consumer protection, this same historical perspective is required. Consumer protection requires a continuing effort, but it must be approached in an orderly fashion. (KP)

Oncogenic role of cytomegalovirus in medulloblastoma?

PubMed

Hortal, Alejandro M; Vermeulen, Jeroen F; Van Hecke, Wim; Bovenschen, Niels

2017-11-01

Medulloblastoma is the most common solid tumor among children. Current therapeutic strategies for this malignancy include surgical resection, radiation therapy and chemotherapy. However, these treatments are accompanied with serious side effects such as neurological complications and psychosocial problems, due to the severity of treatment on the developing nervous system. To solve this problem, novel therapeutic approaches are currently being investigated. One of them is targeting human cytomegalovirus in medulloblastoma cancer cells. However, this approach is still under debate, since the presence of cytomegalovirus in medulloblastomas remains controversial. In this review, we discuss the current controversies on the role of cytomegalovirus in medulloblastoma oncogenesis and the potential of cytomegalovirus as a novel (immuno)therapeutic target. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

[Addressing the controversy regarding the association between thimerosal-containing vaccines and autism].

PubMed

García-Fernández, Lisset; Hernández, Adrián V; Suárez Moreno, Víctor; Fiestas, Fabián

2013-04-01

Vaccination is one of the most important public health interventions in the reduction childhood morbidity and mortality. Thimerosal is an organic mercury compound used as preservante in multi-dose vials. Often in Peru, there are waves of controversy about the safety of this type of vaccines, mainly arguing that there is an association between them and autism. As a result of these controversies, there have been some voices asking for laws banning thimerosal-containing vaccines, which would have a large impact in costs and the logistic aspects of the public vaccination programs. The aim of this article is to review the literature for the main controversies about thimerosal in vaccines and its supposed association to autism. We made an historical review about these controversies given the available scientific evidence and the statements from important international organizations. We concluded that the current available evidence do not support an association between thimerosal and childhood neurodevelopmental disorders, such as autism.

Open For Business? An Historical, Comparative Study of Public Access to Information about Two Controversial Coastal Developments in North-East Scotland

ERIC Educational Resources Information Center

Baxter, Graeme

2014-01-01

Introduction: This paper compares public access to information about two controversial coastal developments in North-east Scotland: the construction of a gas terminal by the British Gas Council and Total in the 1970s, and the current development of "the world's greatest golf course" by the tycoon Donald Trump. Method: Data has been…

Transfusion of fresher vs older red blood cells in hospitalized patients: a systematic review and meta-analysis.

PubMed

Alexander, Paul E; Barty, Rebecca; Fei, Yutong; Vandvik, Per Olav; Pai, Menaka; Siemieniuk, Reed A C; Heddle, Nancy M; Blumberg, Neil; McLeod, Shelley L; Liu, Jianping; Eikelboom, John W; Guyatt, Gordon H

2016-01-28

The impact of transfusing fresher vs older red blood cells (RBCs) on patient-important outcomes remains controversial. Two recently published large trials have provided new evidence. We summarized results of randomized trials evaluating the impact of the age of transfused RBCs. We searched MEDLINE, EMBASE, CINAHL, the Cochrane Database for Systematic Reviews, and Cochrane CENTRAL for randomized controlled trials enrolling patients who were transfused fresher vs older RBCs and reported outcomes of death, adverse events, and infection. Independently and in duplicate, reviewers determined eligibility, risk of bias, and abstracted data. We conducted random effects meta-analyses and rated certainty (quality or confidence) of evidence using the GRADE approach. Of 12 trials that enrolled 5229 participants, 6 compared fresher RBCs with older RBCs and 6 compared fresher RBCs with current standard practice. There was little or no impact of fresher vs older RBCs on mortality (relative risk [RR], 1.04; 95% confidence interval [CI], 0.94-1.14; P = .45; I(2) = 0%, moderate certainty evidence) or on adverse events (RR, 1.02; 95% CI, 0.91-1.14; P = .74; I(2) = 0%, low certainty evidence). Fresher RBCs appeared to increase the risk of nosocomial infection (RR, 1.09; 95% CI, 1.00-1.18; P = .04; I(2) = 0%, risk difference 4.3%, low certainty evidence). Current evidence provides moderate certainty that use of fresher RBCs does not influence mortality, and low certainty that it does not influence adverse events but could possibly increase infection rates. The existing evidence provides no support for changing practices toward fresher RBC transfusion. © 2016 by The American Society of Hematology.

Russian twin studies: colleagues, controversies, case studies and current events.

PubMed

Segal, Nancy L; Senina, Irina N

2002-02-01

The 2001 honoring of Russian twin researcher, Dr. Inna V. Ravich-Shcherbo, at the Tenth International Congress on Twin Studies (ISTS), in London, brought timely recognition to an international colleague. It also marked an occasion for reflecting on the course of twin studies in Russia. Historical trends and current accomplishments are examined with an eye toward future developments. Next, the distinguished careers of Russian monozygotic twins, Drs. Alexander and Andrew Fingelkurts, exemplify twin research findings on intelligence and occupational choice, and illuminate the status of twin studies and other scientific research in their country, are told. Their life histories are followed by the initially tragic, but ultimately heartwarming, story of young twins, Max and Andy, whose physical disabilities were overcome through the efforts of an empathic war veteran. The recent Moscow Summer School, the first in a three-time lecture series, encouraged crucial academic exchange among scientific investigators and students from around the world. Final thoughts are that much can be learned and much can be accomplished, given that we continue to nurture the twin-related resources available to us.

Facilitating the Design of a Campus Leadership Team

ERIC Educational Resources Information Center

Meyers, Renee A.; Johnson, John R.

2008-01-01

This essay describes how we facilitated the design of a campus leadership team. What is particularly interesting about this consultative project is that both authors participated--one as facilitator and the other as participant. The facilitation included a needs assessment prior to the event, the use of structured controversy techniques,…

Constructs and Events in Verbal Behavior

ERIC Educational Resources Information Center

Fryling, Mitch J.

2013-01-01

Skinner's (1957) analysis of verbal behavior has been the subject of much controversy in recent years. While criticism has historically come from outside the field of behavior analysis, there are now well-articulated arguments against Skinner's analysis of verbal behavior from within the field as well. Recently, advocates of…

Transforming controversy into consensus: the Steens Mountain initiative

Treesearch

Steven W. Anderson

1995-01-01

Even bitterly disputed management issues can be tempered or eliminated. Agency outreach efforts in conjunction with the media, working groups, effected interests, field trips, and "open house" social events can result in unified management efforts. In addition, distortions or misconceptions can be clarified. Recurrent efforts are required to build good...

Reading for Pleasure: The Research Paper Reconsidered.

ERIC Educational Resources Information Center

Kotler, Janet

1989-01-01

Describes a research paper assignment in which students choose a controversial news event reported by six to eight newspapers and arrive at a thesis by comparing the accounts. Notes that students become truly engaged with the assignment and that engagement shows itself strongly in the intelligence and life of the papers. (RS)

Linus Pauling and the scientific debate over fallout hazards.

PubMed

Jolly, J Christopher

2002-12-01

From 1954 to 1963, numerous scientists engaged in a public debate over the possible hazards from radioactive fallout from nuclear weapons testing. Nobel laureate Linus Pauling, a California Institute of Technology chemist, was one of the most prominent. His scientific papers relating to the fallout debate reveal many of the scientific, social and political issues involved in the controversy. Although the public controversy ended after the signing of the 1963 Limited Test Ban Treaty, many of the scientific questions about the possible hazards of low-level radiation remain under debate within the scientific community. Moreover, the fallout debate was a prototype of current controversies over environmental and public-health hazards.

The New APS Topical Group on the Physics of Climate: History, Objectives and Panel Discussion

NASA Astrophysics Data System (ADS)

Brasseur, James; Behringer, Robert

2013-03-01

The GPC Chair will introduce the new APS Topical Group on the Physics of Climate (GPC), describe its history and objectives, and introduce the current GPC leadership before opening the floor to a panel discussion. The GPC resulted from two petitions that emerged from the controversy that followed the APS Statement on Climate Change (see APS website). The two proposals were merged and an organization committee formed by the APS leadership. After a long organizational period in 2011, the GPC bylaws were finalized with the following key objective: The objective of the GPC shall be to promote the advancement and diffusion of knowledge concerning the physics, measurement, and modeling of climate processes, within the domain of natural science and outside the domains of societal impact and policy, legislation and broader societal issues. The objective includes the integration of scientific knowledge and analysis methods across disciplines to address the dynamical complexities and uncertainties of climate physics. The GPC Invited and Focus Sessions at this March meeting are the inaugural GPC events. The Program Committee Chair will moderate a panel between the attending GPC leadership and audience to solicit suggestions for potential future GPC events that advance the GPC objectives.

"Too good to be true": the controversy over the use of permanganate of potash as an antidote to snake poison and the circulation of Brazilian physiology in the nineteenth century.

PubMed

Vimieiro Gomes, Ana Carolina

2012-01-01

This article examines an international controversy over the most visible scientific event of Brazilian physiology in the nineteenth century. In 1881, Brazilian scientist João Baptista Lacerda stated that he had found an efficient antidote to the poison of Brazilian snakes: permanganate of potash (nowadays, potassium permanganate). His findings were given great publicity in Brazil and traveled rapidly around the world. Scientists, especially in France, contradicted Lacerda's claims. They argued that permanganate of potash could not be a genuine antidote to snake bites since it could not neutralize snake venom when diffused in the body. Lacerda turned down such criticism, claiming that clinical observation provided solid evidence for the drug's local action, on the spot surrounding the bite. The controversy over the use of permanganate of potash as an antidote to snake bite illustrates different regimes of proof that could be mobilized in favor of a physiological discovery.

Ion formation mechanisms in UV-MALDI.

PubMed

Knochenmuss, Richard

2006-09-01

Matrix Assisted Laser Desorption/Ionization (MALDI) is a very widely used analytical method, but has been developed in a highly empirical manner. Deeper understanding of ionization mechanisms could help to design better methods and improve interpretation of mass spectra. This review summarizes current mechanistic thinking, with emphasis on the most common MALDI variant using ultraviolet laser excitation. A two-step framework is gaining acceptance as a useful model for many MALDI experiments. The steps are primary ionization during or shortly after the laser pulse, followed by secondary reactions in the expanding plume of desorbed material. Primary ionization in UV-MALDI remains somewhat controversial, the two main approaches are the cluster and pooling/photoionization models. Secondary events are less contentious, ion-molecule reaction thermodynamics and kinetics are often invoked, but details differ. To the extent that local thermal equilibrium is approached in the plume, the mass spectra may be straightforwardly interpreted in terms of charge transfer thermodynamics.

Zika virus infection during the Olympic Games in Rio: A fear or an actual risk?

PubMed

Díaz-Menéndez, M; Trigo, E; de la Calle-Prieto, F; Arsuaga, M

2017-04-01

The recent outbreak of Zika virus infection in Brazil has aroused considerable media interest due to its association with neurological malformations in children born from mothers infected by the virus and to its association with Guillain-Barre syndrome in adults. This relationship has led to the World Health Organisation declaring the current epidemic as a "Public Health Emergency of International Concern". Controversy also emerged on the advisability of delaying or changing the location of the Olympic and Paralympic Games, which were held in August at various locations in Brazil. In this article, we review the available evidence on the risk of Zika and dengue virus infection in individuals who travel to endemic countries, especially for multitudinous events. Copyright © 2016 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Managing hypertension in type 2 diabetes mellitus.

PubMed

Horr, Samuel; Nissen, Steven

2016-06-01

Hypertension is a common problem in the diabetic population with estimates suggesting a prevalence exceeding 60%. Comorbid hypertension and diabetes mellitus are associated with high rates of macrovascular and microvascular complications. These two pathologies share overlapping risk factors, importantly central obesity. Treatment of hypertension is unequivocally beneficial and improves all-cause mortality, cardiovascular mortality, major cardiovascular events, and microvascular outcomes including nephropathy and retinopathy. Although controversial, current guidelines recommend a target blood pressure in the diabetic population of <140/90 mmHg, which is a similar target to that proposed for individuals without diabetes. Management of blood pressure in patients with diabetes includes both lifestyle modifications and pharmacological therapies. This article reviews the evidence for management of hypertension in patients with type 2 diabetes mellitus, and provides a recommended treatment strategy based on the available data. Copyright © 2016 Elsevier Ltd. All rights reserved.

Darwin's dilemma: the realities of the Cambrian ‘explosion’

PubMed Central

Conway Morris, Simon

2006-01-01

The Cambrian ‘explosion’ is widely regarded as one of the fulcrum points in the history of life, yet its origins and causes remain deeply controversial. New data from the fossil record, especially of Burgess Shale-type Lagerstätten, indicate, however, that the assembly of bodyplans is not only largely a Cambrian phenomenon, but can already be documented in fair detail. This speaks against a much more ancient origin of the metazoans, and current work is doing much to reconcile the apparent discrepancies between the fossil record, including the Ediacaran assemblages of latest Neoproterozoic age and molecular ‘clocks’. Hypotheses to explain the Cambrian ‘explosion’ continue to be generated, but the recurrent confusion of cause and effect suggests that the wrong sort of question is being asked. Here I propose that despite its step-like function this evolutionary event is the inevitable consequence of Earth and biospheric change. PMID:16754615

AIDS in the workplace: current practices and possible implications.

PubMed

Nykodym, N; Miners, I A; Simonetti, J L; Patel, N S

1989-01-01

The testing of Acquired Immune Deficiency Syndrome (AIDS) remains a political factor. Questions are being raised as to an individual's right to privacy and the public's concern for safety. Despite the controversy, the law protects contagious disease sufferers from employment discrimination. Along with AIDS testing, drug testing remains a controversial issue. Mandatory drug testing remains in both the public and private sectors. Legislative activity in California continues to the present.

The current status of medical marijuana in the United States.

PubMed

McKenna, Gerald J

2014-04-01

Medical marijuana is currently a controversial issue in medicine. There are strong pro and con opinions but relatively little scientific data on which to base medical decisions. The unfortunate scheduling of marijuana in class I has limited research and only serves to fuel the controversy. This article will review the history of laws to regulate drugs in the United States in the 20th century to provide context for the current status of medical marijuana. It will include the rationale for opposing medical marijuana laws and the problem of the Schedule I inclusion of marijuana as well as other drugs. It will examine the problems associated with smoking raw marijuana and review other routes of administration. Finally, it examines the inadvisability of medicine's promotion of smoked marijuana.

Banned Books Week: Just the Beginning

ERIC Educational Resources Information Center

Adams, Helen R.

2009-01-01

Founded in 1982, Banned Books Week is celebrated annually during the last week in September and will be observed from September 26-October 3 in 2009. The event acknowledges Americans' right to read the books of their choice regardless of whether the ideas, language, or images are controversial. This annual observance of banned books is a good…

Teaching Controversal Topics in Contemporary German Culture through Hip-Hop

ERIC Educational Resources Information Center

Putnam, Michael

2006-01-01

This article discusses the rich cultural resources embedded with German hip-hop music and its potential impact on the foreign language classroom. In particular, this article suggests methods and materials for integrating German hip-hop music in the discussion of recent controversial cultural events and attitudes in German after the "Wende."

Picturing Equality: Exploring Civil Rights' Marches through Photographs

ERIC Educational Resources Information Center

Santoli, Susan; Vitulli, Paige; Giles, Rebecca

2015-01-01

Exploring controversial and difficult events and issues with young children can be challenging. The Civil Rights Movement is an abstract, perhaps remote, issue for young children today. However, it is an important part of our country's history and a theme worthy of study. This article suggests ways to use photographs to explore this mature subject…

Winners of the First 1960 Televised Presidential Debate between Kennedy and Nixon.

ERIC Educational Resources Information Center

Kraus, Sidney

1996-01-01

Reviews the events, studies, and comments (from 1960 to the present) regarding the controversial question of who won the first 1960 televised debate between John F. Kennedy and Richard M. Nixon. Supports the view that, for television viewers, Kennedy was the winner, whereas radio listeners gave Nixon the edge. (SR)

Print News Coverage of School-Based Human Papillomavirus Vaccine Mandates

ERIC Educational Resources Information Center

Casciotti, Dana M.; Smith, Katherine C.; Andon, Lindsay; Vernick, Jon; Tsui, Amy; Klassen, Ann C.

2014-01-01

Background: In 2007, legislation was proposed in 24 states and the District of Columbia for school-based human papillomavirus (HPV) vaccine mandates, and mandates were enacted in Texas, Virginia, and the District of Columbia. Media coverage of these events was extensive, and media messages both reflected and contributed to controversy surrounding…

Robot-assisted surgery in gynecological oncology: current status and controversies on patient benefits, cost and surgeon conditions - a systematic review.

PubMed

Kristensen, Steffen E; Mosgaard, Berit J; Rosendahl, Mikkel; Dalsgaard, Tórur; Bjørn, Signe F; Frøding, Ligita P; Kehlet, Henrik; Høgdall, Claus K; Lajer, Henrik

2017-03-01

Robot-assisted surgery has become more widespread in gynecological oncology. The purpose of this systematic review is to present current knowledge on robot-assisted surgery, and to clarify and discuss controversies that have arisen alongside the development and deployment. A database search in PubMed and EMBASE was performed up until 4 March 2016. The search strategy was developed in collaboration with an information specialist, and by application of the PRISMA guidelines. Human participants and English language were the only restrictive filters applied. Selection was performed by screening of titles and abstracts, and by full text scrutiny. From 2001 to 2016, a total of 76 references were included. Robot-assisted surgery in gynecological oncology has increased, and current knowledge supports that the oncological safety is similar, compared with previous surgical methods. Controversies arise because current knowledge does not clearly document the benefit of robot-assisted surgery, on perioperative outcome compared with the increased costs of the acquisition and application. The rapid development in robot-assisted surgery calls for long-term detailed prospective cohorts or randomized controlled trials. The costs associated with acquisition, application, and maintenance have an unfavorable impact on cost-benefit evaluations, especially when compared with laparoscopy. Future developments in robot-assisted surgery will hopefully lead to competition in the market, which will decrease costs. © 2016 Nordic Federation of Societies of Obstetrics and Gynecology.

[Foucault, Derrida, and the history of madness: notes on a controversy].

PubMed

Pereira Neto, A F

1998-01-01

The publication of the book Folie et Déraison. Histoire de la Folie à l'Age Classique (1961), by Michel Foucault, sparked a debate between the author and philosopher Jacques Derrida during the 1960s and 70s. Derrida criticized the methodological proposal and organization of the History of Madness presented by Foucault in the foreword to the first edition. The controversy appears to have motivated the author to withdraw this same foreword from the second edition. The purpose of this article is to analyze some current points in this controversy. It also presents a research agenda for an understanding of the reasons leading Foucault to take this stance.

A new approach to equipment testing

NASA Technical Reports Server (NTRS)

Hardwick, C. J.; Dunkley, V. P.; Burrows, B. J. C.; Darney, I.

1991-01-01

Considerable controversy has arisen during the recent discussions over a new version of the RTCA DO160C/ED 14C Section 22 document at the European Committee for Aviation Electronics. Section 22 is concerned with lightning waveform tests to equipment. Investigations of some of these controversies with circuit analysis and measurements indicate the impedance characteristics required of the transient generators and the possibility of testing to a voltage limit even for current waveforms.

A new approach to equipment testing

NASA Astrophysics Data System (ADS)

Hardwick, C. J.; Dunkley, V. P.; Burrows, B. J. C.; Darney, I.

1991-08-01

Considerable controversy has arisen during the recent discussions over a new version of the RTCA DO160C/ED 14C Section 22 document at the European Committee for Aviation Electronics. Section 22 is concerned with lightning waveform tests to equipment. Investigations of some of these controversies with circuit analysis and measurements indicate the impedance characteristics required of the transient generators and the possibility of testing to a voltage limit even for current waveforms.

Risk of cardiovascular events from current, recent, and cumulative exposure to abacavir among persons living with HIV who were receiving antiretroviral therapy in the United States: a cohort study.

PubMed

Dorjee, Kunchok; Baxi, Sanjiv M; Reingold, Arthur L; Hubbard, Alan

2017-10-27

There is ongoing controversy regarding abacavir use in the treatment of HIV infection and the risk of subsequent development of cardiovascular disease. It is unclear how the risk varies as exposure accumulates. Using an administrative health-plan dataset, risk of cardiovascular disease events (CVDe), defined as the first episode of an acute myocardial infarction or a coronary intervention procedure, associated with abacavir exposure was assessed among HIV-infected individuals receiving antiretroviral therapy across the U.S. from October 2009 through December 2014. The data were longitudinal, and analyzed using marginal structural models. Over 114,470 person-years (n = 72,733) of ART exposure, 714 CVDe occurred at an incidence rate (IR) (95% CI) of 6·23 (5·80, 6·71)/1000 person-years. Individuals exposed to abacavir had a higher IR of CVDe of 9·74 (8·24, 11·52)/1000 person-years as compared to 5·75 (5·30, 6·24)/1000 person-years for those exposed to other antiretroviral agents. The hazard (HR; 95% CI) of CVDe was increased for current (1·43; 1·18, 1·73), recent (1·41; 1·16, 1·70), and cumulative [(1·18; 1·06, 1·31) per year] exposure to abacavir. The risk for cumulative exposure followed a bell-shaped dose-response curve peaking at 24-months of exposure. Risk was similarly elevated among participants free of pre-existing heart disease or history of illicit substance use at baseline. Current, recent, and cumulative use of abacavir was associated with an increased risk of CVDe. The findings were consistent irrespective of underlying cardiovascular risk factors.

A latent class analysis of dissociation and posttraumatic stress disorder: evidence for a dissociative subtype.

PubMed

Wolf, Erika J; Miller, Mark W; Reardon, Annemarie F; Ryabchenko, Karen A; Castillo, Diane; Freund, Rachel

2012-07-01

The nature of the relationship of dissociation to posttraumatic stress disorder (PTSD) is controversial and of considerable clinical and nosologic importance. To examine evidence for a dissociative subtype of PTSD and to examine its association with different types of trauma. A latent profile analysis of cross-sectional data from structured clinical interviews indexing DSM-IV symptoms of current PTSD and dissociation. The VA Boston Healthcare System and the New Mexico VA Health Care System. A total of 492 veterans and their intimate partners, all of whom had a history of trauma. Participants reported exposure to a variety of traumatic events, including combat, childhood physical and sexual abuse, partner abuse, motor vehicle accidents, and natural disasters, with most participants reporting exposure to multiple types of traumatic events. Forty-two percent of the sample met the criteria for a current diagnosis of PTSD. Item-level scores on the Clinician-Administered PTSD Scale. A latent profile analysis suggested a 3-class solution: a low PTSD severity subgroup, a high PTSD severity subgroup characterized by elevations across the 17 core symptoms of the disorder, and a small but distinctly dissociative subgroup that composed 12% of individuals with a current diagnosis of PTSD. The latter group was characterized by severe PTSD symptoms combined with marked elevations on items assessing flashbacks, derealization, and depersonalization. Individuals in this subgroup also endorsed greater exposure to childhood and adult sexual trauma compared with the other 2 groups, suggesting a possible etiologic link with the experience of repeated sexual trauma. These results support the subtype hypothesis of the association between PTSD and dissociation and suggest that dissociation is a highly salient facet of posttraumatic psychopathology in a subset of individuals with the disorder.

Mitochondrial Flash: Integrative Reactive Oxygen Species and pH Signals in Cell and Organelle Biology

PubMed Central

Gong, Guohua; Wang, Xianhua; Wei-LaPierre, Lan; Cheng, Heping; Dirksen, Robert

2016-01-01

Abstract Significance: Recent breakthroughs in mitochondrial research have advanced, reshaped, and revolutionized our view of the role of mitochondria in health and disease. These discoveries include the development of novel tools to probe mitochondrial biology, the molecular identification of mitochondrial functional proteins, and the emergence of new concepts and mechanisms in mitochondrial function regulation. The discovery of “mitochondrial flash” activity has provided unique insights not only into real-time visualization of individual mitochondrial redox and pH dynamics in live cells but has also advanced understanding of the excitability, autonomy, and integration of mitochondrial function in vivo. Recent Advances: The mitochondrial flash is a transient and stochastic event confined within an individual mitochondrion and is observed in a wide range of organisms from plants to Caenorhabditis elegans to mammals. As flash events involve multiple transient concurrent changes within the mitochondrion (e.g., superoxide, pH, and membrane potential), a number of different mitochondrial targeted fluorescent indicators can detect flash activity. Accumulating evidence indicates that flash events reflect integrated snapshots of an intermittent mitochondrial process arising from mitochondrial respiration chain activity associated with the transient opening of the mitochondrial permeability transition pore. Critical Issues: We review the history of flash discovery, summarize current understanding of flash biology, highlight controversies regarding the relative roles of superoxide and pH signals during a flash event, and bring forth the integration of both signals in flash genesis. Future Directions: Investigations using flash as a biomarker and establishing its role in cell signaling pathway will move the field forward. Antioxid. Redox Signal. 25, 534–549. PMID:27245241

Current state and controversies in fertility preservation in women with breast cancer

PubMed Central

Taylan, Enes; Oktay, Kutluk H

2017-01-01

On average, over 25000 women are diagnosed with breast cancer under the age of 45 annually in the United States. Because an increasing number of young women delay childbearing to later life for various reasons, a growing population of women experience breast cancer before completing childbearing. In this context, preservation of fertility potential of breast cancer survivors has become an essential concept in modern cancer care. In this review, we will outline the currently available fertility preservation options for women with breast cancer of reproductive age, discuss the controversy behind hormonal suppression for gonadal protection against chemotherapy and highlight the importance of timely referral by cancer care providers. PMID:28638793

Adolescent varicocoele management controversies.

PubMed

Serefoglu, E C; Saitz, T R; La Nasa, J A; Hellstrom, W J

2013-01-01

Varicocoele is defined as excessive dilatation of the pampiniform venous plexus of the spermatic cord. Varicocoele frequently appears during early puberty and is recognized to be the most common surgically correctable cause of male infertility. However, the actual incidence in adolescents, pathophysiology and the association with male factor infertility all remain somewhat controversial. The most accurate diagnostic technique for identifying young men who will benefit from surgical treatment has yet to be established. Observations of testicular asymmetry and deteriorating semen quality helped establish current guidelines and recommendations for surgical treatment. Further studies, comparing observation with surgical intervention, are needed to refine the current indications for varicocoele repair in the adolescent male. © 2012 American Society of Andrology and European Academy of Andrology.

Mitral repair and the robot: a revolutionary tool or marketing ploy?

PubMed

Ghoneim, Aly; Bouhout, Ismail; Makhdom, Fahd; Chu, Michael W A

2018-03-01

In this review, we discuss the current evidence supporting each minimally invasive mitral repair approach and their associated controversies. Current evidence demonstrates that minimally invasive mitral repair techniques yield similar mitral repair results to conventional sternotomy with the benefits of shorter hospital stay, quicker recovery, better cosmesis and improved patient satisfaction. Despite this, broad adoption of minimally invasive mitral repair is still not achieved. Two main approaches of minimally invasive mitral repair exist: endoscopic mini-thoracotomy and robotic-assisted approaches. Both minimally invasive approaches share many commonalities; however, most centres are strongly polarized to one approach over another creating controversy and debate about the most effective minimally invasive approach.

Current state and controversies in fertility preservation in women with breast cancer.

PubMed

Taylan, Enes; Oktay, Kutluk H

2017-06-10

On average, over 25000 women are diagnosed with breast cancer under the age of 45 annually in the United States. Because an increasing number of young women delay childbearing to later life for various reasons, a growing population of women experience breast cancer before completing childbearing. In this context, preservation of fertility potential of breast cancer survivors has become an essential concept in modern cancer care. In this review, we will outline the currently available fertility preservation options for women with breast cancer of reproductive age, discuss the controversy behind hormonal suppression for gonadal protection against chemotherapy and highlight the importance of timely referral by cancer care providers.

Ar-40 to Ar-39 dating of pseudotachylites from the Witwatersrand basin, South Africa, with implications for the formation of the Vredefort Dome

NASA Technical Reports Server (NTRS)

Trieloff, M.; Kunz, J.; Jessberger, E. K.; Reimold, W. U.; Boer, R. H.; Jackson, M. C.

1992-01-01

The formation of the Vredefort Dome, a structure in excess of 100 km in diameter and located in the approximate center of the Witwatersrand basin, is still the subject of lively geological controversy. It is widely accepted that its formation seems to have taken place in a single sudden event, herein referred to as the Vredefort event, accompanied by the release of gigantic amounts of energy. It is debated, however, whether this central event was an internal one, i.e., a cryptoexplosion triggered by volcanic or tectonic processes, or the impact of an extraterrestrial body. The results of this debate are presented.

Access to hospitals in the wake of terrorism: challenges and needs for maintaining public confidence.

PubMed

May, Thomas; Aulisio, Mark P

2006-01-01

The problem of surge capacity in the wake of a terror-related emergency has lead to a number of interesting proposals designed to mitigate the effects of crowds as well as deficiencies in patient care capacities. The most controversial of these is a proposal to close hospital doors in the wake of a mass casualty terror event. However, several specific challenges posed by mass casualty events make closing hospitals doors undesirable. These include the need for efficient movement of resources, maintenance of social order, and providing the moral reassurance needed by the general public in times of crisis. Importantly, these challenges are related to features of terrorist events that distinguish such events from circumstances of "normal" surge that might result in, for example, closure of emergency rooms.

The benefit of expecting no conflict--Stronger influence of self-generated than cue-induced conflict expectations on Stroop performance.

PubMed

Kemper, Maike; Gaschler, Robert; Schwager, Sabine; Schubert, Torsten

2016-01-01

The role of expectations in sequential adaptation to cognitive conflict has been debated controversially in prior studies. On the one hand, a sequential congruency effect (SCE) has been reported for trials in which participants expect a repetition of conflict level. On the other hand, conflict level expectations vs. the SCE have been shown to develop differentially across runs of trials with the same conflict level, arguing against the theory that the SCE is purely driven by expectation. The current verbal Stroop experiment addresses this controversy by two means. First, we tested which specific type of expectation (cue-induced expectations vs. self-generated predictions) might affect the SCE. Second, we assessed the impact of expectation on the SCE as well as the development of SCE and expectation with congruency level run length in one design. We observed a dissociation between expectations and SCE, demonstrating that the SCE is not exclusively driven by expectations. At the same time, we found evidence that (self-generated) expectations do have an impact on the SCE. Our data document especially high performance for one specific combination of task events: congruent trial accompanied by congruent prediction and conflict level repetition. Our results are in line with theories attributing conflict adaptation effects to the "adaption to the lack of conflict". We discuss our results in a broader context of theories about conflict monitoring. Copyright © 2015. Published by Elsevier B.V.

Sexual and reproductive rights and the human rights agenda: controversial and contested.

PubMed

Nowicka, Wanda

2011-11-01

In this paper I share some of my experience and observations, as an advocate for women's rights, of the last 20 years of struggles for sexual and reproductive health and rights, carried out in many key places where these issues have been debated and decided. I do not aspire to be comprehensive about the current status of human rights related to sexuality and reproduction. Given that my expertise is of a practical (rather than theoretical) nature, the complexity of the topic and contradictory events with regard to it, which take place almost everyday, I will highlight some selected achievements and setbacks in this area, particularly regarding abortion rights. I will provide examples of how human rights related to sexual and reproductive health have been addressed in UN policy-setting bodies, such as the Commission on the Status of Women and Commission on Population and Development, as well as in the UN human rights system such as Treaty Monitoring Bodies and Human Rights Council. Given my work with European institutions, I provide examples of important decisions by the Council of Europe and the European Court of Human Rights. Lastly, I discuss growing opposition to a progressive human rights agenda and the universality of human rights. Despite significant successes, sexual and reproductive rights will long remain controversial and contested. Hence, it is crucial to try to find new ways to engage and new partners to work with. Copyright © 2011 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

The socio-legal acceptance of new technologies: a close look at artificial insemination.

PubMed

Bernstein, Gaia

2002-10-01

Heated debates often surround the introduction of an important new technology into society, as exemplified by current controversies surrounding human cloning and privacy protection on the Internet. Underlying these controversies are disruptions to central socio-legal values caused by these new technologies. Whether new technologies will eventually be accepted by society is often contingent on the reaction of the legal system. This mandates the formulation of a conceptual framework for understanding and structuring the way the law should react in cases surrounding the adoption of new technologies. By using the case study of artificial insemination this Article develops the tools for structuring the legal role in the acceptance process of new technologies. The three-century controversy surrounding the innovation of artificial insemination results from the innovations' disruption of the socio-legal value of the family. Artificial Insemination--although invented in the eighteenth-century--was rarely used until the 1930s, and only legalized in the 1960s. Its application to surrogacy and its use by unmarried women extends the controversy into the twenty-first century. The case study demonstrates the nature of the relationship among the technological, social and legal acceptance processes of new technologies, and analyzes the legal acceptance debate. The conceptual framework produced is useful in understanding and structuring the legal role in current debates surrounding the introduction and acceptance of new technologies.

An advisory statement from the Pediatric Working Group of the International Liaison Committee on Resuscitation.

PubMed

Kattwinkel, J; Niermeyer, S; Nadkarni, V; Tibballs, J; Phillips, B; Zideman, D; Van Reempts, P; Osmond, M

1999-04-01

The International Liaison Committee on Resuscitation (ILCOR), with representation from North America, Europe, Australia, New Zealand, Africa, and South America, was formed in 1992 to provide a forum for liaison between resuscitation organizations in the developed world. This consensus document on resuscitation extends previously published ILCOR advisory statements on resuscitation to address the unique and changing physiology of the newly born infant within the first few hours after birth and the techniques for providing advanced life support. After careful review of the international resuscitation literature and after discussion of key and controversial issues, consensus was reached on almost all aspects of neonatal resuscitation, and areas of controversy and high priority for additional research were delineated. Consensus on resuscitation for the newly born infant included the following principles: Common or controversial medications (epinephrine, volume expansion, naloxone, bicarbonate), special resuscitation circumstances affecting care of the newly born, continuing care of the newly born after resuscitation, and ethical considerations for initiation and discontinuation of resuscitation are discussed. There was agreement that insufficient data exist to recommend changes to current guidelines regarding the use of 21% versus 100% oxygen, neuroprotective interventions such as cerebral hypothermia, use of a laryngeal mask versus endotracheal tube, and use of high-dose epinephrine. Areas of controversy are identified, as is the need for additional research to improve the scientific justification of each component of current and future resuscitation guidelines.

Reconstruction of the History of the Photoelectric Effect and Its Implications for General Physics Textbooks

ERIC Educational Resources Information Center

Niaz, Mansoor; Klassen, Stephen; McMillan, Barbara; Metz, Don

2010-01-01

The photoelectric effect is an important part of general physics textbooks. To study the presentation of this phenomenon, we have reconstructed six essential, history and philosophy of science (HPS)-related aspects of the events that culminated in Einstein proposing his hypothesis of lightquanta and the ensuing controversy within the scientific…

Event-Related Potentials Indicate Different Processes to Mediate Categorical and Associative Priming in Person Recognition

ERIC Educational Resources Information Center

Wiese, Holger; Schweinberger, Stefan R.

2008-01-01

Whether representations of people are stored in associative networks based on co-occurrence or are stored in terms of more abstract semantic categories is a controversial question. In the present study, participants performed fame decisions to unfamiliar or famous target faces (Experiment 1) or names (Experiment 2), which were primed, either by…

Rogers' Typograph Versus Mergenthaler's Linotype: The Push and Shove of Patents and Priority in the 1890s.

ERIC Educational Resources Information Center

Goble, Corban

The interplay of historical, technological, legal, and economic events that surrounded the strident controversies involving two competing 1890s composing machines--John R. Rogers's Typograph and Ottmar Mergenthaler's Linotype--is examined in this paper. Using patent copies, court documents, trade journal reports and newspaper articles of the era,…

Everything you need to know to understand the current controversies you learned from psychological research. A comment on the Rind and Lilienfeld controversies.

PubMed

Sternberg, Robert J

2002-03-01

Psychological theory and research can help explain some of the aspects of the controversies that arose over articles written by B. Rind, P. Tromovitch, and R. Bauserman (1998) and by S. O. Lilienfeld (2002). In particular, one needs to distinguish between rational and intuitive thinking, to recognize the power of context, to be reflective in one's own thinking, and to realize the costs of defying the crowd. There are steps one can take to be wiser and more balanced in one's own thinking than one may have been in the past. One such step is to resolve conflicts among psychologists by attempting to defuse rather than to exacerbate or avoid them.

For Argument's Sake: the shadow side of argumentation and debate in the science classroom (Invited)

NASA Astrophysics Data System (ADS)

Berbeco, M.; McCaffrey, M.

2013-12-01

Though the science on climate change is clear, those dismissive of current findings and future projections continue to influence the public sphere. This is never more problematic than in an educational setting, where a concern for fairness has driven the push for unscientific material to be used to balance the science. The introduction of the Next Generation Science Standards in many states across the country, which emphasizes the use of argumentation as a theme for engaging students in critical thinking, and the appeal of having students 'debate' politically controversial concepts such as climate change could unintentionally undermine the science by casting doubt and manufacturing 'controversy' where scientifically there is none. How can scientists help support teachers to use appropriate material for educating about climate change? Where is the line between supporting good science and activism? How can teachers separate the science from the politics without undermining its value in informing policy decisions? In this presentation, we will address how teachers can manage these challenges to engage students about politically and socially controversial topics while maintaining a clear, current and robust scientific basis for instruction.

Dr. Robert G. Heath: a controversial figure in the history of deep brain stimulation.

PubMed

O'Neal, Christen M; Baker, Cordell M; Glenn, Chad A; Conner, Andrew K; Sughrue, Michael E

2017-09-01

The history of psychosurgery is filled with tales of researchers pushing the boundaries of science and ethics. These stories often create a dark historical framework for some of the most important medical and surgical advancements. Dr. Robert G. Heath, a board-certified neurologist, psychiatrist, and psychoanalyst, holds a debated position within this framework and is most notably remembered for his research on schizophrenia. Dr. Heath was one of the first physicians to implant electrodes in deep cortical structures as a psychosurgical intervention. He used electrical stimulation in an attempt to cure patients with schizophrenia and as a method of conversion therapy in a homosexual man. This research was highly controversial, even prior to the implementation of current ethics standards for clinical research and often goes unmentioned within the historical narrative of deep brain stimulation (DBS). While distinction between the modern practice of DBS and its controversial origins is necessary, it is important to examine Dr. Heath's work as it allows for reflection on current neurosurgical practices and questioning the ethical implication of these advancements.

Women's Roles in the Economy: Teaching the Issues.

ERIC Educational Resources Information Center

Bergmann, Barbara R.

1987-01-01

Examines current controversial issues concerning the roles of women in the U.S. economy. Discusses women and the labor market, the economics of family life, and public policy issues directly affecting women. Reviews current literature and identifies specific topics for classroom study. (Author/DH)

Against anonymity.

PubMed

Baker, Robert

2014-05-01

In 'New Threats to Academic Freedom' Francesca Minerva argues that anonymity for the authors of controversial articles is a prerequisite for academic freedom in the Internet age. This argument draws its intellectual and emotional power from the author's account of the reaction to the on-line publication of ' After-birth abortion: why should the baby live?'--an article that provoked cascades of hostile postings and e-mails. Reflecting on these events, Minerva proposes that publishers should offer the authors of controversial articles the option of publishing their articles anonymously. This response reviews the history of anonymous publication and concludes that its reintroduction in the Internet era would recreate problems similar to those that led print journals to abandon the practice: corruption of scholarly discourse by invective and hate speech, masked conflicts of interest, and a diminution of editorial accountability. It also contends that Minerva misreads the intent of the hostile e-mails provoked by 'After-birth abortion,' and that ethicists who publish controversial articles should take responsibility by dialoguing with their critics--even those whose critiques are emotionally charged and hostile. © 2014 John Wiley & Sons Ltd.

The trans-Alaska pipeline controversy: Technology, conservation, and the frontier

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

Coates, P.A.

1991-01-01

The Trans-Alaska Pipeline was the object of perhaps the most passionately fought conservation battle in the U.S. Although numerous authors documented the pipeline construction during its construction, there is, surprisingly, no previous scholarly treatment of this event written by an historian. Coates is an environmental historian who views the most interesting aspect of the controversy to be [open quote]its relationship to earlier engineering projects and technological innovations in Alaska and the debates that accompanied them.[close quotes] Thus, he describes how the conservationist and environmental ideas arose during numerous earlier major Alaskan projects and controversies, including the Alaska Highway (1938-41), Canolmore » Pipeline (1943-45), exploration of Naval Petroleum Reserve Number Four (Pet 4, 1944-1953), DEWline (1953-57), oil development in the Kenai National Moose Range (1957-58), statehood (1958), the creation of the Arctic Wildlife Refuge (1960), Project Chariot (1958-63), and Rampart Dam (1959-67). The history starts with the acquisition of Alaska in 1867 and finishes about the time of the Valdez oil spill in 1989.« less

Ethical Considerations for Psychologists Taking a Public Stance on Controversial Issues: The Balance Between Personal and Professional Life

PubMed Central

Haeny, Angela M.

2014-01-01

Previous literature has documented the general issues psychologists often face while balancing their personal and professional lives. The struggle stems from attempting to satisfy the need to maintain a life outside of work while having the professional obligation to follow the American Psychological Association’s (APA’s) Ethical Principles of Psychologists and Code of Conduct (Ethics Code) to prevent their personal lives from interfering with their professional roles and relationships. The present paper analyzes the subject of psychologists taking a public position on controversial public issues. Although the APA Ethics Code does not restrict how psychologists conduct themselves during their personal time, taking a public stance on a controversial issue could potentially strain professional relationships and inadvertently reflect negatively on the profession. The present paper examines ethical issues that a) should be taken into account before psychologists take a public position on a controversial issue, and b) are in conflict with APA’s Ethics Code or current research. PMID:25342876

Ethical Considerations for Psychologists Taking a Public Stance on Controversial Issues: The Balance Between Personal and Professional Life.

PubMed

Haeny, Angela M

2014-07-01

Previous literature has documented the general issues psychologists often face while balancing their personal and professional lives. The struggle stems from attempting to satisfy the need to maintain a life outside of work while having the professional obligation to follow the American Psychological Association's (APA's) Ethical Principles of Psychologists and Code of Conduct (Ethics Code) to prevent their personal lives from interfering with their professional roles and relationships. The present paper analyzes the subject of psychologists taking a public position on controversial public issues. Although the APA Ethics Code does not restrict how psychologists conduct themselves during their personal time, taking a public stance on a controversial issue could potentially strain professional relationships and inadvertently reflect negatively on the profession. The present paper examines ethical issues that a) should be taken into account before psychologists take a public position on a controversial issue, and b) are in conflict with APA's Ethics Code or current research.

Empowerment in healthcare policy making: three domains of substantive controversy.

PubMed

Chiapperino, Luca; Tengland, Per-Anders

2015-12-01

This paper distinguishes between the uses of empowerment across different contexts in healthcare policy and health promotion, providing a model for the ethical and political scrutiny of those uses. We argue that the controversies currently engendered by empowerment are better understood by means of a historical distinction between two concepts of empowerment, namely, what we call the radical empowerment approach and the new wave of empowerment. Building on this distinction, we present a research agenda for ethicists and policy makers, highlighting three domains of controversy raised by the new wave of empowerment, namely: (1) the relationship between empowerment and paternalistic interferences on the part of professionals; (2) the evaluative commitment of empowerment strategies to the achievement of health-related goals; and (3) the problems arising from the emphasis on responsibility for health in recent uses of empowerment. Finally, we encourage the explicit theorisation of these moral controversies as a necessary step for the development and implementation of ethically legitimate empowerment processes.

Zollinger-Ellison syndrome: past, present and future controversies.

PubMed Central

Jensen, R. T.

1994-01-01

It is fitting that the Zollinger-Ellison syndrome (ZES) be included in the Lester Dragstedt Symposium because Dr. Dragstedt had a long-time interest in this disease, having been one of the five discussants of the original article and subsequently reporting with Dr. Oberhelman on nine cases. The approach to therapy of ZES has been controversial from the beginning, and a number of controversies remain. In this article, four different controversies are analyzed from the prospective of the past (Zollinger-Dragstedt era, 1955-1980), present and what may happen in the future in light of recent results. Specifically analyzed are: 1) the role of gastric surgery in the management; 2) whether gastrinoma removal without aggressive resection in patients with ZES without MEN-I is the preferred surgical therapy; 3) whether patients with MEN-I should undergo routine surgical exploration; and 4) whether most gastrinomas will be localized preoperatively. An analysis of recent advances suggests there may be marked changes in the future from our current and our past approaches. Images Figure 2 PMID:7502529

The plight of the not-for-profit.

PubMed

Owens, Bramer

2005-01-01

Recent controversies in the hospital sector have questioned whether the levels of charity care, community benefit, and executive compensation provided by not-for-profit hospitals are consistent with mandates of their tax-exempt status and mission statements. This article demonstrates that these recent controversies stem from a combination of historical influences, regulatory inequities, and competitive disadvantages, which are suffocating many not-for-profit hospitals across the nation. Once the current environment is described, the article discusses each threat and offers actionable recommendations to quell current attacks faced by the industry. First, to address the current probe by the Internal Revenue Service, hospitals must begin to link their executive compensation with their organizational mission. Second, to address recent lawsuits, the article presents a standardized definition of community benefit and recommends an alternative model to classify charity care. Finally, to address recent congressional hearings, the article offers a plan for hospitals to gauge their expected benefit to the community they serve.

The Hydrophobic Effect.

ERIC Educational Resources Information Center

Huque, Entazul M.

1989-01-01

Discusses the physical basis and current understanding of hydrophobic effects. The thermodynamic background of the effects, hydrophobic hydration, and hydrophobic interactions are described. Four existing controversies are outlined. (YP)

[Critical considerations on the legal regulation of sex selection (Part I)].

PubMed

Pérez Alonso, Esteban Juan

2002-01-01

Gender selection, and particularly its regulation, is a controversial issue. The author discusses the current problems surrounding gender selection from the very beginnings, and illustrates his views with an actual and controversial case in which a woman allowed to undergo artificial insemination was given the possibility of choosing the sex of her child. The author also discusses possible solutions and the penal, administrative regulation of the issue, as well as examining the court's decision in this particular case.

Physicochemical properties of radiographic contrast media, potential nephrotoxicity and prophylaxis.

PubMed

Hogstrom, Barry; Ikei, Nobuhiro

2015-12-01

Contrast induced nephropathy (CIN) remains a controversial topic. The clinical relevance of changes in laboratory parameters has been challenged; some authors have even suggested that CIN simply reflects natural fluctuations. Other areas of controversy include the pathophysiology of CIN, effectiveness of prophylactic approaches and differences in nephrotoxicity between individual contrast media (CM). The aim of this review is to summarize the current understanding of laboratory findings and explore its relationship to CM toxicity. © 2015 Wiley Publishing Asia Pty Ltd.

Controversies in the Management of Endometrial Carcinoma: An Update

PubMed Central

Mehasseb, Mohamed K.; Latimer, John A.

2012-01-01

Endometrial carcinoma is the commonest type of female genital tract malignancy in the developed countries. Endometrial carcinoma is usually confined to the uterus at the time of diagnosis and as such usually carries an excellent prognosis with high curability. Our understanding and management of endometrial cancer have continuously developed. Current controversies focus on screening and early detection, the extent of nodal surgery, and the changing roles of radiation therapy and chemotherapy and will be discussed in this paper. PMID:22518164

Controversy and consensus on a clinical pharmacist in primary care in the Netherlands.

PubMed

Hazen, Ankie C M; Wal, Aletta W van der; Sloeserwij, Vivianne M; Zwart, Dorien L M; Gier, Johan J de; Wit, Niek J de; Leendertse, Anne J; Bouvy, Marcel L; Bont, Antoinette A de

2016-10-01

Background Controversy about the introduction of a non-dispensing pharmacist in primary care practice hampers implementation. Objective The aim of this study is to systematically map the debate on this new role for pharmacists amongst all stakeholders to uncover and understand the controversy and consensus. Primary health care in the Netherlands. Method Q methodology. 163 participants rank-ordered statements on issues concerning the integration of a non-dispensing pharmacist in primary care practice. Stakeholder perspectives on the role of the non-dispensing pharmacist and pharmaceutical care in primary care. Results This study identified the consensus on various features of the non-dispensing pharmacist role as well as the financial, organisational and collaborative aspects of integrating a non-dispensing pharmacist in primary care practice. Q factor analysis revealed four perspectives: "the independent community pharmacist", "the independent clinical pharmacist", "the dependent clinical pharmacist" and "the medication therapy management specialist". These four perspectives show controversies to do with the level of professional independency of the non-dispensing pharmacist and the level of innovation of task performance. Conclusion Despite the fact that introducing new professional roles in healthcare can lead to controversy, the results of this Q study show the potential of a non-dispensing pharmacist as a pharmaceutical care provider and the willingness for interprofessional collaboration. The results from the POINT intervention study in the Netherlands will be an important next step in resolving current controversies.

Dynamical Networks Characterization of Space Weather Events

NASA Astrophysics Data System (ADS)

Orr, L.; Chapman, S. C.; Dods, J.; Gjerloev, J. W.

2017-12-01

Space weather can cause disturbances to satellite systems, impacting navigation technology and telecommunications; it can cause power loss and aviation disruption. A central aspect of the earth's magnetospheric response to space weather events are large scale and rapid changes in ionospheric current patterns. Space weather is highly dynamic and there are still many controversies about how the current system evolves in time. The recent SuperMAG initiative, collates ground-based vector magnetic field time series from over 200 magnetometers with 1-minute temporal resolution. In principle this combined dataset is an ideal candidate for quantification using dynamical networks. Network properties and parameters allow us to characterize the time dynamics of the full spatiotemporal pattern of the ionospheric current system. However, applying network methodologies to physical data presents new challenges. We establish whether a given pair of magnetometers are connected in the network by calculating their canonical cross correlation. The magnetometers are connected if their cross correlation exceeds a threshold. In our physical time series this threshold needs to be both station specific, as it varies with (non-linear) individual station sensitivity and location, and able to vary with season, which affects ground conductivity. Additionally, the earth rotates and therefore the ground stations move significantly on the timescales of geomagnetic disturbances. The magnetometers are non-uniformly spatially distributed. We will present new methodology which addresses these problems and in particular achieves dynamic normalization of the physical time series in order to form the network. Correlated disturbances across the magnetometers capture transient currents. Once the dynamical network has been obtained [1][2] from the full magnetometer data set it can be used to directly identify detailed inferred transient ionospheric current patterns and track their dynamics. We will show our first results that use network properties such as cliques and clustering coefficients to map these highly dynamic changes in ionospheric current patterns.[l] Dods et al, J. Geophys. Res 120, doi:10.1002/2015JA02 (2015). [2] Dods et al, J. Geophys. Res. 122, doi:10.1002/2016JA02 (2017).

The role of instrumental emotion regulation in the emotions-creativity link: how worries render individuals with high neuroticism more creative.

PubMed

Leung, Angela K-Y; Liou, Shyhnan; Qiu, Lin; Kwan, Letty Y-Y; Chiu, Chi-Yue; Yong, Jose C

2014-10-01

Based on the instrumental account of emotion regulation (Tamir, 2005), the current research seeks to offer a novel perspective to the emotions-creativity debate by investigating the instrumental value of trait-consistent emotions in creativity. We hypothesize that emotions such as worry (vs. happy) are trait-consistent experiences for individuals higher on trait neuroticism and experiencing these emotions can facilitate performance in a creativity task. In 3 studies, we found support for our hypothesis. First, individuals higher in neuroticism had a greater preference for recalling worrisome (vs. happy) events in anticipation of performing a creativity task (Study 1). Moreover, when induced to recall a worrisome (vs. happy) event, individuals higher in neuroticism came up with more creative design (Study 2) and more flexible uses of a brick (Study 3) when the task was a cognitively demanding one. Further, Study 3 offers preliminary support that increased intrinsic task enjoyment and motivation mediates the relationship between trait-consistent emotion regulation and creative performance. These findings offer a new perspective to the controversy concerning the emotions-creativity relationship and further demonstrate the role of instrumental emotion regulation in the domain of creative performance. PsycINFO Database Record (c) 2014 APA, all rights reserved.

System as metaphor in the psychology and biology of shame.

PubMed

Maunder, R

1996-01-01

Biological theories of brain and psychological theories of mind are two systems of explanation that seem related to one another. The nature of the relationship is problematic and constitutes the age-old mind-body problem. The most prominent solutions currently are variations of materialism. While psychological theories can be consistent with materialism, there remains a difficulty in comprehending nonphysical (social, psychological) causes of physical effects. This difficulty is an obstacle to integration in psychiatry, where we routinely assume that illnesses that include or depend on biological dysfunction are caused multifactorially by causal agents such as perceived parental warmth, parental loss, stressful life events, genetics, and personality (Hammen et al. 1992; Kendler et al. 1993). Unity theory adopts the stance that neurobiological theories and psychological theories are essentially disparate explanations of the same psychobiological events; thus the relationship of mind to brain is one of shared reference (Goodman 1991; Maunder 1995). In Goodman's model the gap between biological and psychological systems is not bridgeable. Different conceptual categories refer to the same referents but cannot interact with each other. Stepping into the breach, systems theory has been presented as offering a language that can bridge the gap between psychological and biological theories of causation (Schwartz 1981; Weiner 1989). Thus, there is a controversy about the applicability of systems theory for integration in psychiatry.

Effects of calcium intake on the cardiovascular system in postmenopausal women.

PubMed

Challoumas, D; Cobbold, C; Dimitrakakis, G

2013-11-01

The use of calcium supplements for the prevention of complications of osteoporosis has significantly increased during the last years. The effects of calcium intake in postmenopausal women on cardiovascular parameters such as blood pressure, serum lipids and cardiovascular events are controversial. Even though transient beneficial effects of calcium supplementation have been reported, especially in women with low dietary calcium intake, their long-term outcomes are inconclusive. Only a very few studies investigating serum lipids in postmenopausal women have been described and these showed significant increases in high-density lipoprotein and high-density lipoprotein to low-density lipoprotein ratio. With regards to cardiovascular events in this population group adverse effects have been reported on the rates of myocardial infarction and stroke with increased calcium intake by some authors, however, others described no effects or even beneficial outcomes. We present a review of the current literature which provides a balanced summary of the possible beneficial and adverse effects of calcium intake in postmenopausal women on cardiovascular parameters. Taking into account the modest effect of calcium supplementation in reducing fracture rates, a reassessment of the role, benefits and adverse effects of calcium supplements should be conducted in postmenopausal women. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Adjunctive use of the diode laser in non-surgical periodontal therapy: exploring the controversy.

PubMed

Porteous, Mary Sornborger; Rowe, Dorothy J

2014-04-01

Despite the controversy regarding clinical efficacy, dental hygienists use the diode laser as an adjunct to non-surgical periodontal therapy. The technique to maximize successful laser therapy outcome is controversial as well. The purpose of this review is to explore the scientific foundation of the controversy surrounding the use of the diode laser as an adjunct to non-surgical periodontal therapy. Further, this paper addresses the weaknesses in study design, the heterogeneity of methodology in the published clinical studies, especially the laser parameters, and how these issues impact the collective clinical and microbial data, and thus conclusions regarding clinical efficacy. Evaluation of the literature identifies possible mechanisms that could contribute to the varied, often conflicting results among laser studies that are the foundation of the controversy surrounding clinical efficacy. These mechanisms include current paradigms of periodontal biofilm behavior, tissue response to laser therapy being dependent on tissue type and health, and that the successful therapeutic treatment window is specific to the target tissue, biofilm composition, laser wavelength, and laser energy delivered. Lastly, this paper discusses laser parameters used in the various clinical studies, and how their diversity contributes to the controversy. Although this review does not establish clinical efficacy, it does reveal the scientific foundation of the controversy and the need for standardized, well designed randomized controlled clinical trials to develop specific guidelines for using the laser as an adjunct to non-surgical periodontal therapy. Using evidence-based laser guidelines would allow dental hygienists to provide more effective non-surgical periodontal care.

Stratospheric Sudden Warming Effects on the Upper Thermosphere

NASA Astrophysics Data System (ADS)

Yamazaki, Y.; Kosch, M. J.; Emmert, J. T.

2015-12-01

It has been controversial whether a stratospheric sudden warming (SSW) event has any measurable impact on the upper thermosphere. In this study, we use long-term records of the global average thermospheric total mass density derived from satellite orbital decay data during 1967-2013. This enables, for the first time, a statistical investigation of the thermospheric density response to SSW events. A superposed epoch analysis of 37 SSW events reveals a density reduction of 3-7% at 250-575 km around the time of polar vortex weakening. The temperature perturbation is estimated to be -7.0 K at 400 km. We suggest enhanced wave forcing from the lower atmosphere as a possible cause for the density reduction observed during SSWs.

Defined by Her Dying, Not Her Death: The Guardian Ad Litem's View of Schiavo

ERIC Educational Resources Information Center

Wolfson, Jay

2006-01-01

One of the most controversial legal and political events in the death of Theresa Marie Schiavo was the passage, by the Florida Legislature, of what become known as "Terri's Law," allowing the Florida Governor to replace her feeding and hydration tube, and requiring the appointment of a special guardian ad intern who reported to the…

Are Children's Views of the "Enemy" Shaped by a Highly-Publicized Negative Event?

ERIC Educational Resources Information Center

Oppenheimer, Louis

2010-01-01

In the beginning of the first decade of this century, some highly-publicized extremistic acts of terror occurred. A hostage tragedy in a school in Beslan (North Ossetia) was followed in the Netherlands by the brutal murder of the controversial Dutch filmmaker and newspaper columnist Theo van Gogh, bomb attacks in Bali and Madrid and other acts of…

Elites, Masses, and Media Blacklists: The Dixie Chicks Controversy

ERIC Educational Resources Information Center

Rossman, Gabriel

2004-01-01

Several studies have shown the influence of ownership on media content in routine contexts, but none has quantitatively tested it in the context of a crisis. Recently the country musicians the Dixie Chicks were blacklisted from the radio for criticizing the president in wartime. I use this event to test the role of media ownership in a crisis.…

The Ideological Implications of Using "Educational" Film to Teach Controversial Events

ERIC Educational Resources Information Center

Stoddard, Jeremy D.

2009-01-01

Use of media in today's classrooms, from feature and documentary film to news clips streamed via the Web, has grown exponentially. Film can be a powerful medium for teaching and learning, but is often viewed as a neutral source of information. This collective case study focuses on two teachers who use documentary film to teach about controversial…

Drug Testing in Schools: A Brief Review and Analysis of Recent Events

ERIC Educational Resources Information Center

Velasquez, James

2010-01-01

Random drug testing (RSDT) in schools is a controversial topic. The U.S. Supreme Court has ruled that RSDT is constitutional for certain groups of students. Moreover, funding has been made available for schools to implement RSDT programs through the U.S. Department of Education and the White House Office of National Drug Control Policy. This…

Legal Rights of College Students: A History of Cases, Controversies and Court Decisions.

ERIC Educational Resources Information Center

Clark, Kathryn A.; Scheuermann, Tom

The legal rights of college students have changed substantially over the years, particularly during the 20th century. This paper provides a historical sketch of student rights, including a listing of significant events and cases, from the founding of Harvard College in 1636 to the bicentennial of the Constitution and the 50th anniversary of the…

On the Automaticity of Emotion Processing in Words and Faces: Event-Related Brain Potentials Evidence from a Superficial Task

ERIC Educational Resources Information Center

Rellecke, Julian; Palazova, Marina; Sommer, Werner; Schacht, Annekathrin

2011-01-01

The degree to which emotional aspects of stimuli are processed automatically is controversial. Here, we assessed the automatic elicitation of emotion-related brain potentials (ERPs) to positive, negative, and neutral words and facial expressions in an easy and superficial face-word discrimination task, for which the emotional valence was…

A More Perfect Union: Shaping American Government [and] Teacher's Resource Packet. Choices for the 21st Century Project.

ERIC Educational Resources Information Center

Bakker, Don

The student's and teacher's resource books contain primary sources that focus on the values, beliefs, and interests that influenced the political development of the United States as a nation. Students revisit the events and controversies of 1763-88 through primary source documents and reconstructed debates to gain a deeper understanding of the…

Hidden Curriculum as One of Current Issue of Curriculum

ERIC Educational Resources Information Center

Alsubaie, Merfat Ayesh

2015-01-01

There are several issues in the education system, especially in the curriculum field that affect education. Hidden curriculum is one of current controversial curriculum issues. Many hidden curricular issues are the result of assumptions and expectations that are not formally communicated, established, or conveyed within the learning environment.…

Current Domestic Problems, Social Studies: 6416.18.

ERIC Educational Resources Information Center

Moore, John A.

Secondary students learn to deal objectively with domestic issues and problems in this quinmester elective course. Emphasis is upon providing students with an opportunity for indepth study in critical thinking on current controversial issues, using activity units as a principal teaching technique. The objectives are for students to identify and…

Controversies in breast cancer: adjuvant and neoadjuvant therapy.

PubMed

Montemurro, Filippo; Redana, Stefania; Valabrega, Giorgio; Aglietta, Massimo

2005-06-01

Initial randomised studies of chemotherapy and endocrine therapy showed that systemic treatments had a substantial impact on the survival of women with early breast cancer. The original assumption was that the efficacy of these treatments was limited to those patients presenting with more adverse prognostic features. Subsequently, meta-analyses of randomised trials revealed that the benefits of chemotherapy and endocrine therapy are not mutually exclusive and extend to all the prognostic subgroups. However, the absolute benefit varies according to baseline characteristics such as tumour stage and other biological factors. Over the last 10 years, considerable progress has been made with the introduction of new drugs into the adjuvant and neoadjuvant treatment of women with breast cancer. Taxanes and third-generation aromatase inhibitors are providing proof of additional benefits compared with standard reference treatments. In parallel, research on the biology of breast cancer is establishing novel prognostic and predictive factors, which may allow better treatment tailoring. Currently, however, women with early breast cancer and their doctors face the difficult task of making therapeutic decisions often based on early results from positive studies. In a disease where follow up is crucial to fully assess the benefit and long-term toxicities of an intervention, current knowledge leaves unanswered questions that generate debate and controversy. This review will summarise recent results from randomised trials of adjuvant and neoadjuvant therapy in women with early breast cancer and focus on the current controversies.

Frequently Asked Questions about Population.

ERIC Educational Resources Information Center

California Journal of Science Education, 2000

2000-01-01

Emphasizes the issue of human population growth. Provides information on current demographic trends; their social, economic, and environmental impacts; and Zero Population Growth's (ZPG) position on several controversial topics. (ASK)

Hypertensive response to exercise: mechanisms and clinical implication.

PubMed

Kim, Darae; Ha, Jong-Won

2016-01-01

A hypertensive response to exercise (HRE) is frequently observed in individuals without hypertension or other cardiovascular disease. However, mechanisms and clinical implication of HRE is not fully elucidated. Endothelial dysfunction and increased stiffness of large artery contribute to development of HRE. From neurohormonal aspects, excess stimulation of sympathetic nervous system and augmented rise of angiotensin II seems to be important mechanism in HRE. Increasing evidences indicates that a HRE is associated with functional and structural abnormalities of left ventricle, especially when accompanied by increased central blood pressure. A HRE harbors prognostic significance in future development of hypertension and increased cardiovascular events, particularly if a HRE is documented in moderate intensity of exercise. As supported by previous studies, a HRE is not a benign phenomenon, however, currently, whether to treat a HRE is controversial with uncertain treatment strategy. Considering underlying mechanisms, angiotensin receptor blockers and beta blockers can be suggested in individuals with HRE, however, evidences for efficacy and outcomes of treatment of HRE in individuals without hypertension is scarce and therefore warrants further studies.

The ethics of a proposed study of hematopoietic stem cell transplant for children with "less severe" sickle cell disease.

PubMed

Nickel, Robert S; Hendrickson, Jeanne E; Haight, Ann E

2014-08-07

Hematopoietic stem cell transplant (HSCT) is the only cure for sickle cell disease (SCD). HSCT using an HLA-identical sibling donor is currently an acceptable treatment option for children with severe SCD, with expected HSCT survival >95% and event-free survival >85%. HSCT for children with less severe SCD (children who have not yet suffered overt disease complications or only had mild problems) is controversial. It is important to consider the ethical issues of a proposed study comparing HLA-identical sibling HSCT to best supportive care for children with less severe SCD. In evaluating the principles of nonmaleficence, respect for individual autonomy, and justice, we conclude that a study of HLA-identical sibling HSCT for all children with SCD, particularly hemoglobin SS and Sβ(0)-thalassemia disease, is ethically sound. Future work should explore the implementation of a large trial to help determine whether HSCT is a beneficial treatment of children with less severe SCD. © 2014 by The American Society of Hematology.

Suppressive influences in the immune response to cancer.

PubMed

Bronte, Vincenzo; Mocellin, Simone

2009-01-01

Although much evidence has been gathered demonstrating that immune effectors can play a significant role in controlling tumor growth under natural conditions or in response to therapeutic manipulation, it is clear that malignant cells do evade immune surveillance in most cases. Considering that anticancer active specific immunotherapy seems to have reached a plateau of results and that currently no vaccination regimen is indicated as a standard anticancer therapy, the dissection of the molecular events underlying tumor immune escape is the necessary condition to make anticancer vaccines a therapeutic weapon effective enough to be implemented in the routine clinical setting. Recent years have witnessed significant advances in our understanding of the molecular mechanisms underlying tumor immune escape. These mechanistic insights are fostering the development of rationally designed therapeutics aimed to revert the immunosuppressive circuits that undermine an effective antitumor immune response. In this review, the best characterized mechanisms that allow cancer cells to evade immune surveillance are overviewed and the most debated controversies constellating this complex field are highlighted.

Slow-moving and far-travelled dense pyroclastic flows during the Peach Spring super-eruption.

PubMed

Roche, O; Buesch, D C; Valentine, G A

2016-03-07

Explosive volcanic super-eruptions of several hundred cubic kilometres or more generate long run-out pyroclastic density currents the dynamics of which are poorly understood and controversial. Deposits of one such event in the southwestern USA, the 18.8 Ma Peach Spring Tuff, were formed by pyroclastic flows that travelled >170 km from the eruptive centre and entrained blocks up to ∼ 70-90 cm diameter from the substrates along the flow paths. Here we combine these data with new experimental results to show that the flow's base had high-particle concentration and relatively modest speeds of ∼ 5-20 m s(-1), fed by an eruption discharging magma at rates up to ∼ 10(7)-10(8) m(3) s(-1) for a minimum of 2.5-10 h. We conclude that sustained high-eruption discharge and long-lived high-pore pressure in dense granular dispersion can be more important than large initial velocity and turbulent transport with dilute suspension in promoting long pyroclastic flow distance.

Portal vein thrombosis in cirrhosis: Controversies and latest developments

PubMed Central

Harding, Damian J; Perera, M Thamara PR; Chen, Frederick; Olliff, Simon; Tripathi, Dhiraj

2015-01-01

Portal vein thrombosis (PVT) is encountered in liver cirrhosis, particularly in advanced disease. It has been a feared complication of cirrhosis, attributed to significant worsening of liver disease, poorer clinical outcomes and potential inoperability at liver transplantation; also catastrophic events such as acute intestinal ischaemia. Optimal management of PVT has not yet been addressed in any consensus publication. We review current literature on PVT in cirrhosis; its prevalence, pathophysiology, diagnosis, impact on the natural history of cirrhosis and liver transplantation, and management. Studies were identified by a search strategy using MEDLINE and Google Scholar. The incidence of PVT increases with increasing severity of liver disease: less than 1% in well-compensated cirrhosis, 7.4%-16% in advanced cirrhosis. Prevalence in patients undergoing liver transplantation is 5%-16%. PVT frequently regresses instead of uniform thrombus progression. PVT is not associated with increased risk of mortality. Optimal management has not been addressed in any consensus publication. We propose areas for future research to address unresolved clinical questions. PMID:26078553

[Emergency cesarean section and craniectomy in a patient with rupture of a cerebral arteriovenous malformation].

PubMed

Monsalve-Mejía, G; Palacio, W; Rodríguez, C

2014-04-01

The intracerebral hemorrhage in pregnancy is a rare event, but can have catastrophic consequences for both mother and fetus. The management of non-ruptured arteriovenous malformations in pregnancy is not free of controversy in the current literature, as there is the possibility of spontaneous bleeding and becoming a true emergency. We report the case of a pregnant patient of 35 weeks with a diagnosis of a cerebral arteriovenous malformation, who developed a sudden onset of headache, generalized tonic-clonic seizures, loss of consciousness, and hemiparesis with radiological images of an intracranial hematoma with a mass effect, and signs of herniation. The multidisciplinary management is discussed, emphasizing perioperative cesarean approach plus craniotomy and drainage of the hematoma, and subsequent management in intensive care, and definitive management by neuroradiology, with a successful outcome. Copyright © 2012 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

Exercise and the heart: can you have too much of a good thing?

PubMed

George, Keith; Shave, Rob; Warburton, Darren; Scharhag, Jürgen; Whyte, Greg

2008-08-01

Reports that participation in prolonged exercise can lead to a transient depression in ventricular function and/or a minor increase in biomarkers of cardiomyocyte insult have stimulated significant media and scientific attention in the last few years. Despite being of relevance to the scientist, the clinician, and a broad spectrum of athletes, these phenomena are poorly defined and controversial. Specifically, the definition and the description of these topics are quite limited, and conflicting data are available. Further, the mechanisms underpinning these events are not clear. Finally, a clear message related to the short- and the long-term impact on cardiovascular health and/or sports performance is lacking. The symposium "Exercise and the heart: Can you have too much of a good thing?" was presented at the ACSM Annual Meeting in New Orleans on June 1, 2007 to specifically address these issues. This initial introduction sets out the background to the main articles that will document our current understanding of these problems as well as suggest important avenues for further research.

Effects of psychological and biomechanical trauma on brain and behavior

PubMed Central

McAllister, Thomas W.; Stein, Murray B.

2011-01-01

The current conflicts in Iraq and Afghanistan have resulted in a large cohort of military personnel exposed to combat-related psychological trauma as well as biomechanical trauma, including proximity to blast events. Historically, the long-term effects of both types of trauma have been viewed as having different neural substrates, with some controversy over the proper attribution of such symptoms evident after each of the major conflicts of the last century. Recently, great effort has been directed toward distinguishing which neuropsychiatric sequelae are due to which type of trauma. Of interest, however, is that the chronic effects of exposure to either process are associated with a significant overlap in clinical symptoms. Furthermore, similar brain regions are vulnerable to the effects of either psychological or biomechanical trauma, raising the possibility that shared mechanisms may underlie the clinically observed overlap in symptom profile. This paper reviews the literature on the neural substrate of biomechanical and psychological injury and discusses the implications for evaluation and treatment of the neuropsychiatric sequelae of these processes. PMID:20955325

Periodic Impact Cratering and Extinction Events Over the Last 260 Million Years

NASA Technical Reports Server (NTRS)

Rampino, Michael R.; Caldeira, Ken

2015-01-01

The claims of periodicity in impact cratering and biological extinction events are controversial. Anewly revised record of dated impact craters has been analyzed for periodicity, and compared with the record of extinctions over the past 260 Myr. A digital circular spectral analysis of 37 crater ages (ranging in age from 15 to 254 Myr ago) yielded evidence for a significant 25.8 +/- 0.6 Myr cycle. Using the same method, we found a significant 27.0 +/- 0.7 Myr cycle in the dates of the eight recognized marine extinction events over the same period. The cycles detected in impacts and extinctions have a similar phase. The impact crater dataset shows 11 apparent peaks in the last 260 Myr, at least 5 of which correlate closely with significant extinction peaks. These results suggest that the hypothesis of periodic impacts and extinction events is still viable.

Infections and apparent life-threatening events.

PubMed

Altman, Robin L; Li, Karl I; Brand, Donald A

2008-05-01

The need for routine sepsis evaluation in patients who have experienced an apparent life-threatening event but lack signs of infection remains controversial. To assess their risk of a serious occult bacterial infection, records were reviewed of 95 infants in whom infections were discovered during their inpatient evaluation after an apparent life-threatening event. Noted for each patient was the presence of any suggestive findings that would have prompted a physician to consider the given type of infection in the differential diagnosis. Thirty patients had bacterial infections; all but 5 had suggestive findings. The exceptions included 1 patient with pneumonia and 4 with urinary tract infections. None of the remaining 25 patients had occult bacterial infections. In patients with an apparent life-threatening event who appear well and lack signs suggestive of a serious bacterial infection, it may be possible to forego routine sepsis evaluation beyond a chest radiograph and urine culture without risking a serious missed diagnosis.

Antivenoms for snakebite: design, function, and controversies.

PubMed

Lavonas, Eric J

2012-08-01

Animal-derived antivenoms have been used to treat snake envenomation for more than 100 years. Major technological advantages in the past 30 years have produced antivenoms that are highly purified and chemically modified to reduce the risk of acute hypersensitivity reactions. Like all pharmaceutical manufacture, commercial-scale antivenom production requires making trade-offs between cost, purity, pharmacokinetic profile, and production yield. This article reviews the current state of the art for antivenom production and development. Particular attention is paid to controversies and trade-offs used to achieve a balance between improved safety and pharmacokinetic performance.

Influence of treatments on prognosis for vulvar lichen sclerosus: facts and controversies.

PubMed

Brodrick, Brooks; Belkin, Zoe R; Goldstein, Andrew T

2013-01-01

Lichen sclerosus (LS) is an inflammatory dermatosis with a predilection for the anogential skin. Vulvar LS can be a debilitating disease, causing pruritus and pain, and it carries the potential for atrophy, scarring, and significant functional impairment. Recently, many advances have been made regarding the etiology and natural history of the disease process; however, much debate still exists regarding the most advantageous medical and surgical management of this disorder. In an effort to provide a comprehensive review on current vulvar LS literature, the following three controversies will be discussed: (1) optimal disease treatment, (2) theories behind LS's oncogenicity and treatments for minimizing malignancy, and (3) the value of surgical treatment for LS. Ultra-potent topical corticosteroids (TCSs) are the first-line treatment for vulvar LS, while topical calcineurin inhibitors (TCIs) remain second-line agents for patients for whom TCS treatment resulted in incomplete resolution of symptoms or adverse events. Due to the relapsing nature of the disease, long-term maintenance therapy is often required. In addition, recent advances have contributed to the understanding of the association between LS and squamous cell carcinoma (SCC). While the exact mechanism responsible for LS-associated SCC is not known, immune dysregulation and inflammation may play an important role; therefore, successful treatment of LS should be directed towards alleviation of symptoms and reversal of the underlying histopathologic changes. Patients with LS-associated malignancy, as well as patients who need correction of functionally restrictive, scarring processes, can successfully undergo surgical intervention with tissue conservation. © 2013 Elsevier Inc. All rights reserved.

Dropping Out of School in Southern Ghana: The Push-Out and Pull-Out Factors. CREATE Pathways to Access. Research Monograph No. 55

ERIC Educational Resources Information Center

Ananga, Eric

2011-01-01

Addressing school dropout has been one of the most controversial elements of policy since the introduction of free compulsory universal basic education (FCUBE) in Ghana. However, research that utilises qualitative biographical detail surrounding irregular attendance and the critical events in the process that lead to dropout in Ghana is limited. I…

The "Protection" of "Woman": A History of Legal Attitudes toward Women's Workplace Freedom.

ERIC Educational Resources Information Center

Crenshaw, Carrie

1995-01-01

Offers a comparative analysis of the historical dispute over protective legislation for women and the current controversy over fetal protection policies. Argues that, despite seeming dissimilarities, current symbols are attitudinally united with historical symbols, reducing the interests of all women to motherhood and thereby limiting women's…

Catholic Schooling, the Concept of Laity, and the Future Church

ERIC Educational Resources Information Center

McDonough, Graham P.

2017-01-01

The Catholic laity currently faces some concerns that are of importance to its future. The current decline and ageing of clergy affects the availability of sacraments and leadership. Moreover, the plurality of views among Catholics on ordination, ethical issues and Church governance suggests that controversy may accompany concurrent increased lay…

Chimpanzees Know What Others Know, but Not What They Believe

ERIC Educational Resources Information Center

Kaminski, Juliane; Call, Josep; Tomasello, Michael

2008-01-01

There is currently much controversy about which, if any, mental states chimpanzees and other nonhuman primates understand. In the current two studies we tested both chimpanzees' and human children's understanding of both knowledge-ignorance and false belief--in the same experimental paradigm involving competition with a conspecific. We found that…

Inferior Vena Cava Filters: Current and Future Concepts.

PubMed

Kaufman, John Andrew

2018-01-01

The inferior vena cava filter clinical environment is notable for the degree of controversy, uncertainty, and fear associated with these devices by both physicians and the public. This article reviews some of the more important current issues with these devices as well as emerging and future trends. Copyright © 2017 Elsevier Inc. All rights reserved.

Defining optimal freshwater flow for oyster production: effects of freshet rate and magnitude of change and duration on eastern oysters and Perkinsus marinus infection

USGS Publications Warehouse

LaPeyre, Megan K.; Gossman, B.; La Peyre, Jerome F.

2009-01-01

In coastal Louisiana, the development of large-scale freshwater diversion projects has led to controversy over their effects on oyster resources. Using controlled laboratory experiments in combination with a field study, we examined the effects of pulsed freshwater events (freshet) of different magnitude, duration, and rate of change on oyster resources. Laboratory and field evidence indicate that low salinity events (<5 psu) decreased Perkinsus marinus infection intensities. Furthermore, when salinity was low (<5 psu), parasite infection intensities continued to decrease even as temperatures exceeded 20°C. At the same time, oyster growth was positively correlated with salinity. To maximize oyster production, data indicate that both low and high salinity events will be necessary.

The psychophysiology of real-time financial risk processing.

PubMed

Lo, Andrew W; Repin, Dmitry V

2002-04-01

A longstanding controversy in economics and finance is whether financial markets are governed by rational forces or by emotional responses. We study the importance of emotion in the decision-making process of professional securities traders by measuring their physiological characteristics (e.g., skin conductance, blood volume pulse, etc.) during live trading sessions while simultaneously capturing real-time prices from which market events can be detected. In a sample of 10 traders, we find statistically significant differences in mean electrodermal responses during transient market events relative to no-event control periods, and statistically significant mean changes in cardiovascular variables during periods of heightened market volatility relative to normal-volatility control periods. We also observe significant differences in these physiological responses across the 10 traders that may be systematically related to the traders' levels of experience.

Cataclysms and controversy -- aspects of the geomorphology of the Columbia River Gorge

USGS Publications Warehouse

O'Connor, Jim; Burns, Scott; Madin, Ian; Dorsey, Rebecca

2009-01-01

Landslides and floods of lava and water tremendously affected the Columbia River during its long history of transecting the Cascade Volcanic Arc. This field trip touches on aspects of the resulting geology of the scenic Columbia River Gorge, including the river-blocking Bonneville landslide of ~550 years ago and the great late- Pleistocene Missoula floods. Not only did these events create great landscapes, but they inspired great geologists. Mid-nineteenth century observations of the Columbia River and Pacific Northwest by James Dwight Dana and John Strong Newberry helped germinate the “school of fluvial” erosion later expanded upon by the southwestern United States topographic and geologic surveys. Later work on features related to the Missoula floods framed the career of J Harlen Bretz in one of the great geologic controversies of the twentieth century.

Identifying ethical issues in the development of vaccines and in vaccination.

PubMed

Johari, Veena

2017-01-01

Vaccines are a widely accepted public health intervention. They are also a profitable tool for pharmaceutical companies manufacturing vaccines. There are many vaccines in the pipeline, for various diseases, or as combination vaccines for several diseases. However, there is also a growing concern about vaccines and the manner in which they are developed and approved by the authorities. Approvals are fast tracked and adverse events and serious adverse events following vaccination are seldom reported once the vaccine gets its marketing approval. Thus, vaccines have been clouded with many controversies and their use as a public health tool to prevent diseases is constantly under challenge.

Industrial Safety and Utopia: Insights from the Fukushima Daiichi Accident.

PubMed

Travadel, Sébastien; Guarnieri, Franck; Portelli, Aurélien

2018-01-01

Feedback from industrial accidents is provided by various state or even international, institutions, and lessons learned can be controversial. However, there has been little research into organizational learning at the international level. This article helps to fill the gap through an in-depth review of official reports of the Fukushima Daiichi accident published shortly after the event. We present a new method to analyze the arguments contained in these voluminous documents. Taking an intertextual perspective, the method focuses on the accident narratives, their rationale, and links between "facts," "causes," and "recommendations." The aim is to evaluate how the findings of the various reports are consistent with (or contradict) "institutionalized knowledge," and identify the social representations that underpin them. We find that although the scientific controversy surrounding the results of the various inquiries reflects different ethical perspectives, they are integrated into the same utopian ideal. The involvement of multiple actors in this controversy raises questions about the public construction of epistemic authority, and we highlight the special status given to the International Atomic Energy Agency in this regard. © 2017 The Authors Risk Analysis published by Wiley Periodicals, Inc. on behalf of Society for Risk Analysis.

Global tectonic significance of the Solomon Islands and Ontong Java Plateau convergent zone

NASA Astrophysics Data System (ADS)

Mann, Paul; Taira, Asahiko

2004-10-01

Oceanic plateaus, areas of anomalously thick oceanic crust, cover about 3% of the Earth's seafloor and are thought to mark the surface location of mantle plume "heads". Hotspot tracks represent continuing magmatism associated with the remaining plume conduit or "tail". It is presently controversial whether voluminous and mafic oceanic plateau lithosphere is eventually accreted at subduction zones, and, therefore: (1) influences the eventual composition of continental crust and; (2) is responsible for significantly higher rates of continental growth than growth only by accretion of island arcs. The Ontong Java Plateau (OJP) of the southwestern Pacific Ocean is the largest and thickest oceanic plateau on Earth and the largest plateau currently converging on an island arc (Solomon Islands). For this reason, this convergent zone is a key area for understanding the fate of large and thick plateaus on reaching subduction zones. This volume consists of a series of four papers that summarize the results of joint US-Japan marine geophysical studies in 1995 and 1998 of the Solomon Islands-Ontong Java Plateau convergent zone. Marine geophysical data include single and multi-channel seismic reflection, ocean-bottom seismometer (OBS) refraction, gravity, magnetic, sidescan sonar, and earthquake studies. Objectives of this introductory paper include: (1) review of the significance of oceanic plateaus as potential contributors to continental crust; (2) review of the current theories on the fate of oceanic plateaus at subduction zones; (3) establish the present-day and Neogene tectonic setting of the Solomon Islands-Ontong Java Plateau convergent zone; (4) discuss the controversial sequence and timing of tectonic events surrounding Ontong Java Plateau-Solomon arc convergence; (5) present a series of tectonic reconstructions for the period 20 Ma (early Miocene) to the present-day in support of our proposed timing of major tectonic events affecting the Ontong Java Plateau-Solomon Islands convergent zone; and (6) compare the structural and deformational pattern observed in the Solomon Islands to ancient oceanic plateaus preserved in Precambrian and Phanerozoic orogenic belts. Our main conclusion of this study is that 80% of the crustal thickness of the Ontong Java Plateau is subducted beneath the Solomon island arc; only the uppermost basaltic and sedimentary part of the crust (˜7 km) is preserved on the overriding plate by subduction-accretion processes. This observation is consistent with the observed imbricate structural style of plateaus and seamount chains preserved in both Precambrian and Phanerozoic orogenic belts.

Paleomagnetic and Geochronologic Data from Central Asia: Inferences for Early Paleozoic Tectonic Evolution and Timing of Worldwide Glacial Events

NASA Astrophysics Data System (ADS)

Gregory, L. C.; Meert, J. G.; Levashova, N.; Grice, W. C.; Gibsher, A.; Rybanin, A.

2007-12-01

The Neoproterozoic to early Paleozoic Ural-Mongol belt that runs through Central Asia is crucial for determining the enigmatic amalgamation of microcontinents that make up the Eurasian subcontinent. Two unique models have been proposed for the evolution of Ural-Mongol belt. One involves a complex assemblage of cratonic blocks that have collided and rifted apart during diachronous opening and closing of Neoproterozoic to Devonian aged ocean basins. The opposing model of Sengor and Natal"in proposes a long-standing volcanic arc system that connected Central Asian blocks with the Baltica continent. The Aktau-Mointy and Dzabkhan microcontinents in Kazakhstan and Central Mongolia make up the central section of the Ural-Mongol belt, and both contain glacial sequences characteristic of the hypothesized snowball earth event. These worldwide glaciations are currently under considerable debate, and paleomagnetic data from these microcontients are a useful contribution to the snowball controversy. We have sampled volcanic and sedimentary sequences in Central Mongolia, Kazakhstan and Kyrgyzstan for paleomagnetic and geochronologic study. U-Pb data, 13C curves and abundant fossil records place age constraints on sequences that contain glacial deposits of the hypothesized snowball earth events. Carbonates in the Zavkhan Basin in Mongolia are likely remagnetized, but fossil evidence within the sequence suggests a readjusted age control on two glacial events that were previously labeled as Sturtian and Marinoan. U-Pb ages from both Kazakhstan and Mongolian volcanic sequences imply a similar evolution history of the areas as part of the Ural-Mongol fold belt, and these ages paired with paleomagnetic and 13C records have important tectonic implications. We will present these data in order to place better constraints on the Precambrian to early Paleozoic tectonic evolution of Central Asia and the timing of glacial events recorded in the area.

Differences in the hemodynamic response to event-related motor and visual paradigms as measured by near-infrared spectroscopy

NASA Technical Reports Server (NTRS)

Jasdzewski, G.; Strangman, G.; Wagner, J.; Kwong, K. K.; Poldrack, R. A.; Boas, D. A.; Sutton, J. P. (Principal Investigator)

2003-01-01

Several current brain imaging techniques rest on the assumption of a tight coupling between neural activity and hemodynamic response. The nature of this neurovascular coupling, however, is not completely understood. There is some evidence for a decoupling of these processes at the onset of neural activity, which manifests itself as a momentary increase in the relative concentration of deoxyhemoglobin (HbR). The existence of this early component of the hemodynamic response function, however, is controversial, as it is inconsistently found. Near infrared spectroscopy (NIRS) allows quantification of levels of oxyhemoglobin (HbO(2)) and HbR during task performance in humans. We acquired NIRS data during performance of simple motor and visual tasks, using rapid-presentation event-related paradigms. Our results demonstrate that rapid, event-related NIRS can provide robust estimates of the hemodynamic response without artifacts due to low-frequency signal components, unlike data from blocked designs. In both the motor and visual data the onset of the increase in HbO(2) occurs before HbR decreases, and there is a poststimulus undershoot. Our results also show that total blood volume (HbT) drops before HbO(2) and undershoots baseline, raising a new issue for neurovascular models. We did not find early deoxygenation in the motor data using physiologically plausible values for the differential pathlength factor, but did find one in the visual data. We suggest that this difference, which is consistent with functional magnetic resonance imaging (fMRI) data, may be attributable to different capillary transit times in these cortices.

Plus Ca Change: Antivivisection Then and Now.

ERIC Educational Resources Information Center

Ritvo, Harriet

1984-01-01

Traces the history of the antivivisection movement, examining issues related to the use of animals in studying the cause of rabies. Also discusses issues related to the current controversy over animal experimentation. (JN)

The History of Testosterone and the Evolution of its Therapeutic Potential.

PubMed

Morgentaler, Abraham; Traish, Abdulmaged

2018-04-13

Testosterone therapy has been controversial since its synthesis in the 1930s to the present day. Testosterone's history provides depth and context for current controversies. To review the history of testosterone therapy from its initial synthesis in the 1930s to the modern day. Expert review of the literature. Impactful events in the history of testosterone. By the 1940s there was already a fascinating literature that described the many symptomatic benefits of testosterone therapy that are recognized today. Numerous early reports suggested testosterone therapy improved angina pectoris and peripheral vascular disease. The assertion by Huggins and Hodges (Cancer Res 1941;1:293-297) in 1941 that testosterone activated prostate cancer (PCa) cast a pall for the next 70 years. The introduction of the radioimmunoassay in the 1970s shifted the diagnosis of testosterone deficiency from signs and symptoms to an undue emphasis on blood test results. The fear of PCa was the primary obstacle to the adoption of testosterone therapy for decades. Prescription rates increased as accumulated evidence showed testosterone therapy was not associated with increased PCa risks. The observation that androgenic stimulation of PCa reaches a maximum at relatively low testosterone concentrations-the saturation model-provided the theoretical framework for understanding the relation between androgens and PCa and led to multiple case series documenting reassuring results of testosterone therapy in men with PCa. Recent concerns regarding cardiovascular risks also have diminished because new evidence suggests testosterone therapy might actually be cardioprotective. In 2016 the Testosterone Trials provided high-quality evidence of multiple benefits of testosterone therapy, nearly all of which had been recognized by clinicians by 1940. If the past has any lessons for the future, it is likely that research will continue to demonstrate health benefits of testosterone therapy, while it remains one of the most controversial topics in medicine. Morgentaler A, Traish A. The History of Testosterone and the Evolution of its Therapeutic Potential. Sex Med Rev 2018;X:XXX-XXX. Copyright © 2018 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.

Educational Myth-Making with "Due Accuracy and Impartiality"? A Current Affairs TV Episode in the United Kingdom

ERIC Educational Resources Information Center

Wallace, Mike

2007-01-01

The mass media contribution to education politics is explored through the application of a pluralistic theoretical framework to evidence connected with the making of an episode of a U.K. current affairs television program. The episode addressed a politically contentious educational issue but proved controversial in itself. Several sources…

A Historical Overview of the Classification, Evolution, and Dispersion of Leishmania Parasites and Sandflies.

PubMed

Akhoundi, Mohammad; Kuhls, Katrin; Cannet, Arnaud; Votýpka, Jan; Marty, Pierre; Delaunay, Pascal; Sereno, Denis

2016-03-01

The aim of this study is to describe the major evolutionary historical events among Leishmania, sandflies, and the associated animal reservoirs in detail, in accordance with the geographical evolution of the Earth, which has not been previously discussed on a large scale. Leishmania and sandfly classification has always been a controversial matter, and the increasing number of species currently described further complicates this issue. Despite several hypotheses on the origin, evolution, and distribution of Leishmania and sandflies in the Old and New World, no consistent agreement exists regarding dissemination of the actors that play roles in leishmaniasis. For this purpose, we present here three centuries of research on sandflies and Leishmania descriptions, as well as a complete description of Leishmania and sandfly fossils and the emergence date of each Leishmania and sandfly group during different geographical periods, from 550 million years ago until now. We discuss critically the different approaches that were used for Leishmana and sandfly classification and their synonymies, proposing an updated classification for each species of Leishmania and sandfly. We update information on the current distribution and dispersion of different species of Leishmania (53), sandflies (more than 800 at genus or subgenus level), and animal reservoirs in each of the following geographical ecozones: Palearctic, Nearctic, Neotropic, Afrotropical, Oriental, Malagasy, and Australian. We propose an updated list of the potential and proven sandfly vectors for each Leishmania species in the Old and New World. Finally, we address a classical question about digenetic Leishmania evolution: which was the first host, a vertebrate or an invertebrate? We propose an updated view of events that have played important roles in the geographical dispersion of sandflies, in relation to both the Leishmania species they transmit and the animal reservoirs of the parasites.

Atypical hemolytic uremic syndrome and C3 glomerulopathy: conclusions from a "Kidney Disease: Improving Global Outcomes" (KDIGO) Controversies Conference.

PubMed

Goodship, Timothy H J; Cook, H Terence; Fakhouri, Fadi; Fervenza, Fernando C; Frémeaux-Bacchi, Véronique; Kavanagh, David; Nester, Carla M; Noris, Marina; Pickering, Matthew C; Rodríguez de Córdoba, Santiago; Roumenina, Lubka T; Sethi, Sanjeev; Smith, Richard J H

2017-03-01

In both atypical hemolytic uremic syndrome (aHUS) and C3 glomerulopathy (C3G) complement plays a primary role in disease pathogenesis. Herein we report the outcome of a 2015 Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference where key issues in the management of these 2 diseases were considered by a global panel of experts. Areas addressed included renal pathology, clinical phenotype and assessment, genetic drivers of disease, acquired drivers of disease, and treatment strategies. In order to help guide clinicians who are caring for such patients, recommendations for best treatment strategies were discussed at length, providing the evidence base underpinning current treatment options. Knowledge gaps were identified and a prioritized research agenda was proposed to resolve outstanding controversial issues. Copyright © 2016 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.

A Review and Update of Treatment Options and Controversies in the Management of Hepatocellular Carcinoma.

PubMed

Dhir, Mashaal; Melin, Alyson A; Douaiher, Jeffrey; Lin, Chi; Zhen, Weining Ken; Hussain, Shahid M; Geschwind, Jean-Francois H; Doyle, Maria B Majella; Abou-Alfa, Ghassan K; Are, Chandrakanth

2016-06-01

To review the current management, outline recent advances and address controversies in the management of hepatocellular carcinoma (HCC). The treatment of HCC is multidisciplinary involving hepatologists, surgeons, medical oncologists, radiation oncologists, radiologists, interventional radiologists, and other disciplines. Each of these disciplines brings its unique perspective and differing opinions that add to controversies in the management of HCC. A focused literature review was performed to identify recent studies on the management of HCC and thereby summarize relevant information on the various therapeutic modalities and controversies involved in the treatment of HCC. The main treatment algorithms continue to rely on hepatic resection or transplantation with controversies involving patients harboring early stage disease and borderline hepatic function. The other treatment strategies include locoregional therapies, radiation, and systemic therapy used alone or in combination with other treatment modalities. Recent advances in locoregional therapies, radiation, and systemic therapies have provided better therapeutic options with curative intent potential for some locoregional therapies. Further refinements in combination therapies such as algorithms consisting of locoregional therapies and systemic or radiation therapies are likely to add additional options and improve survival. The management of HCC has witnessed significant strides with advances in existing options and introduction of several new treatment modalities of various combinations. Further refinements in these treatment options combined with enrollment in clinical trials are essential to improve the management and outcomes of patients with HCC.

Cloning, Stem Cells, and the Current National Debate: Incorporating Ethics into a Large Introductory Biology Course

PubMed Central

2002-01-01

Discussing the ethical issues involved in topics such as cloning and stem cell research in a large introductory biology course is often difficult. Teachers may be wary of presenting material biased by personal beliefs, and students often feel inhibited speaking about moral issues in a large group. Yet, to ignore what is happening “out there” beyond the textbooks and lab work is to do a disservice to students. This essay describes a semester-long project in which upperclass students presented some of the most complex and controversial ideas imaginable to introductory students by staging a mock debate and acting as members of the then newly appointed President's Council on Bioethics. Because the upperclass students were presenting the ideas of real people who play an important role in shaping national policy, no student's personal beliefs were put on the line, and many ideas were articulated. The introductory audience could accept or reject what they were hearing and learn information important for making up their own minds on these issues. This project is presented as an example of how current events can be used to put basic cell biology into context and of how exciting it can be when students teach students. PMID:12669102

Immigration--The Human Journey and the Human Hunt

ERIC Educational Resources Information Center

Bustos, Amador S.

1978-01-01

To understand the current polemic over deportation and "amnesty" for undocumented workers, a historical look at how this same controversy has been handled in the past, and what the consequences have been, is presented. (NQ)

Student Attitudes: A Study of Social Class

ERIC Educational Resources Information Center

Hardy, Clifford A.

1976-01-01

Student attitudes toward current controversial problems (bussing for racial integration, legalization of abortion, and legalization of marijuana) were studied with regard to social class. The 1960 revision of the Purdue Master Attitude Scale was used. (LBH)

Distal biceps tendon history, updates, and controversies: from the closed American Shoulder and Elbow Surgeons meeting-2015.

PubMed

Schmidt, Christopher C; Savoie, Felix H; Steinmann, Scott P; Hausman, Michael; Voloshin, Ilya; Morrey, Bernard F; Sotereanos, Dean G; Bero, Emily H; Brown, Brandon T

2016-10-01

Understanding of the distal biceps anatomy, mechanics, and biology during the last 75 years has greatly improved the physician's ability to advise and to treat patients with ruptured distal tendons. The goal of this paper is to review the past and current advances on complete distal biceps ruptures as well as controversies and future directions that were discussed and debated during the closed American Shoulder and Elbow Surgeons meeting in 2015. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

Controversies in "clearing" trauma to the cervical spine.

PubMed

Tins, Bernhard; Cassar-Pullicino, Victor

2007-04-01

Clearance of the traumatic cervical spine is a subject affecting most healthcare professionals dealing with trauma patients. There is a host of often contradictory literature making it hard for an interested reader to come to their own informed opinion based on the current evidence. This review aims to outline the relevant literature for the clearance of the traumatic cervical spine with the particular aim of highlighting the contradictions, controversies and unanswered questions still besetting this important subject. A brief, subjective opinion for a combined clinical and imaging protocol for clearance of the traumatic cervical spine is given.

Caffeine citrate - Is it a silver bullet in neonatology?

PubMed

Shrestha, Bikash; Jawa, Gaurav

2017-10-01

Caffeine citrate is one of the most prescribed drug in the present day NICU for apnea. Its efficacy, tolerability, wide therapeutic index and safety margin has made it the drug of choice among the methylxanthines. Its therapeutic uses in apnea of prematurity, mechanical ventilation, bronchopulmonary dysplasia has made it a "silver bullet" in neonatology. However, there are still controversies surrounding this drug. This review is aimed to update the reader about the basic pharmacology, current therapeutic uses, adverse effects, controversies as well as present and future research of caffeine. Copyright © 2017. Published by Elsevier B.V.

News media coverage of a women's health contraversy: how newspapers and TV outlets covered a recent debate over screening mammography.

PubMed

Steele, Whitney Randolph; Mebane, Felicia; Viswanath, K; Solomon, Janice

2005-01-01

Over the past decade, there have been several highly visible debates about mammography that have captured professional, public and media attention. This paper looks at newspaper and television news coverage of a controversial research letter in The Lancet by Gøtzsche and Olsen (2001) that concluded that screening mammography did not prevent deaths from breast cancer. The news pieces examined for this project were published between October 2001 and March 2002 in one of eight U.S. newspapers or aired on one of six national or cable news networks. The six-month period was divided into one-week segments; the numbers of articles published or stories aired in each week were graphed to examine patterns. Each newspaper article and television transcript was then reviewed to identify its main content area and the amount of coverage for each major event was quantified. The highest number of newspaper articles appeared to result from several events during the end of January through the beginning of February. These events included the publication of another meta-analysis of mammography that disputed the original letter's conclusion and a full-page New York Times advertisement paid for by major medical organizations stating their continued support for mammography. The greatest amount of television news coverage was devoted to the announcement of the official federal guidelines by the Secretary of Health and Human Services in late February. We conclude by discussing how the flow of news coverage of medical controversies can potentially impact the actions and reactions of the public, the medical community and health policy makers.

Vascular Access Guidelines: Summary, Rationale, and Controversies.

PubMed

Sequeira, Adrian; Naljayan, Mihran; Vachharajani, Tushar J

2017-03-01

Dialysis vascular access management in the United States changed significantly after National Kidney Foundation-Kidney Disease Outcome Quality Initiative (NKF-KDOQI) clinical practice guidelines were first published in 1997. The Centers for Medicare and Medicaid Service adopted these guidelines and in collaboration with the End-Stage Renal Disease Networks established the Fistula First Breakthrough Initiative (FFBI) in 2003 to improve the rate of arteriovenous fistula use over arteriovenous graft and central venous catheter in the dialysis population. The implementation of guidelines and FFBI has led to a significant increase in the arteriovenous fistula use in the prevalent dialysis population. The guidelines are criticized for being opinion based and often impractical. Over the past 2 decades, the patient population undergoing dialysis has become older with complex comorbidities and challenges for creating an ideal vascular access. Advancing knowledge about access pathophysiology, improved treatment options, and improved process of care with team approach model point toward diminishing relevance of few of the existing guidelines. Moreover, several guidelines remain controversial and may be leading to clinical decisions that may be unfavorable to the patients. The review discusses the historical aspect of vascular access care in the United States and evolution of current practice standards and controversies surrounding few of these guidelines in the current time. Published by Elsevier Inc.

Treatment of Thrombotic Antiphospholipid Syndrome: The Rationale of Current Management—An Insight into Future Approaches

PubMed Central

Ubiali, Tania; Meroni, Pier Luigi

2015-01-01

Vascular thrombosis and pregnancy morbidity represent the clinical manifestations of antiphospholipid syndrome (APS), which is serologically characterized by the persistent positivity of antiphospholipid antibodies (aPL). Antiplatelet and anticoagulant agents currently provide the mainstay of APS treatment. However, the debate is still open: controversies involve the intensity and the duration of anticoagulation and the treatment of stroke and refractory cases. Unfortunately, the literature cannot provide definite answers to these controversial issues as it is flawed by many limitations, mainly due to the recruitment of patients not fulfilling laboratory and clinical criteria for APS. The recommended therapeutic management of different aPL-related clinical manifestations is hereby presented, with a critical appraisal of the evidence supporting such approaches. Cutting edge therapeutic strategies are also discussed, presenting the pioneer reports about the efficacy of novel pharmacological agents in APS. Thanks to a better understanding of aPL pathogenic mechanisms, new therapeutic targets will soon be explored. Much work is still to be done to unravel the most controversial issues about APS management: future studies are warranted to define the optimal management according to aPL risk profile and to assess the impact of a strict control of cardiovascular risk factors on disease control. PMID:26075289

Advances and Challenges in Treatment of Locally Advanced Rectal Cancer

PubMed Central

Smith, J. Joshua; Garcia-Aguilar, Julio

2015-01-01

Dramatic improvements in the outcomes of patients with rectal cancer have occurred over the past 30 years. Advances in surgical pathology, refinements in surgical techniques and instrumentation, new imaging modalities, and the widespread use of neoadjuvant therapy have all contributed to these improvements. Several questions emerge as we learn of the benefits or lack thereof for components of the current multimodality treatment in subgroups of patients with nonmetastatic locally advanced rectal cancer (LARC). What is the optimal surgical technique for distal rectal cancers? Do all patients need postoperative chemotherapy? Do all patients need radiation? Do all patients need surgery, or is a nonoperative, organ-preserving approach warranted in selected patients? Answering these questions will lead to more precise treatment regimens, based on patient and tumor characteristics, that will improve outcomes while preserving quality of life. However, the idea of shifting the treatment paradigm (chemoradiotherapy, total mesorectal excision, and adjuvant therapy) currently applied to all patients with LARC to a more individually tailored approach is controversial. The paradigm shift toward organ preservation in highly selected patients whose tumors demonstrate clinical complete response to neoadjuvant treatment is also controversial. Herein, we highlight many of the advances and resultant controversies that are likely to dominate the research agenda for LARC in the modern era. PMID:25918296

Vitamin D in melanoma: Controversies and potential role in combination with immune check-point inhibitors.

PubMed

Stucci, Luigia Stefania; D'Oronzo, Stella; Tucci, Marco; Macerollo, Antonella; Ribero, Simone; Spagnolo, Francesco; Marra, Elena; Picasso, Virginia; Orgiano, Laura; Marconcini, Riccardo; De Rosa, Francesco; Guardo, Lorenza di; Galli, Giulia; Gandini, Sara; Palmirotta, Raffaele; Palmieri, Giuseppe; Queirolo, Paola; Silvestris, Francesco

2018-05-31

The role of vitamin D in melanoma is still controversial. Although several Authors described a correlation between vitamin D deficiency and poor survival in metastatic melanoma patients, clinical trials exploring the effects of vitamin D supplementation in this clinical setting were mostly inconclusive. However, recent evidence suggests that vitamin D exerts both anti-proliferative effects on tumor cells and immune-modulating activities, that have been widely explored in auto-immune disorders. On the one hand, vitamin D has been shown to inhibit T-helper17 lymphocytes, notoriously involved in the pathogenesis of immune-related adverse events (iAEs) which complicate immune-checkpoint inhibitor (ICI) treatment. On the other hand, vitamin D up-regulates PDL-1 expression on both epithelial and immune cells, suggesting a synergic effect in combination with ICIs, for which further investigation is needed. Copyright © 2018 Elsevier Ltd. All rights reserved.

A Molecular Phylogeny of Living Primates

PubMed Central

Perelman, Polina; Johnson, Warren E.; Roos, Christian; Seuánez, Hector N.; Horvath, Julie E.; Moreira, Miguel A. M.; Kessing, Bailey; Pontius, Joan; Roelke, Melody; Rumpler, Yves; Schneider, Maria Paula C.; Silva, Artur; O'Brien, Stephen J.; Pecon-Slattery, Jill

2011-01-01

Comparative genomic analyses of primates offer considerable potential to define and understand the processes that mold, shape, and transform the human genome. However, primate taxonomy is both complex and controversial, with marginal unifying consensus of the evolutionary hierarchy of extant primate species. Here we provide new genomic sequence (∼8 Mb) from 186 primates representing 61 (∼90%) of the described genera, and we include outgroup species from Dermoptera, Scandentia, and Lagomorpha. The resultant phylogeny is exceptionally robust and illuminates events in primate evolution from ancient to recent, clarifying numerous taxonomic controversies and providing new data on human evolution. Ongoing speciation, reticulate evolution, ancient relic lineages, unequal rates of evolution, and disparate distributions of insertions/deletions among the reconstructed primate lineages are uncovered. Our resolution of the primate phylogeny provides an essential evolutionary framework with far-reaching applications including: human selection and adaptation, global emergence of zoonotic diseases, mammalian comparative genomics, primate taxonomy, and conservation of endangered species. PMID:21436896

Psychological opportunities and hazards in predictive genetic testing for cancer risk.

PubMed

Codori, A M

1997-03-01

Although the availability of genetic tests seems like an unequivocally favorable turn of events, they are, in fact, not without controversy. At the center of the controversy is a question regarding the risks and benefits of genetic testing. Many geneticists, ethicists, psychologists, and persons at risk for cancer are concerned about the potentially adverse psychological effects of genetic testing on tested persons and their families. In addition, the screening and interventions that are useful in the general population remain to be shown effective in those with high genetic cancer risk. Consequently, there have been calls for caution in moving genetic testing out of research laboratories and into commercial laboratories until their impact and the effectiveness of cancer prevention strategies can be studied. This article examines the arguments and data for and against this caution, citing examples related to hereditary nonpolyposis colon cancer and drawing upon literature on testing for other genetic diseases.

Supernovae and the origin of the solar system

NASA Technical Reports Server (NTRS)

Clayton, D. D.

1979-01-01

This review concentrates on recent ideas involving a relationship between the early solar system and supernova explosions. It summarizes briefly the data that has helped inspire those ideas. Because the true relationship is still unknown and generates controversy, the distinct ideas are introduced singly in the historical context of their origins, and the active sense of surprise and controversy is visible. Quotations from pivotal papers are used as part of the exposition. The subject involves equally the isotopic anomalies detected in meteorites and the dynamic events of galactic evolution, nucleosynthesis, and protosolar collapse. Whatever the correct situation is, new connections have been found between the origin of the elements and the formation of the solar system. The objective of this review is to enable interested space scientists to quickly identify the competing points of view and the experiments and theories that have led to them.

An apparently normal gamma-ray burst with an unusually low luminosity.

PubMed

Sazonov, S Yu; Lutovinov, A A; Sunyaev, R A

2004-08-05

Much of the progress in understanding gamma-ray bursts (GRBs) has come from studies of distant events (redshift z approximately 1). In the brightest GRBs, the gamma-rays are so highly collimated that the events can be seen across the Universe. It has long been suspected that the nearest and most common events have been missed because they are not as collimated or they are under-energetic (or both). Here we report soft gamma-ray observations of GRB 031203, the nearest event to date (z = 0.106; ref. 2). It had a duration of 40 s and peak energy of >190 keV, and therefore appears to be a typical long-duration GRB. The isotropic gamma-ray energy of < or =10(50) erg, however, is about three orders of magnitude smaller than that of the cosmological population. This event--as well as the other nearby but somewhat controversial GRB 980425--is a clear outlier from the isotropic-energy/peak-energy relation and luminosity/spectral-lag relations that describe the majority of GRBs. Radio calorimetry shows that both of these events are under-energetic explosions. We conclude that there does indeed exist a large population of under-energetic events.

Resolving controversies in hip fracture care: the need for large collaborative trials in hip fractures.

PubMed

Bhandari, Mohit; Sprague, Sheila; Schemitsch, Emil H

2009-07-01

Hip fractures are a significant cause of morbidity and mortality worldwide and the burden of disability associated with hip fractures globally vindicate the need for high-quality research to advance the care of patients with hip fractures. Historically, large, multi-centre randomized controlled trials have been rare in the orthopaedic trauma literature. Similar to other medical specialties, orthopaedic research is currently undergoing a paradigm shift from single centre initiatives to larger collaborative groups. This is evident with the establishment of several collaborative groups in Canada, in the United States, and in Europe, which has proven that multi-centre trials can be extremely successful in orthopaedic trauma research.Despite ever increasing literature on the topic of his fractures, the optimal treatment of hip fractures remains unknown and controversial. To resolve this controversy large multi-national collaborative randomized controlled trials are required. In 2005, the International Hip Fracture Research Collaborative was officially established following funding from the Canadian Institute of Health Research International Opportunity Program with the mandate of resolving controversies in hip fracture management. This manuscript will describe the need, the information, the organization, and the accomplishments to date of the International Hip Fracture Research Collaborative.

Developing research about extreme events and impacts to support international climate policy

NASA Astrophysics Data System (ADS)

Otto, Friederike; James, Rachel; Parker, Hannah; Boyd, Emily; Jones, Richard; Allen, Myles; Mitchell, Daniel; Cornforth, Rosalind

2015-04-01

Climate change is expected to have some of its most significant impacts through changes in the frequency and severity of extreme events. There is a pressing need for policy to support adaptation to changing climate risks, and to deal with residual loss and damage from climate change. In 2013, the Warsaw International Mechanism was established by the United Nations Framework Convention on Climate Change (UNFCCC) to address loss and damage in developing countries. Strategies to help vulnerable regions cope with losses from extreme events will presumably require information about the influence of anthropogenic forcing on extreme weather. But what kind of scientific evidence will be most useful for the Warsaw Mechanism? And how can the scientific communities working on extreme events and impacts develop their research to support the advance of this important policy? As climate scientists conducting probabilistic event attribution studies, we have been working with social scientists to investigate these questions. Our own research seeks to examine the role of external drivers, including greenhouse gas emissions, on the risk of extreme weather events such as heatwaves, flooding, and drought. We use large ensembles of climate models to compute the probability of occurrence of extreme events under current conditions and in a world which might have been without anthropogenic interference. In cases where the models are able to simulate extreme weather, the analysis allows for conclusions about the extent to which climate change may have increased, decreased, or made no change to the risk of the event occurring. These results could thus have relevance for the UNFCCC negotiations on loss and damage, and we have been communicating with policymakers and observers to the policy process to better understand how we can develop our research to support their work; by attending policy meetings, conducting interviews, and using a participatory game developed with the Red Cross/Red Crescent Climate Centre. This presentation is an opportunity to share some of our findings from this stakeholder engagement with a wider community of scientists working on extreme events. Discussing the use of scientific evidence in UNFCCC loss and damage policy has not been straightforward, since this is a very controversial topic. However, the UNFCCC has now approved a workplan for the next two years and there will be windows of opportunity for interaction between scientists and policymakers. Currently it is not clear what kind of evidence of loss and damage will be required for the Warsaw Mechanism, and in fact, there has been no official discussion under the UNFCCC about what defines loss and damage. One possibility would be to attempt to define loss and damage from climate change from a scientific perspective, and to identify the research gaps which might be addressed to support this. In the presentation we will make a proposal for future research directions, including the development of an inventory of impacts from climate change.

Fats in Foods: Current Evidence for Dietary Advice.

PubMed

Nettleton, Joyce A; Brouwer, Ingeborg A; Mensink, Ronald P; Diekman, Connie; Hornstra, Gerard

2018-01-01

Current discussion of the importance of food fats in the risk of coronary heart disease (CHD) often suffers from preconceptions, misunderstandings, insufficient knowledge, and selective reasoning. As a result, the sustained controversy about dietary fat recommendations can be contradictory and confusing. To clarify some of these issues, the International Expert Movement to Improve Dietary Fat Quality in cooperation with the International Union of Nutritional Sciences (IUNS) organized a symposium at the 21st meeting of the IUNS, October 17, 2017, Buenos Aires, Argentina, to summarize the key scientific evidence underlying the controversy on the relationship between the saturated and unsaturated fat consumption and CHD risk. Presenters also discussed, using examples, the rationale for and implications of the partial replacement of foods rich in saturated fats by those rich in unsaturated fats. Presentations included strategies to fit healthier fats into meals. This report summarizes the symposium presentations. © 2018 S. Karger AG, Basel.

Chronic hyperkalemia in non-dialysis CKD: controversial issues in nephrology practice.

PubMed

De Nicola, Luca; Di Lullo, Luca; Paoletti, Ernesto; Cupisti, Adamasco; Bianchi, Stefano

2018-06-07

Chronic hyperkalemia is a major complication of chronic kidney disease (CKD) that occurs frequently, heralds poor prognosis, and necessitates careful management by the nephrologist. Current strategies aimed at prevention and treatment of hyperkalemia are still suboptimal, as evidenced by the relatively high prevalence of hyperkalemia in patients under stable nephrology care, and even in the ideal setting of randomized trials where best treatment and monitoring are mandatory. The aim of this review was to identify and discuss a range of unresolved issues related to the management of chronic hyperkalemia in non-dialysis CKD. The following topics of clinical interest were addressed: diagnosis, relationship with main comorbidities of CKD, therapy with inhibitors of the renin-angiotensin-aldosterone system, efficacy of current dietary and pharmacological treatment, and the potential role of the new generation of potassium binders. Opinion-based answers are provided for each of these controversial issues.

Ureteroscopy for the management of stone disease.

PubMed

Eisner, Brian H; Kurtz, Michael P; Dretler, Stephen P

2010-01-01

Ureteroscopy is the first-line treatment for urinary stone disease at many institutions. Techniques and indications continue to evolve. This Review covers the most current trends, controversies, and issues in ureteroscopic stone management. We present a summary of the most recent evidence regarding ureteroscopic treatment of ureteral and renal stones, current standard indications, adjunct devices and instruments used during ureteroscopy, and future directions.

The association of statin therapy with the risk of recurrent venous thrombosis.

PubMed

Smith, N L; Harrington, L B; Blondon, M; Wiggins, K L; Floyd, J S; Sitlani, C M; McKnight, B; Larson, E B; Rosendaal, F R; Heckbert, S R; Psaty, B M

2016-07-01

Essentials A lowered risk of recurrent venous thrombosis (VT) with statin treatment is controversial. Among observational inception cohort of 2,798 adults with incident VT, 457 had recurrent VT. Time-to-event models with time-varying statin use and adjustment for potential confounders was used for analysis. Compared to nonuse, current statin use was associated with 26% lower risk of recurrent VT. Click to hear Prof. Büller's perspective on Anticoagulant Therapy in the Treatment of Venous Thromboembolism Background Meta-analyses of randomized controlled trials suggest that treatment with hydroxymethylglutaryl-coenzyme A reductase inhibitors (statins) lowers the risk of incident venous thrombosis (VT), particularly among those without prevalent clinical cardiovascular disease (CVD). Whether this is true for the prevention of recurrent VT is debated. We used an observational inception cohort to estimate the association of current statin use with the risk of recurrent VT. Methods and Results The study setting was a large healthcare organization with detailed medical record and pharmacy information at cohort entry and throughout follow-up. We followed 2798 subjects 18-89 years of age who experienced a validated incident VT between January 1, 2002, and December 31, 2010, for a first recurrent VT, validated by medical record review. During follow-up, 457 (16%) developed a first recurrent VT. In time-to-event models incorporating time-varying statin use and adjusting for potential confounders, current statin use was associated with a 26% lower risk of recurrent VT: hazard ratio 0.74, 95% confidence interval 0.59-0.94. Among cohort members free of CVD (n = 2134), current statin use was also associated with a lower risk (38%) of recurrent VT: hazard ratio 0.62, 95% confidence interval 0.45-0.85. We found similar results when restricting to new users of statins and in subgroups of different statin types and doses. Conclusions In a population-based cohort of subjects who had experienced an incident VT, statin use, compared with nonuse, was associated with a clinically relevant lower risk of recurrent VT. These findings suggest a potential secondary benefit of statins among patients who have experienced an incident VT. © 2016 International Society on Thrombosis and Haemostasis.

Genetic consequences of sequential founder events by an island-colonizing bird.

PubMed

Clegg, Sonya M; Degnan, Sandie M; Kikkawa, Jiro; Moritz, Craig; Estoup, Arnaud; Owens, Ian P F

2002-06-11

The importance of founder events in promoting evolutionary changes on islands has been a subject of long-running controversy. Resolution of this debate has been hindered by a lack of empirical evidence from naturally founded island populations. Here we undertake a genetic analysis of a series of historically documented, natural colonization events by the silvereye species-complex (Zosterops lateralis), a group used to illustrate the process of island colonization in the original founder effect model. Our results indicate that single founder events do not affect levels of heterozygosity or allelic diversity, nor do they result in immediate genetic differentiation between populations. Instead, four to five successive founder events are required before indices of diversity and divergence approach that seen in evolutionarily old forms. A Bayesian analysis based on computer simulation allows inferences to be made on the number of effective founders and indicates that founder effects are weak because island populations are established from relatively large flocks. Indeed, statistical support for a founder event model was not significantly higher than for a gradual-drift model for all recently colonized islands. Taken together, these results suggest that single colonization events in this species complex are rarely accompanied by severe founder effects, and multiple founder events and/or long-term genetic drift have been of greater consequence for neutral genetic diversity.

Discoveries and controversies in cutaneous mosaicism.

PubMed

Castori, Marco; Tadini, Gianluca

2016-06-01

Genetic mosaicism is thought to be a common phenomenon in inherited skin disorders. It is the leading molecular mechanism explaining cutaneous hamartomas and nevoid disorders, skin manifestations of most X-linked genodermatoses and specific forms of clinical variability and topographic distribution in autosomal skin disorders. The developmental (in utero) origin and timing dependence are two major attributes for the current definition of cutaneous mosaicism. Chromosomal mosaicism, lyonization in X-linked genodermatoses, and various types of mosaicism (i.e. type 1, type 2 and revertant mosaicism) in autosomal skin disorders are mechanisms well defined at the molecular level. All these concepts have been fully included in the current medical terminology in dermatology and genetics. Mitotic crossing-over, paradominant inheritance, monoallelic expression of autosomal traits and mosaicism in acquired skin disorders remain without a formal molecular proof and still represent sources of debate in the scientific community. This review summarizes current concepts, discoveries and controversies in the field of cutaneous mosaicism for practitioners and clinical researchers to enhance their understanding of such a underestimated clinical phenomenon and its biological basis.

The sirtuins: Markers of metabolic health.

PubMed

Covington, Jeffrey D; Bajpeyi, Sudip

2016-01-01

The sirtuins represent a class of proteins first discovered orthologus to the yeast silent information regulator 2 protein that have been retained in mammalian species. Currently, seven sirtuins have been identified in humans, and their functions currently surpass their originally identified role as histone deacetylase and chromatin silencers to encompass nutrient sensing and metabolic function. All seven sirtuins require NAD(+) in order to carry out their enzymatic activity, and thus become activated in conditions of nutrient depletion, starvation, and cellular stress. Caloric restriction and increased physical activity have been postulated, though perhaps controversially, to mediate sirtuin function. Here, we review the current literature surrounding the functions of the seven human sirtuins, mediators of their function, and the roles they play in metabolic health related to dietary and physical activity interventions. Despite the controversy surrounding sirtuin function with regard to longevity, we have aimed to show that regardless of its effects on aging, sirtuin function is pivotal to pathways involving metabolic health, and should therefore be investigated with regard to improving metabolic diseases such as obesity and type 2 diabetes. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Special Report: Fluoridation of Water.

ERIC Educational Resources Information Center

Hileman, Bette

1988-01-01

Reviews the controversy regarding water fluoridation in the United States during the last 50 years. Discusses the current status; benefits; and health risks including skeletal fluorosis, kidney disease, hypersensitivity, mutagenic effects, birth defects, and cancer. Presents statistics and anecdotal accounts. (CW)

Reports - Current Topics - Queries

ERIC Educational Resources Information Center

American Biology Teacher, 1972

1972-01-01

Short notes describe the use of articles concerning the creationist/evolutionist controversy in teacher education, a simple demonstration of digestion and absorption, and the use of a planetarium in biology motivation. A short report discusses the social need for living with conflict." (AL)

Kenya's Harambee Institutes of Technology.

ERIC Educational Resources Information Center

Kintzer, Frederick C.

1989-01-01

Reviews the history and current status of the Harambee Institutes of Technology in Kenya. Offers a critique of the parallel vocationalized system. Discusses the vocational-technical/general education controversy, diversification among types of schools, financing, and the 8-4-4 Plan. (DMM)

Impacts and Future of the California Fuel Tax Swap of 2010.

DOT National Transportation Integrated Search

2016-05-01

California's Gas Tax Swap remains controversial, and the issue is compounded by the States current need to finance some $59 billion worth of backlogged highway maintenance projects. Even before the Governor Schwarzenegger made his proposal, there ...

Precision Targeting: Filling the Gap

DTIC Science & Technology

2013-05-20

using drones were often sensitive and controversial, they were used relentlessly in many key provinces (like Kandahar and Helmand) and because they...War. Westport, CT: Praeger Security International, 2006. Curry , Peter. “Small Wars are Local: Debunking Current Assumptions about Countering Small

The Ethics of Dialogue: Bakhtin and Levinas.

ERIC Educational Resources Information Center

Nealon, Jeffrey T.

1997-01-01

Examines crucial differences between E. Levinas and M. M. Bakhtin in an attempt to construct an ethics for the postmodern subject and to offer an angle of intervention into the current debates, especially the "social constructivism versus essentialism" controversy. (TB)

Thoracic aortic aneurysm clinically pertinent controversies and uncertainties.

PubMed

Elefteriades, John A; Farkas, Emily A

2010-03-02

This paper addresses clinical controversies and uncertainties regarding thoracic aortic aneurysm and its treatment. 1) Estimating true aortic size is confounded by obliquity, asymmetry, and noncorresponding sites: both echocardiography and computed tomography/magnetic resonance imaging are necessary for complete assessment. 2) Epidemiology of thoracic aortic aneurysm. There has been a bona fide increase in incidence of aortic aneurysm making aneurysm disease the 18th most common cause of death. 3) Aortic growth rate. Although a virulent disease, thoracic aortic aneurysm is an indolent process. The thoracic aorta grows slowly-0.1 cm/year. 4) Evidence-based intervention criteria. It is imperative to extirpate the thoracic aorta before rupture or dissection occurs; surgery at 5.0- to 5.5-cm diameter will prevent most adverse natural events. Symptomatic (painful) aneurysms must be resected regardless of size. 5) Development of nonsize criteria. Mechanical properties of the aorta deteriorate at the same 6 cm at which dissection occurs; elastic properties of the aorta may soon become useful intervention criteria. 6) Medical treatment of aortic aneurysm. Medical treatment is of unproven value, even beta-blockers and angiotensin-receptor blockers. 7) A genetic disease. Even non-Marfan aneurysms have a strong genetic basis. 8) Need for biomarkers. Virulent but silent, TAA cries out for a biomarker that can predict the onset of adverse events. Pathophysiologic understanding has led to identification of promising biomarkers, especially metalloproteinases. 9) Endovascular therapy for aneurysms. Endovascular therapy has burgeoned, despite the fact that the EVAR-2, DREAM, and INSTEAD trials showed no benefit at mid-term over medical or conventional surgical therapy. We must avoid "irrational exuberance." 10) Inciting events for acute aortic dissection. Recent evidence shows that dissections are preceded by a specific severe exertional or emotional event. 11) "Silver lining" of aortic disease. Proximal aortic root disease seems to protect against arteriosclerosis. Copyright 2010 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Management of impulse control disorders in Parkinson's disease: Controversies and future approaches.

PubMed

Samuel, Michael; Rodriguez-Oroz, Maria; Antonini, Angelo; Brotchie, Jonathan M; Ray Chaudhuri, Kallol; Brown, Richard G; Galpern, Wendy R; Nirenberg, Melissa J; Okun, Michael S; Lang, Anthony E

2015-02-01

Impulse control disorders in Parkinson's disease are a group of impulsive behaviors most often associated with dopaminergic treatment. Presently, there is a lack of high quality evidence available to guide their management. This manuscript reviews current management strategies, before concentrating on the concept of dopamine agonist withdrawal syndrome and its implications for the management of impulse control disorders. Further, we focus on controversies, including the role of more recently available anti-parkinsonian drugs, and potential future approaches involving routes of drug delivery, nonpharmacological treatments (such as cognitive behavioral therapy and deep brain stimulation), and other as yet experimental strategies. © 2015 International Parkinson and Movement Disorder Society.

Impulse Control Disorders in Parkinson’s Disease:Management, Controversies, and Potential Approaches

PubMed Central

Samuel, M; Rodriguez-Oroz, M; Antonini, A; Brotchie, JM; Ray Chaudhuri, K; Brown, RG; Galpern, WR; Nirenberg, MJ; Okun, MS; Lang, AE

2016-01-01

Impulse control disorders in Parkinson’s disease are a group of impulsive behaviors most often associated with dopaminergic treatment. Presently, there is a lack of high quality evidence available to guide their management. This manuscript reviews current management strategies, before concentrating on the concept of dopamine agonist withdrawal syndrome and its implications for the management of impulse control disorders. Further, we focus on controversies including the role of more recently available anti-parkinsonian drugs, and potential future approaches involving routes of drug delivery, non-pharmacological treatments (such as cognitive behaviour therapy and deep brain stimulation), and other as yet experimental strategies. PMID:25607799

Military laser weapons: current controversies.

PubMed

Seet, B; Wong, T Y

2001-09-01

Military laser weapons systems are becoming indispensable in most modern armies. These lasers have undergone many stages of development, and have outpaced research on eye protection measures, which continue to have inherent limitations. Eye injuries caused by military lasers are increasingly reported, leading to speculation that these would become an important cause of blinding in modern conflicts. As part of the effort to ban inhumane weapons, international laws have been passed to restrict the proliferation of such blinding weapons. However, there are controversies concerning the interpretation, implementation and effectiveness of these laws. The ophthalmic community can play a greater role in highlighting ocular morbidity from military lasers, and in preventing their further proliferation.

The argument from potentiality in the embryo protection debate: finally "depotentialized"?

PubMed

Stier, Marco; Schoene-Seifert, Bettina

2013-01-01

Debates on the moral status of human embryos have been highly and continuously controversial. For many, these controversies have turned into a fruitless scholastical endeavor. However, recent developments and insights in cellular biology have cast further doubt on one of the core points of dissent: the argument from potentiality. In this article we want to show in a nonscholastical way why this argument cannot possibly survive. Getting once more into the intricacies of status debates is a must in our eyes. Not merely intellectual coherence but the standing and self-understanding of current stem cell research might profit from finally taking leave of the argument from potentiality.

Report of the International Commission on Earthquake Forecasting for Civil Protection (Invited)

NASA Astrophysics Data System (ADS)

Jordan, T. H.

2009-12-01

The destructive L’Aquila earthquake of 6 April 2009 (Mw 6.3) illustrates the challenges of operational earthquake forecasting. The earthquake ruptured a mapped normal fault in a region identified by long-term forecasting models as one of the most seismically dangerous in Italy; it was the strongest of a rich sequence that started several months earlier and included a M3.9 foreshock less than five hours prior to the mainshock. According to widely circulated news reports, the earthquake had been predicted by a local resident using unpublished radon-based techniques, provoking a public controversy prior to the event that intensified in its wake. Several weeks after the earthquake, the Italian Department of Civil Protection appointed an international commission with the mandate to report on the current state of knowledge of prediction and forecasting and guidelines for operational utilization. The commission included geoscientists from China, France, Germany, Greece, Italy, Japan, Russia, United Kingdom, and United States with experience in earthquake forecasting and prediction. This presentation by the chair of the commission will report on its findings and recommendations.

Mental Imagery and Visual Working Memory

PubMed Central

Keogh, Rebecca; Pearson, Joel

2011-01-01

Visual working memory provides an essential link between past and future events. Despite recent efforts, capacity limits, their genesis and the underlying neural structures of visual working memory remain unclear. Here we show that performance in visual working memory - but not iconic visual memory - can be predicted by the strength of mental imagery as assessed with binocular rivalry in a given individual. In addition, for individuals with strong imagery, modulating the background luminance diminished performance on visual working memory and imagery tasks, but not working memory for number strings. This suggests that luminance signals were disrupting sensory-based imagery mechanisms and not a general working memory system. Individuals with poor imagery still performed above chance in the visual working memory task, but their performance was not affected by the background luminance, suggesting a dichotomy in strategies for visual working memory: individuals with strong mental imagery rely on sensory-based imagery to support mnemonic performance, while those with poor imagery rely on different strategies. These findings could help reconcile current controversy regarding the mechanism and location of visual mnemonic storage. PMID:22195024

Mental imagery and visual working memory.

PubMed

Keogh, Rebecca; Pearson, Joel

2011-01-01

Visual working memory provides an essential link between past and future events. Despite recent efforts, capacity limits, their genesis and the underlying neural structures of visual working memory remain unclear. Here we show that performance in visual working memory--but not iconic visual memory--can be predicted by the strength of mental imagery as assessed with binocular rivalry in a given individual. In addition, for individuals with strong imagery, modulating the background luminance diminished performance on visual working memory and imagery tasks, but not working memory for number strings. This suggests that luminance signals were disrupting sensory-based imagery mechanisms and not a general working memory system. Individuals with poor imagery still performed above chance in the visual working memory task, but their performance was not affected by the background luminance, suggesting a dichotomy in strategies for visual working memory: individuals with strong mental imagery rely on sensory-based imagery to support mnemonic performance, while those with poor imagery rely on different strategies. These findings could help reconcile current controversy regarding the mechanism and location of visual mnemonic storage.

Slow-moving and far-travelled dense pyroclastic flows during the Peach Spring super-eruption

USGS Publications Warehouse

Roche, Olivier; Buesch, David C.; Valentine, Greg A.

2016-01-01

Explosive volcanic super-eruptions of several hundred cubic kilometres or more generate long run-out pyroclastic density currents the dynamics of which are poorly understood and controversial. Deposits of one such event in the southwestern USA, the 18.8 Ma Peach Spring Tuff, were formed by pyroclastic flows that travelled >170 km from the eruptive centre and entrained blocks up to ~70–90 cm diameter from the substrates along the flow paths. Here we combine these data with new experimental results to show that the flow’s base had high-particle concentration and relatively modest speeds of ~5–20 m s−1, fed by an eruption discharging magma at rates up to ~107–108 m3 s−1 for a minimum of 2.5–10 h. We conclude that sustained high-eruption discharge and long-lived high-pore pressure in dense granular dispersion can be more important than large initial velocity and turbulent transport with dilute suspension in promoting long pyroclastic flow distance.

Exercise, Heart and Health

PubMed Central

2011-01-01

Regular physical activity provides a variety of health benefits, including improvement in cardiopulmonary or metabolic status, reduction of the risk of coronary artery disease or stroke, prevention of cancer, and decrease in total mortality. Exercise-related cardiac events are occasionally reported during highly competitive sports activity or vigorous exercises. However, the risk of sudden death is extremely low during vigorous exercise, and habitual vigorous exercise actually decreases the risk of sudden death during exercise. The cause of sudden death is ischemic in older subjects (≥35 years old), while cardiomyopathies or genetic ion channel diseases are important underlying pathology in younger (<35 years old) victims. The subgroup of patients who are particularly at higher risk of exercise-related sudden death may be identified in different ways, such as pre-participation history taking, physical examination and/or supplementary cardiac evaluation. Limitations exist because current diagnostic tools are not sufficient to predict a coronary artery plaque with potential risk of disruption and/or an acute thrombotic occlusion. Proper and cost-effective methods for identification of younger subjects with cardiac structural problems or genetic ion channel diseases are still controversial. PMID:21519508

Contemporary concepts of dissociation.

PubMed

Avdibegović, Esmina

2012-10-01

The concept of dissociation was developed in the late 19th century by Pierre Janet for conditions of "double consciousness" in hypnosis, hysteria, spirit possession and mediumship. He defined dissociation as a deficit in the capacity of integration of two or more different "systems of ideas and functions that constitute personality", and suggested that it can be related to a genetic component, to severe illness and fatigue, and particularly to experiencing adverse, potentially traumatizing events. By the late 20th century, various and often contradictory concepts of dissociation were suggested, which were either insufficient or exceedingly including when compared to the original idea. Currently, dissociation is used to describe a wide range of normal and abnormal phenomena as a process in which behaviour, thoughts and emotions can become separated one from another. A complete presentation of mechanisms involved in dissociation is still unknown. Scientific research on basic processes of dissociation is derived mainly from studies of hypnosis and post-traumatic stress disorder. Given the controversies in modern concepts of dissociation, some researchers and theorists suggest return to the original understanding of dissociation as a basic premise for the further development of the concept of dissociation.

Molecular visualizing and quantifying immune-associated peroxynitrite fluxes in phagocytes and mouse inflammation model.

PubMed

Li, Zan; Yan, Shi-Hai; Chen, Chen; Geng, Zhi-Rong; Chang, Jia-Yin; Chen, Chun-Xia; Huang, Bing-Huan; Wang, Zhi-Lin

2017-04-15

Reactions of peroxynitrite (ONOO - ) with biomolecules can lead to cytotoxic and cytoprotective events. Due to the difficulty of directly and unambiguously measuring its levels, most of the beneficial effects associated with ONOO - in vivo remain controversial or poorly characterized. Recently, optical imaging has served as a powerful noninvasive approach to studying ONOO - in living systems. However, ratiometric probes for ONOO - are currently lacking. Herein, we report the design, synthesis, and biological evaluation of F 482 , a novel fluorescence indicator that relies on ONOO - -induced diene oxidation. The remarkable sensitivity, selectivity, and photostability of F 482 enabled us to visualize basal ONOO - in immune-stimulated phagocyte cells and quantify its generation in phagosomes by high-throughput flow cytometry analysis. With the aid of in vivo ONOO - imaging in a mouse inflammation model assisted by F 482 , we envision that F 482 will find widespread applications in the study of the ONOO - biology associated with physiological and pathological processes in vitro and in vivo. Copyright © 2016 Elsevier B.V. All rights reserved.

Size Distributions of Solar Proton Events: Methodological and Physical Restrictions

NASA Astrophysics Data System (ADS)

Miroshnichenko, L. I.; Yanke, V. G.

2016-12-01

Based on the new catalogue of solar proton events (SPEs) for the period of 1997 - 2009 (Solar Cycle 23) we revisit the long-studied problem of the event-size distributions in the context of those constructed for other solar-flare parameters. Recent results on the problem of size distributions of solar flares and proton events are briefly reviewed. Even a cursory acquaintance with this research field reveals a rather mixed and controversial picture. We concentrate on three main issues: i) SPE size distribution for {>} 10 MeV protons in Solar Cycle 23; ii) size distribution of {>} 1 GV proton events in 1942 - 2014; iii) variations of annual numbers for {>} 10 MeV proton events on long time scales (1955 - 2015). Different results are critically compared; most of the studies in this field are shown to suffer from vastly different input datasets as well as from insufficient knowledge of underlying physical processes in the SPEs under consideration. New studies in this field should be made on more distinct physical and methodological bases. It is important to note the evident similarity in size distributions of solar flares and superflares in Sun-like stars.

Fire-mediated dieback and compositional cascade in an Amazonian forest.

PubMed

Barlow, Jos; Peres, Carlos A

2008-05-27

The only fully coupled land-atmosphere global climate model predicts a widespread dieback of Amazonian forest cover through reduced precipitation. Although these predictions are controversial, the structural and compositional resilience of Amazonian forests may also have been overestimated, as current vegetation models fail to consider the potential role of fire in the degradation of forest ecosystems. We examine forest structure and composition in the Arapiuns River basin in the central Brazilian Amazon, evaluating post-fire forest recovery and the consequences of recurrent fires for the patterns of dominance of tree species. We surveyed tree plots in unburned and once-burned forests examined 1, 3 and 9 years after an unprecedented fire event, in twice-burned forests examined 3 and 9 years after fire and in thrice-burned forests examined 5 years after the most recent fire event. The number of trees recorded in unburned primary forest control plots was stable over time. However, in both once- and twice-burned forest plots, there was a marked recruitment into the 10-20cm diameter at breast height tree size classes between 3 and 9 years post-fire. Considering tree assemblage composition 9 years after the first fire contact, we observed (i) a clear pattern of community turnover among small trees and the most abundant shrubs and saplings, and (ii) that species that were common in any of the four burn treatments (unburned, once-, twice- and thrice-burned) were often rare or entirely absent in other burn treatments. We conclude that episodic wildfires can lead to drastic changes in forest structure and composition, with cascading shifts in forest composition following each additional fire event. Finally, we use these results to evaluate the validity of the savannization paradigm.

Expertise and decision-making in American football

PubMed Central

Woods, Adam J.; Kranjec, Alexander; Lehet, Matt; Chatterjee, Anjan

2015-01-01

In American football, pass interference calls can be difficult to make, especially when the timing of contact between players is ambiguous. American football history contains many examples of controversial pass interference decisions, often with fans, players, and officials interpreting the same event differently. The current study sought to evaluate the influence of experience with concepts important for officiating decisions in American football on the probability (i.e., response criteria) of pass interference calls. We further investigated the extent to which such experience modulates perceptual biases that might influence the interpretation of such events. We hypothesized that observers with less experience with the American football concepts important for pass interference would make progressively more pass interference calls than more experienced observers, even when given an explicit description of the necessary criteria for a pass interference call. In a go/no-go experiment using photographs from American football games, three groups of participants with different levels of experience with American football (Football Naïve, Football Player, and Football Official) made pass interference calls for pictures depicting left-moving and right-moving events. More experience was associated with progressively and significantly fewer pass interference calls [F(2,48) = 10.4, p < 0.001], with Football Naïve participants making the most pass interference calls, and Football Officials the least. In addition, our data replicated a prior finding of spatial biases for interpreting left-moving images more harshly than identical right-moving images, but only in Football Players. These data suggest that experience with the concepts important for making a decision may influence the rate of decision-making, and may also play a role in susceptibility to spatial biases. PMID:26217294

Expertise and decision-making in American football.

PubMed

Woods, Adam J; Kranjec, Alexander; Lehet, Matt; Chatterjee, Anjan

2015-01-01

In American football, pass interference calls can be difficult to make, especially when the timing of contact between players is ambiguous. American football history contains many examples of controversial pass interference decisions, often with fans, players, and officials interpreting the same event differently. The current study sought to evaluate the influence of experience with concepts important for officiating decisions in American football on the probability (i.e., response criteria) of pass interference calls. We further investigated the extent to which such experience modulates perceptual biases that might influence the interpretation of such events. We hypothesized that observers with less experience with the American football concepts important for pass interference would make progressively more pass interference calls than more experienced observers, even when given an explicit description of the necessary criteria for a pass interference call. In a go/no-go experiment using photographs from American football games, three groups of participants with different levels of experience with American football (Football Naïve, Football Player, and Football Official) made pass interference calls for pictures depicting left-moving and right-moving events. More experience was associated with progressively and significantly fewer pass interference calls [F (2,48) = 10.4, p < 0.001], with Football Naïve participants making the most pass interference calls, and Football Officials the least. In addition, our data replicated a prior finding of spatial biases for interpreting left-moving images more harshly than identical right-moving images, but only in Football Players. These data suggest that experience with the concepts important for making a decision may influence the rate of decision-making, and may also play a role in susceptibility to spatial biases.

[Psychiatric complications of abortion].

PubMed

Gurpegui, Manuel; Jurado, Dolores

2009-01-01

The psychiatric consequences of induced abortion continue to be the object of controversy. The reactions of women when they became aware of conception are very variable. Pregnancy, whether initially intended or unintended, may provoke stress; and miscarriage may bring about feelings of loss and grief reaction. Therefore, induced abortion, with its emotional implications (of relief, shame and guilt) not surprisingly is a stressful adverse life event. METHODOLOGICAL CONSIDERATIONS: There is agreement among researchers on the need to compare the mental health outcomes (or the psychiatric complications) with appropriate groups, including women with unintended pregnancies ending in live births and women with miscarriages. There is also agreement on the need to control for the potential confounding effects of multiple variables: demographic, contextual, personal development, previous or current traumatic experiences, and mental health prior to the obstetric event. Any psychiatric outcome is multi-factorial in origin and the impact of life events depend on how they are perceived, the psychological defence mechanisms (unconscious to a great extent) and the coping style. The fact of voluntarily aborting has an undeniable ethical dimension in which facts and values are interwoven. No research study has found that induced abortion is associated with a better mental health outcome, although the results of some studies are interpreted as or Some general population studies point out significant associations with alcohol or illegal drug dependence, mood disorders (including depression) and some anxiety disorders. Some of these associations have been confirmed, and nuanced, by longitudinal prospective studies which support causal relationships. With the available data, it is advisable to devote efforts to the mental health care of women who have had an induced abortion. Reasons of the woman's mental health by no means can be invoked, on empirical bases, for inducing an abortion.

Validity of Memory Tasks across the WJ III COG, NEPSYII, and WRAML-2 in a Mixed Clinical Sample of Children: Applicability to Four Neurocognitive Theories

ERIC Educational Resources Information Center

Psimas, J. Lynsey

2012-01-01

Current research regarding the neurocognitive construct of memory in children and adolescents within clinical populations is insufficient (Hughes & Graham, 2002). Controversial theories of memory have led to divergent hypotheses about the construct of memory. Based on current disparity regarding the theoretical paradigm of memory, it cannot be…

Mode of action of mosquito repellents

USDA-ARS?s Scientific Manuscript database

The mode of action of mosquito repellents remains a controversial topic. However, electrophysiological studies and molecular approaches have provided a better understanding of how repellents exert their effects. Here, we briefly discuss various notions of repellent action and present the current sta...

Subliminal Speech Perception and Auditory Streaming

ERIC Educational Resources Information Center

Dupoux, Emmanuel; de Gardelle, Vincent; Kouider, Sid

2008-01-01

Current theories of consciousness assume a qualitative dissociation between conscious and unconscious processing: while subliminal stimuli only elicit a transient activity, supraliminal stimuli have long-lasting influences. Nevertheless, the existence of this qualitative distinction remains controversial, as past studies confounded awareness and…

Making Computers Smarter: A Look At the Controversial Field of Artificial Intelligence.

ERIC Educational Resources Information Center

Green, John O.

1984-01-01

Defines artificial intelligence (AI) and discusses its history; the current state of the art, research, experimentation, and practical applications; and probable future developments. Key dates in the history of AI and eight references are provided. (MBR)

Targeted Coagulation Management in Severe Trauma: The Controversies and the Evidence.

PubMed

Winearls, James; Reade, Michael; Miles, Helen; Bulmer, Andrew; Campbell, Don; Görlinger, Klaus; Fraser, John F

2016-10-01

Hemorrhage in the setting of severe trauma is a leading cause of death worldwide. The pathophysiology of hemorrhage and coagulopathy in severe trauma is complex and remains poorly understood. Most clinicians currently treating trauma patients acknowledge the presence of a coagulopathy unique to trauma patients-trauma-induced coagulopathy (TIC)-independently associated with increased mortality. The complexity and incomplete understanding of TIC has resulted in significant controversy regarding optimum management. Although the majority of trauma centers utilize fixed-ratio massive transfusion protocols in severe traumatic hemorrhage, a widely accepted "ideal" transfusion ratio of blood to blood products remains elusive. The recent use of viscoelastic hemostatic assays (VHAs) to guide blood product replacement has further provoked debate as to the optimum transfusion strategy. The use of VHA to quantify the functional contributions of individual components of the coagulation system may permit targeted treatment of TIC but remains controversial and is unlikely to demonstrate a mortality benefit in light of the heterogeneity of the trauma population. Thus, VHA-guided algorithms as an alternative to fixed product ratios in trauma are not universally accepted, and a hybrid strategy starting with fixed-ratio transfusion and incorporating VHA data as they become available is favored by some institutions. We review the current evidence for the management of coagulopathy in trauma, the rationale behind the use of targeted and fixed-ratio approaches and explore future directions.

Sexual orientation and gender identity: review of concepts, controversies and their relation to psychopathology classification systems

PubMed Central

Moleiro, Carla; Pinto, Nuno

2015-01-01

Numerous controversies and debates have taken place throughout the history of psychopathology (and its main classification systems) with regards to sexual orientation and gender identity. These are still reflected on present reformulations of gender dysphoria in both the Diagnostic and Statistical Manual and the International Classification of Diseases, and in more or less subtle micro-aggressions experienced by lesbian, gay, bisexual and trans patients in mental health care. The present paper critically reviews this history and current controversies. It reveals that this deeply complex field contributes (i) to the reflection on the very concept of mental illness; (ii) to the focus on subjective distress and person-centered experience of psychopathology; and (iii) to the recognition of stigma and discrimination as significant intervening variables. Finally, it argues that sexual orientation and gender identity have been viewed, in the history of the field of psychopathology, between two poles: gender transgression and gender variance/fluidity. PMID:26483748

Glaciers in Patagonia: Controversy and prospects

NASA Astrophysics Data System (ADS)

Kargel, J. S.; Alho, P.; Buytaert, W.; Célleri, R.; Cogley, J. G.; Dussaillant, A.; Guido, Z.; Haeberli, W.; Harrison, S.; Leonard, G.; Maxwell, A.; Meier, C.; Poveda, G.; Reid, B.; Reynolds, J.; Rodríguez, C. A. Portocarrero; Romero, H.; Schneider, J.

2012-05-01

Lately, glaciers have been subjects of unceasing controversy. Current debate about planned hydroelectric facilities—a US7- to 10-billion megaproject—in a pristine glacierized area of Patagonia, Chile [Romero Toledo et al., 2009; Vince, 2010], has raised anew the matter of how glaciologists and global change experts can contribute their knowledge to civic debates on important issues. There has been greater respect for science in this controversy than in some previous debates over projects that pertain to glaciers, although valid economic motivations again could trump science and drive a solution to the energy supply problem before the associated safety and environmental problems are understood. The connection between glaciers and climate change—both anthropogenic and natural—is fundamental to glaciology and to glaciers' practical importance for water and hydropower resources, agriculture, tourism, mining, natural hazards, ecosystem conservation, and sea level [Buytaert et al., 2010; Glasser et al., 2011]. The conflict between conservation and development can be sharper in glacierized regions than almost anywhere else. Glaciers occur in spectacular natural landscapes, but they also supply prodigious exploitable meltwater.

Pediatric urinary tract infections: diagnosis and treatment.

PubMed

Bitsori, Maria; Galanakis, Emmanouil

2012-10-01

Urinary tract infection (UTI) is the most common serious bacterial infection in childhood. Prompt diagnosis and treatment are required for the optimal clinical outcome and the prevention of long-term morbidity and sequelae. Diagnosis and treatment of UTI may seem to be easy tasks, but they remain among the most controversial issues in pediatrics. Consequently, children suspected for UTIs are investigated and treated differently in different settings. The absence of typical clinical presentation and the uncertainties in setting the index of suspicion, collecting appropriate urine samples and interpreting results, combined with different antibiotic policies in the face of increasing resistance of uropathogens, contribute to the controversy. Recently issued guidelines have attempted to settle several thorny aspects in diagnosis and treatment, but quite a few issues still remain controversial. In this review, the authors explore the current situation on diagnosis and treatment of childhood UTI in better understanding their pathogenesis and prevalence in different child populations, discuss recently evaluated diagnostic tests and the new management guidelines.

Communications Contingency Plan: Planning for Crises and Controversy. Phase 1

NASA Technical Reports Server (NTRS)

Treise, Deborah; Bernstein, Arla G.; Yates, Brad

1998-01-01

Interviews were conducted with a variety of Marshall Space Flight Center personnel and local media representatives in Huntsville, Alabama, in order to identify the current perceptions of these individuals regarding communication effectiveness between MSFC and the media. The purposes of the Phase One report are to (1) assess the need for a contingency plan for communicating in situations of crisis and controversy; (2) identify goals and objectives for the planning process; and (3) provide recommendations for future planning activities to achieve the goals and objectives outlined in Phase One. It is strongly recommended that MSFC personnel who are involved in communications with the media participate in a facilitated, strategic communications planning process in order to develop Phase Two of the Communications Contingency Plan (CCP). Phase Two will address (1) the categorizing, ranking and prioritizing of crises and controversies; (2) the development of action steps and implementation strategies for the CCP; and (3) the development of a monitoring and evaluation process for ongoing plan effectiveness.

Sexual orientation and gender identity: review of concepts, controversies and their relation to psychopathology classification systems.

PubMed

Moleiro, Carla; Pinto, Nuno

2015-01-01

Numerous controversies and debates have taken place throughout the history of psychopathology (and its main classification systems) with regards to sexual orientation and gender identity. These are still reflected on present reformulations of gender dysphoria in both the Diagnostic and Statistical Manual and the International Classification of Diseases, and in more or less subtle micro-aggressions experienced by lesbian, gay, bisexual and trans patients in mental health care. The present paper critically reviews this history and current controversies. It reveals that this deeply complex field contributes (i) to the reflection on the very concept of mental illness; (ii) to the focus on subjective distress and person-centered experience of psychopathology; and (iii) to the recognition of stigma and discrimination as significant intervening variables. Finally, it argues that sexual orientation and gender identity have been viewed, in the history of the field of psychopathology, between two poles: gender transgression and gender variance/fluidity.

Adverse events reported to the Food and Drug Administration from 2004 to 2016 for cosmetics and personal care products marketed to newborns and infants.

PubMed

Cornell, Erika; Kwa, Michael; Paller, Amy S; Xu, Shuai

2018-03-01

Despite their ubiquitous use and several recent health controversies involving cosmetics and personal care products for children, the Food and Drug Administration has little oversight of these products and relies on consumer-submitted adverse event reports. We assessed the recently released Center for Food Safety and Applied Nutrition's Adverse Event Reporting System database for adverse event reports submitted to the Food and Drug Administration for baby personal care products and to determine whether useful insights can be derived. We extracted the Center for Food Safety and Applied Nutrition's Adverse Event Reporting System data file from 2004 to 2016 and examined the subset classified according to the Food and Drug Administration-designated product class as a baby product. Events were manually categorized into product type and symptom type to assess for trends. Only 166 total adverse events were reported to the Food and Drug Administration for baby products from 2004 to 2016. The majority of reports indicated rash or other skin reaction; 46% of reported events led to a health care visit. Pediatric dermatologists should consider submitting cosmetics and personal care product adverse event reports and encouraging consumers to do so likewise in situations in which a product adversely affects a child's health. © 2018 Wiley Periodicals, Inc.

A Comparison of Current Guidelines of Five International Societies on Clostridium difficile Infection Management.

PubMed

Fehér, Csaba; Mensa, Josep

2016-09-01

Clostridium difficile infection (CDI) is increasingly recognized as an emerging healthcare problem of elevated importance. Prevention and treatment strategies are constantly evolving along with the apperance of new scientific evidence and novel treatment methods, which is well-reflected in the differences among consecutive international guidelines. In this article, we summarize and compare current guidelines of five international medical societies on CDI management, and discuss some of the controversial and currently unresolved aspects which should be addressed by future research.

Atherosclerotic renal artery stenosis in the post-CORAL era part 1: the renal penumbra concept and next-generation functional diagnostic imaging.

PubMed

Sag, Alan Alper; Inal, Ibrahim; Okcuoglu, John; Rossignol, Patrick; Ortiz, Alberto; Afsar, Baris; Sos, Thomas A; Kanbay, Mehmet

2016-04-01

After three neutral trials in which renal artery stenting failed to improve renal function or reduce cardiovascular and renal events, the controversy surrounding diagnosis and treatment of atherosclerotic renal artery stenosis and renovascular hypertension has led to paradigm shifts in the diagnostic algorithm. Noninvasive determination of earlier events (cortex hypoxia and renal artery hemodynamic changes) will supersede late sequelae (calcific stenosis, renal cortical thinning). Therefore, this review proposes the concept of renal penumbra in defining at-risk ischemic renal parenchyma. The complex field of functional renal magnetic resonance imaging will be reviewed succinctly in a clinician-directed fashion. Copyright © 2016 American Society of Hypertension. Published by Elsevier Inc. All rights reserved.

The 1973 Nobel Prize for Physiology or Medicine: recognition for behavioral science?

PubMed

Dewsbury, Donald A

2003-09-01

The Nobel Prize for Physiology or Medicine for 1973 was awarded to 3 ethologists: Karl von Frisch, Konrad Lorenz, and Nikolaas Tinbergen. This was a landmark event in the history of the field of ethology and potentially for the behavioral sciences more broadly. For the first time, the prize was awarded for research of a purely behavioral nature. The language used in making the award emphasized the implications of ethological work for human health and appeared to suggest that more such awards might be forthcoming; few were. The author provides an overview of the 3 men, their work, the events surrounding the award, the controversy that arose, and the significance of the award as viewed in contemporary perspective.

Defining, treating and preventing hospital acquired pneumonia: European perspective.

PubMed

Torres, Antoni; Ewig, Santiago; Lode, Harmut; Carlet, Jean

2009-01-01

Many controversies still remain in the management of hospital acquired pneumonia (HAP), and ventilation-acquired pneumonia (VAP), Three European Societies, European Respiratory Society (ERS), European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and European Society of Intensive Care Medicine (ESICM), were interested in producing a document on HAP and VAP with European perspective. The scientific committees from each Society designated one chairman; Antoni Torres (ERS), Harmut Lode (ESCMID) and Jean Carlet (ESICM). The chairmen of this Task Force suggested names from each Society to be a member of the panel. They also choose controversial topics on the field and others that were not covered by the last IDSA/ATS guidelines. Each topic was assigned to a pair of members to be reviewed and written. Finally, the panel defined 20 consensual points that were circulated several times among the members of the panel until total agreement was reached. A combination of evidences and clinical-based medicine was used to reach these consensus. This manuscript reviews in depth several controversial or new topics in HAP and VAP. In addition 20 consensual points are presented. This manuscript may be useful for the development of future guidelines and to stimulate clinical research by lying out what is currently accepted and what is unknown or controversial.

The Evaluation of Instruction.

ERIC Educational Resources Information Center

Kanaga, Kim

Some of the theoretical and methodological problems with current practices in evaluating instruction at the higher education level are reviewed. Controversy over the evaluation of instruction in higher education has resulted at least in part from inadequate instrumentation. The instruments for instructional rating now used include administrator…

Teacher Resources Catalogue.

ERIC Educational Resources Information Center

Alberta Dept. of Education, Edmonton. Special Educational Services Branch.

This annotated bibliography contains approximately 90 selected print and media resources to help Alberta (Canada) teachers implement special education programs. Items were selected to ensure that content fits the curriculum, the content is current, the conceptual level is appropriate, there is Canadian content, and controversial issues are treated…

Factors Contributing to the Current Academic Performance of Both Private Primary Schools and Public Primary Schools: A Case of Kitale Municipality, Kenya

ERIC Educational Resources Information Center

Catherine, Ochenje

2015-01-01

There have been current controversial discussions concerning the performance of private primary schools versus public primary schools in the Kenya Certificate of Primary Examination (K.C.P.E.). Lately, the private primary schools appear to be performing better than public primary schools. For example; in the 2003 K.C.P.E. results, more than 31% of…

Relationship between Added Sugars Consumption and Chronic Disease Risk Factors: Current Understanding.

PubMed

Rippe, James M; Angelopoulos, Theodore J

2016-11-04

Added sugars are a controversial and hotly debated topic. Consumption of added sugars has been implicated in increased risk of a variety of chronic diseases including obesity, cardiovascular disease, diabetes and non-alcoholic fatty liver disease (NAFLD) as well as cognitive decline and even some cancers. Support for these putative associations has been challenged, however, on a variety of fronts. The purpose of the current review is to summarize high impact evidence including systematic reviews, meta-analyses, and randomized controlled trials (RCTs), in an attempt to provide an overview of current evidence related to added sugars and health considerations. This paper is an extension of a symposium held at the Experimental Biology 2015 conference entitled "Sweeteners and Health: Current Understandings, Controversies, Recent Research Findings and Directions for Future Research". We conclude based on high quality evidence from randomized controlled trials (RCT), systematic reviews and meta-analyses of cohort studies that singling out added sugars as unique culprits for metabolically based diseases such as obesity, diabetes and cardiovascular disease appears inconsistent with modern, high quality evidence and is very unlikely to yield health benefits. While it is prudent to consume added sugars in moderation, the reduction of these components of the diet without other reductions of caloric sources seems unlikely to achieve any meaningful benefit.

Relationship between Added Sugars Consumption and Chronic Disease Risk Factors: Current Understanding

PubMed Central

Rippe, James M.; Angelopoulos, Theodore J.

2016-01-01

Added sugars are a controversial and hotly debated topic. Consumption of added sugars has been implicated in increased risk of a variety of chronic diseases including obesity, cardiovascular disease, diabetes and non-alcoholic fatty liver disease (NAFLD) as well as cognitive decline and even some cancers. Support for these putative associations has been challenged, however, on a variety of fronts. The purpose of the current review is to summarize high impact evidence including systematic reviews, meta-analyses, and randomized controlled trials (RCTs), in an attempt to provide an overview of current evidence related to added sugars and health considerations. This paper is an extension of a symposium held at the Experimental Biology 2015 conference entitled “Sweeteners and Health: Current Understandings, Controversies, Recent Research Findings and Directions for Future Research”. We conclude based on high quality evidence from randomized controlled trials (RCT), systematic reviews and meta-analyses of cohort studies that singling out added sugars as unique culprits for metabolically based diseases such as obesity, diabetes and cardiovascular disease appears inconsistent with modern, high quality evidence and is very unlikely to yield health benefits. While it is prudent to consume added sugars in moderation, the reduction of these components of the diet without other reductions of caloric sources seems unlikely to achieve any meaningful benefit. PMID:27827899

Current Controversies in Diagnosis and Management of Cleft Palate and Velopharyngeal Insufficiency

PubMed Central

Ysunza, Pablo Antonio; Repetto, Gabriela M.; Pamplona, Maria Carmen; Calderon, Juan F.; Shaheen, Kenneth; Chaiyasate, Konkgrit; Rontal, Matthew

2015-01-01

Background. One of the most controversial topics concerning cleft palate is the diagnosis and treatment of velopharyngeal insufficiency (VPI). Objective. This paper reviews current genetic aspects of cleft palate, imaging diagnosis of VPI, the planning of operations for restoring velopharyngeal function during speech, and strategies for speech pathology treatment of articulation disorders in patients with cleft palate. Materials and Methods. An updated review of the scientific literature concerning genetic aspects of cleft palate was carried out. Current strategies for assessing and treating articulation disorders associated with cleft palate were analyzed. Imaging procedures for assessing velopharyngeal closure during speech were reviewed, including a recent method for performing intraoperative videonasopharyngoscopy. Results. Conclusions from the analysis of genetic aspects of syndromic and nonsyndromic cleft palate and their use in its diagnosis and management are presented. Strategies for classifying and treating articulation disorders in patients with cleft palate are presented. Preliminary results of the use of multiplanar videofluoroscopy as an outpatient procedure and intraoperative endoscopy for the planning of operations which aimed to correct VPI are presented. Conclusion. This paper presents current aspects of the diagnosis and management of patients with cleft palate and VPI including 3 main aspects: genetics and genomics, speech pathology and imaging diagnosis, and surgical management. PMID:26273595

Current role of beta-blockers in the treatment of hypertension.

PubMed

Aronow, Wilbert S

2010-11-01

It is important to know which patients with hypertension will benefit from beta-blocker therapy and which beta-blockers should be used in the treatment of hypertension to reduce cardiovascular events and mortality. Studies between 1981 and 2009 using a Medline search are reported. Beta-blockers should be used to treat hypertension in patients with previous myocardial infarction, acute coronary syndromes, angina pectoris, congestive heart failure, ventricular arrhythmias, supraventricular tachyarrhythmias, diabetes mellitus, after coronary artery bypass graft surgery, and in patients who are pregnant, have thyrotoxicosis, glaucoma, migraine, essential tremor, perioperative hypertension, or an excessive blood pressure response after exercise. The use of beta-blockers as first-line therapy in patients with primary hypertension has been controversial. However, the 2009 guidelines of the European Society of Hypertension state that large-scale meta-analyses of available data confirm that diuretics, beta-blockers, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers and calcium channel blockers do not significantly differ in their ability to lower blood pressure and to exert cardiovascular protection both in elderly and in younger patients. The key message of this paper is that atenolol should not be used as an antihypertensive drug and that the degree of reduction of mortality, myocardial infarction, stroke and congestive heart failure by antihypertensive therapy is dependent on the degree of lowering of aortic blood pressure. Newer vasodilator beta-blockers such as carvedilol and nebivolol may be more effective in reducing cardiovascular events than traditional beta-blockers, but this needs to be investigated by controlled clinical trials.

Is the Marmara Sea segment of the North Anatolian Fault Creeping or loading ?

NASA Astrophysics Data System (ADS)

Klein, Emilie; Masson, Frédéric; Duputel, Zacharie; Yavasoglu, Hakan

2016-04-01

During the last century, the North Anatolian Fault has experienced a migrating Mw>7 earthquakes sequence that ruptured about 1000 km of the fault westward. The last major earthquakes occurred in 1999 in Izmit (Mw7.4) and Duzce (Mw7.2). Only the segments located directly offshore of Istanbul, in the Marmara Sea, remain unbroken in this series of events. This region represents a major issue in terms of seismic hazard with more than 13 millions inhabitants in the city of Istanbul. However, a strong controversy remains over whether the central segment of the Main Marmara Fault is locked and likely to experience a major earthquake, or not. Recent studies based on geodetic data suggest indeed that, contrary to the Prince's Island segment which is fully locked, the central segment is accommodating the strain by aseismic fault creep. So it has not the potential to generate a Mw ~7 event. These results, mostly based on relatively simple strain accumulation models over infinitely long faults, is contested by a recent seismic data study, which suggests on the contrary that this fault segment is fully locked and mature to generate such a great earthquake. In this study, we revisit the available geodetic data considering a 3D geometry of the fault, allowing to take into account the lateral variations of behavior along the fault. In particular, we evaluate if current geodetic datasets are sufficient to constrain strain accumulation and thus to conclude about the seismic hazard in the region.

Advances and controversies in neonatal ICU platelet transfusion practice.

PubMed

Christensen, Robert D

2008-01-01

Some of the platelet transfusions currently given to NICU patients are unnecessary and convey no benefits. Although ordered with good intentions, unnecessary platelet transfusions carry known and unknown risks. Identifying and eliminating any unnecessary platelet transfusions in NICUs would be a step toward better care, lower costs, and more careful preservation of blood component resources. A renewed interest in platelet transfusion studies is needed, if essential data is to be gathered to improve NICU platelet transfusion practice. Retrospective studies can be of value: for instance, seeking associations between bleeding events and platelet counts can suggest the possibility of cause and effect relationships. Such studies might identify approximate platelet count levels that convey high hemorrhagic risk and might help focus future prospective trials. Prospective indirect studies also can be of value, for instance, measuring the template bleeding time and the PFA-100 closure time as a function of platelet count and perhaps as a function of circulating platelet mass, and would provide new information with relevance to platelet transfusion benefits. Such studies might give a better awareness of how low the platelet count can fall before platelet plug formation is impaired. It seems inescapable, however, that new, multicentered, randomized, prospective studies are needed, where NICU patients are assigned different platelet transfusion triggers and then carefully tracked for bleeding events and long-term neurodevelopmental outcomes. Only that type of study is likely to generate the evidence base needed for widespread implementation of improvements in NICU platelet transfusion practice.

Upper extremity transplantation: current concepts and challenges in an emerging field.

PubMed

Elliott, River M; Tintle, Scott M; Levin, L Scott

2014-03-01

Loss of an isolated upper limb is an emotionally and physically devastating event that results in significant impairment. Patients who lose both upper extremities experience profound disability that affects nearly every aspect of their lives. While prosthetics and surgery can eventually provide the single limb amputee with a suitable assisting hand, limited utility, minimal haptic feedback, weight, and discomfort are persistent problems with these techniques that contribute to high rates of prosthetic rejection. Moreover, despite ongoing advances in prosthetic technology, bilateral amputees continue to experience high levels of dependency, disability, and distress. Hand and upper extremity transplantation holds several advantages over prosthetic rehabilitation. The missing limb is replaced with one of similar skin color and size. Sensibility, voluntary motor control, and proprioception are restored to a greater degree, and afford better dexterity and function than prosthetics. The main shortcomings of transplantation include the hazards of immunosuppression, the complications of rejection and its treatment, and high cost. Hand and upper limb transplantation represents the most commonly performed surgery in the growing field of Vascularized Composite Allotransplantation (VCA). As upper limb transplantation and VCA have become more widespread, several important challenges and controversies have emerged. These include: refining indications for transplantation, optimizing immunosuppression, establishing reliable criteria for monitoring, diagnosing, and treating rejection, and standardizing outcome measures. This article will summarize the historical background of hand transplantation and review the current literature and concepts surrounding it.

Upper airway resistance syndrome.

PubMed

Montserrat, J M; Badia, J R

1999-03-01

This article reviews the clinical picture, diagnosis and management of the upper airway resistance syndrome (UARS). Presently, there is not enough data on key points like the frequency of UARS and the morbidity associated with this condition. Furthermore, the existence of LIARS as an independent sleep disorder and its relation with snoring and obstructive events is in debate. The diagnosis of UARS is still a controversial issue. The technical limitations of the classic approach to monitor airflow with thermistors and inductance plethysmography, as well as the lack of a precise definition of hypopnea, may have led to a misinterpretation of UARS as an independent diagnosis from the sleep apnea/hypopnea syndrome. The diagnosis of this syndrome can be missed using a conventional polysomnographic setting unless appropriate techniques are applied. The use of an esophageal balloon to monitor inspiratory effort is currently the gold standard. However, other sensitive methods such as the use of a pneumotachograph and, more recently, nasal cannula/pressure transducer systems or on-line monitoring of respiratory impedance with the forced oscillation technique may provide other interesting possibilities. Recognition and characterization of this subgroup of patients within sleep breathing disorders is important because they are symptomatic and may benefit from treatment. Management options to treat UARS comprise all those currently available for sleep apnea/hypopnea syndrome (SAHS). However, the subset of patients classically identified as LIARS that exhibit skeletal craneo-facial abnormalities might possibly obtain further benefit from maxillofacial surgery.

Ferretting out the facts behind the H5N1 controversy.

PubMed

Sleator, Roy D

2012-01-01

Recent recommendations by the National Science Advisory Board for Biosecurity (NSABB) to redact key methodological details of two studies involving mammal-to-mammal transmission of the H5N1 (H5) subtype influenza viruses, has led to a temporary moratorium on all research involving live H5N1 or H5 HA reassortant viruses shown to be transmissible in ferrets. Herein, I review the events which led to this impasse and comment on their impact.

Monitoring needs and goal-directed fluid therapy within an enhanced recovery program.

PubMed

Minto, Gary; Scott, Michael J; Miller, Timothy E

2015-03-01

Patients having major abdominal surgery need perioperative fluid supplementation; however, enhanced recovery principles mitigate against many of the factors that traditionally led to relative hypovolemia in the perioperative period. An estimate of fluid requirements for abdominal surgery can be made but individualization of fluid prescription requires consideration of clinical signs and hemodynamic variables. The literature supports goal-directed fluid therapy. Application of this evidence to justify stroke volume optimization in the setting of major surgery within an enhanced recovery program is controversial. This article places the evidence in context, reviews controversies, and suggests implications for current practice and future research. Copyright © 2015 Elsevier Inc. All rights reserved.

The Breivik controversy: politics, terrorism and psychiatry.

PubMed

Tietze, Tad

2014-08-01

To examine and analyse the controversy over psychiatric aspects of the case of Norwegian far right mass murderer Anders Behring Breivik. Because of a basic acceptance of methodological individualism and scientific positivism, mainstream psychiatry is currently ill suited to being broadly applied to the spheres of politics and political violence. Rather than jettison psychiatric insights in such cases, the choices facing the profession are either to accept the narrowness of its utility or to work towards a theoretical framework that sees the individual psyche as socially embedded rather than as socially constitutive, and psychiatric science itself as socially constructed and hence inescapably value-laden. © The Royal Australian and New Zealand College of Psychiatrists 2014.

Management of endometrial cancer: issues and controversies.

PubMed

Bogani, G; Dowdy, S C; Cliby, W A; Ghezzi, F; Rossetti, D; Frigerio, L; Mariani, A

2016-01-01

Although endometrial cancer (EC) is the most common gynecologic cancer in developed countries, several aspects of its management are still controversial. In particular, the need to perform lymphadenectomy represents an important matter of discussion. Because of the discordant results in the literature, it is still not possible to draft any definitive conclusions regarding the therapeutic value of lymph node dissection. The present review discusses the role of lymphadenectomy in the setting of EC, risk factors for lymphatic spread, identification of patients at risk for lymph node dissemination, and the current evidence for adjuvant therapies in patients with positive nodes. Reasons for the difficulty in demonstrating any therapeutic value of pelvic and para-aortic lymphadenectomy are also discussed.

Shared Leadership Improves Team Novelty: The Mechanism and Its Boundary Condition

PubMed Central

Sun, Xiaomin; Jie, Yuan; Wang, Yilu; Xue, Gang; Liu, Yan

2016-01-01

Previous research has revealed the significant impact of shared leadership on team creativity, yet the mechanism underlying this relationship has rarely been investigated. The current research examined how shared leadership influenced team creativity (novelty and usefulness) across 3 studies using both long-term project teams and temporal task teams in the laboratory. The results showed that shared leadership enhanced the novelty dimension of team creativity by improving constructive controversy. Furthermore, team goal orientation moderated this effect. The indirect effect of constructive controversy holds for teams with learning goal orientation but not for those with performance goal orientation. Such patterns were not found in the usefulness dimension of team creativity. PMID:28066289

Glycemic effect of nutritive sweeteners: Honey, sugar and high fructose corn syrup

USDA-ARS?s Scientific Manuscript database

Controversy currently exists over whether all nutritive sweeteners produce similar metabolic effects. Using a randomized, crossover design we evaluated the effects of chronic consumption of 3 nutritive sweeteners (honey, sucrose and high fructose corn syrup (HFCS)) on glucose tolerance in overweigh...

A Cool Controversy

ERIC Educational Resources Information Center

Biddy, Quentin

2015-01-01

As society becomes more technological, the need for scientific literacy grows . Part of scientific literacy is understanding the nature of science, which can be revealed, in part, by learning the historical context of current science concepts. History of science can be taught using scientific inquiry, scientific argumentation, and authentic…

Attention Deficits: Current Concepts, Controversies, Management, and Approaches to Classroom Instruction.

ERIC Educational Resources Information Center

Busch, Betsy

1993-01-01

This article reviews diagnostic criteria for attention deficit hyperactivity disorder and undifferentiated attention deficit disorder; typical presenting features; theories of the biological basis of attentional disorders; and treatments, including medical treatments with stimulants and tricyclic antidepressants and nonmedical treatments such as…

Class Size.

ERIC Educational Resources Information Center

Ellis, Thomas I.

1985-01-01

After a brief introduction identifying current issues and trends in research on class size, this brochure reviews five recent studies bearing on the relationship of class size to educational effectiveness. Part 1 is a review of two interrelated and highly controversial "meta-analyses" or statistical integrations of research findings on…

Climate change not to blame for late Quaternary megafauna extinctions in Australia

PubMed Central

Saltré, Frédérik; Rodríguez-Rey, Marta; Brook, Barry W.; Johnson, Christopher N; Turney, Chris S. M.; Alroy, John; Cooper, Alan; Beeton, Nicholas; Bird, Michael I.; Fordham, Damien A.; Gillespie, Richard; Herrando-Pérez, Salvador; Jacobs, Zenobia; Miller, Gifford H.; Nogués-Bravo, David; Prideaux, Gavin J.; Roberts, Richard G.; Bradshaw, Corey J. A.

2016-01-01

Late Quaternary megafauna extinctions impoverished mammalian diversity worldwide. The causes of these extinctions in Australia are most controversial but essential to resolve, because this continent-wide event presaged similar losses that occurred thousands of years later on other continents. Here we apply a rigorous metadata analysis and new ensemble-hindcasting approach to 659 Australian megafauna fossil ages. When coupled with analysis of several high-resolution climate records, we show that megafaunal extinctions were broadly synchronous among genera and independent of climate aridity and variability in Australia over the last 120,000 years. Our results reject climate change as the primary driver of megafauna extinctions in the world's most controversial context, and instead estimate that the megafauna disappeared Australia-wide ∼13,500 years after human arrival, with shorter periods of coexistence in some regions. This is the first comprehensive approach to incorporate uncertainty in fossil ages, extinction timing and climatology, to quantify mechanisms of prehistorical extinctions. PMID:26821754

Correlating the Ancient Maya and Modern European Calendars with High-Precision AMS 14C Dating

PubMed Central

Kennett, Douglas J.; Hajdas, Irka; Culleton, Brendan J.; Belmecheri, Soumaya; Martin, Simon; Neff, Hector; Awe, Jaime; Graham, Heather V.; Freeman, Katherine H.; Newsom, Lee; Lentz, David L.; Anselmetti, Flavio S.; Robinson, Mark; Marwan, Norbert; Southon, John; Hodell, David A.; Haug, Gerald H.

2013-01-01

The reasons for the development and collapse of Maya civilization remain controversial and historical events carved on stone monuments throughout this region provide a remarkable source of data about the rise and fall of these complex polities. Use of these records depends on correlating the Maya and European calendars so that they can be compared with climate and environmental datasets. Correlation constants can vary up to 1000 years and remain controversial. We report a series of high-resolution AMS 14C dates on a wooden lintel collected from the Classic Period city of Tikal bearing Maya calendar dates. The radiocarbon dates were calibrated using a Bayesian statistical model and indicate that the dates were carved on the lintel between AD 658-696. This strongly supports the Goodman-Martínez-Thompson (GMT) correlation and the hypothesis that climate change played an important role in the development and demise of this complex civilization. PMID:23579869

Challenges in modelling homogeneous catalysis: new answers from ab initio molecular dynamics to the controversy over the Wacker process.

PubMed

Stirling, András; Nair, Nisanth N; Lledós, Agustí; Ujaque, Gregori

2014-07-21

We present here a review of the mechanistic studies of the Wacker process stressing the long controversy about the key reaction steps. We give an overview of the previous experimental and theoretical studies on the topic. Then we describe the importance of the most recent Ab Initio Molecular Dynamics (AIMD) calculations in modelling organometallic reactivity in water. As a prototypical example of homogeneous catalytic reactions, the Wacker process poses serious challenges to modelling. The adequate description of the multiple role of the water solvent is very difficult by using static quantum chemical approaches including cluster and continuum solvent models. In contrast, such reaction systems are suitable for AIMD, and by combining with rare event sampling techniques, the method provides reaction mechanisms and the corresponding free energy profiles. The review also highlights how AIMD has helped to obtain a novel understanding of the mechanism and kinetics of the Wacker process.

Controversies and Challenges of Ventricular Assist Device Therapy.

PubMed

Lima, Brian; Bansal, Aditya; Abraham, Jacob; Rich, Jonathan D; Lee, Sangjin S; Soleimani, Behzad; Katz, Jason N; Kilic, Ahmet; Young, John S; Patel, Chetan B; Joseph, Susan M

2018-05-15

Left ventricular assist device (LVAD) therapy has emerged as an increasingly vital facet of the treatment algorithm for advanced heart failure. Growing experience with LVAD support has led to substantial improvements in outcomes, with 1-year survival rates approaching that of cardiac transplantation. These therapeutic refinements have engendered growing interests in the potential for expanding the clinical indications for LVAD therapy to patients with less advanced heart failure. The primary obstacles to this evolution of care center largely on the prevention and/or management of the adverse events associated with LVAD therapy along with patient preference. Many programs also face the mounting difficulty of balancing quality outcomes with the increased volume of implants. During the recently assembled Users Meeting organized by St. Jude Medical, heart failure clinicians from nearly 50 LVAD implanting centers discussed these and other challenges and controversies impacting the field. The present review summarizes the key insights gleaned from this meeting. Copyright © 2018 Elsevier Inc. All rights reserved.

Recovered, in recovery or recovering from substance abuse? A question of identity.

PubMed

Doukas, Nick; Cullen, Jim

2009-12-01

There has always been widespread debate on how people with past substance abuse problems choose to identify themselves with regards to their recovery and the terms used to associate with that identity. Most of the disagreement over these terms is rooted on whether recovery is seen as an ongoing process ("recovering" or "in recovery") or a life event that can be mastered ("recovered"). This article discusses these three controversial terms and attempts to make them available as terms that one can use or identify with by presenting different perspectives on the topic of recovery. Some of these perspectives may be unconventional when compared to traditional views of the recovery process, but they are the realities of many individuals who have had a past experience with substance abuse and may be confronted with prejudice when voicing their recovery in a past tense. The article makes comparisons between the DSM IV and the Big Book of AA and discusses identity vs labels and the influence of the medical community on this controversial topic.

Executive summary of the KDIGO Controversies Conference on Supportive Care in Chronic Kidney Disease: developing a roadmap to improving quality care.

PubMed

Davison, Sara N; Levin, Adeera; Moss, Alvin H; Jha, Vivekanand; Brown, Edwina A; Brennan, Frank; Murtagh, Fliss E M; Naicker, Saraladevi; Germain, Michael J; O'Donoghue, Donal J; Morton, Rachael L; Obrador, Gregorio T

2015-09-01

Patients with advanced chronic kidney disease (CKD) have a high burden of physical and psychosocial symptoms, poor outcomes, and high costs of care. Current paradigms of care for this highly vulnerable population are variable, prognostic and assessment tools are limited, and quality of care, particularly regarding conservative and palliative care, is suboptimal. The KDIGO Controversies Conference on Supportive Care in CKD reviewed the current state of knowledge in order to define a roadmap to guide clinical and research activities focused on improving the outcomes of people living with advanced CKD, including those on dialysis. An international group of multidisciplinary experts in CKD, palliative care, methodology, economics, and education identified the key issues related to palliative care in this population. The conference led to a working plan to address outstanding issues in this arena, and this executive summary serves as an output to guide future work, including the development of globally applicable guidelines.

Cardiovascular risk assessment in rheumatoid arthritis – controversies and the new approach

PubMed Central

Głuszko, Piotr

2016-01-01

The current methods of cardiovascular (CV) risk assessment in the course of inflammatory connective tissue diseases are a subject of considerable controversy. Comparing different methods of CV risk assessment in current rheumatoid arthritis (RA) guidelines, only a few of them recommend the use of formal risk calculators. These are the EULAR guidelines suggesting the use of SCORE and the British Society for Rheumatology guidelines performed in collaboration with NICE preferring the use of QRISK-2. Analyzing the latest American and British reports, two main concepts could be identified. The first one is to focus on risk calculators developed for the general population taking into account RA, and the calculator that might fulfill this role is the new QRISK-2 presented by NICE in 2014. The second concept is to create RA-specific risk calculators, such as the Expanded Cardiovascular Risk Prediction Score for RA. In this review we also discuss the efficiency of a new Pooled Cohort Equation and other calculators in the general and RA population. PMID:27504023

Enactment controversies: a critical review of current debates.

PubMed

Ivey, Gavin

2008-02-01

This critical review of the current disputes concerning countertransference enactment systematically outlines the various issues and the perspectives adopted by the relevant psychoanalytic authors. In the light of this the 'common ground ' hypothesis concerning the unifying influence of contemporary countertransference theory is challenged. While the existence of enactments, minimally defined as the analyst's inadvertent actualization of the patient's transference fantasies, is widely accepted, controversies regarding the specific scope, nature, prevalence, relationship to countertransference experience, impact on the analytic process, role played by the analyst's subjectivity, and the correct handling of enactments abound. Rather than taking a stand based on ideological allegiance to any particular psychoanalytic school or philosophical position, the author argues that the relative merits of contending perspectives is best evaluated with reference to close process scrutiny of the context, manifestation and impact of specific enactments on patients' intrapsychic functioning and the analytic relationship. A detailed account of an interpretative enactment provides a context for the author's position on these debates.

Systematic assessment of the various controversies, difficulties, and current trends in the reestablishment of lost occlusal planes in edentulous patients.

PubMed

Sahoo, S; Singh, D; Raghav, D; Singh, G; Sarin, A; Kumar, P

2014-05-01

Accurate occlusal plane orientation is an essential factor in the fabrication of complete denture prosthesis. Over the years, it has received a number of methodologies by several researchers utilizing various anatomical landmarks however none of them is considered as perfect that could orient ideal occlusal plane. The presented literature review is an attempt to enlighten historical perspectives, pioneer researches, different controversies, difficulties and current trends for re-establishment of lost occlusal plane in edentulous patients. An extensive literature search was performed using Medline/PubMed interface and other scholarly research bibliographic databases using Medical Subject Headings. Studies describing research studies, case series and assorted clinical reports were retrieved and evaluated from 1963 to 2013. Most of the studies have suggest and evidence to consider Camper's plane for artificial orientation of occlusal plane however there is a substantial lack of genuine long term studies and authentic data that could recommend a single reliable landmark for perfect occlusal plane reorientation in a variety of cases.

CURRENT CONCEPTS IN MUSCLE STRETCHING FOR EXERCISE AND REHABILITATION

PubMed Central

2012-01-01

Stretching is a common activity used by athletes, older adults, rehabilitation patients, and anyone participating in a fitness program. While the benefits of stretching are known, controversy remains about the best type of stretching for a particular goal or outcome. The purpose of this clinical commentary is to discuss the current concepts of muscle stretching interventions and summarize the evidence related to stretching as used in both exercise and rehabilitation. PMID:22319684

BEHAVIORAL ASSESSMENTS OF LONG EVANS RATS FOLLOWING A 13 WEEK SUBCHRONIC TOLUENE EXPOSURE.

EPA Science Inventory

Whereas the acute effects of volatile organic compounds (VOCs) are relatively well understood, there is some controversy regarding the potential for persistent effects following long-term exposure. The current study sought to develop an animal model of subchronic exposure to VOCs...

Rewards and Supports

ERIC Educational Resources Information Center

Hershberg, Theodore; Robertson-Kraft, Claire

2010-01-01

Pay-for-performance systems in public schools have long been burdened with controversy. Critics of performance pay systems contend that because teachers' impact cannot be measured without error, it is impossible to create fair and accurate systems for evaluating and rewarding performance. By this standard, however, current practice fails on both…

Out of the Heartburn of the Church.

ERIC Educational Resources Information Center

Burtchaell, James T.

1999-01-01

Sketches the political context from which "Ex Corde Ecclesiae," the Papal constitution on higher education, emerged. Its most controversial provisions and the reaction in American Catholic academia are examined, norms currently under discussion are outlined, and a resolution of the issues dividing academics and the Catholic hierarchy is…

Re-examining Vernacular Black English.

ERIC Educational Resources Information Center

Wolfram, Walt

1990-01-01

Reviews two books, "American Earlier Black English," by Edgar W. Schneider, and "The Death of Black English," by Ronald Butters, that capture the essence of the renewed controversy on the reemergence of the historical issue and a new dispute over the current development of Vernacular Black English. (36 references) (JL)

Potassium currents in the heart: functional roles in repolarization, arrhythmia and therapeutics.

PubMed

Chiamvimonvat, Nipavan; Chen-Izu, Ye; Clancy, Colleen E; Deschenes, Isabelle; Dobrev, Dobromir; Heijman, Jordi; Izu, Leighton; Qu, Zhilin; Ripplinger, Crystal M; Vandenberg, Jamie I; Weiss, James N; Koren, Gideon; Banyasz, Tamas; Grandi, Eleonora; Sanguinetti, Michael C; Bers, Donald M; Nerbonne, Jeanne M

2017-04-01

This is the second of the two White Papers from the fourth UC Davis Cardiovascular Symposium Systems Approach to Understanding Cardiac Excitation-Contraction Coupling and Arrhythmias (3-4 March 2016), a biennial event that brings together leading experts in different fields of cardiovascular research. The theme of the 2016 symposium was 'K + channels and regulation', and the objectives of the conference were severalfold: (1) to identify current knowledge gaps; (2) to understand what may go wrong in the diseased heart and why; (3) to identify possible novel therapeutic targets; and (4) to further the development of systems biology approaches to decipher the molecular mechanisms and treatment of cardiac arrhythmias. The sessions of the Symposium focusing on the functional roles of the cardiac K + channel in health and disease, as well as K + channels as therapeutic targets, were contributed by Ye Chen-Izu, Gideon Koren, James Weiss, David Paterson, David Christini, Dobromir Dobrev, Jordi Heijman, Thomas O'Hara, Crystal Ripplinger, Zhilin Qu, Jamie Vandenberg, Colleen Clancy, Isabelle Deschenes, Leighton Izu, Tamas Banyasz, Andras Varro, Heike Wulff, Eleonora Grandi, Michael Sanguinetti, Donald Bers, Jeanne Nerbonne and Nipavan Chiamvimonvat as speakers and panel discussants. This article summarizes state-of-the-art knowledge and controversies on the functional roles of cardiac K + channels in normal and diseased heart. We endeavour to integrate current knowledge at multiple scales, from the single cell to the whole organ levels, and from both experimental and computational studies. © 2016 The Authors. The Journal of Physiology © 2016 The Physiological Society.

Current Topics in Deep Brain Stimulation for Parkinson Disease

PubMed Central

UMEMURA, Atsushi; OYAMA, Genko; SHIMO, Yasushi; NAKAJIMA, Madoka; NAKAJIMA, Asuka; JO, Takayuki; SEKIMOTO, Satoko; ITO, Masanobu; MITSUHASHI, Takumi; HATTORI, Nobutaka; ARAI, Hajime

2016-01-01

There is a long history of surgical treatment for Parkinson disease (PD). After pioneering trials and errors, the current primary surgical treatment for PD is deep brain stimulation (DBS). DBS is a promising treatment option for patients with medically refractory PD. However, there are still many problems and controversies associated with DBS. In this review, we discuss current issues in DBS for PD, including patient selection, clinical outcomes, complications, target selection, long-term outcomes, management of axial symptoms, timing of surgery, surgical procedures, cost-effectiveness, and new technology. PMID:27349658

Clarifying the conservation status of the northern California black walnut (Juglans hindsii) using microsatellite markers

USDA-ARS?s Scientific Manuscript database

The conservation status of the northern California black walnut (Juglans hindsii) has been a source of considerable confusion and controversy. Although not currently legally protected by either Federal or State Endangered Species Acts, this species is given conservation status by the California Nati...

Source Effects and Plausibility Judgments When Reading about Climate Change

ERIC Educational Resources Information Center

Lombardi, Doug; Seyranian, Viviane; Sinatra, Gale M.

2014-01-01

Gaps between what scientists and laypeople find plausible may act as a barrier to learning complex and/or controversial socioscientific concepts. For example, individuals may consider scientific explanations that human activities are causing current climate change as implausible. This plausibility judgment may be due-in part-to individuals'…

Freedom of Expression, the University, and the Media.

ERIC Educational Resources Information Center

Dennis, Everette E.

1992-01-01

Discusses the University of Oregon's long and proud tradition of protecting freedom of speech in light of the current controversy over freedom of expression on U.S. campuses and in the community at large. Discusses multiculturalism and political correctness on campus, and advocates more dispute resolution through public discussion. (SR)

Social Media: Major Topics in Dissertation Research

ERIC Educational Resources Information Center

Piotrowski, Chris

2015-01-01

Although social media (SM) is a ubiquitous feature of modern discourse, few studies have addressed the research domain regarding scope of SM in the scholarly literature. Moreover, the adaptation of SM technology for formal educational purposes has not been without controversy (Bennett et al., 2012). The current study attempts to obtain a…

Hot Topics on the Web: Strategies for Research.

ERIC Educational Resources Information Center

Diaz, Karen R.; O'Hanlon, Nancy

2001-01-01

Presents strategies for researching topics on the Web that are controversial or current in nature. Discusses topic selection and overviews, including the use of online encyclopedias; search engines; finding laws and pending legislation; advocacy groups; proprietary databases; Web site evaluation; and the continuing usefulness of print materials.…

Comparative Studies in Special Education.

ERIC Educational Resources Information Center

Mazurek, Kas, Ed.; Winzer, Margret A., Ed.

This text presents 26 case studies which examine special education provisions for children in the world today. The reports focus on the current state of special education in selected nations and major issues and controversies in the field of special education within those nations. Each case study addresses the following themes: (1) prevalence of…

The Debate Over the National Standards: An Assessment by Three Historians.

ERIC Educational Resources Information Center

Adomanis, James F.; And Others

1995-01-01

Includes three brief essays responding to the current controversy over the National Standards for United States History. James F. Adomanis defends the standards and decries the media circus. Brian Boland casts a skeptical eye towards trendy educational reforms. Philip Reed Rulon finds the standards arbitrary and restrictive. (MJP)

The Controversy of Consequences

ERIC Educational Resources Information Center

Twing, Jon S.

2016-01-01

This special issue of "Assessment in Education" contains the type of debate needed about what Cizek (2015) calls a "… lingering flaw in the concept of validity…." Some practitioners might not agree that the current theory of validation is flawed. Specifically, the debate Jon Twing is referencing concerns the role of the…

Teaching about Bioethics through Authoring of Websites

ERIC Educational Resources Information Center

Willmott, Christopher J. R.; Wellens, Jane

2004-01-01

There is growing awareness of the need to equip students to think through the ethical implications of developments in biology. We describe an exercise in which students work in teams to produce websites about current controversial issues within the subject. Participants report a significant improvement in their knowledge of bioethics and…

Legal Challenges to Single-Sex Colleges Expected to Spread.

ERIC Educational Resources Information Center

Jaschik, Scott

1990-01-01

Court cases arising out of the current legal and political controversy over the Virginia Military Institute's policy of admitting only men are examined as they apply to the nation's three other publicly supported single-sex colleges: the Citadel (South Carolina), Mississippi University for Women, and Texas Woman's University. (DB)

Attitudes toward Elementary School Student Retention.

ERIC Educational Resources Information Center

Faerber, Kay; Van Dusseldorp, Ralph

Nonpromotion of elementary school students is a highly controversial and emotional issue, and a vast amount of literature has been devoted to the topic. With the current emphasis on raising academic standards in public schools, more and more educators are viewing "social promotion" with disfavor. This study was conducted to determine current…

Contextualized Science for Teaching Science and Technology.

ERIC Educational Resources Information Center

Koul, Ravinder; Dana, Thomas M.

1997-01-01

Discusses science education in India, arguing that a contextualized curriculum is a powerful means of improvement. The paper presents results from an analysis of the treatment of the nature of science and technology in current Indian textbooks and uses India's controversial Sadar Sarovar Hydro-Electric Project as a case example. (SM)

Emanuel Miller Lecture: Confusions and Controversies about Asperger Syndrome

ERIC Educational Resources Information Center

Frith, Uta

2004-01-01

Background: Hans Asperger drew attention to individuals who show the core symptoms of autism in the presence of high verbal intelligence. Methods: A review of the literature explores current issues concerning the diagnosis and nature of Asperger syndrome. Results: The behavioural and neurophysiological evidence to date suggests that Asperger…

Risk Communication, Metacommunication, and Rhetorical Stases in the Aspen-EPA Superfund Controversy.

ERIC Educational Resources Information Center

Stratman, James F.; And Others

1995-01-01

Explores the relationship between current theoretical definitions of risk communication, the unique national role that EPA plays in defining health and environmental risks, and possible explanations for EPA's inability to persuade Aspen, Colorado, to accept a cleanup plan. Explores ownership messages conveyed through metacommunication conflict…

Revista de Documentacao de Estudos em Linguistica Teorica e Aplicada, 1999 (Journal of Documentary Studies in Linguistic Theory and Application, 1999).

ERIC Educational Resources Information Center

Barbara, Leila, Ed.; Rajagopalan, Kanavillil, Ed.

1999-01-01

These issues include the following articles: "Portuguese Philology in Brazil" (Heitor Megale, Cesar Nardelli Cambraia); "Implications of Brazilian Portuguese Data for Current Controversies in Phonetics: Towards Sharpening Articulatory Phonology" (Eleonora Cavalconte Albano); "Morphological Studies in Brazil: Data and…

Differentiation of High-Functioning Autism and Asperger's Disorder Based on Neuromotor Behaviour

ERIC Educational Resources Information Center

Nayate, Ashwini; Tonge, Bruce J.; Bradshaw, John L.; McGinley, Jennifer L.; Iansek, Robert; Rinehart, Nicole J.

2012-01-01

Autism and Asperger's disorder (AD) are characterised by impairments in social interaction, stereotypic behaviours or restricted interests. Although currently listed as distinct clinical disorders, the validity of their distinction remains controversial. This study examined gait in children with autism and AD. Eleven children with high-functioning…

Consumption of honey, sucrose, and high fructose corn syrup produce similar metabolic effects in glucose tolerant and glucose intolerant individuals

USDA-ARS?s Scientific Manuscript database

Background: Current public health recommendations call for reduction of added sugars; however, controversy exits over whether all nutritive sweeteners produce similar metabolic effects. Objective: To compare effects of chronic consumption of three nutritive sweeteners (honey, sucrose and high fructo...

Recognition Memory: Adding a Response Deadline Eliminates Recollection but Spares Familiarity

ERIC Educational Resources Information Center

Sauvage, Magdalena M.; Beer, Zachery; Eichenbaum, Howard

2010-01-01

A current controversy in memory research concerns whether recognition is supported by distinct processes of familiarity and recollection, or instead by a single process wherein familiarity and recollection reflect weak and strong memories, respectively. Recent studies using receiver operating characteristic (ROC) analyses in an animal model have…

The Great Wood vs. Plastic Pegboard Controversy: A Definitive Answer

ERIC Educational Resources Information Center

Droege, Robert C.; Hawk, John

1976-01-01

This study was performed to resolve the question of comparability of manual dexterity scores obtained on wooden and plastic versions of the USES pegboard. Currently authorized equipment, either plastic or wooden, may be used with the confidence that scores are not affected by the type of equipment used. (Author)

Language Planning for Romani in the Czech Republic

ERIC Educational Resources Information Center

Eckert, Eva

2015-01-01

In the Czech Republic, Romani language planning has long been a controversial subject. The question informing the current research is whether the European Charter's goal of protecting, maintaining and invigorating Romani is attainable in a culture driven by standard language ideology, Czech society's aversion to multiculturalism and an overall…

A Student Right of Privacy: The Developing School Records Controversy

ERIC Educational Resources Information Center

Zdeb, Michael J.

1975-01-01

Current legal ramifications of the right of privacy in students' school records are examined. It is suggested that resolution of the school record problem must be made with the realization that whatever is imprinted on a youth will affect his future and that of society. (LBH)

Perspectives on Cultural Geography in AP® Human Geography

ERIC Educational Resources Information Center

Hall, Christopher; Johnston-Anumonwo, Ibipo

2016-01-01

This article provides an overview of selected current concerns in cultural geography and the way it is taught. It includes coverage of cultural convergence and divergence, race and gender as culturally defined topics, and best teaching practices, including those related to analyzing controversial issues. Two important geographical models are laid…

Psychological Perspectives in Assessing Mathematics Learning Needs

ERIC Educational Resources Information Center

Augustyniak, Kristine; Murphy, Jacqueline; Phillips, Donna Kester

2005-01-01

While the definition of learning disabilities has been the subject of controversy for decades, the current federal classification system identifies three specific areas of deficit: reading, written language, and mathematics and maintains the presumption that the disabilities are a result of a central nervous system dysfunction. In contrast to the…

Handbook of Research on Teaching the English Language Arts. Second Edition.

ERIC Educational Resources Information Center

Flood, James, Ed.; Lapp, Diane, Ed.; Squire, James R., Ed.; Jensen, Julie M., Ed.

This updated second edition reflects developments in educational research and new information within the areas of language learning and instruction since the publication of the first edition in 1991. Its 75 essays assess the significance of research, evaluates new developments, and examines current conflicts, controversies, and issues, while…

A Closer Look at Formulaic Language: Prosodic Characteristics of Swedish Proverbs

ERIC Educational Resources Information Center

Hallin, Anna Eva; Van Lancker Sidtis, Diana

2017-01-01

Formulaic expressions (such as idioms, proverbs, and conversational speech formulas) are currently a topic of interest. Examination of prosody in formulaic utterances, a less explored property of formulaic expressions, has yielded controversial views. The present study investigates prosodic characteristics of proverbs, as one type of formulaic…

Whitebark pine (Pinus albicaulis) assisted migration trial

Treesearch

Sierra C. McLane; Sally N. Aitken

2011-01-01

Assisted migration - the translocation of a species into a climatically-suitable location outside of its current range - has been proposed as a means of saving vulnerable species from extinction as temperatures rise due to climate change. We explore this controversial technique using the keystone wildlife symbiote and ecosystem engineer, whitebark pine (Pinus...

Teaching with a Closed Mind: The Threat of Censorship in the Social Studies Classroom.

ERIC Educational Resources Information Center

Russell, Kenneth W.

1990-01-01

Traces the history of censorship. Examines the current censorship controversy, focusing on the conflict over censorship in the schools. Discusses organizations concerned with censorship issues and identifies specific instances of censorship in the social studies. Outlines censorship tactics, and presents positive reactions to take toward…

Beyond Belief: Zhou Zuoren's Rationalist Writings and the Chinese Enlightenment

ERIC Educational Resources Information Center

Li, Tonglu

2009-01-01

This dissertation is situated in the current scholarly reflection on the problems of Chinese modernity, especially its "initial phase," the Chinese Enlightenment (1910s-1920s). It examines the thought of the highly controversial thinker and writer Zhou Zuoren (1885-1967), whose work had been profoundly influential during the…

What You See Is What You Get!

ERIC Educational Resources Information Center

Harrison, David

1979-01-01

The issue of observability and the relative roles of the senses and reason in understanding the world is reviewed. Eastern "mystical" philosophy serves as a focus in which interpretations of quantum mechanics, as well as the current bootstrap-quark controversy are seen in some slightly different contexts. (Author/GA)

Teaching Creativity: Current Findings, Trends, and Controversies in the Psychology of Creativity

ERIC Educational Resources Information Center

Simonton, Dean Keith

2012-01-01

In the past decade, the psychological study of creativity has accelerated greatly. To facilitate the teaching of creativity, I provide an overview of the recent literature. The overview begins by discussing recent empirical results and research trends. This discussion specifically treats creativity's cognitive, differential, developmental, and…

Immigration: Coming to America

ERIC Educational Resources Information Center

Anderson, Kristin

2011-01-01

To say that immigration is currently a controversial issue would be an understatement. The media is rife with misinformation and does a very poor job of making the critical distinction between legal and illegal immigration. Because of this, it is vitally important that libraries provide students with clear and unbiased material on the topic. In…

Copyright in the Age of Photocopiers, Word Processors, and the Internet

ERIC Educational Resources Information Center

Shaw, Marjorie Hodges; Shaw, Brian B.

2003-01-01

Widespread digital infringement of the copyrighted material now has made security firms, night-vision goggles, and metal detectors common in movie previews. The current national controversy over peer-to-peer file sharing of music highlights the difficult questions facing colleges and universities as they grapple with dramatic technological…

Applying risk and resilience models to predicting the effects of media violence on development.

PubMed

Prot, Sara; Gentile, Douglas A

2014-01-01

Although the effects of media violence on children and adolescents have been studied for over 50 years, they remain controversial. Much of this controversy is driven by a misunderstanding of causality that seeks the cause of atrocities such as school shootings. Luckily, several recent developments in risk and resilience theories offer a way out of this controversy. Four risk and resilience models are described, including the cascade model, dose-response gradients, pathway models, and turning-point models. Each is described and applied to the existing media effects literature. Recommendations for future research are discussed with regard to each model. In addition, we examine current developments in theorizing that stressors have sensitizing versus steeling effects and recent interest in biological and gene by environment interactions. We also discuss several of the cultural aspects that have supported the polarization and misunderstanding of the literature, and argue that applying risk and resilience models to the theories and data offers a more balanced way to understand the subtle effects of media violence on aggression within a multicausal perspective.

A process-based standard for the Solar Energetic Particle Event Environment

NASA Astrophysics Data System (ADS)

Gabriel, Stephen

For 10 years or more, there has been a lack of concensus on what the ISO standard model for the Solar Energetic Particle Event (SEPE) environment should be. Despite many technical discussions between the world experts in this field, it has been impossible to agree on which of the several models available should be selected as the standard. Most of these discussions at the ISO WG4 meetings and conferences, etc have centred around the differences in modelling approach between the MSU model and the several remaining models from elsewhere worldwide (mainly the USA and Europe). The topic is considered timely given the inclusion of a session on reference data sets at the Space Weather Workshop in Boulder in April 2014. The original idea of a ‘process-based’ standard was conceived by Dr Kent Tobiska as a way of getting round the problems associated with not only the presence of different models, which in themselves could have quite distinct modelling approaches but could also be based on different data sets. In essence, a process based standard approach overcomes these issues by allowing there to be more than one model and not necessarily a single standard model; however, any such model has to be completely transparent in that the data set and the modelling techniques used have to be not only to be clearly and unambiguously defined but also subject to peer review. If the model meets all of these requirements then it should be acceptable as a standard model. So how does this process-based approach resolve the differences between the existing modelling approaches for the SEPE environment and remove the impasse? In a sense, it does not remove all of the differences but only some of them; however, most importantly it will allow something which so far has been impossible without ambiguities and disagreement and that is a comparison of the results of the various models. To date one of the problems (if not the major one) in comparing the results of the various different SEPE statistical models has been caused by two things: 1) the data set and 2) the definition of an event Because unravelling the dependencies of the outputs of different statistical models on these two parameters is extremely difficult if not impossible, currently comparison of the results from the different models is also extremely difficult and can lead to controversies, especially over which model is the correct one; hence, when it comes to using these models for engineering purposes to calculate, for example, the radiation dose for a particular mission, the user, who is in all likelihood not an expert in this field, could be given two( or even more) very different environments and find it impossible to know how to select one ( or even how to compare them). What is proposed then, is a process-based standard, which in common with nearly all of the current models is composed of 3 elements, a standard data set, a standard event definition and a resulting standard event list. A standard event list is the output of this standard and can then be used with any of the existing (or indeed future) models that are based on events. This standard event list is completely traceable and transparent and represents a reference event list for all the community. When coupled with a statistical model, the results when compared will only be dependent on the statistical model and not on the data set or event definition.

Medical students and controversial ethical issues: results from the multicenter study SBRAME.

PubMed

Lucchetti, Giancarlo; de Oliveira, Leandro Romani; Leite, José Roberto; Lucchetti, Alessandra Lamas Granero

2014-12-15

Medical students(MS) will face ethical issues throughout their lives as doctors. The present study aims to investigate medical students' opinions on controversial ethical issues and factors associated with these opinions. SBRAME (Spirituality and Brazilian Medical Education) is a multicenter study involving 12 Brazilian medical schools with 5950 MS. Participants completed a questionnaire that collected information on socio-demographic data, medical schools characteristics, religious beliefs and opinions on controversial ethical issues. Of all MS, 3630 participated in the survey (61.0%). The sample was 53.8% women and the mean age was 22.5 years. In general, most MS have no objections to prescription of birth control (90.8%), adult stem cell use (87.5%), embryonic stem cell use (82.0%) and abortion for genetic reasons (51.2%). Approximately half of students have no objections to human cloning (47.3%), 45.7% to withdrawal of artificial life support, 41.4% to euthanasia and 23.3% to abortion for failed contraception. Socio-demographic data such as age, gender and income had little influence on MS opinions. On the other hand, medical schools characteristics (number of medical students in the university, year of medical school foundation, location of the university and type of university) and religious aspects (religious affiliation, religious attendance, non-organizational religiousness and intrinsic religiousness) were highly correlated with their opinions. In general, MS with more supportive opinions on controversial ethical issues were less religious and from non-traditional (newer), urban, public and bigger universities. The current study reveals MS have different opinions regarding controversial ethical issues. Noteworthy, these opinions seem to be shaped more by university characteristics and religious beliefs than socio-demographic data.

Morphology, sedimentary features and evolution of a large palaeo submarine canyon in Qiongdongnan basin, Northern South China Sea

NASA Astrophysics Data System (ADS)

Li, Xiangquan; Fairweather, Luke; Wu, Shiguo; Ren, Jianye; Zhang, Hongjie; Quan, Xiayun; Jiang, Tao; Zhang, Cheng; Su, Ming; He, Yunlong; Wang, Dawei

2013-01-01

The large Miocene-aged palaeo canyon that extents through the Qiongdongnan basin (QDNB) and Yinggehai basin (YGHB) of Northern South China Sea has been of considerable interest both economically and scientifically over the past decade. Stemmed from this, significant research has been employed into understanding the mechanism for its existence, incision, and sedimentary fill, yet debate remains. In the first case the canyon itself is actually quite anomalous. Alone from the size (over 570 km in length and more than 8 km in width (Yuan et al., 2009)), which is considerably more than most ancient deep-water channels (REFS), the canyon's sedimentary fill is also distinctly different. Some explanations have been given to explain the canyon's origin and existence, these include increased sediment supply from the Red River which is genetically linked to uplift of the Tibetan Plateau, lowstand turbidite and mass-transport activity, reactivation and dextral displacement of the Red River Fault zone inducing erosive gravity-flows, regional tilt of the QDNB and YGHB, paleo-seafloor morphology and seal-level fluctuations. With the application of new data obtained from interpretations of a large number of 2D seismic profiles, core and well log data, and tectonic and sedimentary analysis this contribution aims to: (1) Present models to explain the Canyon's sedimentary fill and basin plain deposits, which provided significant understanding of processes pre-, syn- and post-incision and; (2) review the plausibility and likelihood of each of the controlling mechanisms, hoping to shed light on this controversial aspect. We conclude that the final erosive event that shaped the canyon is dated at 5.5 Ma. The Canyon's unusual fill is a product of variation in the interaction between turbidity currents and MTD that blocked the canyon's axis, and the reduction in gravity flow energy through time; and therefore the complete succession represents one major erosive and cut event at 5.5 Ma and thereafter multi-gravity currents fills unlike in most slope channel-fills.

A Historical Overview of the Classification, Evolution, and Dispersion of Leishmania Parasites and Sandflies

PubMed Central

Akhoundi, Mohammad; Kuhls, Katrin; Cannet, Arnaud; Votýpka, Jan; Marty, Pierre; Delaunay, Pascal; Sereno, Denis

2016-01-01

Background The aim of this study is to describe the major evolutionary historical events among Leishmania, sandflies, and the associated animal reservoirs in detail, in accordance with the geographical evolution of the Earth, which has not been previously discussed on a large scale. Methodology and Principal Findings Leishmania and sandfly classification has always been a controversial matter, and the increasing number of species currently described further complicates this issue. Despite several hypotheses on the origin, evolution, and distribution of Leishmania and sandflies in the Old and New World, no consistent agreement exists regarding dissemination of the actors that play roles in leishmaniasis. For this purpose, we present here three centuries of research on sandflies and Leishmania descriptions, as well as a complete description of Leishmania and sandfly fossils and the emergence date of each Leishmania and sandfly group during different geographical periods, from 550 million years ago until now. We discuss critically the different approaches that were used for Leishmana and sandfly classification and their synonymies, proposing an updated classification for each species of Leishmania and sandfly. We update information on the current distribution and dispersion of different species of Leishmania (53), sandflies (more than 800 at genus or subgenus level), and animal reservoirs in each of the following geographical ecozones: Palearctic, Nearctic, Neotropic, Afrotropical, Oriental, Malagasy, and Australian. We propose an updated list of the potential and proven sandfly vectors for each Leishmania species in the Old and New World. Finally, we address a classical question about digenetic Leishmania evolution: which was the first host, a vertebrate or an invertebrate? Conclusions and Significance We propose an updated view of events that have played important roles in the geographical dispersion of sandflies, in relation to both the Leishmania species they transmit and the animal reservoirs of the parasites. PMID:26937644

Attitudes towards and knowledge about Human Papillomavirus (HPV) and the HPV vaccination in parents of teenage boys in the UK.

PubMed

Sherman, Susan Mary; Nailer, Emma

2018-01-01

The incidence of cancers attributable to Human Papillomavirus (HPV) that affect males is on the rise. Currently in the UK teenage boys are not vaccinated against HPV while teenage girls are. The rationale for not vaccinating boys is that vaccinating girls should provide herd immunity to boys, however this does not protect men who have sex with men or men who have sex with unvaccinated women. The issue of whether to vaccinate boys or not is a controversial one with considerable lobbying taking place to change the existing policy. On one side of the debate are financial considerations while on the other side health equality is important. One avenue that has not been presented is the parental perspective. The current study uses a self-report questionnaire to explore what parents of teenage boys know about HPV and the vaccine and whether they want the vaccine for their sons. Only half of the parents had heard of HPV prior to completing the survey. Of those who had heard of HPV, knowledge about the health sequelae of HPV for men was poor relative to their knowledge about its impact on female health. Parents who would be willing to vaccinate their sons had higher levels of knowledge about HPV than those parents who would be unwilling or unsure. Irrespective of whether they had previously heard of HPV or not, once provided with a brief description of HPV, the majority of parents thought that boys should be offered the vaccination. There is a pressing need for public education about the potential impact of HPV on male health in order to facilitate uptake of the vaccine in the event of the vaccination programme being extended to men or to facilitate informed decision making about seeking the vaccine privately in the event that it isn't.

Attitudes towards and knowledge about Human Papillomavirus (HPV) and the HPV vaccination in parents of teenage boys in the UK

PubMed Central

Nailer, Emma

2018-01-01

The incidence of cancers attributable to Human Papillomavirus (HPV) that affect males is on the rise. Currently in the UK teenage boys are not vaccinated against HPV while teenage girls are. The rationale for not vaccinating boys is that vaccinating girls should provide herd immunity to boys, however this does not protect men who have sex with men or men who have sex with unvaccinated women. The issue of whether to vaccinate boys or not is a controversial one with considerable lobbying taking place to change the existing policy. On one side of the debate are financial considerations while on the other side health equality is important. One avenue that has not been presented is the parental perspective. The current study uses a self-report questionnaire to explore what parents of teenage boys know about HPV and the vaccine and whether they want the vaccine for their sons. Only half of the parents had heard of HPV prior to completing the survey. Of those who had heard of HPV, knowledge about the health sequelae of HPV for men was poor relative to their knowledge about its impact on female health. Parents who would be willing to vaccinate their sons had higher levels of knowledge about HPV than those parents who would be unwilling or unsure. Irrespective of whether they had previously heard of HPV or not, once provided with a brief description of HPV, the majority of parents thought that boys should be offered the vaccination. There is a pressing need for public education about the potential impact of HPV on male health in order to facilitate uptake of the vaccine in the event of the vaccination programme being extended to men or to facilitate informed decision making about seeking the vaccine privately in the event that it isn’t. PMID:29641563

Exercise testing in asymptomatic severe aortic stenosis.

PubMed

Magne, Julien; Lancellotti, Patrizio; Piérard, Luc A

2014-02-01

The management and the clinical decision making in asymptomatic patients with aortic stenosis are challenging. An "aggressive" management, including early aortic valve replacement, is debated in these patients. However, the optimal timing for surgery remains controversial due to the lack of prospective data on the determinants of aortic stenosis progression, multicenter studies on risk stratification, and randomized studies on patient management. Exercise stress testing with or without imaging is strictly contraindicated in symptomatic patients with severe aortic stenosis. Exercise stress test is now recommended by current guidelines in asymptomatic patients and may provide incremental prognostic value. Indeed, the development of symptoms during exercise or an abnormal blood pressure response are associated with poor outcome and should be considered as an indication for surgery, as suggested by the most recently updated European Society of Cardiology 2012 guidelines. Exercise stress echocardiography may also improve the risk stratification and identify asymptomatic patients at higher risk of a cardiac event. When the test is combined with imaging, echocardiography during exercise should be recommended rather than post-exercise echocardiography. During exercise, an increase >18 to 20 mm Hg in mean pressure gradient, absence of improvement in left ventricular ejection fraction (i.e., absence of contractile reserve), and/or a systolic pulmonary arterial pressure >60 mm Hg (i.e., exercise pulmonary hypertension) are suggestive signs of advanced stages of the disease and impaired prognosis. Hence, exercise stress test may identify resting asymptomatic patients who develop exercise abnormalities and in whom surgery is recommended according to current guidelines. Exercise stress echocardiography may further unmask a subset of asymptomatic patients (i.e., without exercise stress test abnormalities) who are at high risk of reduced cardiac event free survival. In these patients, early surgery could be beneficial, whereas regular follow-up seems more appropriate in patients without echocardiographic abnormalities during exercise. Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

An Investigation into Geography Teachers' Use of Current Events in Geography Classes

ERIC Educational Resources Information Center

Degirmenci, Yavuz; Ilter, Ilhan

2017-01-01

This study aimed to investigate the extent to which geography teachers use current events within the context of their geography instruction, their sources of information about current events, the methods and techniques they adopt while using current events in their teaching and the skills and values they expect their students to develop. The…

Herpes Zoster Vaccination: Controversies and Common Clinical Questions.

PubMed

Van Epps, Puja; Schmader, Kenneth E; Canaday, David H

2016-01-01

Herpes zoster, clinically referred to as shingles, is an acute, cutaneous viral infection caused by reactivation of the varicella zoster virus, the same virus that causes chickenpox. The incidence of herpes zoster and its complications increase with decline in cell-mediated immunity, including age-associated decline. The most effective management strategy for herpes zoster is prevention of the disease through vaccination in those who are most vulnerable. Despite the demonstrated efficacy in reducing the incidence and severity of herpes zoster, the uptake of vaccine remains low. Here, we will discuss the controversies that surround the live herpes zoster vaccine and address the common clinical questions that arise. We will also discuss the new adjuvanted herpes zoster vaccine currently under investigation. © 2015 S. Karger AG, Basel.

Attention-deficit/hyperactivity disorder overview. Historical perspective, current controversies, and future directions.

PubMed

Stubbe, D E

2000-07-01

There have been "modern" descriptions of ADHD in the medical literature since 1902. Despite the burgeoning growth of information about the cause, pathophysiology, and effective treatments of the disorder, ADHD has been particularly steeped in controversy, especially regarding the use of medication (safety, efficacy, use or overuse, and concerns about medication treatment of preschool children). Changing diagnostic criteria, evolving conceptualizations of the disorder, and international differences in diagnosis, have enhanced and complicated ongoing research and understanding of the disorder. The recent Multimodal Treatment Study of Children with ADHD, a large, multisite study comparing efficacy of behavioral, medication, and combined treatments, and a recent NIH Consensus Conference on ADHD, represent true advances in the scientific understanding of the disorder and its treatment.

Retroperitoneal Liposarcoma: Current Insights in Diagnosis and Treatment

PubMed Central

Matthyssens, Lucas E.; Creytens, David; Ceelen, Wim P.

2015-01-01

Retroperitoneal liposarcoma (RLS) is a rare, biologically heterogeneous tumor that present considerable challenges due to its size and deep location. As a consequence, the majority of patients with high-grade RLS will develop locally recurrent disease following surgery, and this constitutes the cause of death in most patients. Here, we review current insights and controversies regarding histology, molecular biology, extent of surgery, (neo)adjuvant treatment, and systemic treatment including novel targeted agents in RLS. PMID:25713799

Swarm observation of field-aligned current and electric field in multiple arc systems

NASA Astrophysics Data System (ADS)

Wu, J.; Knudsen, D. J.; Gillies, M.; Donovan, E.; Burchill, J. K.

2017-12-01

It is often thought that auroral arcs are a direct consequence of upward field-aligned currents. In fact, the relation between currents and brightness is more complicated. Multiple auroral arc systems provide and opportunity to study this relation in detail. In this study, we have identified two types of FAC configurations in multiple parallel arc systems using ground-based optical data from the THEMIS all-sky imagers (ASIs), magnetometers and electric field instruments onboard the Swarm satellites during the period from December 2013 to March 2015. In type 1 events, each arc is an intensification within a broad, unipolar current sheet and downward currents only exist outside the upward current sheet. These types of events are termed "unipolar FAC" events. In type 2 events, multiple arc systems represent a collection of multiple up/down current pairs, which are termed as "multipolar FAC" events. Comparisons of these two types of FAC events are presented with 17 "unipolar FAC" events and 12 "multipolar FAC" events. The results show that "unipolar FAC" and "multipolar FAC" events have systematic differences in terms of MLT, arc width and separation, and dependence on substorm onset time. For "unipolar FAC" events, significant electric field enhancements are shown on the edges of the broad upward current sheet. Electric field fluctuations inside the multiple arc system can be large or small. For "multipolar FAC" events, a strong correlation between magnetic and electric field indicate uniform conductance within each upward current sheet. The electrodynamical structures of multiple arc systems presented in this paper represents a step toward understanding arc generation.

Was the Tunguska 1908 event a late byproduct of a Permo-Triassic Verneshot?

NASA Astrophysics Data System (ADS)

Vannucchi, P.; Morgan, J. P.; Andronicos, C. L.; Della Lunga, D.

2010-12-01

The Tunguska region is covered by ~1500 m of Siberian Traps basalts. The 1908 Tunguska event occurred in the Tunguska Great Depression which is part of a volcanic edifice, the Khushminskii Volcano, whose age is contemporaneous to the emplacement of the traps, i.e. about 250 Ma at the Permo-Triassic or Paleozoic/Mesozoic boundary. The Tunguska Great Depression is elliptical with a major axis of about 13 km. It has a crater-like morphology, with a central edifice, Mount Stojkovic (about 500 m) rising 200 m above the rest of the central swamp. Mount Stojkovic is also at the 1908 Tunguska event epicenter calculated from treefall patterns. Outcrops at the summit of Mount Stojkovic expose quartzites and siliceous diamicrites. Other outcrops of quartzites are found a few km to the west of Mount Stojkovic. These sedimentary rocks are Permian fluvial deposits sedimented on the Siberian Craton before the eruption of the traps, and are now associated with volcanic pipes which cut through the trap basalts. Analysis of these quartzite samples reveals that they have been affected by shock metamorphism, as was first described by Hryanina (LPSC Abstracts, 1999). We were able to identify shocked quartz, toasted quartz, brecciated quartz crystals, pseudotachylites and rapid partial melting with spiky outgrowths of quartz and feldspars. The cause of the Tunguska 1908 event remains controversial. The main controversy is due to the fact that neither an obvious large impact crater nor any obvious extraterrestrial material has been found at this site; so that the extraterrestrial body is imagined to have exploded/vaporized about 8-10 km above the Earth’s surface. Such an air explosion could have not produced shock metamorphism. The recently proposed minor impact crater, lake Cheko, about 8 km NW of Mt. Stojkovic, still has trees in upright positions on its lakebed, so shock metamorphism would also be out of question here even if this were to be imagined as an impact-linked feature. At the same time, the probability that two extraterrestrial bodies would fall on the same point on Earth is 1 in 10,000 chance. Our preferred hypothesis is that the Siberian Traps, the Khushminskii volcano, the shock metamorphism and the Tunguska event are all linked together, and all caused by a terrestrial process related to hyperexplosive gas release from >50km depths in the Siberian Craton.

Increased risk of adverse drug events secondary to bevacizumab treatment in patients with advanced or metastatic breast cancer: a meta-analysis of randomized controlled trials.

PubMed

Shin, Sooyoung; Noh, Yoojin

2018-01-01

Several clinical trials have shown an increased risk of hypertension with bevacizumab when added to chemotherapy in different types of malignancy; however, the risks of other significant adverse events besides hypertension, specifically in breast cancer, have not been completely elucidated. This study was conducted with the aim, primarily, to assess the overall incidence and risk of common toxicities associated with bevacizumab in patients with advanced or metastatic breast cancer and, secondarily, to descriptively review study results concerning a potential correlation between bevacizumab-induced hypertension and its efficacy for breast cancer treatment. We carried out a meta-analysis of relevant randomized controlled trials (RCTs) identified from a database search (Cochrane Library and PubMed) and, additionally, by reviewing previous reviews and meta-analyses. Overall incidence rates, odds ratios (ORs), and 95% confidence intervals (CIs) were assessed with the random- or fixed-effect models, depending on the level of heterogeneity across the included trials. The primary clinical outcomes were high-grade adverse events commonly reported with bevacizumab therapy. We included 6,260 patients with advanced-stage breast cancer from 12 RCTs in the meta-analysis. Five types of high-grade (Grade 3 or 4) adverse drug events were identified as being correlated with bevacizumab treatment versus alternative treatment with statistical significance: hypertension (OR 5.67, 95% CI 3.02-10.65), proteinuria (OR 10.09, 95% CI 4.79-21.27), bleeding (OR 3.45, 95% CI 2.25-5.30), cardiac toxicity (OR 2.15, 95% CI 1.29-3.59), and neutropenic fever (OR 1.51, 95% CI 1.15-2.00). The prognostic value of bevacizumab-induced hypertension for its antitumor efficacy among patients with breast cancer remains controversial, with mixed results presented in the five retrospective studies that were identified from our additional literature search. The addition of bevacizumab to anticancer therapy was associated with a significant increase in the risk of high-grade adverse events, including hypertension, proteinuria, bleeding, cardiac toxicity, and neutropenic fever among patients with advanced-stage breast cancer. Although several retrospective studies suggested a predictive importance of hypertension secondary to bevacizumab therapy, the role of elevated blood pressure as a prognostic biomarker for its antitumor efficacy remains controversial, and further prospective trials are required to confirm such a correlation.

The current status of evidence-based practice in juvenile justice.

PubMed

McKee, Esther Chao; Rapp, Lisa

2014-01-01

The advent of evidence-based practice (EBP) has significantly changed the juvenile justice system while producing intense controversy. The intent of this article is to provide an update on the current status of EBP in the juvenile justice system. Specifically, this article will describe the evolution of juvenile justice philosophy as it has informed current juvenile justice policies and programs, discuss the scope of current juvenile justice research regarding EBP, identify barriers to implementing EBP, expound on the development of EBP in juvenile justice, discern the characteristics of evidence-based interventions in the juvenile justice system, and finally describe how to select and assess evidence-based practices and interventions.

The Magellan Venus explorer's guide

NASA Technical Reports Server (NTRS)

Young, Carolynn (Editor)

1990-01-01

The Magellan radar-mapping mission to the planet Venus is described. Scientific highlights include the history of U.S. and Soviet missions, as well as ground-based radar observations, that have provided the current knowledge about the surface of Venus. Descriptions of the major Venusian surface features include controversial theories about the origin of some of the features. The organization of the Magellan science investigators into discipline-related task groups for data-analysis purposes is presented. The design of the Magellan spacecraft and the ability of its radar sensor to conduct radar imaging, altimetry, and radiometry measurements are discussed. Other topics report on the May 1989 launch, the interplanetary cruise, the Venus orbit-insertion maneuver, and the in-orbit mapping strategy. The objectives of a possible extended mission emphasize the gravity experiment and explain why high-resolution gravity data cannot be acquired during the primary mission. A focus on the people of Magellan reveals how they fly the spacecraft and prepare for major mission events. Special items of interest associated with the Magellan mission are contained in windows interspersed throughout the text. Finally, short summaries describe the major objectives and schedules for several exciting space missions planned to take us into the 21st century.

Factor Xa Activation of Factor V is of Paramount Importance in Initiating the Coagulation System: Lessons from a Tick Salivary Protein

PubMed Central

Schuijt, Tim J.; Bakhtiari, Kamran; Daffre, Sirlei; DePonte, Kathleen; Wielders, Simone J.H.; Marquart, J. Arnoud; Hovius, Joppe W.; van der Poll, Tom; Fikrig, Erol; Bunce, Matthew W.; Camire, Rodney M.; Nicolaes, Gerry A.F.; Meijers, Joost C.M.; van 't Veer, Cornelis

2013-01-01

Background Generation of active procoagulant cofactor FVa and its subsequent association with the enzyme FXa to form the prothrombinase complex is a pivotal initial event in blood coagulation and has been the subject of investigative effort, speculation and controversy. The current paradigm assumes that FV activation is initiated by limited proteolysis by traces of (meizo) thrombin. Methods and Results Recombinant tick salivary protein TIX-5 was produced and anticoagulant properties were studied using plasma, whole blood and purified systems. Here we report that TIX-5 specifically inhibits FXa-mediated FV activation involving the B-domain of FV and show that FXa activation of FV is pivotal for plasma and blood clotting. In line, tick feeding is impaired on TIX-5 immune rabbits displaying the in vivo importance of TIX-5. Conclusions Our data elucidate a unique molecular mechanism by which ticks inhibit the host's coagulation system. Based on our data we propose a revised blood coagulation scheme wherein direct FXa-mediated FV activation occurs in the initiation phase during which thrombin-mediated FV activation is restrained by fibrinogen and inhibitors. PMID:23817575

Risk Communication: The Role of the South Carolina State Climatology Office.

NASA Astrophysics Data System (ADS)

Smith, David J.; Purvis, John C.; Felts, Arthur

1995-12-01

The federally supported state climatologist program ended in 1972. Thereafter, most states supported these endeavors in coordination with the National Climatic Data Center, but the current state programs vary widely. One of the functions of state climate programs that evolved since 1972 is acting as a liaison between the National Weather Service and various state agencies. This role is most apparent and controversial in coordinating state and local government response to severe weather and extreme climate anomalies such as drought, flood, winter storms, and tropical cyclones. The activities of the climate office in South Carolina during Hurricane Hugo in September 1989 and the October 1990 floods reveal how these interactions occur in one state that mandated these activities. The state climate office had to react to shifting weather conditions and to variable political conditions that affect public organizations. The climate office in South Carolina acts to interpret weather information, develop scenarios and predictions, and to assist in postevent damage surveys. This review is presented to acknowledge and document the expanding role of the state climate office in South Carolina in response to state and local government needs for weather forecast interpretation and expert guidance in the event of severe weather.

Therapeutics targeting tumor immune escape: towards the development of new generation anticancer vaccines.

PubMed

Mocellin, Simone; Nitti, Donato

2008-05-01

Despite the evidence that immune effectors can play a significant role in controlling tumor growth under natural conditions or in response to therapeutic manipulation, it is clear that malignant cells evade immune surveillance in most cases. Considering that anticancer vaccination has reached a plateau of results and currently no vaccination regimen is indicated as a standard anticancer therapy, the dissection of the molecular events underlying tumor immune escape is the necessary condition to make anticancer vaccines a therapeutic weapon effective enough to be implemented in the routine clinical setting. Recent years have witnessed significant advances in our understanding of the molecular mechanisms underlying tumor immune escape. These mechanistic insights are fostering the development of rationally designed therapeutics aimed at reverting the immunosuppressive circuits that undermine an effective antitumor immune response. In this review, the best characterized mechanisms that allow cancer cells to evade immune surveillance are overviewed and the most debated controversies constellating this complex field are highlighted. In addition, the latest therapeutic strategies devised to overcome tumor immune escape are described, with special regard to those entering clinical phase investigation. Copyright (c) 2007 Wiley-Periodicals, Inc.

Human flesh search: a supplemental review.

PubMed

Chao, Chian-Hsueng; Tao, Yu-Hui

2012-07-01

Human flesh search (HFS), a phenomenon that has recently emerged over the Internet, represents the interaction between the virtual and real worlds. The term "HFS" is equivalent to "cyber manhunt" in the West, although there were more large-scale HFS events reported in the East recently. While the majority of academic articles on HFS have focused on the Chinese context, the phenomenon has also been reported in many countries and involves diverse issues such as the controversy between privacy violation and public opinion. Based on 16 HFS references, a review paper by Chen and Sharma summarizes core issues on growth, incidents, distinctive attributes, key benefits and drawbacks, findings, and research gaps and opportunities. Echoing their call for a global HFS context, the current article provides a Taiwanese HFS context based on 32 reported incidents in Taiwan. To conduct an incremental HFS review, this study expands the reference base to 33 carefully selected academic articles from China and Taiwan. The review findings range from 6 derived HFS perspectives supplementing each article, 12 frequently mentioned HFS concepts, and 4 additional research directions. The resulting comprehensive knowledge of HFS, along with that contributed by Chen and Sharma, can be considered a useful reference framework for future HFS studies and policy making.

Evolution and diversification of the Toxicofera reptile venom system.

PubMed

Fry, Bryan G; Vidal, Nicolas; van der Weerd, Louise; Kochva, Elazar; Renjifo, Camila

2009-03-06

The diversification of the reptile venom system has been an area of major research but of great controversy. In this review we examine the historical and modern-day efforts of all aspects of the venom system including dentition, glands and secreted toxins and highlight areas of future research opportunities. We use multidisciplinary techniques, including magnetic resonance imaging of venom glands through to molecular phylogenetic reconstruction of toxin evolutionary history, to illustrate the diversity within this integrated weapons system and map the timing of toxin recruitment events over the toxicoferan organismal evolutionary tree.

A Review and Analysis of the YODA Trials: What Can We Glean Clinically?

PubMed

Le, Michael E; Kurd, Mark F

2014-09-01

Medtronic's biologic, Infuse (rhBMP-2), was approved by the FDA in 2002. Since its approval, a whirlwind of controversy developed culminating in an investigation by the Senate Finance committee. These events led to a landmark agreement between Medtronic and Yale University to perform a comprehensive and unbiased analysis of all patient related data. The project was named the Yale Open Data Access (YODA). The purpose of this article is to evaluate the results of the YODA project and determine what is clinically meaningful.

Patent first, ask questions later: morality and biotechnology in patent law.

PubMed

Bagley, Margo A

2003-12-01

This Article explores the U.S. "patent first, ask questions later" approach to determining what subject matter should receive patent protection. Under this approach, the U.S. Patent and Trademark Office (USPTO or the Agency) issues patents on "anything under the sun made by man," and to the extent a patent's subject matter is sufficiently controversial, Congress acts retrospectively in assessing whether patents should issue on such interventions. This practice has important ramifications for morally controversial biotechnology patents specifically, and for American society generally. For many years a judicially created "moral utility" doctrine served as a type of gatekeeper of patent subject matter eligibility. The doctrine allowed both the USTPO and courts to deny patents on morally controversial subject matter under the fiction that such inventions were not "useful." The gate, however, is currently untended. A combination of the demise of the moral utility doctrine, along with expansive judicial interpretations of the scope of patent-eligible subject matter, has resulted in virtually no basis on which the USTPO or courts can deny patent protection to morally controversial, but otherwise patentable, subject matter. This is so despite position statements by the Agency to the contrary. Biotechnology is an area in which many morally controversial inventions are generated. Congress has been in react-mode following the issuance of a stream of morally controversial biotech patents, including patents on transgenic animals, surgical methods, and methods of cloning humans. With no statutory limits on patent eligibility, and with myriad concerns complicating congressional action following a patent's issuance, it is not Congress, the representative of the people, determining patent eligibility. Instead, it is patent applicants, scientific inventors, who are deciding matters of high public policy through the contents of the applications they file with the USTPO. This Article explores how the United States has come to be in this position, exposes latent problems with the "patent first" approach, and considers the benefits and disadvantages of the "ask questions first, patents later" approaches employed by some other countries. The Article concludes that granting patents on morally controversial biotech subject matter and then asking whether such inventions should be patentable is bad policy for the United States and its patent system, and posits workable, proactive ways for Congress to successfully guard the patent-eligibility gate.

Tracking the location of visuospatial attention in a contingent capture paradigm.

PubMed

Leblanc, Emilie; Prime, David J; Jolicoeur, Pierre

2008-04-01

Currently, there is considerable controversy regarding the degree to which top-down control can affect attentional capture by salient events. According to the contingent capture hypothesis, attentional capture by a salient stimulus is contingent on a match between the properties of the stimulus and top-down attentional control settings. In contrast, bottom-up saliency accounts argue that the initial capture of attention is determined solely by the relative salience of the stimulus, and the effect of top-down attentional control is limited to effects on the duration of attentional engagement on the capturing stimulus. In the present study, we tested these competing accounts by utilizing the N2pc event-related potential component to track the locus of attention during an attentional capture task. The results were completely consistent with the contingent capture hypothesis: An N2pc wave was elicited only by distractors that possessed the target-defining attribute. In a second experiment, we expanded upon this finding by exploring the effect of target-distractor similarity on the duration that attention dwells at the distractor location. In this experiment, only distractors possessing the target-defining attribute (color) captured visuospatial attention to their location and the N2pc increased in duration and in magnitude when the capture distractor also shared a second target attribute (category membership). Finally, in three additional control experiments, we replicated the finding of an N2pc generated by distractors, only if they shared the target-defining attribute. Thus, our results demonstrate that attentional control settings influence both which stimuli attract attention and to what extent they are processed.

A self-limiting regulation of vasoconstrictor-activated TRPC3/C6/C7 channels coupled to PI(4,5)P2-diacylglycerol signalling

PubMed Central

Imai, Yuko; Itsuki, Kyohei; Okamura, Yasushi; Inoue, Ryuji; Mori, Masayuki X

2012-01-01

Activation of transient receptor potential (TRP) canonical TRPC3/C6/C7 channels by diacylglycerol (DAG) upon stimulation of phospholipase C (PLC)-coupled receptors results in the breakdown of phosphoinositides (PIPs). The critical importance of PIPs to various ion-transporting molecules is well documented, but their function in relation to TRPC3/C6/C7 channels remains controversial. By using an ectopic voltage-sensing PIP phosphatase (DrVSP), we found that dephosphorylation of PIPs robustly inhibits currents induced by carbachol (CCh), 1-oleolyl-2-acetyl-sn-glycerol (OAG) or RHC80267 in TRPC3, TRPC6 and TRPC7 channels, though the strength of the DrVSP-mediated inhibition (VMI) varied among the channels with a rank order of C7 > C6 > C3. Pharmacological and molecular interventions suggest that depletion of phosphatidylinositol 4,5-bisphosphate (PI(4,5)P2) is most likely the critical event for VMI in all three channels. When the PLC catalytic signal was vigorously activated through overexpression of the muscarinic type-I receptor (M1R), the inactivation of macroscopic TRPC currents was greatly accelerated in the same rank order as the VMI, and VMI of these currents was attenuated or lost. VMI was also rarely detected in vasopressin-induced TRPC6-like currents in A7r5 vascular smooth muscle cells, indicating that the inactivation by PI(4,5)P2 depletion underlies the physiological condition. Simultaneous fluorescence resonance energy transfer (FRET)-based measurement of PI(4,5)P2 levels and TRPC6 currents confirmed that VMI magnitude reflects the degree of PI(4,5)P2 depletion. These results demonstrate that TRPC3/C6/C7 channels are differentially regulated by depletion of PI(4,5)P2, and that the bimodal signal produced by PLC activation controls these channels in a self-limiting manner. PMID:22183723

Episodic Representations Support Early Semantic Learning: Evidence from Midazolam Induced Amnesia

ERIC Educational Resources Information Center

Merritt, Paul; Hirshman, Elliot; Zamani, Shane; Hsu, John; Berrigan, Michael

2006-01-01

Current controversy exists regarding the role of episodic representations in the formation of long-term semantic memories. Using the drug "midazolam" to induce temporary amnesia we tested participants' memories for newly learned facts in a semantic cue condition or an episodic and semantic cue condition. Following midazolam administration, memory…

The Problematics of Postmodernism: The Double-Voiced Honors Canon.

ERIC Educational Resources Information Center

McCracken, Tim

Honors education is not immune from the current controversy concerning the role of the literary canon. Indeed, the problem seems especially crucial for honors programs, for their curriculums are often multi-disciplinary in their approaches to culture and history. The solution may lie in what Linda Hutcheon calls the "poetics of the…

Guns and Violence. Current Controversies.

ERIC Educational Resources Information Center

Kim, Henny H., Ed.

This book focuses on gun violence and gun control, presenting both sides of arguments about firearms ownership and gun control. Each of five chapters poses a question about gun control and provides answers for both sides of the question. The following essays are included: (1) "Gun Violence Is Becoming an Epidemic" (Bob Herbert); (2) "Gun Violence…

Reach for Reference. No Opposition Here! Opposing Viewpoints Resource Center Is a Very Good Database

ERIC Educational Resources Information Center

Safford, Barbara Ripp

2004-01-01

"Opposing Viewpoints" and "Opposing Viewpoints Juniors" have long been standard titles in upper elementary, middle level, and high school collections. "Opposing Viewpoints Juniors" should be required as information literacy/critical thinking curriculum tools as early as fifth grade as they use current controversies to teach students how to…

Racially Biased Policing: Determinants of Citizen Perceptions

ERIC Educational Resources Information Center

Weitzer, Ronald; Tuch, Steven A.

2005-01-01

The current controversy surrounding racial profiling in America has focused renewed attention on the larger issue of racial bias by the police. Yet little is known about the extent of police racial bias and even less about public perceptions of the problem. This article analyzes recent national survey data on citizens' views of and reported…

Fundamentals of Orthodox Culture (FOC): A New Subject in Russia's Schools

ERIC Educational Resources Information Center

Willems, Joachim

2007-01-01

The question of religious education is one of the most controversial questions in the current discussions on religion and politics in Russia. Most notably a new subject, Fundamentals of Orthodox Culture (FOC), is of interest because it differs markedly from Western European approaches to religious education. Referring to "Culturology"…

Genetic Influences on Cognitive Function Using the Cambridge Neuropsychological Test Automated Battery

ERIC Educational Resources Information Center

Singer, Jamie J.; MacGregor, Alex J.; Cherkas, Lynn F.; Spector, Tim D.

2006-01-01

The genetic relationship between intelligence and components of cognition remains controversial. Conflicting results may be a function of the limited number of methods used in experimental evaluation. The current study is the first to use CANTAB (The Cambridge Neuropsychological Test Automated Battery). This is a battery of validated computerised…

Vitamin K supplementation does not prevent bone loss in ovariectomized Norway rats

USDA-ARS?s Scientific Manuscript database

Despite plausible biological mechanisms, the differential abilities of phylloquinone (PK) and menaquinones (MKn) to prevent bone loss remain controversial. The objective of the current study was to compare the effects of PK, menaquinone-4 (MK-4) and menaquinone-7(MK-7) on the rate of bone loss in o...

Longitudinal Study of Self-Esteem in Children from 7-11 Years.

ERIC Educational Resources Information Center

Hoglund, Connie L.; Bell, Terece S.

A controversy currently exists in the literature regarding the stability of self-esteem across childhood. This ongoing study, initiated in 1987, was designed to respond to the limitations in the existing body of knowledge. It examines the influence of a variety of environmental variables, specifically home and school experiences, as well as…

Childhood Trauma Remembered: A Report on the Current Scientific Knowledge Base and Its Applications.

ERIC Educational Resources Information Center

Roth, Susan, Ed.; Friedman, Matthew J., Ed.

1998-01-01

Complex issues are involved in the controversy about memories of childhood sexual abuse. Questions of childhood trauma, traumatic memory, the memory process, clinical issues, and forensic implications are reviewed. This article is condensed and modified from a more comprehensive document prepared by and available from the International Society for…

Teachability of Communication Strategies: An Iranian Experience

ERIC Educational Resources Information Center

Maleki, Ataollah

2007-01-01

The possibility of teaching communication strategies and the feasibility of incorporating them into school syllabi have been a controversial issue. In the current study, 60 Iranian students were divided into two thirty-member classes; then two different textbooks, one with specific CS and the other without them, were chosen to be taught in the…

NCTQ Square-Off: Are Teachers Underpaid? Two Economists Tackle an Intractable Controversy

ERIC Educational Resources Information Center

Podgursky, Michael; Mishel, Lawrence

2005-01-01

Over the past year, two economists--Michael Podgursky, currently Middlebush Professor and Chairman in the Departmentof Economics at the University of Missouri-Columbia, and Lawrence Mishel, President of the Economic Policy Institute in Washington, D.C.--have been debating whether or not teachers are adequately paid, at least compared to other…

American Higher Education: A History. Second Edition

ERIC Educational Resources Information Center

Lucas, Christopher J.

2006-01-01

The roots of controversy surrounding higher education in the US extend deep into the past. This original, incisive history goes far in offering a needed sense of perspective on current debates over such issues as access, costs, academic quality, social equity, and curricula. Eminently readable and always lively, this timely historical account is…

Quality of Master's Education: A Concern for Counseling Psychology?

ERIC Educational Resources Information Center

Jackson, Margo A.; Scheel, Michael J.

2013-01-01

The authors offer an analysis of current challenges and opportunities regarding the long-standing issue about the quality and status of master's education relevant to training and practice in counseling psychology. Highlighted are historical context, controversies regarding licensure and accreditation (e.g., the 2009 Council for Accreditation…

Proceedings of the Sierra Nevada Science Symposium

Treesearch

Dennis D. Murphy; Peter A. Stine

2004-01-01

Land and resource management issues in the Sierra Nevada are becoming increasingly complex and controversial. The objective of the Sierra Nevada Science Symposium was to provide a synoptic overview of the current state of scientific knowledge related to key management issues. Attempts were made to tie recent scientific findings to applications in land management and...

Therapeutic issues of marijuana and THC (tetrahydrocannabinol).

PubMed

Ungerleider, J T; Andrysiak, T

1985-05-01

This article summarizes current knowledge about the medicinal value of cannabis and its principal psychoactive ingredient, delta 9-tetrahydrocannabinol (THC), particularly in the control of nausea and vomiting, in glaucoma, and in reduction of spasticity in multiple sclerosis. The major issues in the controversy about marijuana and medicine, primarily moral and ethical, are discussed.

The Impact of Term-Time Working on College Outcomes in China

ERIC Educational Resources Information Center

Guo, Fei

2014-01-01

This dissertation study focuses on a current and controversial phenomenon in Chinese universities and colleges--student working during academic semesters. The massification of Chinese higher education since the year of 1999 raises the level of competition in the job market of college graduates. More and more undergraduate students participate in…

Going Public: Schooling for a Diverse Democracy.

ERIC Educational Resources Information Center

Renyi, Judith

Questions of what to teach and what ought to be taught in the public schools are explored. Before addressing the current controversy about content in education, it is important to know as precisely as possible what has actually been taught and whether the teachings have been effective. The content of school history, literature, and language is…

Nullification: The Jury's Controversial Power. Teaching with the News.

ERIC Educational Resources Information Center

Landman, James

2001-01-01

Focuses on the topic of jury nullification. Explores its origins and presents arguments for and against its use in the courtroom. Includes additional resources, such as: books, articles, a video, relevant recent cases, and other resources. Suggests that teachers can alert their students to current cases that may utilize jury nullification. (CMK)

Social Justice and Career Guidance in the Age of Talent

ERIC Educational Resources Information Center

Arthur, Nancy

2014-01-01

The practice of career guidance is heavily influenced by changes in the workplace impacted by globalization and fluctuating economies. In the current era, known as the Age of Talent, people are increasingly viewed as commodities to fulfill labor market needs. There are controversies and inequities about who has access to meaningful employment and…

Improving Clinical Teaching: The ADN Experience. Pathways to Practice.

ERIC Educational Resources Information Center

Haase, Patricia T.; And Others

Three Florida associate degree in nursing (ADN) demonstration projects of the Nursing Curriculum Project (NCP) are described, and the history of the ADN program and current controversies are reviewed. In 1976, the NCP of the Southern Regional Education Board issued basic assumptions about the role of the ADN graduate, relating them to client…

Moral Education between Hope and Hopelessness: The Legacy of Janusz Korczak

ERIC Educational Resources Information Center

Efron, Sara Efrat

2008-01-01

The responsibility for addressing morality and moral education in the current moral climate is a daunting task for conscientious educators. What educational response can extricate us from the debilitating feelings of hopelessness and helplessness as we are confronted by horrific terrorist actions, controversial use of military might, displays of…

Initial and Ongoing Teacher Preparation and Support: Current Problems and Possible Solutions

ERIC Educational Resources Information Center

Johnson, Harold A.

2013-01-01

The effective initial preparation and ongoing support of teachers of students who are deaf and hard of hearing has always been a difficult and controversial task. Changes in student demographic characteristics and educational settings, combined with the rapidly diminishing number and diversity of deaf education teacher preparation (DETP) programs,…

Factors Influencing the Use of Psychotropic Medication for Challenging Behaviour in the United Kingdom: A Q Method Investigation

ERIC Educational Resources Information Center

Wastell, Sarah; Skirrow, Paul; Hare, Dougal Julian

2016-01-01

Objectives: The use of pharmacological interventions to manage challenging behaviour displayed by adults with intellectual disabilities remains controversial, with current clinical guidelines in the United Kingdom advocating the use of less invasive psychological interventions. This exploratory study aimed to discover what views and beliefs are…

Educational Reforms in Morocco: Evolution and Current Status

ERIC Educational Resources Information Center

Llorent-Bedmar, Vicente

2014-01-01

Since 1956, the year in Morocco achieved independence, until now, the school system has been the subject of many discussions and controversies in the most varied areas of the country. We provide data on the educational situation. We analyze the reforms from a critical perspective, ending with final proposals. He underlined that the sector was…

A Review of Three Controversial Educational Practices: Perceptual Motor Programs, Sensory Integration, and Tinted Lenses

ERIC Educational Resources Information Center

Hyatt, Keith J.; Stephenson, Jennifer; Carter, Mark

2009-01-01

Children with disabilities have frequently participated in various interventions before the efficacy of those practices was scientifically validated. When subsequent scientific evidence failed to support particular practices, those that had already made inroads into the educational arena frequently continued to be used. Given the current emphasis…

Hopes, Fears, & Reality: A Balanced Look at American Charter Schools in 2006

ERIC Educational Resources Information Center

Lake, Robin J., Ed.; Hill, Paul T., Ed.

2006-01-01

This is the second annual report from the National Charter School Research Project (NCSRP) at the University of Washington's Center on Reinventing Public Education. Like last year's debut edition of Hopes, Fears, & Reality, the 2006 volume explores some of the most current and controversial issues facing the charter school movement. This…

Intercultural Competence: The Status and Future of a Controversial Concept

ERIC Educational Resources Information Center

Rathje, Stefanie

2007-01-01

The paper reviews the current state of research into the long-disputed concept of intercultural competence by evaluating its varying definitions in German debates. The superficial clarity of the concept is unmasked to reveal fundamental differences in the answers given to questions like: what is the goal of intercultural competence; is…

Constructive/Constructing Dialogue: Students, Teachers and the "Self" in the Writing Classroom.

ERIC Educational Resources Information Center

Hodgkins, Deborah

As current scholarship in composition is becoming increasingly influenced by post-structuralist theories of discourse, two approaches to teaching freshman composition compete with one another. At the heart of the controversy lies the question of the place of academic discourse in this pedagogy. The social constructionist approach (supported by…

Shaping Change in Attitudes: Self-Reflective Writing about Homosexuality.

ERIC Educational Resources Information Center

Lloyd, Charles

This paper discusses the reinvention of an existing course, Ancient Greek Civilization, to introduce undergraduates to current scholarship by inviting them to participate in the controversies which both divide and determine the discipline of classical studies. The paper states that the course is based on the philosophy in Gerald Graff's book,…

Teaching the Evolution of the Mind: Current Findings, Trends, and Controversies in Evolutionary Psychology

ERIC Educational Resources Information Center

Liddle, James R.; Shackelford, Todd K.

2011-01-01

As the burgeoning field of evolutionary psychology continues to gain exposure and acceptance throughout the psychological community, it is important to explain this field clearly and accurately to students. This article discusses some recent findings and trends in evolutionary psychological research to aid instructors in their efforts to provide…

Wundt on Introspection: Reflection on Current Controversy.

ERIC Educational Resources Information Center

Leahey, Thomas H.; And Others

Wilhelm Wundt provided a complete and concise description of his introspective method in a 1907 paper criticizing the thought experiments conducted by the Wurzburg psychologists. This major work is now being translated for the first time. For Wundt, the role of experimental method was to ensure the best conditions for observing and reporting…

Science-Technology-Society or Technology-Society-Science? Insights from an Ancient Technology

ERIC Educational Resources Information Center

Lee, Yeung Chung

2010-01-01

Current approaches to science-technology-society (STS) education focus primarily on the controversial socio-scientific issues that arise from the application of science in modern technology. This paper argues for an interdisciplinary approach to STS education that embraces science, technology, history, and social and cultural studies. By employing…

Chinese Education Examined via the Lens of Self-Determination

ERIC Educational Resources Information Center

Yu, Shi; Chen, Beiwen; Levesque-Bristol, Chantal; Vansteenkiste, Maarten

2018-01-01

Chinese education is controversial: it is not only lauded for Chinese students' high test achievements but also criticized for curbing students' deep learning and development into well-rounded individuals. In the current paper, we propose that self-determination theory (SDT) serves as a useful framework for anatomizing Chinese educational ecology,…

Science Teachers' Voice on Homework: Beliefs, Attitudes, and Behaviors

ERIC Educational Resources Information Center

Kukliansky, Ida; Shosberger, Itai; Eshach, Haim

2016-01-01

Homework (HW) is an integral part of the learning process. Currently, there is renewed interest and controversy about its effectiveness. The present study explores the voices of the science teachers on this matter. Adopting the view that reporting both teachers' views and actual classroom practices is necessary for obtaining a more complete view…

Spatial perception changes associated with space flight: implications for adaptation to altered inertial environments.

PubMed

Parker, Donald E

2003-01-01

Preparation for extended travel by astronauts within the Solar System, including a possible manned mission to Mars, requires more complete understanding of adaptation to altered inertial environments. Improved understanding is needed to support development and evaluation of interventions to facilitate adaptations during transitions between those environments. Travel to another planet escalates the adaptive challenge because astronauts will experience prolonged exposure to microgravity before encountering a novel gravitational environment. This challenge would have to be met without ground support at the landing site. Evaluation of current adaptive status as well as intervention efficacy can be performed using perceptual, eye movement and postural measures. Due to discrepancies of adaptation magnitude and time-course among these measures, complete understanding of adaptation processes, as well as intervention evaluation, requires examination of all three. Previous research and theory that provide models for comprehending adaptation to altered inertial environments are briefly examined. Reports from astronauts of selected pre- in- and postflight self-motion illusions are described. The currently controversial tilt-translation reinterpretation hypothesis is reviewed and possible resolutions to the controversy are proposed. Finally, based on apparent gaps in our current knowledge, further research is proposed to achieve a more complete understanding of adaptation as well as to develop effective counter-measures.

Current opinion and consensus statement regarding the diagnosis, prognosis, and treatment of patients with essential thrombocythemia: a survey of the Spanish Group of Ph-negative Myeloproliferative Neoplasms (GEMFIN) using the Delphi method.

PubMed

Besses, C; Hernández-Boluda, J C; Pérez Encinas, M; Raya, J M; Hernández-Rivas, J M; Jiménez Velasco, A; Martínez Lopez, J; Vicente, V; Burgaleta, C

2016-04-01

The current consensus on the diagnosis, prognosis, and treatment of essential thrombocythemia (ET) is based on experts' recommendations. However, several aspects of the diagnosis of, prognosis of, and therapy for ET are still controversial. The Delphi method was employed with an expert panel of members of the Spanish Group of Ph-negative Myeloproliferative Neoplasms in order to identify the degree of agreement on the diagnosis, prognosis, and treatment of ET. Nine leading experts selected a total of 41 clinical hematologists with well-known expertise in ET. An electronic questionnaire was used to collect the questions rated in a four-step scale. The questions were grouped into four blocks: diagnosis, risk stratification, goals of therapy, and treatment strategy. After the first round consisting of 80 questions, a second round including 14 additional questions focused on the recommendations advocated by experts of the European LeukemiaNet in 2011 was analyzed. The median and mean values for the first and second rounds were calculated. A summary of the conclusions considered as the most representative of each block of questions is presented. The Delphi method is a powerful instrument to address the current approaches and controversies surrounding ET.

Malignant pleural mesothelioma: history, controversy and future of a manmade epidemic.

PubMed

Røe, Oluf Dimitri; Stella, Giulia Maria

2015-03-01

Asbestos is the term for a family of naturally occurring minerals that have been used on a small scale since ancient times. Industrialisation demanded increased mining and refining in the 20th century, and in 1960, Wagner, Sleggs and Marchand from South Africa linked asbestos to mesothelioma, paving the way to the current knowledge of the aetiology, epidemiology and biology of malignant pleural mesothelioma. Pleural mesothelioma is one of the most lethal cancers, with increasing incidence worldwide. This review will give some snapshots of the history of pleural mesothelioma discovery, and the body of epidemiological and biological research, including some of the controversies and unresolved questions. Translational research is currently unravelling novel circulating biomarkers for earlier diagnosis and novel treatment targets. Current breakthrough discoveries of clinically promising noninvasive biomarkers, such as the 13-protein signature, microRNAs and the BAP1 mesothelioma/cancer syndrome, are highlighted. The asbestos history is a lesson to not be repeated, but here we also review recent in vivo and in vitro studies showing that manmade carbon nanofibres could pose a similar danger to human health. This should be taken seriously by regulatory bodies to ensure thorough testing of novel materials before release in the society. Copyright ©ERS 2015.

Diagnosis of Celiac Disease: Taking a Bite Out of the Controversy.

PubMed

Turner, Justine M

2018-06-01

Celiac disease is a common autoimmune disorder of the small intestine, triggered by an immunological response to the gluten present in wheat, barley, and rye in individuals who are genetically at risk. A key to reducing the complications of this disease is early diagnosis, preferably in childhood, and consuming a lifelong gluten-free diet once diagnosis is confirmed. Yet, the diagnosis of celiac disease is often considerably delayed, exposing patients to needless suffering and morbidity. It is also difficult to confirm histologically if dietary gluten has been restricted prior to obtaining a diagnostic biopsy, a significant problem given the current growing popularity of gluten-free diets. Furthermore, failure to understand or follow current guidelines means physicians may recommend patients commence the gluten-free diet before initiating referral to a gastroenterologist. Finally, adding further confusion, pediatric guidelines in Europe support a diagnosis based on serology rather than on histology, whereas those based in North America do not. The purpose of this review is to discuss these issues and other controversies in the diagnosis of celiac disease and to consider ways to optimize diagnosis across the lifespan.

The Battle for Iron between Humans and Microbes.

PubMed

Carver, Peggy L

2018-01-01

Iron is an essential micronutrient for bacteria, fungi, and humans; as such, each has evolved specialized iron uptake systems to acquire iron from the extracellular environment. To describe complex 'tug of war' for iron that has evolved between human hosts and pathogenic microorganisms in the battle for this vital nutrient. A review of current literature was performed, to assess current approaches and controversies in iron therapy and chelation in humans. In humans, sequestration (hiding) of iron from invading pathogens is often successful; however, many pathogens have evolved mechanisms to circumvent this approach. Clinically, controversy continues whether iron overload or administration of iron results in an increased risk of infection. The administration of iron chelating agents and siderophore- conjugate drugs to infected hosts seems a biologically plausible approach as adjunctive therapy in the treatment of infections caused by pathogens dependent on host iron supply (e.g. tuberculosis, malaria, and many bacterial and fungal pathogens); however, thus far, studies in humans have proved unsuccessful. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Recent developments and current controversies in depression.

PubMed

Ebmeier, Klaus P; Donaghey, Claire; Steele, J Douglas

2006-01-14

In this review of the last 5 years' developments in research into depression we focus on recent advances and current controversies. We cover epidemiology and basic science as well as the treatment of depression in adults in all its forms. Depression in , as well as in has been covered in recent Seminars in The Lancet. Depression in adulthood remains a very common and under-treated condition, resulting in a high degree of disability. Increasingly detailed knowledge about impairment of information processing in depression is being supplemented by quantitative studies of the brain processes underlying these impairments. Most patients improve with present treatments. The mechanisms of action of antidepressants are not fully understood; the hypothesis that reversing hippocampal cell loss in depression may be their active principle is a fascinating new development. Moral panic about the claim that antidepressant serotonin reuptake inhibitors cause patients to commit suicide and become addicted to their medication may have disconcerted the public and members of the medical profession. We will try to describe the considerable effort that has gone into collecting evidence to enlighten this debate.

Systematic Assessment of the Various Controversies, Difficulties, and Current Trends in the Reestablishment of Lost Occlusal Planes in Edentulous Patients

PubMed Central

Sahoo, S; Singh, D; Raghav, D; Singh, G; Sarin, A; Kumar, P

2014-01-01

Accurate occlusal plane orientation is an essential factor in the fabrication of complete denture prosthesis. Over the years, it has received a number of methodologies by several researchers utilizing various anatomical landmarks however none of them is considered as perfect that could orient ideal occlusal plane. The presented literature review is an attempt to enlighten historical perspectives, pioneer researches, different controversies, difficulties and current trends for re-establishment of lost occlusal plane in edentulous patients. An extensive literature search was performed using Medline/PubMed interface and other scholarly research bibliographic databases using Medical Subject Headings. Studies describing research studies, case series and assorted clinical reports were retrieved and evaluated from 1963 to 2013. Most of the studies have suggest and evidence to consider Camper's plane for artificial orientation of occlusal plane however there is a substantial lack of genuine long term studies and authentic data that could recommend a single reliable landmark for perfect occlusal plane reorientation in a variety of cases. PMID:24971200

Publicly Available Online Tool Facilitates Real-Time Monitoring Of Vaccine Conversations And Sentiments.

PubMed

Bahk, Chi Y; Cumming, Melissa; Paushter, Louisa; Madoff, Lawrence C; Thomson, Angus; Brownstein, John S

2016-02-01

Real-time monitoring of mainstream and social media can inform public health practitioners and policy makers about vaccine sentiment and hesitancy. We describe a publicly available platform for monitoring vaccination-related content, called the Vaccine Sentimeter. With automated data collection from 100,000 mainstream media sources and Twitter, natural-language processing for automated filtering, and manual curation to ensure accuracy, the Vaccine Sentimeter offers a global real-time view of vaccination conversations online. To assess the system's utility, we followed two events: polio vaccination in Pakistan after a news story about a Central Intelligence Agency vaccination ruse and subsequent attacks on health care workers, and a controversial episode in a television program about adverse events following human papillomavirus vaccination. For both events, increased online activity was detected and characterized. For the first event, Twitter response to the attacks on health care workers decreased drastically after the first attack, in contrast to mainstream media coverage. For the second event, the mainstream and social media response was largely positive about the HPV vaccine, but antivaccine conversations persisted longer than the provaccine reaction. Using the Vaccine Sentimeter could enable public health professionals to detect increased online activity or sudden shifts in sentiment that could affect vaccination uptake. Project HOPE—The People-to-People Health Foundation, Inc.

Poorly Differentiated Thyroid Carcinoma.

PubMed

Setia, Namrata; Barletta, Justine A

2014-12-01

Poorly differentiated thyroid carcinoma (PDTC) has been recognized for the past 30 years as an entity showing intermediate differentiation and clinical behavior between well-differentiated thyroid carcinomas (ie, papillary thyroid carcinoma and follicular thyroid carcinoma) and anaplastic thyroid carcinoma; however, there has been considerable controversy around the definition of PDTC. In this review, the evolution in the definition of PDTC, current diagnostic criteria, differential diagnoses, potentially helpful immunohistochemical studies, and molecular alterations are discussed with the aim of highlighting where the diagnosis of PDTC currently stands. Published by Elsevier Inc.

The first rotavirus vaccine and the politics of acceptable risk.

PubMed

Schwartz, Jason L

2012-06-01

Vaccination in the United States is a frequent source of controversy, with critics alleging failures by public health officials to adequately identify, monitor, and respond to risks associated with vaccines. In response to these charges, the case of RotaShield, a vaccine withdrawn in 1999 following confirmation of a serious adverse event associated with its use, is regularly invoked as evidence of the effectiveness of current vaccine safety activities. This article examines the history of RotaShield, with particular attention paid to decision making regarding its use in the United States and internationally. I reviewed and analyzed federal advisory committee meeting transcripts, international conference reports, government and scientific publications, media coverage, and other primary and secondary source materials. I also conducted six semistructured interviews with former senior officials and advisory committee members at the U.S. Centers for Disease Control and Prevention who participated in decisions regarding the vaccine. Decision making regarding RotaShield, including the ultimate withdrawal of its recommendation for use, was shaped significantly by government health officials' concern for preserving public confidence in overall U.S. vaccination efforts amid several unrelated vaccine risk controversies ongoing at that time. This attention to public perception and external pressures occurred in tandem with the evaluation of the quantitative evidence regarding the magnitude and severity of the risk associated with the vaccine. The decisions made in the United States resulted in foreseen but unintended consequences for international use of the vaccine, including in nations where the profile of risks and potential benefits was dramatically different. As enthusiasm for evidence-based decision making grows throughout medicine and public health, greater explicit attention should be directed to the processes by which decision makers and their expert advisers evaluate such evidence and translate it into regulation and policy by means of qualitative judgments. © 2012 Milbank Memorial Fund.

The First Rotavirus Vaccine and the Politics of Acceptable Risk

PubMed Central

Schwartz, Jason L

2012-01-01

Context Vaccination in the United States is a frequent source of controversy, with critics alleging failures by public health officials to adequately identify, monitor, and respond to risks associated with vaccines. In response to these charges, the case of RotaShield, a vaccine withdrawn in 1999 following confirmation of a serious adverse event associated with its use, is regularly invoked as evidence of the effectiveness of current vaccine safety activities. Methods This article examines the history of RotaShield, with particular attention paid to decision making regarding its use in the United States and internationally. I reviewed and analyzed federal advisory committee meeting transcripts, international conference reports, government and scientific publications, media coverage, and other primary and secondary source materials. I also conducted six semistructured interviews with former senior officials and advisory committee members at the U.S. Centers for Disease Control and Prevention who participated in decisions regarding the vaccine. Findings Decision making regarding RotaShield, including the ultimate withdrawal of its recommendation for use, was shaped significantly by government health officials’ concern for preserving public confidence in overall U.S. vaccination efforts amid several unrelated vaccine risk controversies ongoing at that time. This attention to public perception and external pressures occurred in tandem with the evaluation of the quantitative evidence regarding the magnitude and severity of the risk associated with the vaccine. The decisions made in the United States resulted in foreseen but unintended consequences for international use of the vaccine, including in nations where the profile of risks and potential benefits was dramatically different. Conclusions As enthusiasm for evidence-based decision making grows throughout medicine and public health, greater explicit attention should be directed to the processes by which decision makers and their expert advisers evaluate such evidence and translate it into regulation and policy by means of qualitative judgments. PMID:22709389

Sugars and Health Controversies: What Does the Science Say?123

PubMed Central

Rippe, James M; Angelopoulos, Theodore J

2015-01-01

The consumption of sugar and its relation to various potential adverse health consequences are the subjects of considerable debate and controversy. This supplement to Advances in Nutrition provides an expanded summary of a symposium held on 26 April 2014 entitled “Sugars and Health Controversies: What Does the Science Say?” as part of the ASN Scientific Sessions and Annual Meeting at Experimental Biology 2014. The articles in the supplement discuss results of current systematic reviews and meta-analyses as well as randomized controlled trials and draw implications for public policy considerations. In addition, future research gaps are identified. Current research trials conducted with commonly consumed sugars [e.g., sucrose and high-fructose corn syrup (HFCS)] do not support a unique relation to obesity, metabolic syndrome, diabetes, risk factors for heart disease, or nonalcoholic fatty liver disease. Neurologic differences in response to studies that used pure fructose compared with pure glucose have not been confirmed using typical sugars that are consumed (i.e., sucrose and HFCS), which contain ∼50% glucose and fructose. We conclude that added sugars consumed in the normal forms in which humans consume them, at amounts typical of the human diet and for the time period studied in randomized controlled trials, do not result in adverse health consequences. Although more research trials are needed in many areas of sugar consumption and health, there is little scientific justification for recommending restricting sugar consumption below the reasonable upper limit recommended by the Dietary Guidelines for Americans, 2010 of no more than 25% of calories.

Mitochondrial dynamics and Parkinson's disease: focus on parkin.

PubMed

Lim, Kah-Leong; Ng, Xiao-Hui; Grace, Lim Gui-Yin; Yao, Tso-Pang

2012-05-01

Parkinson's disease (PD) is a prevalent neurodegenerative disease affecting millions of individuals worldwide. Despite intensive efforts devoted to drug discovery, the disease remains incurable. To provide more effective medical therapy for PD, better understanding of the underlying causes of the disease is clearly necessary. A broad range of studies conducted over the past few decades have collectively implicated aberrant mitochondrial homeostasis as a key contributor to the development of PD. Supporting this, mutations in several PD-linked genes are directly or indirectly linked to mitochondrial dysfunction. In particular, recent discoveries have identified parkin, whose mutations are causative of recessive parkinsonism, as a key regulator of mitochondrial homeostasis. Parkin appears to be involved in the entire spectrum of mitochondrial dynamics, including organelle biogenesis, fusion/fission, and clearance via mitophagy. How a single protein can regulate such diverse mitochondrial events is as intriguing as it is amazing; the mechanism underlying this is currently under intense research. Here, we provide an overview of mitochondrial dynamics and its relationship with neurodegenerative diseases and discuss current evidence and controversies surrounding the role of parkin in mitochondrial quality control and its relevance to PD pathogenesis. Although the emerging field of parkin-mediated mitochondrial quality control has proven to be exciting, it is important to recognize that PD pathogenesis is likely to involve an intricate network of interacting pathways. Elucidating the reciprocity of pathways, particularly how other PD-related pathways potentially influence mitochondrial homeostasis, may hold the key to therapeutic development.

A sequence of 'factishes': the media-metaphorical knowledge dynamics structuring the German press coverage of the human genome.

PubMed

Doring, Martin

2005-12-01

This article deals with the cultural framing of the near sequencing of the human genome and its impact on the media coverage in Germany. It investigates in particular the way in which the weekly journal Die Zeit and the daily newspaper Frankfurter Rundschau reported this media event and its aftermath between June 2000 and June 2001. Both newspapers are quality papers that played an essential role in framing the human genome debate--alongside the Frankfurter Allgemeine Zeitung--which became the most prominent genomic forum. The decoding of the human genome prompted a huge controversy concerning the ethics of human engineering, research on stem cells and Preimplantation Genetic Diagnosis. The main aim of this article is to show how this controversy was structured by metaphor. The media coverage of the genome generated DNA-factishes--a neologism designating the ambivalence of something as fact (fait) and as a fetish (fetiche)--that mostly propagated images of a new DNA-scienticism or biological determinism. Mediated by cultural experiences, the human genome became a highly artificial and social construct of a 'NatureCulture'.

Value Production in a Collaborative Environment. Sociophysical Studies of Wikipedia

NASA Astrophysics Data System (ADS)

Yasseri, Taha; Kertész, János

2013-05-01

We review some recent endeavors and add some new results to characterize and understand underlying mechanisms in Wikipedia (WP), the paradigmatic example of collaborative value production. We analyzed the statistics of editorial activity in different languages and observed typical circadian and weekly patterns, which enabled us to estimate the geographical origins of contributions to WPs in languages spoken in several time zones. Using a recently introduced measure we showed that the editorial activities have intrinsic dependencies in the burstiness of events. A comparison of the English and Simple English WPs revealed important aspects of language complexity and showed how peer cooperation solved the task of enhancing readability. One of our focus issues was characterizing the conflicts or edit wars in WPs, which helped us to automatically filter out controversial pages. When studying the temporal evolution of the controversiality of such pages we identified typical patterns and classified conflicts accordingly. Our quantitative analysis provides the basis of modeling conflicts and their resolution in collaborative environments and contribute to the understanding of this issue, which becomes increasingly important with the development of information communication technology.

Which hadronic decay modes are good for {eta}{sub b} searching: Double J/{psi} or something else?

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

Jia Yu

2008-09-01

It has been controversial whether {eta}{sub b} can be discovered in Tevatron Run 2 through the decay {eta}{sub b}{yields}J/{psi}J/{psi} followed by J/{psi}{yields}{mu}{sup +}{mu}{sup -}. I clear this controversy by an explicit calculation which predicts Br[{eta}{sub b}{yields}J/{psi}J/{psi}] to be of order 10{sup -8}. It is concluded that observing {eta}{sub b} through this decay mode in Tevatron Run 2 may be rather unrealistic. The {eta}{sub b} may be observed in the forthcoming CERN LHC experiments through the 4-lepton channel, if the background events can be significantly reduced by imposing some kinematical cuts. By some rough but plausible considerations, I find that themore » analogous decay processes {eta}{sub b}{yields}VV, D*D* also have very suppressed branching ratios; nevertheless it may be worth looking for {eta}{sub b} at LHC and Super B factory through the decay modes {eta}{sub b}{yields}K{sub S}K{sup {+-}}{pi}{sup {+-}}, D*D.« less

Controversies regarding the new oral anticoagulants for stroke prevention in patients with atrial fibrillation.

PubMed

Mohanty, Bibhu D; Looser, Patrick M; Gokanapudy, Lakshmi R; Handa, Rishi; Mohanty, Sudipta; Choi, Sharon S; Goldman, Martin E; Fuster, Valentin; Halperin, Jonathan L

2014-06-01

Increasing use of the new oral anticoagulants (NOACs) - dabigatran, rivaroxaban, and apixaban - has prompted considerable discussion in the medical community even as warfarin remains the mainstay of therapy. This article raises 10 controversial issues regarding the use of NOACs for stroke prevention in patients with atrial fibrillation, and offers a review of the latest available evidence. We provide a brief overview of the mechanism and dosing of these drugs, as well as a summary of the key clinical trials that have brought them into the spotlight. Comparative considerations relative to warfarin such as NOAC safety, efficacy, bleeding risk, reversibility, drug-transitioning and use in patients well controlled on warfarin are addressed. Use in select populations such as the elderly, those with coronary disease, renal impairment, or on multiple anti-platelet drugs is also discussed. Finally, we consider such specific issues as comparative efficacy, off-label use, cost, rebound and management during events. Ultimately, the rise of the NOACs to mainstream use will depend on further data and clinical experience amongst the medical community. © The Author(s) 2014.

Preoperative biliary drainage using a fully covered self-expandable metallic stent for pancreatic head cancer: A prospective feasibility study.

PubMed

Togawa, Osamu; Isayama, Hiroyuki; Kawakami, Hiroshi; Nakai, Yousuke; Mohri, Dai; Hamada, Tsuyoshi; Kogure, Hirofumi; Kawakubo, Kazumichi; Sakamoto, Naoya; Koike, Kazuhiko; Kita, Hiroto

2018-01-01

The role of endoscopic preoperative biliary drainage (PBD) for pancreatic head cancer is controversial because of the high incidence of stent occlusion before surgery. This study was performed to evaluate the feasibility and safety of PBD using a fully covered self-expandable metallic stent (FCSEMS). This multicenter prospective study involved 26 patients treated for pancreatic head cancer with distal bile duct obstruction from April 2011 to March 2013. An FCSEMS was endoscopically placed in 24 patients. Among these, 7 patients were diagnosed with unresectable cancer, and 17 underwent surgery at a median of 18 days after FCSEMS placement. The main outcome measure was preoperative and postoperative adverse events. Two adverse events (cholecystitis and insufficient resolution of jaundice) occurred between FCSEMS placement and surgery (12%). Postoperative adverse events occurred in eight patients (47%). The cumulative incidence of stent-related adverse events 4 and 8 weeks after FCSEMS placement among the 24 patients who underwent this procedure were 19%. PBD using an FCSEMS is feasible in patients with resectable pancreatic head cancer. Placement of an FCSEMS can be an alternative PBD technique when surgery without delay is impossible. A larger randomized controlled trial is warranted.

Coupling Protein Dynamics with Proton Transport in Human Carbonic Anhydrase II

PubMed Central

2016-01-01

The role of protein dynamics in enzyme catalysis is one of the most highly debated topics in enzymology. The main controversy centers around what may be defined as functionally significant conformational fluctuations and how, if at all, these fluctuations couple to enzyme catalyzed events. To shed light on this debate, the conformational dynamics along the transition path surmounting the highest free energy barrier have been herein investigated for the rate limiting proton transport event in human carbonic anhydrase (HCA) II. Special attention has been placed on whether the motion of an excess proton is correlated with fluctuations in the surrounding protein and solvent matrix, which may be rare on the picosecond and subpicosecond time scales of molecular motions. It is found that several active site residues, which do not directly participate in the proton transport event, have a significant impact on the dynamics of the excess proton. These secondary participants are shown to strongly influence the active site environment, resulting in the creation of water clusters that are conducive to fast, moderately slow, or slow proton transport events. The identification and characterization of these secondary participants illuminates the role of protein dynamics in the catalytic efficiency of HCA II. PMID:27063577

Current Events and the International Relations Curriculum: Instructional Strategies.

ERIC Educational Resources Information Center

Chernotsky, Harry I.

One of the most significant challenges confronting college instructors who teach international politics survey courses is the coverage of current events issues and how to stimulate student interest about the issues. This paper describes two techniques, a current events sweepstakes and a Great Decisions roundtable, designed to infuse current events…

Controversies related to electromagnetic field exposure on peripheral nerves.

PubMed

Say, Ferhat; Altunkaynak, Berrin Zuhal; Coşkun, Sina; Deniz, Ömür Gülsüm; Yıldız, Çağrı; Altun, Gamze; Kaplan, Arife Ahsen; Kaya, Sefa Ersan; Pişkin, Ahmet

2016-09-01

Electromagnetic field (EMF) is a pervasive environmental presence in modern society. In recent years, mobile phone usage has increased rapidly throughout the world. As mobile phones are generally held close to the head while talking, studies have mostly focused on the central and peripheral nervous system. There is a need for further research to ascertain the real effect of EMF exposure on the nervous system. Several studies have clearly demonstrated that EMF emitted by cell phones could affect the systems of the body as well as functions. However, the adverse effects of EMF emitted by mobile phones on the peripheral nerves are still controversial. Therefore, this review summarizes current knowledge on the possible positive or negative effects of electromagnetic field on peripheral nerves. Copyright © 2015 Elsevier B.V. All rights reserved.

Unicameral bone cysts: general characteristics and management controversies.

PubMed

Pretell-Mazzini, Juan; Murphy, Robert Francis; Kushare, Indranil; Dormans, John P

2014-05-01

Unicameral bone cysts are benign bone lesions that are often asymptomatic and commonly develop in the proximal humerus and femur of skeletally immature patients. The etiology of these lesions remains unknown. Most patients present with a pathologic fracture, but these cysts can be discovered incidentally, as well. Radiographically, a unicameral bone cyst appears as a radiolucent lesion with cortical thinning and is centrally located within the metaphysis. Although diagnosis is frequently straightforward, management remains controversial. Because the results of various management methods are heterogeneous, no single method has emerged as the standard of care. New minimally invasive techniques involve cyst decompression with bone grafting and instrumentation. These techniques have yielded promising results, with low rates of complications and recurrence reported; however, prospective clinical trials are needed to compare these techniques with current evidence-based treatments.

Controversies in the Treatment of Early Stage Endometrial Carcinoma

PubMed Central

Press, Joshua Z.; Gotlieb, Walter H.

2012-01-01

Despite the publication of numerous studies, including some multicentered randomized controlled trials, there continues to be vigorous debate regarding the optimal management of early stage endometrial cancer, including the extent of surgery and the role of adjuvant chemotherapy and radiation. Resolving these questions has become increasingly important in view of the increase of endometrial cancer, related to the aging population and the alarming incidence of obesity. Furthermore, there are more surgical challenges encountered when operating on elderly patients or on patients with increased BMI and the associated comorbidities, such as diabetes, hypertension, heart disease, and pulmonary dysfunction. This paper will focus on the advantages of minimally invasive surgery, the value of lymphadenectomy including sentinel lymph node mapping, and some of the current controversies surrounding adjuvant chemotherapy and radiation. PMID:22685466

What is the role of covert infection in detrusor overactivity, and other LUTD? ICI-RS 2013.

PubMed

Moore, Kate H; Malykhina, Anna P

2014-06-01

A think tank was convened at the fourth ICI-RS meeting, which took place June 5-7, 2013 in Bristol UK, to consider current evidence and controversies surrounding the possible role of 'covert infection' in the pathophysiology of refractory detrusor overactivity (DO) and other lower urinary tract disorders (LUTD). The topic was chosen because several authors from different centers worldwide have recently published evidence which supports this concept. However, to date there is inconsistency regarding terminology and microbiological definitions, which were discussed by the participants. The mechanisms whereby infection/inflammation could actually promote aberrant detrusor contractions in the human remain controversial, and are more fully described in this report. Future requirements for research into this topic were outlined. © 2014 Wiley Periodicals, Inc.

How many upper Eocene microspherule layers: More than we thought

NASA Technical Reports Server (NTRS)

Hazel, Joseph E.

1988-01-01

The scientific controversy over the origin of upper Eocene tektites, microtektites and other microspherules cannot be logically resolved until it is determined just how many events are involved. The microspherule-bearing beds in marine sediments have been dated using standard biozonal techniques. Although a powerful stratigraphic tool, zonal biostratigraph has its limitations. One is that if an event, such as a microspherule occurrence, is observed to occur in a zone at one locality and then a similar event observed in the same zone at another locality, it still may be unwarranted to conclude that these events exactly correlate. To be in a zone a sample only need be between the fossil events that define the zone boundaries. It is often very difficult to accurately determine where within a zone one might be. Further, the zone defining events do not everywhere occur at the same points in time. That is, the ranges of the defining taxa are not always filled. Thus, the length of time represented by a zone (but not, of course, its chronozone) can vary from place to place. These problems can be offset by use of chronostratigraphic modelling techniques such as Graphic Correlation. This technique was used to build a Cretaceous and Cenozoic model containing fossil, magnetopolarity, and other events. The scale of the model can be demonstrated to be linear with time. This model was used to determine the chronostratigraphic position of upper Eocene microspherule layers.

Submarine Pyroclastic Flow Deposits; July 2003 Dome Collapse Event of the Soufrière Hills Volcano, Montserrat, West Indies

NASA Astrophysics Data System (ADS)

Trofimovs, J.; Sparks, S.; Talling, P.

2006-12-01

What happens when pyroclastic flows enter the ocean? To date, the subject of submarine pyroclastic flow behaviour has been controversial. Ambiguity arises from inconclusive evidence of a subaqueous depositional environment in ancient successions, to difficulty in sampling the in situ products of modern eruptions. A research voyage of the RRS James Clark Ross (9-18 May 2005) sampled 52 sites offshore from the volcanic island of Montserrat. The Soufrière Hills volcano, Montserrat, has been active since 1995 with eruptive behaviour dominated by andesite lava dome growth and collapse. Over 90% of the pyroclastic material produced has been deposited into the ocean. In July 2003 the Soufrière Hills volcano produced the largest historically documented dome collapse event. 210 x 106 m3 of pyroclastic material avalanched down the Tar River Valley, southeast Montserrat, to be deposited into the ocean. Bathymetric imaging and coring of offshore pyroclastic deposits, with a specific focus on the July 2003 units, reveals that the pyroclastic flows mix rapidly and violently with the water as they enter the ocean. Mixing takes place between the shore and 500 m depth where the deposition of basal coarse-grained parts of the flow initiates on slopes of 15° or less. The coarse components (pebbles to boulders) are deposited proximally from dense basal slurries to form steep sided, near linear ridges that amalgamate to form a kilometer-scale submarine fan. These proximal deposits contain <1% of ash-grade material. The finer components (dominantly ash-grade) are mixed into the overlying water column to form turbidity currents that flow distances >40 km from source. The total volume of pyroclastic material deposited within the submarine environment during this event exceeds 170 x 106 m3, with 65% deposited in proximal lobes and 35% deposited as distal turbidites. This broadly correlates with the block and ash components respectively, of the source subaerial pyroclastic flow. However, the efficient sorting and physical differentiation of the submarine flows, in comparison to the original mixture of their subaerial counterparts, suggests that the pyroclastic flows mix thoroughly with seawater and generate sediment gravity currents which are stratified in grain size and concentration.

Major unconformities/termination of extension events and associated surfaces in the South China Seas: Review and implications for tectonic development

NASA Astrophysics Data System (ADS)

Morley, C. K.

2016-04-01

The distribution of unconformities and end of Cenozoic rifting events in the South China Seas (SCS) reflects both the modes of rift development, and the effects of driving mechanisms. Continental rifting began in the eastern basins during the Paleocene, and propagated westwards to the Vietnam basin margin in the Late Eocene. Continental breakup around 32-28 Ma caused a regional reduction or cessation in extensional activity, particularly affecting basins furthest from the spreading centre. Basins in the slope and deepwater area north of the spreading centre exhibit reduced fault activity until 21-20 Ma. Propagation of oceanic crust westwards between ∼25 and 23 Ma, and termination of seafloor spreading sometime between 20.5 and 16 Ma affected fault activity in the Qiongdongnan, and Nam Con Song basins. In the Phu Khanh Basin and South, in the Dangerous Grounds area, extension continued until about 16 Ma, ending at the Red Unconformity. The end of seafloor spreading around 20.5 Ma reflects loss of extensional driving force as thinned continental crust entered the NW Borneo subduction zone. Controversially, a key component of the driving force maybe attributed to slab-pull. A transitional period of about 5-7 my between the onset of subduction of continental crust, and final jamming of the subduction zone (Deep Regional Unconformity, DRU) is inferred. The last pulse of extension was focussed in the western SCS, and terminated around 10.5 Ma. Detailed understanding of proto South China Seas development remains uncertain and controversial.

Field-aligned currents associated with multiple arc systems

NASA Astrophysics Data System (ADS)

Wu, J.; Knudsen, D. J.; Gillies, D. M.; Donovan, E.; Burchill, J. K.

2016-12-01

It is often thought that auroral arcs are a direct consequence of upward field-aligned currents. In fact, the relation between currents and brightness is more complicated. Multiple auroral arc systems provide and opportunity to study this relation in detail; this information can be used as a test of models for quasi-static arc formation. In this study, we have identified two types of FAC configurations in multiple parallel arc systems using ground-based optical data from the THEMIS all-sky imagers (ASIs), magnetometers and electric field instruments onboard the Swarm satellites during the period from December 2013 to March 2015. In type 1 events, each arc is an intensification within a broad, unipolar current sheet and downward currents only exist outside the upward current sheet. In type 2 events, multiple arc systems represent a collection of multiple up/down current pairs. By collecting 12 events for type 1 and 17 events for type 2, we find that (1) Type 1 events are mainly located between 22-23MLT. Type 2 events are mainly located around midnight. (2) The typical size of upward and downward FAC in type 2 events are comparable, while upward FAC in type 1 events are larger than downward FAC. (3) Upward currents with more arcs embedded have larger intensities and widths. (4) There is no significant difference between the characteristic widths of multiple arcs and single arcs.

Re-visioning evidence: Reflections on the recent controversy around gender selective abortion in the UK.

PubMed

Unnithan, Maya; Dubuc, Sylvie

2018-06-01

Reports in the British media over the last 4 years have highlighted the schisms and contestations that have accompanied the reports of gender selective abortions amongst British Asian families. The position that sex-selection may be within the terms of the 1967 Abortion Act has particularly sparked controversy amongst abortion campaigners and politicians but equally among medical practitioners and the British Pregnancy Advisory Service who have hitherto tended to stay clear of such debates. In what ways has the controversy around gender-based abortion led to new framings of the entitlement to service provision and new ways of thinking about evidence in the context of reproductive rights? We reflect on these issues drawing on critiques of what constitutes best evidence, contested notions of reproductive rights and reproductive governance, comparative work in India and China as well as our involvement with different groups of campaigners including British South Asian NGOs. The aim of the paper is to situate the medical and legal provision of abortion services in Britain within current discursive practices around gender equality, ethnicity, reproductive autonomy, probable and plausible evidence, and policies of health reform.

Staggering successes amid controversy in California water management

NASA Astrophysics Data System (ADS)

Lund, J. R.

2012-12-01

Water in California has always been important and controversial, and it probably always will be. California has a large, growing economy and population in a semi-arid climate. But California's aridity, hydrologic variability, and water controversies have not precluded considerable economic successes. The successes of California's water system have stemmed from the decentralization of water management with historically punctuated periods of more centralized strategic decision-making. Decentralized management has allowed California's water users to efficiently explore incremental solutions to water problems, ranging from early local development of water systems (such as Hetch Hetchy, Owens Valley, and numerous local irrigation projects) to more contemporary efforts at water conservation, water markets, wastewater reuse, and conjunctive use of surface and groundwater. In the cacophony of local and stakeholder interests, strategic decisions have been more difficult, and consequently occur less frequently. California state water projects and Sacramento Valley flood control are examples where decades of effort, crises, floods and droughts were needed to mobilize local interests to agree to major strategic decisions. Currently, the state is faced with making strategic environmental and water management decisions regarding its deteriorating Sacramento-San Joaquin Delta. Not surprisingly, human uncertainties and physical and fiscal non-stationarities dominate this process.

The Controversy over Controversies: A Plea for Flexibility and for "Soft-Directive" Teaching

ERIC Educational Resources Information Center

Warnick, Bryan R.; Spencer Smith, D.

2014-01-01

A controversy rages over the question of how should controversial topics be taught. Recent work has advanced the "epistemic criterion" as the resolution to this controversy. According to the epistemic criterion, a matter should be taught as controversial when contrary views can be entertained on the matter without the views being…

Directional Characteristics of Inner Shelf Internal Tides

DTIC Science & Technology

2007-06-01

Figure 18. YD 202-206 Current vector plot of significant events. Significant events include internal tidal bores, solibores, and solitons . The upper...Events (Bores, Solibores, and Solitons ): Upper column leading-edge cross-shore current velocity and cross-shore wind regression. The small ellipse...Significant Events (Bores, Solibores, and Solitons ): Upper column leading-edge along-shore current velocity and along-shore wind regression. The small

Review of CO₂ as a Euthanasia Agent for Laboratory Rats and Mice.

PubMed

Boivin, Gregory P; Hickman, Debra L; Creamer-Hente, Michelle A; Pritchett-Corning, Kathleen R; Bratcher, Natalie A

2017-09-01

Selecting an appropriate, effective euthanasia agent is controversial. Several recent publications provide clarity on the use of CO2 in laboratory rats and mice. This review examines previous studies on CO2 euthanasia and presents the current body of knowledge on the subject. Potential areas for further investigation and recommendations are provided.

Photobiomodulation therapy in the management of oral mucositis: search for the optimal clinical treatment parameters.

PubMed

Elad, Sharon; Arany, Praveen; Bensadoun, Rene-Jean; Epstein, Joel B; Barasch, Andrei; Raber-Durlacher, Judith

2018-05-22

This commentary attempts to clarify the setting of photobiomodulation (BPM) therapy in the management of oral mucositis. The suggested dose range balances efficacy data with our current understanding about PBM safety. The literature about the molecular basis of photobiomodulation and its controversial relationship to malignant transformation is briefly presented.

Ranking Journalism and Mass Communications Programs: Administrators and Faculty Approve of the Idea and Assess Potential Criteria

ERIC Educational Resources Information Center

Weber, Joseph

2017-01-01

Rankings of universities and colleges are common and controversial. However, few rankers produce useful lists that assess and compare journalism and mass communications programs. The few currently available involve superficial reputational surveys or are less than transparent about their methodology. To determine potential criteria for a useful…

Mindful Staff Can Reduce the Use of Physical Restraints when Providing Care to Individuals with Intellectual Disabilities

ERIC Educational Resources Information Center

Singh, Nirbhay N.; Lancioni, Giulio E.; Winton, Alan S. W.; Singh, Ashvind N.; Adkins, Angela D.; Singh, Judy

2009-01-01

Background: The use of physical restraints has generated immense controversy in the delivery of services to individuals with intellectual disabilities. The current "zeitgeist" is that effective positive approaches obviate the need for using physical restraints. In a multiple baseline design, we sought to assess how training staff members in…

Hypocalcemia in acute pancreatitis revisited

PubMed Central

Ahmed, Armin; Azim, Afzal; Gurjar, Mohan; Baronia, Arvind Kumar

2016-01-01

Hypocalcemia is a frequent finding in acute pancreatitis. Severe hypocalcemia can present with neurological as well as cardiovascular manifestations. Correction of hypocalcemia by parenteral calcium infusion remains a controversial topic as intracellular calcium overload is the central mechanism of acinar cell injury in pancreatitis. The current article deals with the art and science of calcium correction in pancreatitis patients. PMID:27076730

Homosexuality and Normality: Basic Knowledge and Practical Considerations for School Consultation

ERIC Educational Resources Information Center

Sherblom, Stephen A.; Bahr, Michael W.

2008-01-01

In the United States, controversy persists regarding what it means for heterosexuality to be the norm, or more pointedly, what it means for those not strictly heterosexual to be outside the norm. It is important that consultants in schools be aware of the current state of research bearing on homosexuality. Consultation provides a viable approach…

Water-Sediment Controversy in Setting Environmental Standards for Selenium

Treesearch

Steven J. Hamilton; A. Dennis Lemly

1999-01-01

A substantial amount of laboratory and field research on selenium effects to biota has been accomplished since the national water quality criterion was published for selenium in 1987. Many articles have documented adverse effects on biota at concentrations below the current chronic criterion of 5 µg/L. This commentary will present information to support a national...

The Bee Eater: Michelle Rhee Takes on the Nation's Worst School District

ERIC Educational Resources Information Center

Whitmire, Richard

2011-01-01

Hailed by Oprah as a "warrior woman for our times," reviled by teachers unions as the enemy, Michelle Rhee, outgoing chancellor of Washington DC public schools, has become the controversial face of school reform. She has appeared on the cover of Time Magazine, and is currently featured as a hero in the documentary "Waiting for…

Impact of second-generation biofuel agriculture on greenhouse gas emissions in the corn-growing regions of the US

USDA-ARS?s Scientific Manuscript database

Land use for bioenergy crops is controversial because terrestrial resources that supply food, livestock feed, and ecosystem services already compete for geographical space in some regions of the world. Currently, in the US, both feed and bioenergy are produced from the food crop Zea mays L. (corn), ...

Role-Taking in Small Book-Discussion Groups by First-Grade Boys in a Single-Gender School

ERIC Educational Resources Information Center

Das, Sudarshana

2010-01-01

Gender and achievement is controversial. Social and cultural concerns about who boys are and who they should become is tied closely to how both coeducational and single-gender schools function, and how they approach literacy issues. Currently, there is little understanding of social and cultural influences on students' experiences with discourse…

The Ambivalent Role of English in Brazilian Politics.

ERIC Educational Resources Information Center

Rajagopalan, Kanavillil

2003-01-01

Discusses the political import of a controversial bill currently being debated in the upper house of Brazil's legislature that seeks to curb the use of English in all but a handful of situations. Examines the ambivalence toward the language and suggest it has to do with the difficult geopolitics of the region and the contradictions in has…

Assessing Sense of School Belonging across Cultural Contexts Using the PSSM: Measurement and Functional Invariance

ERIC Educational Resources Information Center

Abubakar, Amina; van de Vijver, Fons J. R.; Alonso-Arbiol, Itziar; Suryani, Angela O.; Pandia, Weny Savitry; Handani, Penny; Arasa, Josephine; Mazrui, Lubna; Murugumi, Margaret

2016-01-01

Despite its popularity, the factorial structure of the Psychological Sense of School Membership (PSSM) Questionnaire remains controversial. The current study set out to clarify its structure across different cultural contexts. The study was carried out among 1,928 adolescents aged 11 to 20 years in the Netherlands, Kenya, Indonesia, and Spain.…

The Integration of Quality-Oriented Education and Instrument-Driven Training in Chinese College English Teaching

ERIC Educational Resources Information Center

Jian, Shi

2013-01-01

College English Teaching (CET) plays an important and basic part in the whole college education system in China and whether it should adopt the quality-centered education or tool-oriented training remains controversial in current Chinese CET practices. After comparing several basic concepts and analyzing the existing problems in Chinese practical…

Meta-Analysis of Single-Case Design Research: Introduction to the Special Issue

ERIC Educational Resources Information Center

Burns, Matthew K.

2012-01-01

Single-case design (SCD) research focuses on finding powerful effects, but the influence of this methodology on the evidence-based practice (EBP) movement is questionable. Meta-analytic procedures may help facilitate the role of SCD research in the EBP movement, but meta-analyses of SCDs are controversial. The current article provides an…

Using International Law to Defuse Current Controversies in the South and East China Seas

DTIC Science & Technology

2015-02-01

7 Mid-Ocean Territorial Contests ................................................................................. 10 The Laissez - Faire ...to make similar claims. The Laissez - Faire Approach to Flag State Enforcement: The Flag of Convenience Problem The LOS Convention also recognizes...played an important thought- leadership role in oceans policy formulation and has supplied jurists to ITLOS and other arbitral tribunals, and has

Review of CO2 as a Euthanasia Agent for Laboratory Rats and Mice

PubMed Central

Boivin, Gregory P; Hickman, Debra L; Creamer-Hente, Michelle A; Pritchett-Corning, Kathleen R; Bratcher, Natalie A

2017-01-01

Selecting an appropriate, effective euthanasia agent is controversial. Several recent publications provide clarity on the use of CO2 in laboratory rats and mice. This review examines previous studies on CO2 euthanasia and presents the current body of knowledge on the subject. Potential areas for further investigation and recommendations are provided. PMID:28903819

School Passports: Making the Stimulus Pay Off for Students and State Budgets

ERIC Educational Resources Information Center

Gottlob, Brian

2011-01-01

The Obama Administration is currently using more than $4 billion in federal stimulus funds in a controversial program called Race to The Top in an attempt to improve student achievement in public schools throughout the country. However, this study analyzes a different approach to spending stimulus funds from the American Recovery and Reinvestment…

Teaching Harry Potter: The Power of Imagination in Multicultural Classrooms. Secondary Education in a Changing World

ERIC Educational Resources Information Center

Belcher, Catherine L.; Stephenson, Becky Herr

2011-01-01

Given the current educational climate of high stakes testing, standardized curriculum, and "approved" reading lists, incorporating unauthorized, often controversial, popular literature into the classroom becomes a political choice. The authors examine why teachers choose to read "Harry Potter", how they use the books and incorporate new media, and…

Sermons in American History: Selected Issues in the American Pulpit 1630-1967.

ERIC Educational Resources Information Center

Holland, DeWitte, Ed.; And Others

This anthology presents 43 American sermons in the context of the social, cultural, and historical development of America. Two or more sermons treat the pro and con viewpoints on nineteen specific issues--from seventeenth century Puritan debates on the authority of God, to the pre-Civil War slavery controversy, to the current questions of Popular…

The Pre-K Debates: Current Controversies and Issues

ERIC Educational Resources Information Center

Zigler, Edward, Ed.; Gilliam, Walter S., Ed.; Barnett, W. Steven, Ed.

2011-01-01

Targeted or universal pre-K? Direct instruction or learning through play? These and other debates are heating up as more and more young children across the country gain access to pre-K programs. Now there's a single volume that spotlights today's most urgent pre-K debates, explores each one from all sides, and paves the way for sound, educated…

Use of Complementary and Alternative Medicine (CAM) Treatments by Parents of Children with Autism Spectrum Disorders

ERIC Educational Resources Information Center

Christon, Lillian M.; Mackintosh, Virginia H.; Myers, Barbara J.

2010-01-01

Parents of children with autism spectrum disorders (ASDs) may elect to use complementary and alternative medicine (CAM) treatments with their children in place of, or in addition to, conventional treatments. CAM treatments are controversial and understudied and, for most, the efficacy has not been established. The current study (n = 248) examined…

Preventing Boys' Problems in Schools through Psychoeducational Programming: A Call to Action

ERIC Educational Resources Information Center

O'Neil, James M.; Lujan, Melissa L.

2009-01-01

Controversy currently exists on whether boys are in crises and, if so, what to do about it. Research is reviewed that indicates that boys have problems that affect their emotional and interpersonal functioning. Psychoeducational and preventive programs for boys are recommended as a call to action in schools. Thematic areas for boys' programming…

Clavicle Shaft Fractures in Adolescents.

PubMed

Yang, Scott; Andras, Lindsay

2017-01-01

Midshaft clavicle fractures in adolescents are common. Recent literature in adults fractures favors open reduction and plate fixation for significantly displaced and/or shortened midshaft clavicle fractures, although whether this applies to adolescents remains debatable. This article reviews the current literature and controversy in the management of displaced adolescent clavicle fractures. Copyright © 2016 Elsevier Inc. All rights reserved.

A Longitudinal Assessment of Early Acceleration of Students in Mathematics on Growth in Mathematics Achievement

ERIC Educational Resources Information Center

Ma, X.

2005-01-01

Early acceleration of students in mathematics (in the form of early access to formal abstract algebra) has been a controversial educational issue. The current study examined the rate of growth in mathematics achievement of accelerated gifted, honors, and regular students across the entire secondary years (Grades 7-12), in comparison to their…

The Longitudinal Interplay of Adolescents' Self-Esteem and Body Image: A Conditional Autoregressive Latent Trajectory Analysis

ERIC Educational Resources Information Center

Morin, Alexandre J. S.; Maiano, Christophe; Marsh, Herbert W.; Janosz, Michel; Nagengast, Benjamin

2011-01-01

Self-esteem and body image are central to coping successfully with the developmental challenges of adolescence. However, the current knowledge surrounding self-esteem and body image is fraught with controversy. This study attempts to clarify some of them by addressing three questions: (1) Are the intraindividual developmental trajectories of…

What Does It Mean to Be a Student in Different Types of High Schools in Turkey through the Eyes of Students?

ERIC Educational Resources Information Center

Sever, Mustafa; Soguksu, A. Fulya; Türe, Ersin; Koçmar, Yonca; Olgun, Müge; Üçüncü, Nergiz; Öztürk, Inci

2016-01-01

Being a student describes a multi-component reality with both individualistic and social inclusions. How this reality is established and how subjects position themselves in their current educational environments historically, culturally, and sociologically are one of the most controversial topics of educational sciences. Therefore, this study…

Reading Essentials: The Specifics You Need To Teach Reading Well.

ERIC Educational Resources Information Center

Routman, Regie

Currently, there is much controversy and confusion over "best practice" issues in teaching reading. This book, written by a "lifelong teacher/learner," is based on the premise that good teaching does not have to mean lots of hours spent planning but instead requires lots of thinking--thinking about what matters to children, what children need to…

Wilderness party size regulations: implications for management and a decisionmaking framework

Treesearch

Christopher Monz; Joseph W. Roggenbuck; David N. Cole; Richard Brame; Andrew Yoder

2000-01-01

Arriving at appropriate limits on the size of groups in wilderness remains a difficult and often controversial management challenge. This paper presents a review of the state of knowledge regarding group size from an ecological impact and visitor experience standpoint, a survey of wilderness managers regarding the current status of group size regulations and a proposed...

Using Item Response Theory to Conduct a Distracter Analysis on Conceptual Inventory of Natural Selection

ERIC Educational Resources Information Center

Battisti, Bryce Thomas; Hanegan, Nikki; Sudweeks, Richard; Cates, Rex

2010-01-01

Concept inventories are often used to assess current student understanding although conceptual change models are problematic. Due to controversies with conceptual change models and the realities of student assessment, it is important that concept inventories are evaluated using a variety of theoretical models to improve quality. This study used a…

First, Get Their Attention: Getting Your Results Used. Professional File. Number 122, Fall 2011

ERIC Educational Resources Information Center

Leimer, Christina

2011-01-01

Fostering data-driven decision-making is not an easy task, nor is getting busy people's attention in this age of information overload. How we write about and disseminate our findings can help. Writing to the audience, timing, formatting, choice of medium, and connecting results to institutional goals and current, even controversial, issues are…

Stress analysis of the Mw 7.4 Armería, Colima, Mexico earthquake of 22 January 2003

NASA Astrophysics Data System (ADS)

Vargas-Bracamontes, D.; Nunez-Cornu, F. J.

2012-12-01

On 22 January 2003 a shallow Mw 7.4 earthquake occurred off the Pacific coast of the state of Colima. This event struck near the towns of Tecomán and Armería in western Mexico where a diffuse triple junction between the North American, Cocos and Rivera plates makes the local tectonic setting highly complex. This earthquake is the largest during the twenty-first century in the area. Some seismic studies of this earthquake indicate that this event occurred on a continental intraplate reverse fault, suggesting that the shock and its aftershocks represent partial accommodation of deformation in the continental crust caused by oblique subduction. In contrast, other works propose that the 2003 Armería earthquake was due to faulting along the subduction interface between the Rivera and North American Plates. We assess the suggested sources of this earthquake in terms of stress models that consider the controversial geometrical features that characterize this tectonic area. Also, we explore the implications for seismic hazard that this event could have caused in the Colima region.

Poorly Understood Aspects of Striated Muscle Contraction

PubMed Central

Månsson, Alf

2015-01-01

Muscle contraction results from cyclic interactions between the contractile proteins myosin and actin, driven by the turnover of adenosine triphosphate (ATP). Despite intense studies, several molecular events in the contraction process are poorly understood, including the relationship between force-generation and phosphate-release in the ATP-turnover. Different aspects of the force-generating transition are reflected in the changes in tension development by muscle cells, myofibrils and single molecules upon changes in temperature, altered phosphate concentration, or length perturbations. It has been notoriously difficult to explain all these events within a given theoretical framework and to unequivocally correlate observed events with the atomic structures of the myosin motor. Other incompletely understood issues include the role of the two heads of myosin II and structural changes in the actin filaments as well as the importance of the three-dimensional order. We here review these issues in relation to controversies regarding basic physiological properties of striated muscle. We also briefly consider actomyosin mutation effects in cardiac and skeletal muscle function and the possibility to treat these defects by drugs. PMID:25961006

Poorly understood aspects of striated muscle contraction.

PubMed

Månsson, Alf; Rassier, Dilson; Tsiavaliaris, Georgios

2015-01-01

Muscle contraction results from cyclic interactions between the contractile proteins myosin and actin, driven by the turnover of adenosine triphosphate (ATP). Despite intense studies, several molecular events in the contraction process are poorly understood, including the relationship between force-generation and phosphate-release in the ATP-turnover. Different aspects of the force-generating transition are reflected in the changes in tension development by muscle cells, myofibrils and single molecules upon changes in temperature, altered phosphate concentration, or length perturbations. It has been notoriously difficult to explain all these events within a given theoretical framework and to unequivocally correlate observed events with the atomic structures of the myosin motor. Other incompletely understood issues include the role of the two heads of myosin II and structural changes in the actin filaments as well as the importance of the three-dimensional order. We here review these issues in relation to controversies regarding basic physiological properties of striated muscle. We also briefly consider actomyosin mutation effects in cardiac and skeletal muscle function and the possibility to treat these defects by drugs.

On human parthenogenesis.

PubMed

Jose de Carli, Gabriel; Campos Pereira, Tiago

2017-09-01

Spontaneous parthenogenetic and androgenetic events occur in humans, but they result in tumours: the ovarian teratoma and the hydatidiform mole, respectively. However, the observation of fetiform (ovarian) teratomas, the serependious identification of several chimeric human parthenotes and androgenotes in the last two decades, along with the creation of viable bi-maternal mice in the laboratory based on minor genetic interferences, raises the question of whether natural cases of clinically healthy human parthenotes have gone unnoticed to science. Here we present a hypothesis based on three elements to support the existence of such elusive individuals: mutations affecting (i) genomic imprinting, (ii) meiosis and (iii) oocyte activation. Additionally, we suggest that the routine practice of whole genome sequencing on every single newborn worldwide will be the ultimate test to this controversial, yet astonishing hypothesis. Finally, several medical implications of such intriguing event are presented. Copyright © 2017 Elsevier Ltd. All rights reserved.

Hermann the Dalmatian as Astronomer

NASA Astrophysics Data System (ADS)

Dadic, Z.

Hermann the Dalmatian was the subject of great controversy for philosophers, and here his work and translations are considered. As far as Hermann's work are concerned his prime interest for astronomy and astrology is stressed. Astrological "predictions" interested him primarely as predictions of events which are related to global questions, i.e. predicting the future course of events in the universe or destiny of nation as a whole, rather then the destiny of indivinduals. On the other hand it is also evident that Hremann with his knowledge of the Eastern, Arabic scientific tradition and the European spiritual tradition, become one of the most important scientists of his times. Hermann archieved a fruitful syntesis between the two traditions and opened new concepts in science. So he stands as a basic figure at the turning point of European science and the scientific endeavours from the 12th to the 15th century.

Antiplatelet therapy in PCI

PubMed Central

Fanaroff, Alexander; Rao, Sunil

2018-01-01

Platelets play a key role in mediating stent thrombosis, the major cause of ischemic events in the immediate period following percutaneous coronary intervention (PCI). For this reason, antiplatelet therapy, started at the time of PCI and continued for at least 30 days afterwards, is the cornerstone of antithrombotic therapy after PCI. However, the use of antiplatelet agents increase bleeding risk, with more potent antiplatelet agents further increasing bleeding risk. For this reason, balancing prevention of ischemic events with risk of bleeding is fundamental to the effective use of antiplatelet agents. In the past 5 years, potent and fast-acting P2Y12 inhibitors have been introduced, and have augmented the antiplatelet armamentarium available to interventional cardiologists. In this review, we review the preclinical and clinical data surrounding these new agents, and discuss the significant questions and controversies that still exist regarding the optimal antiplatelet strategy. PMID:28582206

A quantum causal discovery algorithm

NASA Astrophysics Data System (ADS)

Giarmatzi, Christina; Costa, Fabio

2018-03-01

Finding a causal model for a set of classical variables is now a well-established task—but what about the quantum equivalent? Even the notion of a quantum causal model is controversial. Here, we present a causal discovery algorithm for quantum systems. The input to the algorithm is a process matrix describing correlations between quantum events. Its output consists of different levels of information about the underlying causal model. Our algorithm determines whether the process is causally ordered by grouping the events into causally ordered non-signaling sets. It detects if all relevant common causes are included in the process, which we label Markovian, or alternatively if some causal relations are mediated through some external memory. For a Markovian process, it outputs a causal model, namely the causal relations and the corresponding mechanisms, represented as quantum states and channels. Our algorithm opens the route to more general quantum causal discovery methods.

[Medication management: Simvastatin and Amlodipin - a clinically relevant drug-interaction?

PubMed

Schröder, Jane; Goltz, Lisa; Knoth, Holger

2016-10-01

The clinical relevance of the drug-drug interaction simvastatin and amlodipine is appraised controversially by german simvastatin Summary of Product Characteristics (SPCs) and different drug interaction databases. Results of clinical trials have shown that simultaneous administration of simvastatin and amlodipine can increase simvastatin bioavailability. However, it is unclear whether this increase is associated with a higher risk for adverse drug events. So far there is no evidence that the combination might increase cases of myopathy or rhabdomyolysis. Therefore combined treatment with amlodipine and up to 40 mg simvastatin daily seems clinically justifiable if the patient does not report adverse events. If myopathy or muscle weakness occur, simvastatin dose should be reduced to 20 mg daily or the patient should be switched to pravastatin, fluvastatin or rosuvastatin. The highest approved dose of simvastatin (80 mg) is generally not recommended in new patients because of increased risk of muscle damage. © Georg Thieme Verlag KG Stuttgart · New York.

[Inpatient treatment in the addicted patient].

PubMed

Capece, José

2010-01-01

We review the patient hospitalization criteria for Substance Abuse Disorder, taking into account current controversies and the weight of the evidence in the investigation in relation to clinical efficacy and effectiveness. We raise the parameters that mark the 24.455 law on the basic treatment plan from the current data in Argentina, which are inpatient detoxification and residential rehabilitation. We identify the need for detoxification and comprehensive for dual patients rehabilitation centers as peremptory. Criteria are defined according to international validation. We discuss the advantages and disadvantages of hospitalization. Finally, we conclude in the need for a system where devices appropriate epidemiological needs, and that the clinical handle current information.

Symptoms of an Intrauterine Hematoma Associated with Pregnancy Complications: A Systematic Review

PubMed Central

Xiang, Lan; Wei, Zhaolian; Cao, Yunxia

2014-01-01

Objective To evaluate the predictive value of the symptoms of an intrauterine hematoma (IUH) for adverse pregnancy outcomes. Methods A literature review was performed with the search terms, including intrauterine/subchorionic/retroplacental/subplacental hematoma/hemorrhage/bleeding/collection/fluid, covering the period from January, 1981 to January, 2014. We just focused on the pregnancy outcomes associated with different symptoms of an IUH. Results It is generally agreed that a retroplacental, posterior or subchorionic in the fundus of uterus, and/or persistent IUH is associated with adverse outcomes in the ongoing pregnancy. However, the prognosis value of both volume and gestational age at diagnosis of IUH still remains controversial. Some researchers argue that a large IUH is associated with an increased risk of adverse events during pregnancy while others refuted. It is believed by some that the earlier an IUH was detected, the higher the risk for adverse outcomes would be, while no or weak association were reported by other studies. The prognostic value of the simultaneous presence of vaginal bleeding on pregnancy outcome is also controversial. Conclusions Both the position relative to the placenta or uterus and duration of IUH have strong predictive value on the prognosis in the ongoing pregnancy. However, the prognostic values of the IUH volume, gestational age at diagnosis and the simultaneous presence of vaginal bleeding remain controversial up to now. Moreover, most of previous reports are small, uncontrolled studies with incomplete information. Prospective, large sample, cohorts studies which take all detailed symptoms of an IUH into consideration are needed when we evaluate its clinical significance in the prognosis of pregnancy. PMID:25369062

The Controversy Surrounding Bone Morphogenetic Proteins in the Spine: A Review of Current Research

PubMed Central

Hustedt, Joshua W.; Blizzard, Daniel J.

2014-01-01

Bone morphogenetic proteins have been in use in spinal surgery since 2002. These proteins are members of the TGF-beta superfamily and guide mesenchymal stem cells to differentiate into osteoblasts to form bone in targeted tissues. Since the first commercial BMP became available in 2002, a host of research has supported BMPs and they have been rapidly incorporated in spinal surgeries in the United States. However, recent controversy has arisen surrounding the ethical conduct of the research supporting the use of BMPs. Yale University Open Data Access (YODA) recently teamed up with Medtronic to offer a meta-analysis of the effectiveness of BMPs in spinal surgery. This review focuses on the history of BMPs and examines the YODA research to guide spine surgeons in their use of BMP in spinal surgery. PMID:25506287

Politics of healing and politics of culture: ethnopsychiatry, identities and migration.

PubMed

Beneduce, Roberto; Martelli, Pompeo

2005-09-01

Ethnopsychiatry is today a contested field, in which concepts and terms such as ethnicity, identity, culture, citizenship, traditional therapies or symbolic efficacy are used in a very controversial way. Recent accusations of'racism' against some ethnopsychiatrists have contributed to making more obscure the deep roots of these issues and controversies. Little attention has been paid to analysing the complex legacy of colonial psychiatry, as well as the relationships among current definitions of 'culture' and 'belonging', post-colonial subjectivities and migration. In this article, the authors briefly analyse the contributions of Italian ethnopsychiatry and investigate the hidden expressions of racism and prejudice still characterizing mental health workers' attitudes toward immigrants. It is argued that a 'generative' and community-based ethnopsychiatry can challenge the hegemony of western psychiatry and improve the quality of therapeutic strategies.

Does Racism Harm Health? Did Child Abuse Exist Before 1962? On Explicit Questions, Critical Science, and Current Controversies: An Ecosocial Perspective

PubMed Central

Krieger, Nancy

2003-01-01

Research on racism as a harmful determinant of population health is in its infancy. Explicitly naming a long-standing problem long recognized by those affected, this work has the potential to galvanize inquiry and action, much as the 1962 publication of the Kempe et al. scientific article on the “battered child syndrome” dramatically increased attention to—and prompted new research on—the myriad consequences of child abuse, a known yet neglected social phenomenon. To further work on connections between racism and health, the author addresses 3 interrelated issues: (1) links between racism, biology, and health; (2) methodological controversies over how to study the impact of racism on health; and (3) debates over whether racism or class underlies racial/ethnic disparities in health. PMID:12554569

Does Racism Harm Health? Did Child Abuse Exist Before 1962? On Explicit Questions, Critical Science, and Current Controversies: An Ecosocial Perspective

PubMed Central

Krieger, Nancy

2008-01-01

Research on racism as a harmful determinant of population health is in its infancy. Explicitly naming a long-standing problem long recognized by those affected, this work has the potential to galvanize inquiry and action, much as the 1962 publication of the Kempe et al. scientific article on the “battered child syndrome” dramatically increased attention to—and prompted new research on—the myriad consequences of child abuse, a known yet neglected social phenomenon. To further work on connections between racism and health, the author addresses 3 interrelated issues: (1) links between racism, biology, and health; (2) methodological controversies over how to study the impact of racism on health; and (3) debates over whether racism or class underlies racial/ethnic disparities in health. PMID:18687614

Controversial questions (part two): should there be a direct-entry route to health visitor education?

PubMed

Cowley, Sarah; Bidmead, Christine

2009-07-01

This is the second paper in a series of three, drawing on the experience of providing evidence to the Health Select Committee's 2008 inquiry into health inequalities. Material submitted has been adapted and expanded according to three common and often controversial questions. One member of the committee enquired about the relevance of education and training to recruitment issues in health visiting, asking why it is necessary to be a nurse and what would be the barriers to changing this arrangement, which has been in force since the 1960s.This paper summarises some of the longstanding discussions about this issue, which has rarely been off the agenda, and proposes that, since health visiting is no longer in statute, the time has come to take a radical approach and to change current arrangements.

Institutionalizing dissent: a proposal for an adversarial system of pharmaceutical research.

PubMed

Biddle, Justin

2013-12-01

There are serious problems with the way in which pharmaceutical research is currently practiced, many of which can be traced to the influence of commercial interests on research. One of the most significant is inadequate dissent, or organized skepticism. In order to ameliorate this problem, I develop a proposal that I call the "Adversarial Proceedings for the Evaluation of Pharmaceuticals," to be instituted within a regulatory agency such as the Food and Drug Administration for the evaluation of controversial new drugs and controversial drugs already in the market. This proposal is an organizational one based upon the "science court" proposal by Arthur Kantrowitz in the 1960s and 1970s. The primary benefit of this system is its ability to institutionalize dissent, thereby ensuring that one set of interests does not dominate all others.

Exchange-Dominated Pure Spin Current Transport in Alq3 Molecules.

PubMed

Jiang, S W; Liu, S; Wang, P; Luan, Z Z; Tao, X D; Ding, H F; Wu, D

2015-08-21

We address the controversy over the spin transport mechanism in Alq3 utilizing spin pumping in the Y3Fe5O12/Alq3/Pd system. An unusual angular dependence of the inverse spin Hall effect is found. It, however, disappears when the microwave magnetic field is fully in the sample plane, excluding the presence of the Hanle effect. Together with the quantitative temperature-dependent measurements, these results provide compelling evidence that the pure spin current transport in Alq3 is dominated by the exchange-mediated mechanism.

Are greenhouse gas emissions from international shipping a type of marine pollution?

PubMed

Shi, Yubing

2016-12-15

Whether greenhouse gas emissions from international shipping are a type of marine pollution is a controversial issue and is currently open to debate. This article examines the current treaty definitions of marine pollution, and applies them to greenhouse gas emissions from ships. Based on the legal analysis of treaty definitions and relevant international and national regulation on this issue, this article asserts that greenhouse gas emissions from international shipping are a type of 'conditional' marine pollution. Copyright © 2016 Elsevier Ltd. All rights reserved.

Diagnosis of prostate cancer via nanotechnological approach

PubMed Central

Kang, Benedict J; Jeun, Minhong; Jang, Gun Hyuk; Song, Sang Hoon; Jeong, In Gab; Kim, Choung-Soo; Searson, Peter C; Lee, Kwan Hyi

2015-01-01

Prostate cancer is one of the leading causes of cancer-related deaths among the Caucasian adult males in Europe and the USA. Currently available diagnostic strategies for patients with prostate cancer are invasive and unpleasant and have poor accuracy. Many patients have been overly or underly treated resulting in a controversy regarding the reliability of current conventional diagnostic approaches. This review discusses the state-of-the-art research in the development of novel noninvasive prostate cancer diagnostics using nanotechnology coupled with suggested diagnostic strategies for their clinical implication. PMID:26527873

Neural processing of visual information under interocular suppression: a critical review

PubMed Central

Sterzer, Philipp; Stein, Timo; Ludwig, Karin; Rothkirch, Marcus; Hesselmann, Guido

2014-01-01

When dissimilar stimuli are presented to the two eyes, only one stimulus dominates at a time while the other stimulus is invisible due to interocular suppression. When both stimuli are equally potent in competing for awareness, perception alternates spontaneously between the two stimuli, a phenomenon called binocular rivalry. However, when one stimulus is much stronger, e.g., due to higher contrast, the weaker stimulus can be suppressed for prolonged periods of time. A technique that has recently become very popular for the investigation of unconscious visual processing is continuous flash suppression (CFS): High-contrast dynamic patterns shown to one eye can render a low-contrast stimulus shown to the other eye invisible for up to minutes. Studies using CFS have produced new insights but also controversies regarding the types of visual information that can be processed unconsciously as well as the neural sites and the relevance of such unconscious processing. Here, we review the current state of knowledge in regard to neural processing of interocularly suppressed information. Focusing on recent neuroimaging findings, we discuss whether and to what degree such suppressed visual information is processed at early and more advanced levels of the visual processing hierarchy. We review controversial findings related to the influence of attention on early visual processing under interocular suppression, the putative differential roles of dorsal and ventral areas in unconscious object processing, and evidence suggesting privileged unconscious processing of emotional and other socially relevant information. On a more general note, we discuss methodological and conceptual issues, from practical issues of how unawareness of a stimulus is assessed to the overarching question of what constitutes an adequate operational definition of unawareness. Finally, we propose approaches for future research to resolve current controversies in this exciting research area. PMID:24904469

1996-97 trends in opposition to comprehensive sexuality education in public schools in the United States.

PubMed

Mayer, R

1997-01-01

Since 1992, SIECUS' Community Advocacy Project has promoted comprehensive sexuality education programs versus fear-based, abstinence-only programs and has issued annual analyses of current trends that have documented more than 500 controversies in all 50 states. During the 1996-97 school year, SIECUS documented 127 controversies in 33 states. The current situation on the Federal level was marked by President Clinton's endorsement of abstinence-only programs and a call issued by the Institute for Medicine and the National Institutes of Health for comprehensive sex education to combat sexually transmitted diseases and HIV/AIDS. Various states considered or enacted legislation allowing parents to remove children from sex education classes, dictating sex education curricula, or removing state mandates for sexuality education in schools. On the local level, the Medical Institute for Sexual Health's "National Guidelines for Sexuality and Character Education" (confusingly similar in style to SIECUS' "Guidelines for Comprehensive Sexuality Education") has been used to promote fear-based, abstinence-only curricula. Local controversies arose over efforts led by small groups to promote fear-based, abstinence-only curricula, over the content and existence of elementary school sex education programs, over coeducational sexuality education, over policies related to sexual orientation, over opt-out/opt-in programs, and over availability of alternative abstinence-only sex education programs. The past year showed that the active involvement of community members will be required to ensure the survival of comprehensive sex education programs. Included in this article are interviews with a school board member who successfully protected comprehensive sex education in her Kansas community and a member of a school board committee unable to save a comprehensive program in Brookfield, Connecticut.

Differential effects of uncertainty on LPP responses to emotional events during explicit and implicit anticipation.

PubMed

Lin, Huiyan; Liang, Jiafeng; Jin, Hua; Zhao, Dongmei

2018-07-01

Previous studies have investigated whether uncertainty influences neural responses to emotional events. The findings of such studies, particularly with respect to event-related potentials (ERPs), have been controversial due to several factors, such as the stimuli that serve as cues and the emotional content of the events. However, it is still unknown whether the effects of uncertainty on ERP responses to emotional events are influenced by anticipation patterns (e.g., explicit or implicit anticipation). To address this issue, participants in the present study were presented with anticipatory cues and then emotional (negative and neutral) pictures. The cues either did or did not signify the emotional content of the upcoming picture. In the inter-stimulus intervals between cues and pictures, participants were asked to estimate the expected probability of the occurrence of a specific emotional category of the subsequent picture based on a scale in the explicit anticipation condition, while in the implicit condition, participants were asked to indicate, using a number on a scale, which color was different from the others. The results revealed that in the explicit condition, uncertainty increased late positive potential (LPP) responses, particularly for negative pictures, whereas LPP responses were larger for certain negative pictures than for uncertain negative pictures in the implicit condition. The findings in the present study suggest that the anticipation pattern influences the effects of uncertainty when evaluation of negative events. Copyright © 2018 Elsevier B.V. All rights reserved.

The impact of El Niño events on the pelagic food chain in the northern California Current.

PubMed

Fisher, Jennifer L; Peterson, William T; Rykaczewski, Ryan R

2015-12-01

The zooplankton of the northern California Current are typically characterized by an abundance of lipid-rich copepods that support rapid growth and survival of ecologically, commercially, and recreationally valued fish, birds, and mammals. Disruption of this food chain and reduced ecosystem productivity are often associated with climatic variability such as El Niño events. We examined the variability in timing, magnitude, and duration of positive temperature anomalies and changes in copepod species composition in the northern California Current in relation to 10 tropical El Niño events. Measurable impacts on mesozooplankton of the northern California Current were observed during seven of 10 of these events. The occurrence of anomalously warm water and the response of the copepod community was rapid (lag of zero to 2 months) following the initiation of canonical Eastern Pacific (EP) events, but delayed (lag of 2-8 months) following 'Modoki' Central Pacific (CP) events. The variable lags in the timing of a physical and biological response led to impacts in the northern California Current peaking in winter during EP events and in the spring during CP events. The magnitude and duration of the temperature and copepod anomalies were strongly and positively related to the magnitude and duration of El Niño events, but were also sensitive to the phase of the lower frequency Pacific Decadal Oscillation. When fisheries managers and biological oceanographers are faced with the prospect of a future El Niño event, prudent management and observation will require consideration of the background oceanographic conditions, the type of event, and both the magnitude and duration of the event when assessing the potential physical and biological impacts on the northern California Current. © 2015 John Wiley & Sons Ltd.

E. L. Thorndike or Edward Brooks: Two Views on Mathematics Curriculum and Teaching

ERIC Educational Resources Information Center

Cooper-Twamley, Susan; Null, J. Wesley

2009-01-01

When one reads scholars from the past, many of the same problems found in schools in 2009 are quite similar to the problems educators were complaining about more than a century ago. One of the current controversial topics in schools today, for example, is student success, or lack thereof, in mathematics. Because of differences in mathematics…

Frequency of Sex after an Intervention to Decrease Sexual Risk-Taking among African-American Adolescent Girls: Results of a Randomized, Controlled Clinical Trial

ERIC Educational Resources Information Center

Milhausen, Robin R.; DiClemente, Ralph J.; Lang, Delia L.; Spitalnick, Josh S.; Sales, Jessica McDermott; Hardin, James W.

2008-01-01

Many controversies surround sex education in the United States. One particular issue of contention is whether comprehensive sexuality education increases frequency of sexual intercourse among program participants. The current investigation examined frequency of vaginal sexual intercourse in a sample of 522 sexually experienced African-American…

Evaluation of Static vs. Dynamic Visualizations for Engineering Technology Students and Implications on Spatial Visualization Ability: A Quasi-Experimental Study

ERIC Educational Resources Information Center

Katsioloudis, Petros; Dickerson, Daniel; Jovanovic, Vukica; Jones, Mildred

2015-01-01

The benefit of using static versus dynamic visualizations is a controversial one. Few studies have explored the effectiveness of static visualizations to those of dynamic visualizations, and the current state of the literature remains somewhat unclear. During the last decade there has been a lengthy debate about the opportunities for using…

AN ASSESSMENT OF THE EFFECTS OF GESTATIONAL AND LACTATIONAL EXPOSURE TO ETHINYL ESTRADIOL (EE) AND BISPHENOL A (BPA) ON REPRODUCTIVE MORPHOLOGY AND BEHAVIOR IN FEMALE AND MALE LONG EVANS HOODED RAT

EPA Science Inventory

Anthropogenic estrogens are pervasive in the environment. Although the effects of these 'xenoestrogens' are controversial in humans, some fish species are adversely affected in contaminated ecosystems. The current project focuses on the effects of developmental exposure to two ...

AN ASSESSMENT OF THE EFFECTS OF GESTATIONAL AND LACTATIONAL EXPOSURE TO ETHINYL ESTRADIOL (EE) AND BISPHENOL A (BPA) ON REPRODUCTIVE MORPHOLOGY AND BEHAVIOR IN THE FEMALE LONG EVANS HOODED RAT

EPA Science Inventory

Anthropogenic estrogens are pervasive in the environment. The effects of these 'xenoestrogens' are controversial in humans, although there is a clear indication that some fish species are adversely affected in contaminated ecosystems. The current project focuses on the effects ...

Intellectual Assessment of Children and Youth in the United States of America: Past, Present, and Future

ERIC Educational Resources Information Center

Kranzler, John H.; Benson, Nicholas; Floyd, Randy G.

2016-01-01

This article briefly reviews the history of intellectual assessment of children and youth in the United States of America, as well as current practices and future directions. Although administration of intelligence tests in the schools has been a longstanding practice in the United States, their use has also elicited sharp controversy over time.…

Metabolically Healthy Obesity: Personalised and Public Health Implications.

PubMed

Phillips, Catherine M

2016-04-01

Obesity is a heterogeneous condition; thus, metabolic abnormalities and cardiometabolic risk vary among obese individuals, with a significant proportion considered to be metabolically healthy. However, whether these individuals are truly healthy remains controversial and, therefore, a better understanding of such phenotypes may offer opportunities to improve current obesity diagnosis, intervention, and treatment. Copyright © 2016 Elsevier Ltd. All rights reserved.

English as a Global Lingua Franca: A Threat to Multilingual Communication and Translation?

ERIC Educational Resources Information Center

House, Juliane

2014-01-01

In this paper I will look at the controversy surrounding the current status of English in the world. I will consider the question of whether the dominant role of English as a lingua franca (ELF) is a menace to other languages, to multilingual communication and to the profession of translation and interpreting, or whether a positive evaluation of…

Are Australian Universities Promoting Learning and Teaching Activity Effectively? An Assessment of the Effects on Science and Engineering Academics

ERIC Educational Resources Information Center

Cretchley, Patricia

2009-01-01

The Australian Federal Government and Australian universities have embarked on a bid to raise the profile of learning and teaching (L&T) in universities. Current strategies include increased funding of competitive grants for L&T projects, a wider range of teaching awards and fellowships and a controversial new national competitive Learning…

Global Education: Controversy Remains, But Support Growing: Field Strives To Better Link Global Studies, Civics.

ERIC Educational Resources Information Center

O'Neil, John

1989-01-01

The pace of global change and the increasing interdependence of people worldwide are the driving forces behind the need for a contemporary global education movement that reinterprets current knowledge to educate students to meet their responsibilities as citizens of an increasingly complex global society. Evaluations of U.S. 18-24-year-olds reveal…

Anarchist Epistemologies and the Separation of Science and State: The Critique and Relevance of Paul Feyerabend to Educational Foundations

ERIC Educational Resources Information Center

Wolfmeyer, Mark

2017-01-01

This article synthesizes Paul Feyerabend's controversial contributions to 20th-century philosophy of science through the synthesis of his works and the secondary literature, with specific foci on current trends in educational foundations and the potentials and pitfalls for applying Feyerabendian logics to our work. First, I situate his strains of…

Colombia: Issues for Congress

DTIC Science & Technology

2007-11-09

President Uribe enjoys high levels of popular support, which has not been significantly affected by the scandal concerning government ties to the...been highly controversial. In 2007 there were reports that a new generation of paramilitaries was forming. The nature of ties , if any, between the...of life for the hostages. Parapolitical Scandal. A scandal involving alleged paramilitary ties to politicians, including current members of the

Is There a Role for Exercise in the Management of Bulbar Dysfunction in Amyotrophic Lateral Sclerosis?

ERIC Educational Resources Information Center

Plowman, Emily K.

2015-01-01

Purpose: The role of exercise in the management of people with amyotrophic lateral sclerosis (PALS) is controversial and currently unclear. The purpose of this review article is to review literature examining the impact of limb, respiratory, and oral motor exercise on function, disease progression, and survival in PALS and the transgenic ALS…