Issues Facing Pharmacy Leaders in 2015: Suggestions for Pharmacy Strategic Planning

PubMed Central

Weber, Robert J.

2015-01-01

Issues facing pharmacy leaders in 2015 include practice model growth and the role of pharmacy students, clinical privileging of health-system pharmacists and provider status, medication error prevention, and specialty pharmacy services. The goal of this article is to provide practical approaches to 4 issues facing pharmacy leaders in 2015 to help them focus their department’s goals. This article will address (1) advances in the pharmacy practice model initiative and the role of pharmacy students, (2) the current thinking of pharmacists being granted clinical privileges in health systems, (3) updates on preventing harmful medication errors, and (4) the growth of specialty pharmacy services. The sample template of a strategic plan may be used by a pharmacy department in 2015 in an effort to continue developing patient-centered pharmacy services. PMID:25717212

Facial transplants: current situation and ethical issues.

PubMed

Petrini, C

2015-01-01

The first transplantation of a face from a cadaver was performed in 2005, since when about thirty have been performed globally. The technique is now beginning to appear in Italy. Face transplants are performed exclusively on persons who have suffered devastating lesions to the face. The ethical problems involved are very considerable, particularly where personal identity is concerned. The case records reveal surprisingly positive outcomes regarding both clinical follow-up and functional recovery, as well as psychological aspects and social integration. Thus, while early documents addressing the ethical issues involved in facial transplants were somewhat cautious or even unfavourable on the subject of this technique, a positive approach is now more prevalent.

Vocational Centres in Fiji Schools: A Needs Analysis

ERIC Educational Resources Information Center

McBeath, Clare

2005-01-01

A needs analysis was conducted into the issues facing the Technical and Vocational Education sector in Fiji. Vocational Centre teachers, Principals and an Education Officer were interviewed, and their responses analysed. The survey pointed to the difficulties currently experienced by the Vocational Centres in the face of poor facilities and…

Current Warm-Up Practices and Contemporary Issues Faced by Elite Swimming Coaches.

PubMed

McGowan, Courtney J; Pyne, David B; Raglin, John S; Thompson, Kevin G; Rattray, Ben

2016-12-01

McGowan, CJ, Pyne, DB, Raglin, JS, Thompson, KG, and Rattray, B. Current warm-up practices and contemporary issues faced by elite swimming coaches. J Strength Cond Res 30(12): 3471-3480, 2016-A better understanding of current swimming warm-up strategies is needed to improve their effectiveness. The purpose of this study was to describe current precompetition warm-up practices and identify contemporary issues faced by elite swimming coaches during competition. Forty-six state-international level swimming coaches provided information through a questionnaire on their prescription of volume, intensity, and recovery within their pool and dryland-based competition warm-ups, and challenges faced during the final stages of event preparation. Coaches identified four key objectives of the precompetition warm-up: physiological (elevate body temperature and increase muscle activation), kinesthetic (tactile preparation, increase "feel" of the water), tactical (race-pace rehearsal), and mental (improve focus, reduce anxiety). Pool warm-up volume ranged from ∼1300 to 2100 m, beginning with 400-1000 m of continuous, low-intensity (∼50-70% of perceived maximal exertion) swimming, followed by 200-600 m of stroke drills and 1-2 sets (100-400 m in length) of increasing intensity (∼60-90%) swimming, concluding with 3-4 race or near race-pace efforts (25-100 m; ∼90-100%) and 100-400 m easy swimming. Dryland-based warm-up exercises, involving stretch cords and skipping, were also commonly prescribed. Coaches preferred swimmers complete their warm-up 20-30 minutes before race start. Lengthy marshalling periods (15-20+ minutes) and the time required to don racing suits (>10 minutes) were identified as complicating issues. Coaches believed that the pool warm-up affords athletes the opportunity to gain a tactile feel for the water and surrounding pool environment. The combination of dryland-based activation exercises followed by pool-based warm-up routines seems to be the preferred approach taken by elite swimming coaches preparing their athletes for competition.

Human sex differences in emotional processing of own-race and other-race faces.

PubMed

Ran, Guangming; Chen, Xu; Pan, Yangu

2014-06-18

There is evidence that women and men show differences in the perception of affective facial expressions. However, none of the previous studies directly investigated sex differences in emotional processing of own-race and other-race faces. The current study addressed this issue using high time resolution event-related potential techniques. In total, data from 25 participants (13 women and 12 men) were analyzed. It was found that women showed increased N170 amplitudes to negative White faces compared with negative Chinese faces over the right hemisphere electrodes. This result suggests that women show enhanced sensitivity to other-race faces showing negative emotions (fear or disgust), which may contribute toward evolution. However, the current data showed that men had increased N170 amplitudes to happy Chinese versus happy White faces over the left hemisphere electrodes, indicating that men show enhanced sensitivity to own-race faces showing positive emotions (happiness). In this respect, men might use past pleasant emotional experiences to boost recognition of own-race faces.

The United States and International Energy Issues. Report to the Congress by the Comptroller General of the United States.

ERIC Educational Resources Information Center

Comptroller General of the U.S., Washington, DC.

Presented are the major international energy policy issues facing all nations, and a basis for analyzing current and proposed United States' energy policies and initiatives. Eleven issues are examined, all of which relate to one central theme: Are U.S. international energy and related policies consistent with domestic energy goals, national…

Instructional Design Issues for Current and Future Interactive Video Media.

ERIC Educational Resources Information Center

Hadley, James A.; Bentley, Joanne; Christiansen, Todd P.

2003-01-01

Addresses some of the issues that instructional designers will face in the near future and ways to deal with new instructional affordances and constraint, including: Menu and Audio, Video, Subpicture Interleaved, Streamlining Digital Media (MAVSI-SDM); three-dimensional flowcharting; designing multi-faceted storyboards and scripts; managing video,…

The Challenge of Urbanization. The World's Large Cities.

ERIC Educational Resources Information Center

United Nations New York, NY. Dept. of Economic and Social Information and Policy Analysis.

This publication concentrates on city problems and special city planning issues in the world's large cities, pinpointing their demographic characteristics, economic structure, available social services, and infrastructures, as well as current issues facing city planners. Profiles of 100 large cities across the world, from Abidjan to Yangon, make…

Beyond Academics: Challenging Issues Facing Community College Non-Academic Support Services

ERIC Educational Resources Information Center

Mitchell, Judith Lynn

2012-01-01

This research focused on identifying and exploring the significant current and emerging community college non-academic support service issues. These auxiliary services, not unlike academic or student affairs, support the community college mission and vision as well as students' academic success. Since December 2007, Americans have been…

Madrasa Education in South Asia and Southeast Asia: Current Issues and Debates

ERIC Educational Resources Information Center

Park, Jaddon; Niyozov, Sarfaroz

2008-01-01

Madaris (plural of madrasa) face a multitude of challenges in preparing students for life in rapidly modernising societies and emerging globalised knowledge economies. The complexity of the role and tasks of madaris, which are caught in the interface of modernity and tradition, the challenges they face, and the strategies they develop to address…

Reflecting on the Challenges of Applied Theatre in Kenya

ERIC Educational Resources Information Center

Okuto, Maxwel; Smith, Bobby

2017-01-01

In this article the authors draw on their own experience and research in applied theatre in Kenya in order to reflect on challenges currently facing practitioners working in the country. In order to outline the range of challenges faced by practitioners, issues related to the wider landscapes of government and politics in Kenya are explored,…

A National MagLev Transportation System

NASA Technical Reports Server (NTRS)

Wright, Michael R.

2003-01-01

The case for a national high-speed magnetic-levitation (MagLev) transportation system is presented. Focus is on current issues facing the country, such as national security, the economy, transportation, technology, and the environment. NASA s research into MagLev technology for launch assist is also highlighted. Further, current socio-cultural norms regarding motor-vehicle-based transportation systems are questioned in light of the problems currently facing the U.S. The multidisciplinary benefits of a long-distance MagLev system support the idea that such a system would be an important element of a truly multimodal U.S. transportation infrastructure.

Hospital web-site marketing: analysis, issues, and trends.

PubMed

Sanchez, P M; Maier-Donati, P

1999-01-01

As hospitals continue to incorporate web technology into their overall marketing and communications strategies, they face several issues which we explore in this paper. Hospitals' effectiveness in dealing with these issues will affect the benefits received from this technology. We provide an exploratory analysis of current hospital web sites and develop implications for future web site development. Likewise, recommendations based on our research are also provided.

Trends, Issues, and Implications: The Influence of Child Care Needs on the Employment of Women.

ERIC Educational Resources Information Center

Hamilton, Cathy H.

This report focuses on current trends of women in the workforce, issues they face with child care, and how the implications of those trends and issues have influenced corporate and governmental response. In 1990, 47% of the working mother population relied on spouses or relatives to provide care for their young children. Between 2 and 5 million…

School Psychology in Rural Contexts: Ethical, Professional, and Legal Issues

ERIC Educational Resources Information Center

Edwards, Lynn M.; Sullivan, Amanda L.

2014-01-01

Delivering psychological services in rural communities presents a number of unique challenges for practitioners relative to their peers in urban and suburban communities. In this article, the authors describe the current context of rural schools and examine the ethical and legal issues school psychologists may face when practicing in rural…

Introduction to the Special Issue: Children in Foster Care and International Adoption

ERIC Educational Resources Information Center

Jankowska, Anna M.

2015-01-01

Children in the foster care system and those experiencing international adoption face a host of risk factors that result in academic, behavioral, and emotional challenges. The purpose of this special issue is to provide school psychologists with the knowledge regarding current intervention strategies and programming to provide effective supports…

Financing Education in Ontario: Issues and Choices.

ERIC Educational Resources Information Center

Bird, Richard M.

A study of the history of public financing of elementary and secondary education in Ontario and the issues and choices presently facing the province's finance system suggest that proposals for radical change must be considered. Current pressures on the mixed provincial-local system of finance come from the slow rate of economic expansion generally…

Contemporary Civil Rights Challenges of "Brown vs. Board of Education": School Leaders Identify Current Issues

ERIC Educational Resources Information Center

Scott, Bradley

2004-01-01

School leaders from five states gathered recently to examine civil rights issues facing students today. The session was held by the Intercultural Development Research Association (IDRA) South Central Collaborative for Equity, which is the federally-funded equity assistance center for Arkansas, Louisiana, New Mexico, Oklahoma and Texas. The…

Vocational and Technical Education in Lebanon: Strategic Issues and Challenges

ERIC Educational Resources Information Center

Karam, Gebran

2006-01-01

The current status of the Lebanese vocational and technical education (VTE) system is assessed and the strategic issues and challenges facing it are identified. In addition to the economic and social challenges that are common to many developing countries, the Lebanese system suffers from idiosyncratic problems, which may require innovative and…

The Marketing Ethics Course: Current State and Future Directions

ERIC Educational Resources Information Center

Ferrell, O. C.; Keig, Dawn L.

2013-01-01

Many of the critical issues facing modern businesses can be considered marketing ethics issues. It follows that as the field of business ethics has evolved, marketing has played a key role in the development of business ethics education. Despite a general trend of increasingly larger amounts of ethical content included in business curricula, prior…

The World of D-PETE: Examining the Complexity and Reality of Doctoral Education in Physical Education

ERIC Educational Resources Information Center

Lund, Jacalyn

2016-01-01

The world of PETE doctoral education is changing rapidly given the current climate in U.S. universities. This article will introduce the reader to the issues facing higher education and set the stage for a series of articles to follow in this special issue of "Quest."

78 FR 10601 - Endangered and Threatened Wildlife; 90-Day Finding on a Petition to List 44 Species of Corals as...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-14

... evaluate whether the information indicates that the species at issue faces extinction risk that is cause... a factor, but that the species may respond or may presently be responding in a negative fashion..., as well as threats which it asserts the taxa currently face, categorizing them under the ESA section...

Retention of Nontraditional Students in the Face-to-Face, Online, and Hybrid Delivery Methods in Higher Education

ERIC Educational Resources Information Center

Phillips, Linda S.

2013-01-01

Nontraditional-learner retention is a significant issue for colleges. Current research finds that 38.9% of nontraditional learners do not meet their educational goals. Further, there is a 20% increase in online dropout rates compared to the traditional classroom. The purpose of this study was to examine the factors that influence nontraditional…

Student Engagement and Achievement of Middle School Black Males in Single-Gender and Co-Educational Reading Classes

ERIC Educational Resources Information Center

Small, Christopher Lee

2012-01-01

This dissertation presents an historical overview of the systematic educational limitations that have been faced by African-American's in the United States and then considers issues facing contemporary educational leaders in the context of current educational policy and institutional inequality. A portrait of the Black male in the United…

Ejection of a rear facing, golf cart passenger.

PubMed

Schau, Kyle; Masory, Oren

2013-10-01

The following report details the findings of a series of experiments and simulations performed on a commercially available, shuttle style golf cart during several maneuvers involving rapid accelerations of the vehicle. It is determined that the current set of passive restraints on these types of golf carts are not adequate in preventing ejection of a rear facing passenger during rapid accelerations in the forward and lateral directions. Experimental data and simulations show that a hip restraint must be a minimum of 13 in. above the seat in order to secure a rear facing passenger during sharp turns, compared to the current restraint height of 5 in. Furthermore, it is determined that a restraint directly in front of the rear facing passenger is necessary to prevent ejection. In addressing these issues, golf cart manufacturers could greatly reduce the likelihood of injury due to ejection of a rear facing, golf cart passenger. Copyright © 2013 Elsevier Ltd. All rights reserved.

Compliance issues raised by the United States' ratification and implementation of the education articles of the Convention on the Rights of the Child.

PubMed

Adams, Christopher; Rubel, Jordana

2010-01-01

This article evaluates compliance issues the United States could face in ratifying the education provisions of the United Nations Convention on the Rights of the Child (CRC). The authors compare states parties' obligations under the education provisions of the CRC--as construed by the CRC committee--with federal and state education protections and programs in the United States. The authors conclude that the United States currently complies with most of the provisions and faces minimal risk in ratifying the remaining provisions.

Urban Science Education: Examining Current Issues through a Historical Lens

ERIC Educational Resources Information Center

McLaughlin, Cheryl A.

2014-01-01

This paper reviews and synthesizes urban science education studies published between 2000 and 2013 with a view to identifying current challenges faced by both teachers and students in urban classrooms. Additionally, this paper considers the historical events that have shaped the conditions, bureaucracies, and interactions of urban institutions.…

Rethinking Giftedness and Talent in Sport

ERIC Educational Resources Information Center

Tranckle, Peter; Cushion, Christopher J.

2006-01-01

The purpose of this paper is to understand how gifts are discovered and talents developed within sport. The current literature is critically discussed, highlighting contributions and gaps in current knowledge. Due to issues concerning terminology and the nature versus nurture debate, research on talent faces challenges relating to continuity and…

Current Technology Trends and Issues among Health and Physical Education Professionals

ERIC Educational Resources Information Center

Krause, Jennifer M.; Franks, Hillary; Lynch, Brandy

2017-01-01

Health and physical education professionals who implement technology appropriately can contribute to helping students become physically educated individuals (NASPE, 2009). It is imperative that professionals be knowledgeable and resourceful in how to integrate technology effectively, but it is unclear what current challenges professionals face in…

Information Technology--Can It All Fit? Proceedings of the Current Issues Forum of the 1988 CAUSE National Conference (Nashville, Tennessee, December 2, 1988). Professional Paper Series, #2.

ERIC Educational Resources Information Center

CAUSE, Boulder, CO.

A key issue facing college and university executives is the best way to organize to provide information services to faculty, staff, and students. Three experienced university executives addressed this issue at the forum on information technology described in this document. They looked at the following topics: how their own institution chose to…

Current Sociopolitical, Sociocultural, and Sociolinguistic Issues of Latino Immigrants in Julia Álvarez's Novel "How the García Girls Lost Their Accents"

ERIC Educational Resources Information Center

Molina-Naar, José

2016-01-01

The sociopolitical, sociocultural, and sociolinguistic issues many Latino immigrants face as they embark on the process of adjusting to American society have been depicted by many Hispanic American writers in the United States. Julia Álvarez's "How the García Girls Lost Their Accents" attempts to raise awareness of these issues through…

Pull of Gravity: A Media Review Focusing on the Social and Environmental Effects of Recidivism.

PubMed

Mejia, Lidyvez

2016-01-01

Recidivism is defined as reincarceration, reconviction and/or being reimprisoned. This article focuses on the issues of recidivism while incorporating Pull of Gravity, a documentary, which highlights the challenges ex-offenders encounter during postrelease. This article explores 3 sociological issues closely related to recidivism: (1) types of populations that are recidivating, (2) communities' ex-offenders are returning home to, and (3) challenges they face in their transition. This article integrates research on issues of reentry and utilizes real-life experiences reflected through this film to give readers a tangible perception on the challenges that are currently faced. It explores possible resolutions while prompting critical thinking for everyone; individuals who are familiar with this topic and those who are foreign.

OECD Reviews of Evaluation and Assessment in Education: Luxembourg 2012

ERIC Educational Resources Information Center

Shewbridge, Claire; Ehren, Melanie; Santiago, Paulo; Tamassia, Claudia

2012-01-01

This book provides, from an international perspective, an independent analysis of major issues facing the educational evaluation and assessment framework, current policy initiatives, and possible future approaches in Luxembourg.

Current Campus Issues. Proceedings June 1969 Institutes on College and University Administration.

ERIC Educational Resources Information Center

University Consultants, Inc., Cambridge, MA.

The Institutes were held in Washington, D.C. and Ann Arbor, Mich. in June 1969, and were directed toward helping administrators develop greater senstivity and understanding of the critical issues facing them. This monograph contains a description of the 3-day "campus confrontation crisis" game played by the conference participants, and presents…

Development and Preliminary Psychometric Evaluation of the Domestic Violence-Related Financial Issues Scale (DV-FI)

ERIC Educational Resources Information Center

Weaver, Terri L.; Sanders, Cynthia K.; Campbell, Carole L.; Schnabel, Meg

2009-01-01

Intimate partner violence (IPV) occurs at disproportionate rates within impoverished groups of women and can include economic abuse as a form of psychological maltreatment. The current study developed a comprehensive assessment of the unique financial issues facing female victims of IPV using a sheltered sample (N = 113). An exploratory factor…

Complementary and Alternative Medicine in Rural Communities: Current Research and Future Directions

ERIC Educational Resources Information Center

Wardle, Jon; Lui, Chi-Wai; Adams, Jon

2012-01-01

Contexts: The consumption of complementary and alternative medicine (CAM) in rural areas is a significant contemporary health care issue. An understanding of CAM use in rural health can provide a new perspective on health beliefs and practice as well as on some of the core service delivery issues facing rural health care generally. Purpose: This…

Climate change and the possible health effects on older Australians.

PubMed

Saniotis, Arthur; Irvine, Rod

2010-01-01

Climate change is an important issue for Australia. Climate change research forecasts that Australia will experience accelerated warming due to anthrogenic activities. Australia's aging society will face special challenges that demand current attention. This paper discusses two issues in relation to climate change and older Australians: first, pharmacology and autoregulation; and second, mental health among older Australians.

Hunger strikers: historical perspectives from the emergency management of refugee camp asylum seekers.

PubMed

Burkle, Frederick M; Chan, Jimmy T S; Yeung, Richard D S

2013-12-01

The treatment of hunger strikers is always contentious, chaotic and complex. The management is particularly difficult for health professionals as it raises unprecedented clinical, ethical, moral, humanitarian, and legal questions. There are never any easy answers. The current situation of prisoners from the Iraq and Afghanistan Wars currently at the Guantanamo Bay Detention Center in Cuba demands unprecedented transparency, accountability and multilevel coordination to ensure that the rights of the strikers are properly met. There are scant references available in the scientific literature on the emergency management of these tragedies. This historical perspective documents the complex issues faced by emergency physicians in Hong Kong surrounding refugee camp asylum seekers from Vietnam in 1994 and is offered as a useful adjunct in understanding the complex issues faced by emergency health providers and managers.

Scotland: Education, Curriculum and Learning. the Strengths, Challenges and Solutions in Lifelong Learning. IBE Working Papers on Curriculum Issues No. 13

ERIC Educational Resources Information Center

Armstrong, Alan

2014-01-01

This paper brings together the main strengths and challenges currently facing Scottish education and outlines approaches to the ways forward. Knowledge about how to improve education systems has grown rapidly over the last two decades. One key challenge facing Scotland, and no doubt many other countries, is in ensuring a smooth "learner…

Human-Computer Interaction in Smart Environments

PubMed Central

Paravati, Gianluca; Gatteschi, Valentina

2015-01-01

Here, we provide an overview of the content of the Special Issue on “Human-computer interaction in smart environments”. The aim of this Special Issue is to highlight technologies and solutions encompassing the use of mass-market sensors in current and emerging applications for interacting with Smart Environments. Selected papers address this topic by analyzing different interaction modalities, including hand/body gestures, face recognition, gaze/eye tracking, biosignal analysis, speech and activity recognition, and related issues.

Looking Back to the Future: Current Issues Facing Nursing Education From the Reflections of a Member of the Silent Generation.

PubMed

Keating, Sarah B

2016-07-01

As a member of the Silent Generation, the author, through her lived experiences, reflects upon the successes and challenges facing nursing education in the mid-20th to 21st centuries. The author looks "back to the future" and reviews current issues that surround four key nursing education milestones. From the early entry-level baccalaureate programs in the 1950s to the current growth of the Doctor of Nursing Practice as entry into advanced practice, milestones in nursing education are linked to the cultural changes and healthcare system demands that took place at the time and their influence on nursing education and the profession. Looking to the future, the author speaks of the implications from the forecasted changes in the healthcare system that will demand interdisciplinary education and practice and the continued need for nursing research to increase the body of scientific knowledge in practice, education, and technology. Keating. © 2015 Wiley Periodicals, Inc.

Updating the OMERACT filter: implications of filter 2.0 to select outcome instruments through assessment of "truth": content, face, and construct validity.

PubMed

Tugwell, Peter; Boers, Maarten; D'Agostino, Maria-Antonietta; Beaton, Dorcas; Boonen, Annelies; Bingham, Clifton O; Choy, Ernest; Conaghan, Philip G; Dougados, Maxime; Duarte, Catia; Furst, Daniel E; Guillemin, Francis; Gossec, Laure; Heiberg, Turid; van der Heijde, Désirée M; Hewlett, Sarah; Kirwan, John R; Kvien, Tore K; Landewé, Robert B; Mease, Philip J; Østergaard, Mikkel; Simon, Lee; Singh, Jasvinder A; Strand, Vibeke; Wells, George

2014-05-01

The Outcome Measures in Rheumatology (OMERACT) Filter provides guidelines for the development and validation of outcome measures for use in clinical research. The "Truth" section of the OMERACT Filter requires that criteria be met to demonstrate that the outcome instrument meets the criteria for content, face, and construct validity. Discussion groups critically reviewed a variety of ways in which case studies of current OMERACT Working Groups complied with the Truth component of the Filter and what issues remained to be resolved. The case studies showed that there is broad agreement on criteria for meeting the Truth criteria through demonstration of content, face, and construct validity; however, several issues were identified that the Filter Working Group will need to address. These issues will require resolution to reach consensus on how Truth will be assessed for the proposed Filter 2.0 framework, for instruments to be endorsed by OMERACT.

The Journal from the Northwest Center for the Study of Correctional Education, 1996.

ERIC Educational Resources Information Center

Clare, Warren L., Ed.

1996-01-01

This journal presents a forum for discussion and research related to correctional education programs and their effects on students. This inaugural issue contains the following articles: (1) "The Position of Correctional Education in the Current Crime Dilemma," by the editors, describing problems currently facing correctional administrators and key…

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…

Issues and Problems in the Current Development of Vocational Education in China

ERIC Educational Resources Information Center

Shi, Weiping

2013-01-01

Chinese vocational education is currently in its most optimal development period in history. This article discusses several challenges of different dimensions faced by vocational education in China as it develops, such as scale versus quality, development goals, a lifelong vocational education system, and creating model institutions; and puts…

State Transmission Infrastructure Authorities: The Story So Far; December 2007 - December 2008

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

Porter, K.; Fink. S.

2008-05-01

This report examines the status and future direction of state transmission infrastructure authorities. It summarizes common characteristics, discusses current transmission projects, and outlines common issues the state infrastructure authorities have faced.

31 CFR 315.31 - Series H bonds.

Code of Federal Regulations, 2013 CFR

2013-07-01

.... Series H bonds are current income bonds issued at par (face amount). Interest on a Series H bond is paid... the Public Debt for recognition as voluntary guardian for the purpose of receiving and collecting the...

31 CFR 315.31 - Series H bonds.

Code of Federal Regulations, 2014 CFR

2014-07-01

.... Series H bonds are current income bonds issued at par (face amount). Interest on a Series H bond is paid... the Fiscal Service for recognition as voluntary guardian for the purpose of receiving and collecting...

31 CFR 315.31 - Series H bonds.

Code of Federal Regulations, 2012 CFR

2012-07-01

.... Series H bonds are current income bonds issued at par (face amount). Interest on a Series H bond is paid... the Public Debt for recognition as voluntary guardian for the purpose of receiving and collecting the...

31 CFR 315.31 - Series H bonds.

Code of Federal Regulations, 2011 CFR

2011-07-01

.... Series H bonds are current income bonds issued at par (face amount). Interest on a Series H bond is paid... the Public Debt for recognition as voluntary guardian for the purpose of receiving and collecting the...

Early Childhood in Brazil: General Overview and Current Issues. Working Papers in Early Childhood Development, No. 44

ERIC Educational Resources Information Center

de Aguiar, Gabriela Azevedo; Barker, Gary; Nascimento, Marcos; Segundo, Marcio

2007-01-01

This paper describes important issues in the promotion of the development of children 0 to 6 years of age in Brazil, particularly in education, health, children's rights and public policy. Brazil exhibits tremendous disparities and some of the worst welfare indicators in Latin America. Much of the population faces poverty, limited educational…

Bearing the Cost: An Examination of the Gendered Impacts of Water Policy Reform in Malawi

ERIC Educational Resources Information Center

Marra, Simona

2008-01-01

Water insecurity is one of the most pressing issues currently faced by Malawi. The consequences of these issues are borne significantly by women, who are most directly involved with water provision and use, particularly at the household level. Since the mid-1990s, Malawi has undertaken a process of water policy reform. Reflective of international…

Current issues and challenges in the management of bariatric patients.

PubMed

Bell, Sue Ellen

2005-01-01

Morbid obesity is an increasingly common healthcare problem, and providers and patients currently face numerous challenges in dealing with this problem effectively. Issues addressed in this article include the effect of stigma, the need for more evidence regarding effective management options, and the declining insurance coverage for bariatric surgery. The role of bariatric surgery in effective management of morbid obesity is discussed, along with the effect on and possible reasons for declining coverage. A comparison between benefits and coverage for bariatric surgery and angioplasty/stent placement is included.

Development of the other-race effect during infancy: evidence toward universality?

PubMed

Kelly, David J; Liu, Shaoying; Lee, Kang; Quinn, Paul C; Pascalis, Olivier; Slater, Alan M; Ge, Liezhong

2009-09-01

The other-race effect in face processing develops within the first year of life in Caucasian infants. It is currently unknown whether the developmental trajectory observed in Caucasian infants can be extended to other cultures. This is an important issue to investigate because recent findings from cross-cultural psychology have suggested that individuals from Eastern and Western backgrounds tend to perceive the world in fundamentally different ways. To this end, the current study investigated 3-, 6-, and 9-month-old Chinese infants' ability to discriminate faces within their own racial group and within two other racial groups (African and Caucasian). The 3-month-olds demonstrated recognition in all conditions, whereas the 6-month-olds recognized Chinese faces and displayed marginal recognition for Caucasian faces but did not recognize African faces. The 9-month-olds' recognition was limited to Chinese faces. This pattern of development is consistent with the perceptual narrowing hypothesis that our perceptual systems are shaped by experience to be optimally sensitive to stimuli most commonly encountered in one's unique cultural environment.

E-waste: a problem or an opportunity? Review of issues, challenges and solutions in Asian countries.

PubMed

Herat, Sunil; Agamuthu, P

2012-11-01

Safe management of electronic and electrical waste (e-waste/WEEE) is becoming a major problem for many countries around the world. In particular, developing countries face a number of issues with the generation, transboundary movement and management of e-waste. It is estimated that the world generates around 20-50 million tonnes of e-waste annually, most of it from Asian countries. Improper handling of e-waste can cause harm to the environment and human health because of its toxic components. Several countries around the world are now struggling to deal with this emerging threat. Although the current emphasis is on end-of-life management of e-waste activities, such as reuse, servicing, remanufacturing, recycling and disposal, upstream reduction of e-waste generation through green design and cleaner production is gaining much attention. Environmentally sound management (ESM) of e-waste in developing countries is absent or very limited. Transboundary movement of e-waste is a major issue throughout the region. Dealing with the informal recycling sector is a complex social and environmental issue. There are significant numbers of such challenges faced by these countries in achieving ESM of e-waste. This article aims to present a review of challenges and issues faced by Asian countries in managing their e-waste in a sustainable way.

Colleague: An Annual Collection of Articles on Academic and Administrative Issues Facing Community Colleges of the State University of New York.

ERIC Educational Resources Information Center

Burns, Charles A., Ed.; And Others

This journal presents a cross-section of current ideas on how to teach and advise community college students and promote positive social interactions with the local community. The issue contains: (1) "Characteristics of an Excellent Teacher," by Cherie Corr, Joan Shack, and Anthony Walsh; (2) "Information Literacy: Progress and Prospects in the…

Managing water resources infrastructure in the face of different values

NASA Astrophysics Data System (ADS)

Mostert, Erik

Water resources infrastructure (WRI) plays a key role in water management. It can serve or negatively affect some seven to ten different and sometimes conflicting values. WRI management is therefore not a purely technical issue. Economic analyses can help to some extent, but only for values related to current human use. Multi-criteria analysis can cover all values, but in the end WRI management is not an analytical issue, but a governance issue. Different governance paradigms exist: markets, hierarchies and “third alternatives”, such as common pool resources management and network management. This article presents social learning as the most promising paradigm. Positive experiences with social learning have been described and guidance on putting social learning into practice exists. Nonetheless, there are no magic solutions for managing WRI in the face of different values.

Young onset Parkinson's disease. Practical management of medical issues.

PubMed

Calne, Susan M; Kumar, Ajit

2008-01-01

Young Onset Parkinson's disease (YOPD) is defined as Parkinson's disease diagnosed between the ages of 21 and 40 years. Problems faced by this group are different from those faced by older subjects because they face decades with the illness. This article reviews current literature and offers suggestions for intervention when appropriate and practical suggestions in the areas of drug treatment, rehabilitation, nutrition, sexuality, pregnancy, menstruation and menopause. The suggestions are not exclusively restricted to the management of YOPD, but emphasis is placed on items where people with YOPD have either had particular difficulties or where they can proactively self-manage their illness.

The face, the future, and dental practice: how research in craniofacial biology will influence patient care.

PubMed

Townsend, G C; Brook, A H

2014-06-01

It has been a privilege to assemble a group of Australian and international researchers to produce a special issue of the Australian Dental Journal that reflects the cutting edge of research in different aspects of craniofacial biology, and also considers how these advances will influence future education and practice within dentistry. The aim of this special issue is to provide a collection of concept papers and critical reviews on key topics that cover both fundamental and applied research in craniofacial biology and to consider the clinical implications. To do this, four questions have been addressed that lead to the four sections of this issue. These are: How have we come to the present exciting position in craniofacial biology with breakthroughs over the past 50 years? What are current fundamental research topics that are helping us to understand more about craniofacial and general development, possibly leading to future clinical developments? What are the current applied research topics that will influence future clinical practice? Looking forward, what new developments in craniofacial biology may come about that will change the face of dental education and practice? The refereed papers in this special issue are grouped into the four sections that seek to respond to these demanding questions. © 2014 Australian Dental Association.

Usability Evaluation Survey for Identifying Design Issues in Civil Flight Deck

NASA Astrophysics Data System (ADS)

Ozve Aminian, Negin; Izzuddin Romli, Fairuz; Wiriadidjaja, Surjatin

2016-02-01

Ergonomics assessment for cockpit in civil aircraft is important as the pilots spend most of their time during flight on the seating posture imposed by its design. The improper seat design can cause discomfort and pain, which will disturb the pilot's concentration in flight. From a conducted survey, it is found that there are some issues regarding the current cockpit design. This study aims to highlight potential mismatches between the current cockpit design and the ergonomic design recommendations for anthropometric dimensions and seat design, which could be the roots of the problems faced by the pilots in the cockpit.

VARIABILITY OF PARAMETERS MEASURED DURING THE RESUSPENSION OF SEDIMENTS WITH A PARTICULATE ENTRAINMENT SIMULATOR

EPA Science Inventory

Contaminated sediments are a problem facing many environmental managers concerned with issues such as maintenance dredging, habitat restoration and dredged material placement. Currently, there are few methods which can be used to assess contaminant remobilization potential from ...

Professional Identity and the CORE Standards

ERIC Educational Resources Information Center

Benshoff, John J.; Robertson, Stacia; Davis, Sharon J.; Koch, D. Shane

2008-01-01

The historical evolution of the rehabilitation profession is addressed, and current issues facing rehabilitation educators and professionals are identified. Clearly, both our practice environments and our consumers are continuously evolving and becoming more diverse. Simultaneously, a need exists to be seen as a stable, unified profession.…

Challenges in Elevated CO2 Experiments on Forests

USDA-ARS?s Scientific Manuscript database

Current forest Free Air CO2 Enrichment (FACE) experiments are reaching completion. It is the time to define the scientific goals and priorities of future experimental facilities. The overarching issues are three-fold: first, which are the most urgent scientific questions and which technological aspe...

Urban science education: examining current issues through a historical lens

NASA Astrophysics Data System (ADS)

McLaughlin, Cheryl A.

2014-12-01

This paper reviews and synthesizes urban science education studies published between 2000 and 2013 with a view to identifying current challenges faced by both teachers and students in urban classrooms. Additionally, this paper considers the historical events that have shaped the conditions, bureaucracies, and interactions of urban institutions. When the findings from these urban science education studies were consolidated with the historical overview provided, it was revealed that the basic design and regulatory policies of urban schools have not substantively changed since their establishment in the nineteenth century. Teachers in urban science classrooms continue to face issues of inequality, poverty, and social injustice as they struggle to meet the needs of an increasingly diverse student population. Furthermore, persistent concerns of conflicting Discourses, cultural dissonance, and oppression create formidable barriers to science learning. Despite the many modifications in structure and organization, urban students are still subjugated and marginalized in systems that emphasize control and order over high-quality science education.

Electronic health records, adoption, quality of care, legal and privacy issues and their implementation in emergency departments.

PubMed

Ben-Assuli, Ofir

2015-03-01

Recently, the healthcare sector has shown a growing interest in information technologies. Two popular health IT (HIT) products are the electronic health record (EHR) and health information exchange (HIE) networks. The introduction of these tools is believed to improve care, but has also raised some important questions and legal and privacy issues. The implementation of these systems has not gone smoothly, and still faces some considerable barriers. This article reviews EHR and HIE to address these obstacles, and analyzes the current state of development and adoption in various countries around the world. Moreover, legal and ethical concerns that may be encountered by EHR users and purchasers are reviewed. Finally, links and interrelations between EHR and HIE and several quality of care issues in today's healthcare domain are examined with a focus on EHR and HIE in the emergency department (ED), whose unique characteristics makes it an environment in which the implementation of such technology may be a major contributor to health, but also faces substantial challenges. The paper ends with a discussion of specific policy implications and recommendations based on an examination of the current limitations of these systems. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Global climate change: A strategic issue facing Illinois

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

Womeldorff, P.J.

1995-12-31

This paper discusses global climate change, summarizes activities related to climate change, and identifies possible outcomes of the current debate on the subject. Aspects of climate change related to economic issues are very briefly summarized; it is suggested that the end result will be a change in lifestyle in developed countries. International activities, with an emphasis on the Framework Convention on Climate Change, and U.S. activities are outlined. It is recommended that the minimum action required is to work to understand the issue and prepare for possible action.

Technology Transfer Challenges for High-Assurance Software Engineering Tools

NASA Technical Reports Server (NTRS)

Koga, Dennis (Technical Monitor); Penix, John; Markosian, Lawrence Z.

2003-01-01

In this paper, we describe our experience with the challenges thar we are currently facing in our effort to develop advanced software verification and validation tools. We categorize these challenges into several areas: cost benefits modeling, tool usability, customer application domain, and organizational issues. We provide examples of challenges in each area and identrfj, open research issues in areas which limit our ability to transfer high-assurance software engineering tools into practice.

The Presidential Address to the Association for Career and Technical Education Research: Using Standards to Reform Teacher Preparation in Career and Technical Education--A Successful Reformation

ERIC Educational Resources Information Center

Whittington, M. Susie

2005-01-01

This article presents the presidential address at the annual conference of the Association for Career and Technical Education Research by M. Susie Whittington, ACTER President 2005. The purpose of the presidential address is to examine a current issue facing the profession, and pose challenges to the membership in the context of that issue. In her…

Pregnant women with substance use disorders: The intersection of history, ethics, and advocacy.

PubMed

Acquavita, Shauna P; Kauffman, Sandra S; Talks, Alexandra; Sherman, Kate

2016-01-01

Pregnant women with substance use disorders face many obstacles, including obtaining evidence-based treatment and care. This article (1) briefly reviews the history of pregnant women in clinical trials and substance use disorders treatment research; (2) identifies current ethical issues facing researchers studying pregnant women with substance use disorders; (3) presents and describes an ethical framework to utilize; and (4) identifies future directions needed to develop appropriate research and treatment policies and practices. Current research is not providing enough information to clinicians, policy-makers, and the public about maternal and child health and substance use disorders, and the data will not be sufficient to offer maximum benefit until protocols are changed.

An Air Force Guide for Effective Meeting Management

DTIC Science & Technology

2011-05-01

The inspection program to ensure its sustainment has faced increasing workload requirements due to structural issues related to heavy use and aging...26 Data Sources /Format...aircraft availability, the High Velocity Maintenance (HVM) concept is being implemented to replace the current PDM process for heavy maintenance

Examining Teacher Ethical Dilemmas in Classroom Assessment

ERIC Educational Resources Information Center

Pope, Nakia; Green, Susan K.; Johnson, Robert L.; Mitchell, Mark

2009-01-01

The current spotlight on assessment in education raises ethical issues as practices evolve. This study documents ethical conflicts faced by teachers in the United States regarding assessment of students. Critical incidents generated by practising teachers revealed a majority of reported conflicts related to score pollution, and conflicts…

Conditions of Education in California, 2008

ERIC Educational Resources Information Center

Policy Analysis for California Education, PACE (NJ1), 2008

2008-01-01

In this edition of "Conditions of Education" six of the leading academic authorities on education policy in California address the key issues facing the state's education system, focusing their attention on critical indicators of current performance and on specific policy changes that would lead to sustained improvement. They identify…

College and University Apartment Housing.

ERIC Educational Resources Information Center

Casey-Powell, Deborah, Ed.

The purpose of this book is to update housing professionals on the current issues and future trends facing college and university apartment operations in the 21st century. Its chapters are: (1) "The History of Apartment Housing" (Rena Buchan); (2) "Research in Apartment Housing" (Donald Whalen); (3) "Community Services and…

Teaching OOA: Issues and Challenges.

ERIC Educational Resources Information Center

Sim, Edward

This paper presents the argument that object oriented analysis (OOA) is rapidly becoming an important systems analysis methodology and that current systems analysis and design courses should present OOA. However, because of the embryonic nature and rapidly changing content of OOA, instructors are faced with special challenges when designing OOA…

Current issues on a standard for surrogate pregnancy procedures

PubMed Central

2012-01-01

While Korea does not have any legal statement on surrogacy, treatments are carried out in practice. As a result, every Institutional Review Board (IRB) of each fertility clinic faces an ethical predicament in reviewing each case. There is a need to arrange the institutions' own standards of surrogate pregnancy procedures before the establishment of national or professional regulation. This article examines the legal, social, and medical issues of surrogacy to help IRBs to judge their cases. PMID:23346523

Current issues on a standard for surrogate pregnancy procedures.

PubMed

Ha, Jung-Ok

2012-12-01

While Korea does not have any legal statement on surrogacy, treatments are carried out in practice. As a result, every Institutional Review Board (IRB) of each fertility clinic faces an ethical predicament in reviewing each case. There is a need to arrange the institutions' own standards of surrogate pregnancy procedures before the establishment of national or professional regulation. This article examines the legal, social, and medical issues of surrogacy to help IRBs to judge their cases.

Annual Faculty Research Report of the Department of Systems Engineering and the Operations Research Center for the Academic Year 2007

DTIC Science & Technology

2008-01-01

execution, a summary of results, a list of presentations and publications and a current status. Additional information is provided on the senior...Cadets learn best when they are challenged and when they are interested. The introduction of current issues facing the military into their...faculty, officers conduct research on relevant projects to remain current in their operational branch or in the Functional Areas 49, 51, 53 and 57. The

Early Childhood Curriculum: Planning, Assessment, and Implementation

ERIC Educational Resources Information Center

McLachlan, Claire; Fleer, Marilyn; Edwards, Susan

2010-01-01

"Early Childhood Curriculum" addresses current approaches to curriculum for infants, toddlers and young children, ages birth to eight. It provides a comprehensive introduction to the curriculum issues that student teachers and emerging practitioners will face and equips them with the decision-making tools that will ultimately enhance and promote…

Current Issues in Chinese Higher Education. Education and Skills.

ERIC Educational Resources Information Center

Organisation for Economic Cooperation and Development, Paris (France).

The papers in this collection discuss the challenges and opportunities inherent in the fundamental reforms under way in the higher education sector in China. The chapters are: (1) "Introduction: Changing Patterns in University Management" (Thomas J. Alexander); (2) "What Is Facing Chinese Higher Education in the New Century?"…

Honoring Their Way: Counseling American Indian Women

ERIC Educational Resources Information Center

Rayle, Andrea Dixon; Chee, Christine; Sand, Jennifer K.

2006-01-01

The authors review current literature on issues facing American Indian (AI) women and discuss implications for providing culturally sensitive counseling with these women. A case study of a Dine (Navajo) woman living within mainstream society and holding true to her traditional cultural beliefs illustrates how a culturally responsive approach to…

Individual Stress Management Coursework in Canadian Teacher Preparation Programs

ERIC Educational Resources Information Center

Harris, Gregory E.

2011-01-01

Teacher stress is a significant issue facing the teaching profession. The current paper explores individual stress management as a viable option to address stress in this profession. Specifically, Canadian teacher education programs are examined to identify the prevalence of pre-service teacher education courses focused on individual stress…

Challenges and Solutions When Using Technologies in the Classroom

ERIC Educational Resources Information Center

Johnson, Amy M.; Jacovina, Matthew E.; Russell, Devin G.; Soto, Christian M.

2016-01-01

The purpose of this chapter is to present common challenges faced by educators when attempting to integrate technology in the classroom, and offer potential solutions to those problems. Examination of these issues should be valuable to current and future educators, school administrators, as well as educational technology researchers. The chapter…

Changing Managerial Imperatives. New Directions for Community Colleges, Number 84.

ERIC Educational Resources Information Center

Alfred, Richard L., Ed.; Carter, Patricia, Ed.

1993-01-01

Intended as a forum for the discussion of governance and management in community colleges, this book details current trends in management approaches at the institutions, provides a practical description of management roles and responsibilities for college faculty and staff, and examines critical issues facing leaders engaged in management…

Identity Exploration and Commitment in Early Adolescence: Genetic and Environmental Contributions

ERIC Educational Resources Information Center

Markovitch, Noam; Luyckx, Koen; Klimstra, Theo; Abramson, Lior; Knafo-Noam, Ariel

2017-01-01

Identity formation is a key developmental task in adolescence. Although many adolescents in modern societies face issues of identity, there are substantial individual differences in identity exploration and commitment. Little is known about the origins of these individual differences. The current study investigated the genetic and environmental…

Planning and Implementing Institutional Image and Promoting Academic Programs in Higher Education

ERIC Educational Resources Information Center

Cetin, Rubeena

2003-01-01

Universities face a multitude of issues and challenges in the current era of higher educational endeavors. Universities are being urged to provide high quality education, exist as a well-reputed university, achieve enrollment success, improve competitive positioning, provide contemporary and well-designed academic programs, and maintain financial…

Psychodrama as a Social Work Modality

ERIC Educational Resources Information Center

Konopik, Debra A.; Cheung, Monit

2013-01-01

"Psychodrama" is the process of enacting or reenacting relevant aspects or roles from current and past events to instill hope in clients who are facing life issues. This article examines the outcomes of a five-stage psychodrama treatment through a social worker's direct participation in a partial hospitalization program. Observation notes and…

OECD Reviews of School Resources: Chile 2017

ERIC Educational Resources Information Center

Santiago, Paulo; Fiszbein, Ariel; Jaramillo, Sandra García; Radinger, Thomas

2017-01-01

This country review report for Chile provides, from an international perspective, an independent analysis of major issues facing the use of school resources in Chile, current policy initiatives, and possible future approaches. The report serves three purposes: i) to provide insights and advice to Chilean education authorities; ii) to help other…

Longitudinal Comparative Study: Females' vs. Males' Graduation Outcomes in Undergraduate Engineering

ERIC Educational Resources Information Center

Madara, Diana Starovoytova; Namango, Saul Sitati

2016-01-01

Increasing postsecondary enrolments, reducing university drop-outs, while, simultaneously, boosting graduation rates, is a worldwide dilemma, currently challenging any university and any educational system. One of the most pressing issues facing universities, however, is the number of students, who fail to graduate. The literature survey on gender…

Family Policy: The Conservative Challenge and the Progressive Response.

ERIC Educational Resources Information Center

Cherlin, Andrew

1983-01-01

Examines the question of how family professionals should respond to the conservative pro-family movement. Argues that the response of liberal family professionals to date--consisting largely of a defense of pluralism--has been inadequate and should concentrate on the most important issues facing families currently. (JAC)

Program Evaluation of Western Illinois University's English Language Learner Online Module

ERIC Educational Resources Information Center

Beard, Marisa

2014-01-01

An issue faced by educators throughout the United States is how to successfully educate preservice teachers on various laws, cultural differences, attitudes, and current teaching strategies affecting English Language Learners (ELL) and their educators. Western Illinois University (WIU) implemented an online ELL Module in 2009 that all preservice…

The Implications of Real Options on ERP-Enabled Adoption

ERIC Educational Resources Information Center

Nwankpa, Joseph K.

2012-01-01

Current research on Enterprise Resource Planning (ERP) systems and real options focuses on valuation and justification issues that manager's face prior to project approval with existing literature attempting to demonstrate that ERP systems as technology positioning investments have option-like characteristics thus making such ERP systems…

Consider the Connections. Global Issues Education Packet.

ERIC Educational Resources Information Center

Holm, Amy E.

The old ways of doing things are no longer suitable to some of the current conditions faced by the world, such as overpopulation, environmental degradation, unstable economic development, and wasteful consumption of natural resources. In order to achieve a sustainable future, nations must develop better long range planning through combining…

The Challenging Australian Policy Context for University Engagement

ERIC Educational Resources Information Center

Barker, Karen

2015-01-01

Despite the current broad agreement amongst Australian universities that engagement is now a core activity, the implications of that commitment are yet to be fully realised. The difficulties many universities face in articulating engagement as a strategic priority begin with the conceptual and definitional issues around the third mission and its…

Evaluation of ISO CRS Envelopes Relative to U.S. Vehicles and Child Restraint Systems.

PubMed

Hu, Jingwen; Manary, Miriam A; Klinich, Kathleen D; Reed, Matthew P

2015-01-01

The objectives of this study are to use computer simulation to evaluate the International Organization for Standardization (ISO) 13216-3:2006(E) child restraint system (CRS) envelopes relative to rear seat compartments from vehicles and CRSs in the U.S. market, investigate the potential compatibility issues of U.S. vehicles and CRSs, and demonstrate whether necessary modifications can be made to introduce such a system into compatibility evaluations between U.S. vehicles and CRSs. Three-dimensional geometry models for 26 vehicles and 16 convertible CRS designs developed previously were used. Geometry models of 3 forward-facing and 3 rear-facing CRS envelopes provided by the ISO were built in the current study. The virtual fit process closely followed the physical procedures described in the ISO standards. The results showed that the current ISO rear-facing envelopes can provide reasonable classifications for CRSs and vehicles, but the forward-facing envelopes do not represent products currently in the U.S. market. In particular, all of the selected vehicles could accommodate the largest forward-facing CRS envelope at the second-row seat location behind the driver seat. In contrast, half of the selected CRSs could not fit within any of the forward-facing ISO CRS envelopes, mainly due to protrusion at the rear-top corner of the envelope. The results also indicate that the rear seat compartment in U.S. vehicles often cannot accommodate a large portion of convertible CRSs in the rear-facing position. The increased demand for vehicle fuel economy and the recommendation to keep children rear-facing longer may lead to smaller cars and larger CRSs, which may increase the potential for fit problems. The virtual classifications indicated that contact between the forward-facing CRSs and the head restraints in the rear seats as well as that between the rear-facing CRSs and the back of the front seats is a main concern regarding the compatibility between the vehicles and the CRSs. Therefore, modification of the current ISO forward-facing CRS envelopes will likely to be necessary to ensure that they are useful for the U.S. market.

High heat flux issues for plasma-facing components in fusion reactors

NASA Astrophysics Data System (ADS)

Watson, Robert D.

1993-02-01

Plasma facing components in tokamak fusion reactors are faced with a number of difficult high heat flux issues. These components include: first wall armor tiles, pumped limiters, diverter plates, rf antennae structure, and diagnostic probes. Peak heat fluxes are 15 - 30 MW/m2 for diverter plates, which will operate for 100 - 1000 seconds in future tokamaks. Disruption heat fluxes can approach 100,000 MW/m2 for 0.1 ms. Diverter plates are water-cooled heat sinks with armor tiles brazed on to the plasma facing side. Heat sink materials include OFHC, GlidcopTM, TZM, Mo-41Re, and niobium alloys. Armor tile materials include: carbon fiber composites, beryllium, silicon carbide, tungsten, and molybdenum. Tile thickness range from 2 - 10 mm, and heat sinks are 1 - 3 mm. A twisted tape insert is used to enhance heat transfer and increase the burnout safety margin from critical heat flux limits to 50 - 60 MW/m2 with water at 10 m/s and 4 MPa. Tests using rastered electron beams have shown thermal fatigue failures from cracks at the brazed interface between tiles and the heat sink after only 1000 cycles at 10 - 15 MW/m2. These fatigue lifetimes need to be increased an order of magnitude to meet future requirements. Other critical issues for plasma facing components include: surface erosion from sputtering and disruption erosion, eddy current forces and runaway electron impact from disruptions, neutron damage, tritium retention and release, remote maintenance of radioactive components, corrosion-erosion, and loss-of-coolant accidents.

Current developments in the French engineering education system

NASA Astrophysics Data System (ADS)

Lemaître, Denis

2017-03-01

The French engineering education system has been established in quite a different way from others in Europe, such as the German and British systems, for instance. Due to both the whole state system and the private initiatives during the industrial revolution, the engineering education system today is composed of a large number (nearly 200) of rather small and specialised institutions, which have historically mostly developed outside universities. In the last decades, this system has had to face a powerful internationalisation movement. This has had major consequences on the curricula design, regarding foreign language teaching, international exchanges, and links with research. Currently, the French engineering education system is facing new challenges, regarding innovation and environmental and social issues, in a very competitive higher education context.

Microwave Photonics: current challenges towards widespread application.

PubMed

Capmany, José; Li, Guifang; Lim, Christina; Yao, Jianping

2013-09-23

Microwave Photonics, a symbiotic field of research that brings together the worlds of optics and radio frequency is currently facing several challenges in its transition from a niche to a truly widespread technology essential to support the ever-increasing values for speed, bandwidth, processing capability and dynamic range that will be required in next generation hybrid access networks. We outline these challenges, which are the subject of the contributions to this focus issue.

Social network approaches to recruitment, HIV prevention, medical care, and medication adherence.

PubMed

Latkin, Carl A; Davey-Rothwell, Melissa A; Knowlton, Amy R; Alexander, Kamila A; Williams, Chyvette T; Boodram, Basmattee

2013-06-01

This article reviews the current issues and advancements in social network approaches to HIV prevention and care. Social network analysis can provide a method to understand health disparities in HIV rates, treatment access, and outcomes. Social network analysis is a valuable tool to link social structural factors to individual behaviors. Social networks provide an avenue for low-cost and sustainable HIV prevention interventions that can be adapted and translated into diverse populations. Social networks can be utilized as a viable approach to recruitment for HIV testing and counseling, HIV prevention interventions, optimizing HIV medical care, and medication adherence. Social network interventions may be face-to-face or through social media. Key issues in designing social network interventions are contamination due to social diffusion, network stability, density, and the choice and training of network members. There are also ethical issues involved in the development and implementation of social network interventions. Social network analyses can also be used to understand HIV transmission dynamics.

The golden goose in the crosshairs: the transition to defined contribution pension plans in the public sector: unintended consequences.

PubMed

Johnson, Brian R

2013-01-01

State, county, and local governments are currently facing a myriad of economic issues, based on shrinking tax revenues combined with increased expenditures. Of these, the costs related to defined benefit pension plans are one of the most serious issues facing many public employers. Through a comprehensive review of the existing literature, this article examines how the shift from the defined benefit (DB) to defined contribution (DC) pension plan has the potential to enhance levels of labor unrest due to changes in union militancy, bargaining skills deficits, intra-organizational conflict, and issues related to economic trade-offs. Besides the capacity for immediate and deleterious ramifications in the collective bargaining process, the transition to the DC pension also presents some potentially negative consequences related to human resource management, including changes in the psychological contract, recruitment strategies, employee turnover, and changes in retirement patterns. Recommendations to improve labor relations and human resource management practices in the DC pension environment are also explored.

Detecting Superior Face Recognition Skills in a Large Sample of Young British Adults

PubMed Central

Bobak, Anna K.; Pampoulov, Philip; Bate, Sarah

2016-01-01

The Cambridge Face Memory Test Long Form (CFMT+) and Cambridge Face Perception Test (CFPT) are typically used to assess the face processing ability of individuals who believe they have superior face recognition skills. Previous large-scale studies have presented norms for the CFPT but not the CFMT+. However, previous research has also highlighted the necessity for establishing country-specific norms for these tests, indicating that norming data is required for both tests using young British adults. The current study addressed this issue in 254 British participants. In addition to providing the first norm for performance on the CFMT+ in any large sample, we also report the first UK specific cut-off for superior face recognition on the CFPT. Further analyses identified a small advantage for females on both tests, and only small associations between objective face recognition skills and self-report measures. A secondary aim of the study was to examine the relationship between trait or social anxiety and face processing ability, and no associations were noted. The implications of these findings for the classification of super-recognizers are discussed. PMID:27713706

Higher Education Research: Its Relationship to Policy and Practice. Issues in Higher Education Series.

ERIC Educational Resources Information Center

Teichler, Ulrich, Ed.; Sadlack, Jan, Ed.

Contributions to this volume show the current state of self-reflection among researchers in higher education, including the conditions they face and the ways in which they research and communicate their findings. The chapters are: (1) "The Relationships between Higher Education Research and Higher Education Policy and Practice: The…

Higher Education in Texas: Student Aid and Governance. Working Paper.

ERIC Educational Resources Information Center

Tolo, Kenneth W.

Current issues facing higher education in Texas are examined with an emphasis on student financial aid programs and governance. The formal organizational structure and the responsibilities of the major governmental units are described, and the role played by state government in higher education through its tuition policies and its student aid…

Is It O.K. for PPFA to Say "No Way"?

ERIC Educational Resources Information Center

Newcomer, Susan

Sexuality educators face a common dilemma in deciding whether it is best that teenagers not have babies, not get pregnant, or not have intercourse. Research findings suggest that sexuality educators and adolescents themselves are divided on the issue. The current political climate suggests that educators should promote abstinence. Some programs…

The Assault on Public Education: Confronting the Politics of Corporate School Reform

ERIC Educational Resources Information Center

Watkins, William H., Ed.

2011-01-01

In this timely interdisciplinary volume, William Watkins has brought together leading scholars and activists to address some of the most urgent issues facing public education. What is underneath and behind the language of choice, efficiency, and improvement in current neoliberal discourse? How will urban and poor populations be affected? Will…

Challenges and Opportunities in Adult Education.

ERIC Educational Resources Information Center

Brand, Betsy

Literacy and work force preparedness are two of the most important issues facing education today. Findings of nationwide studies show that reading and writing performance of students is inadequate. One of every eight current workers reads at the fourth-grade level or lower. The nation's economic future will be determined by the quality and…

Development of the Other-Race Effect during Infancy: Evidence toward Universality?

ERIC Educational Resources Information Center

Kelly, David J.; Liu, Shaoying; Lee, Kang; Quinn, Paul C.; Pascalis, Olivier; Slater, Alan M.; Ge, Liezhong

2009-01-01

The other-race effect in face processing develops within the first year of life in Caucasian infants. It is currently unknown whether the developmental trajectory observed in Caucasian infants can be extended to other cultures. This is an important issue to investigate because recent findings from cross-cultural psychology have suggested that…

Saving Ohio's Historic Neighborhood Schools: A Primer for School Preservation Advocates.

ERIC Educational Resources Information Center

National Trust for Historic Preservation, Washington, DC.

This publication was developed to assist concerned citizens faced with the loss of their neighborhood schools. It recounts a brief history of school reform in Ohio, leading to the current crisis, and suggests strategies advocates for the preservation of their neighborhood schools can use to save their neighborhood assets. Broad issues addressed…

Sexual Orientation and School Discipline: New Evidence from a Population-Based Sample

ERIC Educational Resources Information Center

Mittleman, Joel

2018-01-01

Sexual minorities' risk for exclusionary discipline is a commonly cited indicator of the challenges that these students face. The current study addresses this issue by introducing a new data source for research on sexual minority students: the Fragile Families and Childhood Wellbeing Study. In this geographically diverse, population-based sample,…

Mathematical Learning Disabilities in Special Populations: Phenotypic Variation and Cross-Disorder Comparisons

ERIC Educational Resources Information Center

Dennis, Maureen; Berch, Daniel B.; Mazzocco, Michele M. M.

2009-01-01

What is mathematical learning disability (MLD)? The reviews in this special issue adopt different approaches to defining the construct of MLD. Collectively, they demonstrate the current status of efforts to establish a consensus definition and the challenges faced in this endeavor. In this commentary, we reflect upon the proposed pathways to…

Electronic Invoice in Costa Rica: Challenges for Its Implementation

ERIC Educational Resources Information Center

Ramírez-Jiménez, Juan José; De La O-Selva, Mario; Cortés-Morales, Roberto

2016-01-01

This paper discusses the current situation that Costa Rica faces around fiscal issues and high evasion rates. Using actors and multidimensional analysis, it proposes the electronic invoice as an e-government strategic solution that will close the gap around tax evasion and the government incomes. The success achieved by Brazil in this area…

The Mystery of Student Selection: Are There Any Selection Criteria?

ERIC Educational Resources Information Center

Marnewick, Carl

2012-01-01

First-year students are still failing at an alarming rate. This is an international issue that universities face and there is currently no clear indication of the cause of the problem as universities move from being elite to providing mass education. This article examines the possible correlation between students' high school performance and…

An Evaluation and Analysis of Past Landfill Closures in Puerto Rico as Guidance for Current and Future Closures

EPA Science Inventory

The island of Puerto Rico has faced several challenges related to the issue of closed landfills – historically, many municipal landfills in Puerto Rico were not closed properly or abandoned, while others were closed in accordance with applicable rules but have sustained physical ...

Schools and the Law: A Patron's Introspection

ERIC Educational Resources Information Center

Colton, Paul

2009-01-01

In Ireland, where education at both primary and second level is overwhelmingly denominational in character, patronage is exercised, in the main, by religious patrons. This article is an introspective analysis of current legal issues as they face one patron and schools under his patronage; it looks at the intersection of civil law with Church law;…

Higher Education in Greece Compared to Canada

ERIC Educational Resources Information Center

Miliotis, Helen

2014-01-01

This paper compares and contrasts higher education in Canada and Greece. An overview of the systems in place is followed by an analysis centred on the triad of funding, access and quality. Similarities and differences are highlighted, and the current challenges and issues faced by both nations will be examined, especially in terms of world…

Advancing Elementary and Middle School STEM Education

ERIC Educational Resources Information Center

English, Lyn D.

2017-01-01

Navigating the current STEM agendas and debates is complex and challenging. Perspectives on the nature of STEM education and how it should be implemented without losing discipline integrity, approaches to incorporating the arts (STEAM) and how equity in access to STEM education can be increased are just a few of the many issues faced by…

Elite Education and the State in France: Durable Ties and New Challenges

ERIC Educational Resources Information Center

van Zanten, Agnès; Maxwell, Claire

2015-01-01

Employing a Weberian understanding of the centrality of a strong bureaucracy in the modern nation-state, this article examines the relationship between the state and elite education in France. Through a historical analysis and an examination of two current issues facing education--widening participation and pressures to internationalise--we…

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…

Opening Doors: Students' Perspectives on Juggling Work, Family, and College.

ERIC Educational Resources Information Center

Matus-Grossman, Lisa; Gooden, Susan

Information gathered in focus groups of current, former, and potential students at six community colleges was used to explore institutional and personal access and retention issues faced by students seeking a workable balance of their college, work, and family responsibilities. The six community colleges were as follows: Cabrillo College (Aptos,…

Going Dutch: Higher Education in the Netherlands

ERIC Educational Resources Information Center

Law, David

2016-01-01

This article outlines some of the policy issues currently faced by research-based universities in the Netherlands. The focus is on four leading universities (University of Amsterdam: UvA; Free University of Amsterdam: VU; Leiden University; and Delft University of Technology: TUD). The author visited these institutions as part of a Study Tour…

Projected Issues in the Practice of Educational Administration: The English Context.

ERIC Educational Resources Information Center

Browning, Peter

Current and incipient problems in educational administration in England can be grouped into two areas: those resulting from reorganization and those arising from social and political factors. Many problems faced by educational administrators result from school reorganization that is a result of an increase in the number of comprehensive schools.…

Science accomplishments report.

Treesearch

Valerie Rapp

2003-01-01

Today, as in the past, complex forces of nature intersect with communities and society. Fire, climate change, invasive species, and large-scale shifts in forest cover and use are some of the key issues society currently faces. This accomplishment report encapsulates a year’s work from our scientists. This work is often interdisciplinary, long term, geographically broad...

Higher Education Law: Current Developments and Issues.

ERIC Educational Resources Information Center

Young, D. Parker

During the past dozen years administrators in higher education have been faced with student action that took the form of protest and that many times became violent. Student action is somewhat quieter now and the battleground has shifted largely from the campus to the courtroom. Both procedural and substantive due process are recognized by the…

Leadership in Transition: The Community College Presidency.

ERIC Educational Resources Information Center

Vaughan, George B.

Stemming from the author's personal experiences, interviews, research, and needs expressed by individuals in the community college field, this book examines issues currently facing community college presidents and argues for a change in leadership to meet the needs of a new era in higher education. Chapter 1 briefly describes the role of the…

Cell Phone Roulette and "Consumer Interactive" Quality

ERIC Educational Resources Information Center

Navarro, Peter

2005-01-01

Under current policies, cell phone consumers face a lower probability of finding the best carrier for their usage patterns than winning at roulette. Corroborating survey data consistently show significant dissatisfaction among cell phone users, network performance is a major issue, and customer "churn" is high. This problem may be traced to a new…

Pharmacy executives: leadership issues and associated skills, knowledge, and abilities in the U.S. Department of Defense.

PubMed

Meadows, Andrew B; Finstuen, Kenn; Hudak, Ronald P

2003-01-01

To identify the issues or problems that current and aspiring U.S. Department of Defense (DoD) pharmacy executives will face in the future and to define the skills, knowledge, and abilities (SKAs) required to successfully address these issues. Delphi method for executive decision making. DoD. Ninety-three pharmacists serving in the military grades of lieutenant colonel/commander and colonel/captain, as well as pharmacists selected for promotion to those grades. iterations of the Delphi method for executive decision making separated by an expert panel content analysis. Round 1--participants identified five major issues believed to be of greatest importance to pharmacy executives and reported specific SKAs that might be needed to successfully manage those issues. An expert panel sorted these issues into meaningful domains, then provided an appropriate title for each domain. Round 2--on a 7-point scale, respondents rated the SKA items according to their assessment of how much a future DoD pharmacy executive would need each SKA. Response rates were 44.1% and 46.2% for Delphi rounds 1 and 2, respectively. The first round generated 62 unique issues facing pharmacy executives. The expert panel reviewed and sorted the issues into eight domains and selected an appropriate title for each domain. The domains identified by the panel were human resources, pharmacy operations/business practices, information management and technology, financial resources, formulary management, drug therapy management, pharmacy benefit management, and leadership. During round 2, 73.3% of the top 15 rated SKAs came from the drug therapy management, leadership, and formulary management domains. The three highest-rated SKAs were "ability to see the big picture," "ability to build strong relations with medical staffs," and "skills in both writing and verbal communication." The issues facing future DoD pharmacy executives will require them to expand their clinical abilities as well as their ability to collaborate and communicate with other professionals.

An Ophthalmologic Summit for On-Orbit Care

NASA Technical Reports Server (NTRS)

Bacal, Kira; McCulley, Phyllis; Paul, Bonnie

2004-01-01

Ophthalmologic issues are a source of concern for NASA flight surgeons, due to the remote nature of the space station as well as the microg ravity environment. Methods: A panel of external consultants was conv ened to evaluate the adequacy of the current in-flight medical system for the diagnosis and treatment of ophthalmologic issues. Participants were acknowledged experts in their field who also had experience in operational medicine. Results: Nine extramural experts provided assi stance, and six of them participated in a face to face meeting held a t NASA-Johnson Space Center. Changes were recommended for the space s tation pharmacopoeia, and diagnostic, therapeutic, and deorbit criteria protocols for a variety of ocular conditions were developed. Discus sion: The results of the panel provide an evidence based approach to the diagnosis and care of ophthalmologic conditions on the International Space Station

Issues and Challenges Facing Flexible Lithium-Ion Batteries for Practical Application.

PubMed

Cha, Hyungyeon; Kim, Junhyeok; Lee, Yoonji; Cho, Jaephil; Park, Minjoon

2017-12-27

With the advent of flexible electronics, lithium-ion batteries have become a key component of high performance energy storage systems. Thus, considerable effort is made to keep up with the development of flexible lithium-ion batteries. To date, many researchers have studied newly designed batteries with flexibility, however, there are several significant challenges that need to be overcome, such as degradation of electrodes under external load, poor battery performance, and complicated cell preparation procedures. In addition, an in-depth understanding of the current challenges for flexible batteries is rarely addressed in a systematical and practical way. Herein, recent progress and current issues of flexible lithium-ion batteries in terms of battery materials and cell designs are reviewed. A critical overview of important issues and challenges for the practical application of flexible lithium-ion batteries is also provided. Finally, the strategies are discussed to overcome current limitations of the practical use of flexible lithium-based batteries, providing a direction for future research. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Ethics and maternity care: from principles to practice.

PubMed

Lothian, Judith A

2009-01-01

In this column, the associate editor of The Journal of Perinatal Education (JPE) discusses the decision to devote an issue of JPE to the ethics of childbirth and maternity care. The current crisis in maternity care mandates a careful look at the ethical principles that provide the foundation for practice. The contents of this special issue include: a broad overview of ethics of childbearing, historical perspectives and contemporary understanding of informed decision making, the ethical issues faced by childbirth educators, and the challenges and moral distress experienced by childbirth educators and other maternity care providers when their values, beliefs, and ethical standards are in conflict with standard maternity care practices.

Geopolymer concrete for structural use: Recent findings and limitations

NASA Astrophysics Data System (ADS)

Nuruddin, M. F.; Malkawi, A. B.; Fauzi, A.; Mohammed, B. S.; Almattarneh, H. M.

2016-06-01

Geopolymer binders offer a possible solution for several problems that facing the current cement industry. These binders exhibit similar or better engineering properties compared to cement and can utilize several types of waste materials. This paper presents the recent research progress regarding the structural behaviour of reinforced geopolymer concrete members including beams, columns and slabs. The reported results showed that the structural behaviour of the reinforced geopolymer concrete members is similar to the known behaviour of the ordinary reinforced concrete members. In addition, the currently available standards have been conservatively used for analysis and designing of reinforced geopolymer concrete structures. On the other hand, the main hurdles facing the spread of geopolymer concrete was the absence of standards and the concerns about the long-term properties. Other issues included the safety, cost and liability.

Challenges and issues facing the future of nursing education: implications for ethnic minority faculty and students.

PubMed

Davis, Sheila P; Davis, Danyetta D

2010-01-01

Current trends in higher education in the United States demand that nursing take stock of how it is prepared or being prepared to face challenges and issues impacting on its future. The intense effort made to attract students to pursue advanced training in science and engineering in the United States pales in comparison to the numbers of science and engineering majors produced yearly in international schools. As a result, more and more jobs are being outsourced to international markets. Could international outsourcing become a method of nursing education? Authors submit that to remain competitive, the nursing profession must attract a younger cohort of technologically savvy students and faculty reflective of the growing diverse population in the United States. Additionally, nursing programs in research universities face even more daunting challenges as it relates to mandates for funded research programs of educational units. This article offers suggestions and recommendations for nursing programs in higher education institutions on ways to attract and retain ethnic minorities and of how to harness the power of research to address burgeoning societal health challenges.

Issues and Concerns Faced by Undergraduate Language Student Teachers during Teaching Practicum Experiences

ERIC Educational Resources Information Center

Ali, Mohd Sofi; Othman, Abdul Jalil; Karim, Abdul Faruk Abdul

2014-01-01

This study examined specific issues and concerns faced by Bachelor of Education student teachers majoring in Language and Literature during their 12-week teaching practicum experience. Specifically, three main areas of concerns were examined. They were: (1) specific issues and concerns related to the implementation of teaching practicum faced by…

Challenges in healthcare delivery in an economic downturn, in the Republic of Ireland.

PubMed

Carney, Marie

2010-07-01

The purpose of the present study was to discuss some of effects of the downturn in the Irish economy and to demonstrate that in the face of economic difficulties innovation in health care is still occurring. Staff that are managing and delivering healthcare need to know the challenges facing them and have an awareness of the importance of maintaining interest in innovative practice in turbulent times. Information obtained from several sources including government papers, the nursing regulatory board and quality authority documents and current best practice articles. Information was evaluated based on the study's aim. Issues emerging were that current challenges facing Irish health care delivery relate mainly to economic, clinical management, education and information technology factors and further reductions in the cost base of health care delivery remains focused on value for money. In the face of the economic downturn Ireland is achieving health targets and is now sitting in 13th place on the European health index, down from number 28 in 2008. This improvement in position has resulted from several new innovative work practices. As a result of cost reduction measures in place nurse managers will face greater challenges than ever before in meeting the objectives of the healthcare transformation programme.

Paradigm Shift in Education: Weaving Social-Emotional Learning into Language and Literacy Instruction

ERIC Educational Resources Information Center

Dresser, Rocio

2013-01-01

This paper first outlines some of the challenges students and teachers are facing in schools around the country. These challenges include social issues such as violence, drugs and bulling. This coupled with the fact that many instructional programs follow the cognitive-only model and the current push for standardized testing has had a negative…

Reading Lives: Creating and Sustaining Learning about Culture and Literacy Education in Teacher Study Groups.

ERIC Educational Resources Information Center

Florio-Ruane, Susan; Raphael, Taffy E.

Isolated from other professionals, teachers and their practice are embedded within a hierarchical system in which the day-to-day activities are governed by external forces: administrative mandates, parental request, and currently, legislative directives. One issue facing teachers today and about which their voices are infrequently heard is that of…

Supporting International Applicants and Promoting an Ethical Model of Global College Admission

ERIC Educational Resources Information Center

Redding, Alexis Brooke

2013-01-01

This article examines the challenges facing the pool of global applicants to US colleges and evaluates the practices of the internationaI IECs who currently fill the void that exists between applicants and admission officers. The author, is a doctoral student at the Harvard Graduate School of Education, where she researches ethical issues in…

Perceptions of Women in Management: A Thematic Analysis of Razing the Glass Ceiling

ERIC Educational Resources Information Center

Baumgartner, Mindy S.; Schneider, David E.

2010-01-01

Despite advances that women have made in organizations over the past century, women continue to be underrepresented in upper management positions. Based on a review of literature, six issues that women face when encountering the glass ceiling were examined. The goal of the current study involved having women who have succeeded at breaking the…

Using Visual Technologies in the Introductory Programming Courses for Computer Science Majors

ERIC Educational Resources Information Center

Price, Kellie W.

2013-01-01

Decreasing enrollments, lower rates of student retention and changes in the learning styles of today's students are all issues that the Computer Science (CS) academic community is currently facing. As a result, CS educators are being challenged to find the right blend of technology and pedagogy for their curriculum in order to help students…

"Getting into the World": Guidance and Counseling in Community Colleges.

ERIC Educational Resources Information Center

Grubb, W. Norton

This working paper discusses the unique and complex issues community colleges face in providing career counseling and guidance to students, and it provides an overview of the current status of these services. Guidance and counseling at community colleges is complicated by the variety of students and the varying needs of population--from the older…

Wicked Problems Forum: Immigration and Higher Education: From Me to We: Embracing Coperformative Witnessing and Critical Love in the Classroom

ERIC Educational Resources Information Center

Calafell, Bernadette Marie; Chuang, Andy Kai-chun

2018-01-01

Omar Swartz and Ware McGuffey's essay, "Migrating Pedagogy in American Universities: Cultivating Moral Imagination and Social Justice," available in this issue of "Communication Education," offers an overview of the current landscape in higher education and, in particular, the challenges immigrant students face, historically…

Transition from High School to Associate Degree Nursing Education: A Qualitative Study

ERIC Educational Resources Information Center

Mitchell, Kathy Jessee

2012-01-01

Nursing is facing a critical shortage and retention of nursing students is of paramount importance. Much research has been completed related to retention in nursing education and student success, but there is very little in current literature related to issues associated with the transition from high school to associate degree nursing (ADN)…

Harnessing Visual Media in Environmental Education: Increasing Knowledge of Orangutan Conservation Issues and Facilitating Sustainable Behaviour through Video Presentations

ERIC Educational Resources Information Center

Pearson, Elissa; Dorrian, Jillian; Litchfield, Carla

2011-01-01

Many animals are currently facing extinction. Conservation education which highlights the impacts of our behaviour on other species survival is crucial. This study provides evidence for the use of visual media to increase knowledge, attitudes and conservation behaviours regarding the highly endangered orangutan. University students (n = 126) were…

The Labour Market Relevance of PhDs: An Issue for Academic Research and Policy-Makers

ERIC Educational Resources Information Center

Boulos, Aurélie

2016-01-01

In the difficult current socio-economic context, overqualified graduates are increasingly facing challenges in terms of entering the job market and finding jobs which fit their levels of qualifications and satisfaction. Grounded in an auto-ethnography approach, this paper reflects on the challenges that the author (a young female European PhD…

The changing face of medical negligence law: from Bolam to Bolitho.

PubMed

Sooriakumaran, Prasanna

2008-06-01

The Bolam test was the standard by which medical negligence cases were judged. However, recently, the Bolitho case has resulted in a shift away from Bolam, with significant effects for all future negligence suits. Doctors need to have a thorough understanding of these issues in order to practice successfully in the current litiginous climate.

A brief review of some pathology research supported by the Georgia Commodity Commission for Pecans at the USDA-ARS, Byron

USDA-ARS?s Scientific Manuscript database

With the changes currently taking place nationally in the pecan industry, and the production issues faced specifically by growers in Georgia and elsewhere in the southeastern region, the pathology research projects funded by the Georgia Commodity Commission for Pecans (CC) are reviewed. The results ...

Critical Issues Facing School Leaders Concerning Data-­Informed Decision-Making

ERIC Educational Resources Information Center

Murray, John

2014-01-01

School systems have access to more data than ever before, but most teachers and school leaders lack the skills to use the data for student and school improvement. Current attempts to use data have lacked depth and have been more focused on accountability and meeting state and federal requirements than on systematically investigating the factors…

Career Management in Transition: HRD Themes from the Estonian Civil Service

ERIC Educational Resources Information Center

Rees, Christopher J.; Jarvalt, Jane; Metcalfe, Beverley

2005-01-01

Purpose: To explore, through a case study, some of the key career-related HRD issues that senior managers are currently facing in the Estonian civil service. Design/methodology/approach: Presents primary empirical research into career management in the Estonian civil service since 1991, that is, in the post-Soviet era. The research involved…

Crises in Teacher Education: A Dynamic Response to AACTE's Future Role.

ERIC Educational Resources Information Center

American Association of Colleges for Teacher Education, Washington, DC.

This document is a report of the commission appointed to study the over-all role of the American Association of Colleges for Teacher Education (AACTE), to appraise its current condition, and to recommend its future direction. The first chapter, "Context of Crisis and Tension," outlines the problems and issues facing teacher education institutions…

What Is the Cause of Graduates' Unemployment? Focus on Individual Concerns and Perspectives

ERIC Educational Resources Information Center

Hwang, Youngsik

2017-01-01

The graduate unemployment rate is one of the current issues being discussed by higher education scholars. College students spend their time and money in order to receive educational advantages unavailable to high school graduates. So if they face unemployment, they are more vulnerable to unfavorable economic conditions because they have already…

The Evolution of NxtWave Leaders for 21st-Century Libraries

ERIC Educational Resources Information Center

Howard, Jody K.

2015-01-01

In January 2012, a group of four school library professors attending the ALA Midwinter Meeting were having lunch and discussing various issues related to the school library field. These school library professors agreed that one challenge facing the profession is preparing future leaders. As current school library leaders retire, it is difficult to…

"You Could See It on Their Faces...": The Importance of Provoking Smiles in Schools

ERIC Educational Resources Information Center

Barnes, Jonathan

2005-01-01

Purpose: Current research in both cognitive neuroscience and what has been called "positive psychology" point to the need for wholesale reappraisal of what happens in schools, especially with regard to the wellbeing of children. Seeks to examine this issue. Design/methodology/approach: Reviews and discussion of research by the World…

Use of International Documentation: Some of the Major Problems Facing Developing Countries. Occasional Paper No. 14.

ERIC Educational Resources Information Center

Kaungamno, E. E.

This paper discusses the role of information in national development, addressing such issues as for whom and for what purposes information is needed in developing countries, the impact of the information explosion on the Third World, and the problems inherent in current national and international information infrastructures. A series of statements…

Universities and Colleges as Economic Drivers: Measuring Higher Education's Role in Economic Development. Critical Issues in Higher Education

ERIC Educational Resources Information Center

Lane, Jason E., Ed.; Johnstone, D. Bruce, Ed.

2012-01-01

Local, state, and national economies are facing unprecedented levels of international competition. The current fiscal crisis has hampered the ability of many governments in the developed world to directly facilitate economic growth. At the same time, many governments in the developing world are investing significant new resources into local…

The Effect of Outsourcing on the Performance of Public Schools

ERIC Educational Resources Information Center

Rivera, Lonny J.

2009-01-01

Public education in the 21st century is faced with many difficult challenges. The first and probably most common issue is related to finance. As the economy continues to worsen, school districts are forced to find new revenue streams while at the same time reducing expenditures. In the current economic climate, it is becoming more difficult for…

German Higher Education: Issues and Challenges. International Studies in Education.

ERIC Educational Resources Information Center

Lingens, Hans G.

This book outlines some of the current problems faced by higher education in Germany. The first chapter describes the development of higher education and the changes in this system over time, with an emphasis on the development of higher education in the two Germanys before reunification and some comments on developments since reunification.…

A secure medical data exchange protocol based on cloud environment.

PubMed

Chen, Chin-Ling; Yang, Tsai-Tung; Shih, Tzay-Farn

2014-09-01

In recent years, health care technologies already became matured such as electronic medical records that can be easily stored. However, how to get medical resources more convenient is currently concern issue. In spite of many literatures discussed about medical systems, but these literatures should face many security challenges. The most important issue is patients' privacy. Therefore, we propose a secure medical data exchange protocol based on cloud environment. In our scheme, we use mobile device's characteristics, allowing peoples use medical resources on the cloud environment to seek medical advice conveniently.

Perspectives on hypersonic viscous flow research

NASA Technical Reports Server (NTRS)

Cheng, H. K.

1993-01-01

Issues and advances in current hypersonic flow research perceived to be of interest in theoretical fluid/gas dynamics are reviewed. Particular attention is given to the hypersonic aircraft as waverider, computational methods and theoretical development in the study of viscous interaction, and boundary-layer instability and transition studies. In the present framework the study of viscous hypersonic flow faces transition problems of two kinds which represent the two major areas of current research: the turbulence transition in the high Re range and the transition to the free-molecule limit.

Critical coastal issues of Sagar Island, east coast of India.

PubMed

Gopinath, Girish

2010-01-01

Sagar Island, situated in the east coast of India and one of the biggest deltas in Sundarban group, faces coastal erosion and degradation of coastal vegetation and various natural hazards. Erosion is mainly due to clay mining, wave activities, and the impact of river and tidal currents of Muri Ganga and Hugly Rivers. Further, the coastal zone of Sagar Island faces increasingly severe problems of rapidly growing human population, deteriorating environmental quality, and loss of critical habitats. Sagar Island has been victimized several times by tropical cyclones and influenced daily by tidal fluctuations. The island needs immediate attention on the coastal zone in order to protect the shoreline and ecosystem. The capability of satellite remote sensing to provide synoptic, repetitive, and multispectral data has proved to be very useful in the inventory and monitoring of critical coastal issues. Sagar Island and its environs are subjected to both natural and anthropogenic activities that continuously modify the region.

Strategies for synchronisation in an evolving telecommunications network

NASA Astrophysics Data System (ADS)

Avery, Rob

1992-06-01

The achievement of precise synchronization in the telecommunications environment is addressed. Transmitting the timing from node to node has been the inherent problem for all digital networks. Traditional network equipment used to transfer synchronization, such as digital switching ststems, adds impairments to the once traceable signal. As the synchronization signals are passed from node to node, they lose stability by passing through intervening clocks. Timing would be an integrated part of all new network and service deployments. New transmission methods, such as the Synchronous Digital Hierarchy (SDH), survivable network topologies and the issues that arise from them, necessitate a review of current network synchronization strategies. Challenges that face the network are itemized. A demonstration of why localized Primary Reference Clocks (PRC) in key nodes and the Synchronization Supply Unit (SSU) clock architecture of transit and local node clocks is a technically and economically viable solution to the issues facing network planners today is given.

Caring for the elderly: changing perceptions and attitudes.

PubMed

Lovell, Marge

2006-03-01

The aging population is currently one of the main issues facing international health care systems. It is a recognized fact that with advancing age, the likelihood of developing health problems and chronic disease will increase and the demand for health care resources will escalate. This will impact hospitals and long-term care facilities. Our young nurses of the future will be faced with the challenging task of caring for this elderly population. A review of the literature revealed that nursing students have a negative attitude toward the elderly. This may be affected by personal beliefs, values, culture, experience, or observations. Their perceived attitudes toward the gerontology field will make it difficult to recruit the nurses required in this area. This article will explore these issues and examine the role of all health care professionals to help change their attitudes and develop a more positive relationship to meet the needs of this unique population.

Viable Options for Fertility Preservation in Breast Cancer Patients: A Focus on Latin America.

PubMed

Lambertini, Matteo; Goldrat, Oranite; Barragan-Carrillo, Regina; Viglietti, Giulia; Demeestere, Isabelle; Villarreal-Garza, Cynthia

2017-01-01

Thanks to the improved survival outcomes observed in recent years, a growing attention has been given to the quality of life issues faced by young women with breast cancer such as fertility preservation and concerns related to future pregnancies. However, several challenges remain for young women with breast cancer considering undergoing fertility preservation strategies. Further specific issues on this regard should be taken into account in Latin America, where patients and physicians face particular barriers that hinder the routine adoption of this practice. Hence, further efforts are needed to overcome these deficiencies and improve the correct referral of breast cancer patients to fertility preservation strategies. The aim of the present review is to focus on the risk of anticancer treatment-related premature ovarian failure and infertility in young breast cancer patients, to summarize the current knowledge on the available options for fertility preservation, and to discuss the safety issues of pregnancy in breast cancer survivors. Furthermore, this review aims to highlight the specific clinical challenges in this field encountered by healthcare providers and young breast cancer patients from Latin American countries.

Recreational drugs. Societal and professional issues.

PubMed

Solari-Twadell, P A

1991-06-01

Recreational drug use presents a challenge to society and, in particular, the profession of nursing. Recreational drug use must be appreciated for the implications it presents for the episodes of abuse and development of chronic health problems. The effects and recreational use of volatile substances, cannabis, opioids, barbiturates, benzodiazepines, amphetamines, cocaine, psychedelics, and designer drugs as well as alcohol, caffeine, and nicotine must be acknowledged and understood if options for change are to be considered. The resultant cost of recreational drug use as well as health care implications, public safety, and prevention are significant issues society is faced with today. These issues will continue to be significant unless the current posture toward recreational drug use and abuse is addressed. The profession of nursing continues to be faced with the problems associated with recreational drug use not only through caring for clients, but immediately by the effects of recreational drug use on individual professional nurses. To respond effectively, nursing education and nursing research must be challenged to create an emphasis on this focus. Only through this type of multifocal approach will long-term substantial change be affected for the betterment of future generations.

Death and Dying Course Offerings in Psychology: A Survey of Nine Midwestern States

ERIC Educational Resources Information Center

Eckerd, Lizabeth M.

2009-01-01

The certainty of facing death and bereavement and the complex personal and societal issues involved argue for the importance of death education. The current study addresses a gap in knowledge by beginning to assess the extent of dying, death, and bereavement (DD&B) course offerings by U.S. psychology departments. This article reports on data…

A case study exploring the current issues faced by diploma-prepared nurses.

PubMed

Droskinis, Amy

2013-01-01

Nursing is a dynamic and rapidly progressing field. As the profession changes over time, it is vital to study how these transformations influence the workforce. In this study, the aim was to explore how diploma-prepared nurses are functioning in the acute care setting and how modifications in educational requirements and technological advancement have affected their nursing practice.

Establishing Preventive Services. Healthy Children 2010. Issues in Children's and Families' Lives, Vol. 9. The John & Kelly Hartman Series.

ERIC Educational Resources Information Center

Weissberg, Roger P., Ed.; Gullotta, Thomas P., Ed.; Hampton, Robert L., Ed.; Ryan, Bruce A., Ed.; Adams, Gerald R., Ed.

Young people are facing greater risks to their current and future health and social development, as shown by involvement of younger and younger children in risk-taking behaviors. This volume emphasizes developmentally and contextually appropriate prevention service delivery models and identifies state-of-the-art, empirically based strategies to…

Perspectives on the Current Status of and Emerging Policy Issues for Church-Related Colleges and Universities. AGB Occasional Paper No. 8.

ERIC Educational Resources Information Center

McInnes, William

1991-01-01

This paper explores the interaction between church-related institutions and the way in which they shape society and are shaped in turn by the environment in which they operate. Like all schools they face operational challenges such as improving educational quality, promoting greater cultural diversity, coping with aging individuals and…

Thinking about Our Future: War, Society, and the Environment. A Series of Lesson Plans.

ERIC Educational Resources Information Center

Harik, Ramsay M.

This packet of 11 lesson plans is designed to help high school social studies classes examine socio-political issues facing the post-Cold War world. Though its multi-disciplinary approach touches upon a number of current topics, the packet's particular focus is on the wide-ranging impact of war and militarism on the planet's growing ecological…

Current Issues of Motivation, Academic Performance and Internet Use-Applications for an Education of Excellence

ERIC Educational Resources Information Center

Turturean, Monica

2012-01-01

Today's world is facing many problems caused by the economic crisis "leading" thus to an education crisis. "Witnessing" major changes in the curricula, "at" different ways of assessment, at teaching and learning in a transdisciplinary manner which took by surprise the students who, in turn, "feel" disarmed and unable to cope with these changes…

"This Performance Art Is for the Birds:" "Jackass," "Extreme" Sports, and the De(con)struction of Gender

ERIC Educational Resources Information Center

Sweeny, Robert W.

2008-01-01

Many challenges currently face art educators who aim to address aspects of popular visual culture in the art classroom. This article analyzes the relationship between performance art and the MTV program "Jackass," one example of problematic popular visual culture. Issues of gender representation and violence within the context of Reality TV and…

The CUNY Young Adult Program--Utilizing Social Networking to Foster Interdisciplinary and Cross-Cohort Student Communication during Workforce Training

ERIC Educational Resources Information Center

Levine, Alissa; Winkler, Christoph; Petersen, Saul

2010-01-01

The Center for Economic and Workforce Development (CEWD) at Kingsborough Community College (KCC) is currently working on a workforce development project that contains innovative teaching tools that proved successful in overcoming issues of academic isolation facing the student body. The CUNY Young Adult Program (CYAP) is a partnership of three…

"Make Your Own Way There": An Agenda for Young People in the Modern Labour Market.

ERIC Educational Resources Information Center

Spierings, John

The problems facing young people in Australia's current labor market and the effectiveness of Australia's educational system in preparing young people for the labor market were examined. Particular attention was paid to the following issues: the reshaping of work in the modern labor market; skill development in the modern labor market; the impact…

Identifying the Criteria for Planning the Selection and Succession of a CIO: A Phenomenological Study

ERIC Educational Resources Information Center

Williamson, Charles E.

2010-01-01

Many challenges face CIOs in their management of IT systems; yet, very little research is available regarding the issues and constraints associated with their role. CIO leadership is still a subject of inquiry for those with aspirations to pursue such a position. The specific problem of the current qualitative phenomenological study concerned the…

Making a Difference: Leading and Managing for Quality Improvement in Adult and Community Learning.

ERIC Educational Resources Information Center

Ravenhall, Mark; Kenway, Mike

This guide looks at demands on leaders and managers in adult and community learning (ACL) in the roles and issues they face in the context of quality improvement (QI). It suggests practical approaches for improving the quality of provision for adults. The guide's design builds on current practice toward the desired state of excellence in all…

A Proposal for Integrating Research and Teacher Professional Preparation: Innovation and Induction Corridors. White Paper

ERIC Educational Resources Information Center

Donovan, M. Suzanne

2015-01-01

In this white paper, the author addresses the current issues faced by policy makers for improving the K-12 education system in the United States. Reliance had been on: (1) incentives; and (2) accountability standards. These two policy levers promised a quick, easily understood response for a relatively small investment. While the logic of these…

Creating Identity-Safe Spaces on College Campuses for Muslim Students

ERIC Educational Resources Information Center

Nasir, Na'Ilah Suad; Al-Amin, Jasiyah

2006-01-01

The current national political context has brought Islam (as both a practice and an identity) into the media forefront. The events of 9/11 and the resulting war in Iraq have sparked renewed interest in the religion of Islam and the life of Muslims. This context has made the discussion undertaken in this article of the issues faced by Muslim…

Teaching cultural diversity: current status in U.K., U.S., and Canadian medical schools.

PubMed

Dogra, Nisha; Reitmanova, Sylvia; Carter-Pokras, Olivia

2010-05-01

In this paper we present the current state of cultural diversity education for undergraduate medical students in three English-speaking countries: the United Kingdom (U.K.), United States (U.S.) and Canada. We review key documents that have shaped cultural diversity education in each country and compare and contrast current issues. It is beyond the scope of this paper to discuss the varied terminology that is immediately evident. Suffice it to say that there are many terms (e.g. cultural awareness, competence, sensitivity, sensibility, diversity and critical cultural diversity) used in different contexts with different meanings. The major issues that all three countries face include a lack of conceptual clarity, and fragmented and variable programs to teach cultural diversity. Faculty and staff support and development, and ambivalence from both staff and students continue to be a challenge. We suggest that greater international collaboration may help provide some solutions.

Special Issues in Working with Gifted Minority Adolescents.

ERIC Educational Resources Information Center

Lindstrom, Rena R.; Van Sant, Sondra

1986-01-01

Gifted adolescents from minority groups face the same issues all gifted young people face, but the addition of racial and cultural factors increases the complexity of these issues. Discusses individual versus cultural pressures that affect identity, issues related to assisting students with long-range planning, and two models for programming.…

Issues Validation: A New Environmental Scanning Technique for Family Life Educators.

ERIC Educational Resources Information Center

Weigel, Randy R.; And Others

1992-01-01

Three-state study used Issues Validation, environmental scanning process for family life educators that combines literature reviews, professional and public opinion, and survey research to identify issues facing families and youth. Samples of residents, local advisory committees, and community professionals ranked 30 issues facing families and…

Lag-length effect on repetition priming of famous and unfamiliar faces: evidence from N250r and N400.

PubMed

Nie, Aiqing; Li, Minye; Ye, Jingheng

2016-07-06

Previous event-related potentials research has reliably identified two repetition priming components in faces, the N250r and the N400, which are believed to reflect, respectively, the accessing to the stored structural representations and the semantic retrieval. However, the effect of lags longer than immediate repetition and shorter than 3 min on the two components has not been described as yet, and the interaction between lag length and familiarity is unclear. The current experiment aims to address these issues. In this experiment, famous and unfamiliar faces were represented after short, medium, or long lags, and participants were required to decide whether each face was known or not. The data showed that the frontal N250r, rather than the temporal counterpart, persisted to the medium lag case for famous faces; for unfamiliar faces, no N250r was observed. The frontal N400 was more regulated by lag length than the centroparietal counterpart. These results suggest that the frontal N250r and the frontal N400 are affected by the lag length; moreover, the former is more sensitive to the pre-experimental familiarity of faces.

Positive and negative emotion enhances the processing of famous faces in a semantic judgment task.

PubMed

Bate, Sarah; Haslam, Catherine; Hodgson, Timothy L; Jansari, Ashok; Gregory, Nicola; Kay, Janice

2010-01-01

Previous work has consistently reported a facilitatory influence of positive emotion in face recognition (e.g., D'Argembeau, Van der Linden, Comblain, & Etienne, 2003). However, these reports asked participants to make recognition judgments in response to faces, and it is unknown whether emotional valence may influence other stages of processing, such as at the level of semantics. Furthermore, other evidence suggests that negative rather than positive emotion facilitates higher level judgments when processing nonfacial stimuli (e.g., Mickley & Kensinger, 2008), and it is possible that negative emotion also influences latter stages of face processing. The present study addressed this issue, examining the influence of emotional valence while participants made semantic judgments in response to a set of famous faces. Eye movements were monitored while participants performed this task, and analyses revealed a reduction in information extraction for the faces of liked and disliked celebrities compared with those of emotionally neutral celebrities. Thus, in contrast to work using familiarity judgments, both positive and negative emotion facilitated processing in this semantic-based task. This pattern of findings is discussed in relation to current models of face processing. Copyright 2009 APA, all rights reserved.

Challenges and outlook for the UICC-Asian Regional Office.

PubMed

Akaza, Hideyuki

2013-01-01

At the United Nations High-level Meeting on Non-communicable Disease Prevention and Control in 2011 the link between health and socioeconomic issues was raised, becoming a global political issue. Health equity is one challenge that has hitherto not been addressed directly, although there is a growing shared recognition that cancer in Asia is an urgent social issue. At the UICC-ARO we are working to promote and widen networks of individuals and organizations in Asia and involve them in cooperation for this purpose. As part of our current activities, we are addressing the question of the "Economic burden of cancer in Asian countries: How should we face the current situation? " from a variety of angles and seeking to bring together a wealth of multidisciplinary knowledge about cancer in Asia and its related socioeconomic factors. It is essential to ensure that the real picture of cancer in Asia, which is currently not accurately understood, is conveyed clearly to all concerned, and also that the differences between cancer in Asia and in the West are highlighted.

An appreciation of Bruce and Young's (1986) serial stage model of face naming after 25 years.

PubMed

Hanley, J Richard

2011-11-01

The current status of Bruce and Young's (1986) serial model of face naming is discussed 25 years after its original publication. In the first part of the paper, evidence for and against the serial model is reviewed. It is argued that there is no compelling reason why we should abandon Bruce and Young's claim that recall of a name is contingent upon prior retrieval of semantic information about the person. The current status of the claim that people's names are more difficult to recall than the names of objects is then evaluated. Finally, an account of the anatomical location in the brain of Bruce and Young's three processing stages (face familiarity, retrieval of semantic information, retrieval of names) is suggested. In particular, there is evidence that biographical knowledge about familiar people is stored in the right anterior temporal lobes (ATL) and that the left temporal pole (TP) is heavily involved in retrieval of the names of familiar people. The issue of whether these brain areas play a similar role in object processing is also discussed. ©2011 The British Psychological Society.

Let's Get Small: An Introduction to Transitional Issues in Nanotech and Intellectual Property.

PubMed

Koepsell, David

2009-08-01

Much of the discussion regarding nanotechnology centers around perceived and prosphesied harms and risks. While there are real risks that could emerge from futuristic nanotechnology, there are other current risks involved with its development, not involving physical harms, that could prevent its full promise from being realized. Transitional forms of the technology, involving "microfab," or localized, sometimes desk-top, manufacture, pose a good opportunity for case study. How can we develop legal and regulatory institutions, specifically centered around the problems of intellectual property, that both stimulate innovation, and make the best possible use of what will eventually be a market in "types" rather than "tokens"? This paper argues that this is the most critical, current issues facing nanotechnology, and suggests a manner to approach it.

Where the Rubber Hits the Road: What Home Healthcare Professionals Need to Know About Driving Safety for Persons With Dementia.

PubMed

Pastor, Diane K; Jones, Andrea; Arms, Tamatha

2017-01-01

Driving cessation for people with dementia is a significant personal safety and public health issue. Home healthcare professionals frequently encounter situations where patients/clients should not continue to drive, and family members are unaware of how to approach the issue. This article will inform readers of the current state of the healthcare driving assessment process, measures and instruments used to assess, and effective strategies and resources when working with families facing the dilemma of how and when to proceed with a driving cessation plan.

Medical internet ethics: a field in evolution.

PubMed

Dyer, K A; Thompson, C D

2001-01-01

As in any new field, the merger of medicine, e-commerce and the Internet raises many questions pertaining to ethical conduct. Key issues include defining the essence of the patient-provider relationship, establishing guidelines and training for practicing online medicine and therapy, setting standards for ethical online research, determining guidelines for providing quality healthcare information and requiring ethical conduct for medical and health websites. Physicians who follow their professional code of ethics are obligated not to exploit the relationship they have with patients, nor allow anyone else working with them to do so. Physicians and therapists are obligated to serve those who place trust in them for treatment, whether in face-to-face or online Internet encounters with patients or clients. This ethical responsibility to patients and clients is often in direct conflict with the business model of generating profits. Healthcare professionals involved in Medical Internet Ethics need to define the scope of competent medical and healthcare on the Internet. The emerging ethical issues facing medicine on the Internet, the current state of medical ethics on the Internet and questions for future directions of study in this evolving field are reviewed in this paper.

Ethical and social issues facing obstetricians in low-income countries.

PubMed

Ogwuegbu, Chigbu Chibuike; Eze, Onah Hyacinth

2009-06-01

A review of publications on ethical and social issues from low-income countries was done with the aim of highlighting the major ethical and social issues facing obstetricians in these countries. Low-income countries were identified using the World Health Organization income group classification of member nations. Obstetricians in low-income countries face a wide range of special social and ethical issues that reflect the peculiarities of their practice environment characterized by poverty, low education, deep attachment to tradition and culture, low social status of women, and high levels of physician's paternalism.

Next-generation small molecule therapies for heart failure: 2015 and beyond.

PubMed

Malinowski, Justin T; St Jean, David J

2018-05-15

Poor prognosis coupled with significant economic burden makes heart failure (HF) one of the largest issues currently facing the world population. Although a significant number of new therapies have emerged over the past 20 years to treat the underlying physiological risk factors, only two new medications specifically for HF have been approved since 2007. This perspective provides an overview of recently approved treatment options for HF and as well as an update on additional small molecule therapies currently in clinical development. Copyright © 2018 Elsevier Ltd. All rights reserved.

Visual Impairment and Blindness: Addressing One of the Growing Concerns of Today's Veterans

ERIC Educational Resources Information Center

Williams, Michael D.

2007-01-01

Visual impairment and blindness are issues facing the veteran and non-veteran populations in a variety of ways. Currently, the number of veterans in the U.S. diagnosed with low vision is estimated to be more than one million. The number of veterans diagnosed with legal blindness is estimated to be more than 160,000. Over 45,000 veterans diagnosed…

Older LGBT adult training panels: an opportunity to educate about issues faced by the older LGBT community.

PubMed

Rogers, Anissa; Rebbe, Rebecca; Gardella, Chanel; Worlein, Mary; Chamberlin, Mya

2013-01-01

Older lesbian, gay, bisexual, and transgender (LGBT) adults face unique issues that can impede their well-being. Although many advances have helped address these issues, there is a need for education efforts that raise awareness of service providers about these issues. This study explores evaluation data of training panels provided by older LGBT adults and the views of training participants on issues faced by the older LGBT community after attending the panels. Participants were 605 students and professionals from over 34 education and communication settings. Implications for trainings on participants and older LGBT trainers are discussed.

DOT's Budget: Safety, Management, and Other Issues Facing the Department in Fiscal Year 1998 and Beyond

DOT National Transportation Integrated Search

1997-03-06

This testimony discusses key resource management issues and performance challenges facing the Department of Transportation in 1998 and beyond. 1. Increased safety and security concerns prompted by accidents and maintenance issues. 2. Important manage...

Technology-based interventions for weight management: current randomized controlled trial evidence and future directions

PubMed Central

Buscemi, Joanna; Hawkins, Misty A. W.; Wang, Monica L.; Breland, Jessica Y.; Ross, Kathryn M.; Kommu, Anupama

2018-01-01

Obesity is a prevalent health care issue associated with disability, premature morality, and high costs. Behavioral weight management interventions lead to clinically significant weight losses in overweight and obese individuals; however, many individuals are not able to participate in these face-to-face treatments due to limited access, cost, and/or time constraints. Technological advances such as widespread access to the Internet, increased use of smartphones, and newer behavioral self-monitoring tools have resulted in the development of a variety of eHealth weight management programs. In the present paper, a summary of the most current literature is provided along with potential solutions to methodological challenges (e.g., high attrition, minimal participant racial/ethnic diversity, heterogeneity of technology delivery modes). Dissemination and policy implications will be highlighted as future directions for the field of eHealth weight management. PMID:27783259

Executive functions: a discussion of the issues facing children with autism spectrum disorders and related disorders.

PubMed

Calhoun, James A

2006-02-01

The interest and attention devoted to executive functions has grown steadily in the last several decades. The concept and definitions of executive functions and their association with certain disorders such as autism spectrum disorders (ASD) and overall cognitive, social, emotional, and behavioral functioning are important knowledge areas for those working in education, health, and mental health-related fields. It is particularly important for providers to have an understanding of the basic issues related to assessment and remediation of executive dysfunction. This article briefly addresses the background, current definitions, research, and some intervention options associated with executive functions. The intent is to present a foundation for encouraging additional research on the issues relevant to this important topic.

Current issues and areas for improvement in the Korean Dental Hygienist National Licensing Examination: an expert Delphi survey among dental hygienists

PubMed Central

2017-01-01

Purpose This study aimed to investigate current issues and areas for improvement in the Korean Dental Hygienist National Licensing Examination (KDHNLE) through an expert Delphi survey. Methods A Delphi survey was conducted from May through August 2016 in Korea. This Delphi survey included 20 persons representing the field of dental hygiene (7 groups from various dental hygiene-related organizations). The Delphi survey was administered through e-mail as 3 rounds of questionnaire surveys regarding the issues facing the KDHNLE and potential solutions to those challenges. The primary Delphi survey was an open questionnaire. In each round, subjects’ responses were categorized according to the detailed themes of their responses. The minimum value of the content validity ratio of the survey results was determined by the number of panels participating in the Delphi survey. Results Issues facing the KDHNLE were identified from the results of the Delphi survey. The following 4 items had an average importance score of 4.0 or higher and were considered as important by over 85% of the panels: the failure of the practical test to reflect actual clinical settings, the focus of the practical test on dental scaling, the gap between the items evaluated on the national examination and actual practical work, and insufficiency in strengthening the expertise of licensed dental hygienists. The following items were suggested for improvement: more rigorous rater training, adjustment of the difficulty of the licensing examination, the introduction of a specialized dental hygienist system, and more rigorous refresher training for licensed dental hygienists. Conclusion Based on the above results, the KDHNLE should be improved according to the core competencies of dental hygienists, including on-site clinical practice experience. PMID:28900069

Current issues and areas for improvement in the Korean Dental Hygienist National Licensing Examination: an expert Delphi survey among dental hygienists.

PubMed

Hwang, Yoon-Sook; Kang, Hyun-Sook; Kim, Soo-Hwa; Moon, Hee-Jung; Lee, Sun-Mi; Jung, Jae-Yeon; Hwang, Su-Jeong; Ha, Jung-Eun

2017-01-01

This study aimed to investigate current issues and areas for improvement in the Korean Dental Hygienist National Licensing Examination (KDHNLE) through an expert Delphi survey. A Delphi survey was conducted from May through August 2016 in Korea. This Delphi survey included 20 persons representing the field of dental hygiene (7 groups from various dental hygiene-related organizations). The Delphi survey was administered through e-mail as 3 rounds of questionnaire surveys regarding the issues facing the KDHNLE and potential solutions to those challenges. The primary Delphi survey was an open questionnaire. In each round, subjects' responses were categorized according to the detailed themes of their responses. The minimum value of the content validity ratio of the survey results was determined by the number of panels participating in the Delphi survey. Issues facing the KDHNLE were identified from the results of the Delphi survey. The following 4 items had an average importance score of 4.0 or higher and were considered as important by over 85% of the panels: the failure of the practical test to reflect actual clinical settings, the focus of the practical test on dental scaling, the gap between the items evaluated on the national examination and actual practical work, and insufficiency in strengthening the expertise of licensed dental hygienists. The following items were suggested for improvement: more rigorous rater training, adjustment of the difficulty of the licensing examination, the introduction of a specialized dental hygienist system, and more rigorous refresher training for licensed dental hygienists. Based on the above results, the KDHNLE should be improved according to the core competencies of dental hygienists, including on-site clinical practice experience.

Psychosocial oncofertility issues faced by adolescents and young adults over their lifetime: a review of the research.

PubMed

Crawshaw, Marilyn

2013-03-01

This review considers psychosocial oncofertility research relevant to adolescents and young adults over their lifetime. There is growing awareness of the fertility preservation needs of younger males including lowering practical barriers and attending to emotional impact. Despite decisional challenges facing females--the experimental nature of procedures, time involved and potential involvement of partners/donors (for embryo cryopreservation)--findings suggest they too benefit from fertility information at diagnosis and access to fertility specialists. Studies consistently report that fertility concerns affect well-being, relationships and life planning. Both genders thus want fertility issues to be raised proactively by professionals in the years following diagnosis: to help them make informed decisions at a time relevant to them, develop coping strategies for current and future related areas and to be referred to specialist and/or therapeutic help if needed. Little is known about why cancer survivors are less likely to marry or have children, or about their parenthood experiences.

Restraint of children with additional needs in motor vehicles: knowledge and challenges of paediatric occupational therapists in Victoria, Australia.

PubMed

Baker, Anne; Galvin, Jane; Vale, Lisa; Lindner, Helen

2012-02-01

This research project aimed to understand the challenges faced by occupational therapists when making recommendations regarding the restraint of children with additional needs in motor vehicles in Victoria, Australia. A cross-sectional survey design was used to explore current practice in relation to the prescription of motor vehicle restraints in Victoria, Australia. An electronic survey was sent to occupational therapists working with children aged from birth to 18 years in early intervention services, hospitals, schools, community services or private practice.   Challenges faced by occupational therapists related to a lack of knowledge of relevant standards and legal requirements, issues seating children with behavioural difficulties, families' inability to purchase recommended equipment and constraints as a result of funding issues. Further work is required to develop appropriate resources which support occupational therapists to make car seating recommendations for children with additional needs which comply with Australian legal requirements and standards. © 2011 The Authors. Australian Occupational Therapy Journal © 2011 Occupational Therapy Australia.

Access to edge scenarios for testing a scraper element in early operation phases of Wendelstein 7-X

DOE PAGES

Holbe, H.; Pedersen, T. Sunn; Geiger, J.; ...

2016-01-29

The edge topology of magnetic fusion devices is decisive for the control of the plasma exhaust. In Wendelstein 7-X, the island divertor concept will be used, for which the edge topology can change significantly as the internal currents in a plasma discharge evolve towards steady-state. Consequently, the device has been optimized to minimize such internal currents, in particular the bootstrap current [1]. Nonetheless, there are predicted pulse scenarios where effects of the remaining internal currents could potentially lead to overload of plasma-facing components. These internal currents are predicted to evolve on long time scales (tens of seconds) so their effectsmore » on the edge topology and the divertor heat loads may not be experimentally accessible in the first years of W7-X operation, where only relatively short pulses are possible. However, we show here that for at least one important long-pulse divertor operation issue, relevant physics experiments can be performed already in short-pulse operation, through judicious adjustment of the edge topology by the use of the existing coil sets. The specific issue studied here is a potential overload of the divertor element edges. This overload might be mitigated by the installation of an extra set of plasma-facing components, so-called scraper elements, as suggested in earlier publications. It is shown here that by a targeted control of edge topology, the effectiveness of such scraper elements can be tested already with uncooled test-scraper elements in short-pulse operation. Furthermore, this will allow an early and well-informed decision on whether long-pulse-capable (actively cooled) scraper elements should be built and installed.« less

Boards of directors under fire: an examination of nonprofit board duties in the health care environment.

PubMed

Ono, N

1998-01-01

Attorney Ono presents a detailed discussion of fiduciary duty principles as applied to the directors of nonprofit health care corporations in the current health care environment. The article reviews general corporate responsibilities, the implication of the taxpayer's Bill of Rights 2, the care of In re Caremark International Inc. Derivative Litigation and particular issues faced by boards in nonprofit conversions.

An Audit of Adults with Profound and Multiple Learning Disabilities within a West Midlands Community Health Trust--Implications for Service Development

ERIC Educational Resources Information Center

Gittins, Deborah; Rose, Nikki

2008-01-01

An audit was carried out to gain an overview of the profound and multiple learning disabilities (PMLD) population in a local health trust to inform current and future service provision. An overview of the issues faced in developing clear defining criteria is presented. Published definitions of PMLD were used to identify clients from data held on…

Market value: an underused financial planning tool.

PubMed

Harris, J P; Schimmel, V E

1987-04-01

Two issues facing CFOs are capital formation and the long-range financial impact of strategic planning decisions. For not-for-profit organizations, debt capacity is the main determining factor of capital formation while investment analysis is the key to the financial evaluation of strategic planning options. And, the market, or sale, value of the organization can serve as an effective tool to manage current debt capacity and future investment decisions.

Judith Husband: 'it's surprising what we can actually live without, other than air, water and food'. Interview by Laura Pacey.

PubMed

Husband, Judith

2013-05-01

Judith Husband speaks to the BDJ about current challenges facing dentistry, the new BDA PEC and her love of social media site Twitter. The only catch is she has accepted the challenge issued by interviewer and fellow Twitter enthusiast Laura Pacey of answering every question, in 140 characters or less. Follow on Twitter @Judith_Husband and @The_BDJ.

JPRS Report, China

DTIC Science & Technology

1991-01-31

According to an International Energy with a new round of oil crisis, they may face the Resource Council analysis , current world oil supply is...markets. For example, the total amount of the state measured analysis , we can easily see the risks contained bonds issued by fiscal departments and...of unsold products. According to an and textile industries ranged between 1.6 and 8.5 per- analysis of the goods in stock in the first nine months

U.S. Geological Survey Science Support Strategy for Biscayne National Park and Surrounding Areas in Southeastern Florida

USGS Publications Warehouse

Wolfert-Lohmann, Melinda A.; Langevin, Christian D.; Jones, Sonya A.; Reich, Chris D.; Wingard, Georgina L.; Kuffner, Ilsa B.; Cunningham, Kevin J.

2008-01-01

The U.S. Geological Survey conducts a wide range of research in and around the Biscayne National Park region of southern Florida. This research encompasses the biologic, ecologic, meteorologic, geologic, and hydrologic components of the system, including water-quality analyses, ground-water modeling, hydrogeologic-data collection, ecologic-habitat evaluations, wetlands characterizations, biogeochemistry of ecosystems, and paleo-ecologic analyses. Relevant information is provided herein for researchers and managers interested in the Biscayne Bay area and about current U.S. Geological Survey efforts that address important resource protection and management issues. Specifically, managers and scientists are provided with information on current and recently completed U.S. Geological Survey projects and a sample listing of potential U.S. Geological Survey research projects addressing relevant issues that face the study area.

Gilligan: a voice for nursing?

PubMed

Harbison, J

1992-12-01

The current reform of nursing education is resulting in major changes in the curricula of colleges of nursing. For the first time, ethical and moral issues are being seen as an important theme underpinning the entire course. The moral theorist with whose work most nurse teachers are acquainted is Kohlberg. In this paper, it is suggested that his work, and the conventions of morality which he exemplifies, may not be the most appropriate from which to address the moral issues facing the nurse. The author suggests that the work of Carol Gilligan of Harvard university is of great significance, not only for nurses involved in the teaching of ethics, but for all nurses. Gilligan's emphasis on caring and relationships accords with the common experience of the nurse, and echoes the current revival of interest within nursing in examining, and valuing, the phenomenon of caring.

Gilligan: a voice for nursing?

PubMed Central

Harbison, J

1992-01-01

The current reform of nursing education is resulting in major changes in the curricula of colleges of nursing. For the first time, ethical and moral issues are being seen as an important theme underpinning the entire course. The moral theorist with whose work most nurse teachers are acquainted is Kohlberg. In this paper, it is suggested that his work, and the conventions of morality which he exemplifies, may not be the most appropriate from which to address the moral issues facing the nurse. The author suggests that the work of Carol Gilligan of Harvard university is of great significance, not only for nurses involved in the teaching of ethics, but for all nurses. Gilligan's emphasis on caring and relationships accords with the common experience of the nurse, and echoes the current revival of interest within nursing in examining, and valuing, the phenomenon of caring. PMID:1460649

Critical Social Theory: Core Tenets, Inherent Issues

ERIC Educational Resources Information Center

Freeman, Melissa; Vasconcelos, Erika Franca S.

2010-01-01

This chapter outlines the core tenets of critical social theory and describes inherent issues facing evaluators conducting critical theory evaluation. Using critical pedagogy as an example, the authors describe the issues facing evaluators by developing four of the subtheories that comprise a critical social theory: (a) a theory of false…

Face Values: The Use of Sensitive Error Correction to Address Adolescents' "Face" Issues in the Modern Languages Classroom

ERIC Educational Resources Information Center

Crichton, Hazel; Templeton, Brian; Valdera, Francisco

2017-01-01

Anxiety about "performing" in a foreign language in front of classmates may inhibit learners' contributions in the modern languages class through fear of embarrassment over possible error production. The issue of "face", perceived social standing in the eyes of others, presents a sensitive matter for young adolescents…

Critical Problems Facing Technology Education: Perceptions of Indiana Teachers

ERIC Educational Resources Information Center

Lazaros, Edward J.; Rogers, George E.

2006-01-01

In 1993 Wicklein conducted a study to determine the present and the future critical issues and problems facing the technology education (TE) profession. The Wicklein study questioned 25 panelists from 15 states and the District of Columbia to ascertain the issues and problems facing TE. However, in the Wicklein study, only seven of the panelists…

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.

Ethical issues in exercise psychology.

PubMed

Pauline, Jeffrey S; Pauline, Gina A; Johnson, Scott R; Gamble, Kelly M

2006-01-01

Exercise psychology encompasses the disciplines of psychiatry, clinical and counseling psychology, health promotion, and the movement sciences. This emerging field involves diverse mental health issues, theories, and general information related to physical activity and exercise. Numerous research investigations across the past 20 years have shown both physical and psychological benefits from physical activity and exercise. Exercise psychology offers many opportunities for growth while positively influencing the mental and physical health of individuals, communities, and society. However, the exercise psychology literature has not addressed ethical issues or dilemmas faced by mental health professionals providing exercise psychology services. This initial discussion of ethical issues in exercise psychology is an important step in continuing to move the field forward. Specifically, this article will address the emergence of exercise psychology and current health behaviors and offer an overview of ethics and ethical issues, education/training and professional competency, cultural and ethnic diversity, multiple-role relationships and conflicts of interest, dependency issues, confidentiality and recording keeping, and advertisement and self-promotion.

Cryogenic Fluid Transfer for Exploration

NASA Technical Reports Server (NTRS)

Chato, David J.

2007-01-01

This paper discusses current plans and issues for exploration that involve the use of cryogenic transfer. The benefits of cryogenic transfer to exploration missions are examined. The current state of the art of transfer technology is reviewed. Mission concepts of operation for exploration are presented, and used to qualitatively discuss the performance benefits of transfer. The paper looks at the challenges faced to implement a cryogenic transfer system and suggest approaches to address them with advanced development research. Transfer rates required for exploration are shown to have already been achieved in ground test. Cost effective approaches to the required on-orbit demonstration are suggested.

Cryogenic Fluid Transfer for Exploration

NASA Technical Reports Server (NTRS)

Chato, David J.

2008-01-01

This paper discusses current plans and issues for exploration that involve the use of cryogenic transfer. The benefits of cryogenic transfer to exploration missions are examined. The current state of the art of transfer technology is reviewed. Mission concepts of operation for exploration are presented, and used to qualitatively discuss the performance benefits of transfer. The paper looks at the challenges faced to implement a cryogenic transfer system and suggest approaches to address them with advanced development research. Transfer rates required for exploration are shown to have already been achieved in ground test. Cost-effective approaches to the required on-orbit demonstration are suggested.

Growth and innovation in medical devices: a conversation with Stryker chairman John Brown. Interview by Lawton R. Burns.

PubMed

Brown, John

2007-01-01

John Brown, current chairman and past chief executive officer (CEO) of the Stryker Corporation, reviews the development of his device firm and the medical device industry over the past thirty years. Brown describes the trajectory of innovation in medical devices and the managerial and organizational strategy he pioneered at Stryker to achieve consistently high growth rates over the long term. He also shares his perspective on some of the current policy issues facing the device industry today, including product safety, conflicts of interest, rising product prices, and direct-to-consumer advertising.

Current Topics In STEM Education Policy

NASA Astrophysics Data System (ADS)

Glembo, Tyler

2015-04-01

The role of the federal government in education is a hotly debated topic in Congress, causing education to become deeply embedded in politics. Federal funding of education, although covering only about ten percent of total cost, has large impact in the classroom, from testing standards to low interest student loans. This talk will examine the current landscape in physics education including issues facing the community at a national/federal level and also legislation such as the Elementary and Secondary Education Act. We will also examine how stakeholders can develop effective messages and participate in discussions with policy makers.

Constructing America from the Sea: Maritime Archaeology Research, International Cooperation and Best Practices in the Underwater Cultural Heritage of Latin America

NASA Astrophysics Data System (ADS)

Rey da Silva, Arturo; Herrera Tovar, Jorge M.

2017-12-01

This article introduces this special issue of the Journal of Maritime Archaeology by giving a brief introduction to the current situation of the practice of maritime archaeology in Latin America, as well as reviewing the main challenges that the discipline faces here. An assessment of existing regional cooperation, the presence of maritime archaeology within the international community and its importance to develop new theoretical and methodological perspectives that advance access to knowledge is made. Finally, the article focuses on some of the current work carried out in Latin America.

Understanding and preventing military suicide.

PubMed

Bryan, Craig J; Jennings, Keith W; Jobes, David A; Bradley, John C

2012-01-01

The continual rise in the U.S. military's suicide rate since 2004 is one of the most vexing issues currently facing military leaders, mental health professionals, and suicide experts. Despite considerable efforts to address this problem, however, suicide rates have not decreased. The authors consider possible reasons for this frustrating reality, and question common assumptions and approaches to military suicide prevention. They further argue that suicide prevention efforts that more explicitly embrace the military culture and implement evidence-based strategies across the full spectrum of prevention and treatment could improve success. Several recommendations for augmenting current efforts to prevent military suicide are proposed.

Recreating America's Community Colleges: Critical Policy Issues Facing America's Community Colleges

ERIC Educational Resources Information Center

Honeyman, David S.; Sullivan, Michael D.

2006-01-01

During the conduct of the 2004 Community Colleges Futures Assembly, sponsored by the University of Florida, delegates to the meeting identified three critical policy issues facing America's community colleges and challenged the delegates attending the 2005 Assembly to debate these issues and make recommendations. A total of 252 higher-education…

Critical Issues Children Face in the 2000s

ERIC Educational Resources Information Center

Crockett, Deborah

2003-01-01

Children will face many critical issues in the 21st century. Unfortunately, most of these issues are not new and have remained the same from previous years. Millions of children lack safe, affordable, quality child care and early childhood education while their parents work. Seven and one-half million children are at home alone without…

Challenges Faced by Teachers Implementing Socio-Scientific Issues as Core Elements in Their Classroom Practices

ERIC Educational Resources Information Center

Bossér, Ulrika; Lundin, Mattias; Lindahl, Mats; Linder, Cedric

2015-01-01

Teachers may face considerable challenges when implementing socio-scientific issues (SSI) in their classroom practices, such as incorporating student-centred teaching practices and exploring knowledge and values in the context of socioscientific issues. This year-long study explores teachers' reflections on the process of developing their…

How 'blended' is blended learning?: students' perceptions of issues around the integration of online and face-to-face learning in a Continuing Professional Development (CPD) health care context.

PubMed

Glogowska, Margaret; Young, Pat; Lockyer, Lesley; Moule, Pam

2011-11-01

This paper explores students' perceptions of blended learning modules delivered in a Continuing Professional Development (CPD) health care context in the UK. 'Blended learning' is the term used to describe a hybrid model of learning where traditional face-to-face teaching approaches and newer electronic learning activities and resources are utilised together. A new model of CPD for health care practitioners based on a blended learning approach was developed at a university in the south west of England. As part of the evaluation of the new modules, a qualitative study was conducted, in which 17 students who had experienced the modules were interviewed by telephone. Three main themes emerged from the interviews relating to the 'blended' nature of the blended learning modules. These were i) issues around the opportunities for discussion of online materials face-to-face; ii) issues of what material should be online versus face-to-face and iii) balancing online and face-to-face components. Teaching staff engaged in the development of blended learning courses need to pay particular attention to the ways in which they develop and integrate online and face-to-face materials. More attention needs to be paid to allowing opportunity for students to come together to create a 'community of inquiry'. Copyright © 2011 Elsevier Ltd. All rights reserved.

Exploring strategies to overcome extra-organisational challenges faced by community pharmacies in Sarawak, Malaysia.

PubMed

Kho, Boon Phiaw; Hassali, Mohamed Azmi; Lim, Ching Jou; Saleem, Fahad

2018-03-15

The aims of this research were to determine extra-organisational challenges (e.g. market competition, governing policies) faced by community pharmacies in Sarawak, the coping strategies employed to deal with these challenges and explore potential legislative changes that can attenuate the intensity of these challenges. Survey questionnaires (n = 184) were posted to all eligible community pharmacies in Sarawak, Malaysia. The questionnaire included sections on participants' demographic data, extra-organisational challenges faced, coping strategies employed and proposals to improve community pharmacy legislations. Items were constructed based on the findings of a prior qualitative research supplemented with relevant literature about these issues. High levels of homogeneity in responses were recorded on various extra-organisational challenges faced, particularly those economy-oriented. Strategic changes to counter these challenges were focused on pricing and product stocked, rather than services provision. Highly rated strategies included increasing discounts for customers (n = 54; 68%) and finding cheaper suppliers (n = 70; 88%). Legislative changes proposed that might increase their share of the pharmaceutical market were strongly supported by respondents, particularly about making it compulsory for general practitioners to provide patients the option to have their medicines dispensed in community pharmacies (n = 72; 90%). Current legislative conditions and Malaysian consumer mindset may have constrained the strategic choices of community pharmacies to deal with the strong extra-organisational challenges. A long-term multipronged approach to address these issues and increased involvement of community pharmacists themselves in this agenda are required to influence practice change. © 2018 Royal Pharmaceutical Society.

Addressing the Economic Security Issues Facing Same-Sex Couples.

ERIC Educational Resources Information Center

Dolan, Elizabeth M.; Stum, Marlene S.; Rupured, Michael

1999-01-01

Provides educators and researchers with an awareness of the financial security issues faced by same-sex couples and offers suggestions for incorporating the discussion of these ideas into existing curricula and research. (Author/JOW)

Examining the Role, Values, and Legal Policy Issues Facing Public Library Resources in Supporting Students to Achieve Academic Success

ERIC Educational Resources Information Center

Achinewhu-Nworgu, Elizabeth; Azaiki, Steve; Nworgu, Queen Chioma

2016-01-01

This paper aims to present the role, values, and legal policy issues facing public Library resources in supporting students to achieve academic success. Research indicates that majority of people that own or work in the Library tend to ignore some of the vital roles, values and legal policy issues paramount to libraries. Some of these issues are…

Joint Commission president outlines top strategic priorities to aid QI efforts.

PubMed

2001-06-01

At the top of the list of strategic priorities at the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is patient safety. But Dennis O'Leary, MD, president of JCAHO, says his organization faces numerous challenges beyond that, including the value of accreditation itself. According to O'Leary, the underlying issue is that only about 15% of the 150,000 health care entities currently eligible for accreditation are actually accredited.

Exploring morally relevant issues facing families in their decisions to monitor the health-related behaviours of loved ones.

PubMed

Gammon, D; Christiansen, E K; Wynn, R

2009-07-01

Patient self-management of disease is increasingly supported by technologies that can monitor a wide range of behavioural and biomedical parameters. Incorporated into everyday devices such as cell phones and clothes, these technologies become integral to the psychosocial aspects of everyday life. Many technologies are likely to be marketed directly to families with ill members, and families may enlist the support of clinicians in shaping use. Current ethical frameworks are mainly conceptualised from the perspective of caregivers, researchers, developers and regulators in order to ensure the ethics of their own practices. This paper focuses on families as autonomous decision-makers outside the regulated context of healthcare. We discuss some morally relevant issues facing families in their decisions to monitor the health-related behaviours of loved ones. An example - remote parental monitoring of adolescent blood glucose - is presented and discussed through the lens of two contrasting accounts of ethics; one reflecting the predominant focus on health outcomes within the health technology assessment (HTA) framework and the other that attends to the broader sociocultural contexts shaping technologies and their implications. Issues discussed include the focus of assessments, informed consent and child assent, and family co-creation of system characteristics and implications. The parents' decisions to remotely monitor their child has relational implications that are likely to influence conflict levels and thus also health outcomes. Current efforts to better integrate outcome assessments with social and ethical assessments are particularly relevant for informed decision-making about health monitoring technologies in families.

Security and privacy issues with health care information technology.

PubMed

Meingast, Marci; Roosta, Tanya; Sastry, Shankar

2006-01-01

The face of health care is changing as new technologies are being incorporated into the existing infrastructure. Electronic patient records and sensor networks for in-home patient monitoring are at the current forefront of new technologies. Paper-based patient records are being put in electronic format enabling patients to access their records via the Internet. Remote patient monitoring is becoming more feasible as specialized sensors can be placed inside homes. The combination of these technologies will improve the quality of health care by making it more personalized and reducing costs and medical errors. While there are benefits to technologies, associated privacy and security issues need to be analyzed to make these systems socially acceptable. In this paper we explore the privacy and security implications of these next-generation health care technologies. We describe existing methods for handling issues as well as discussing which issues need further consideration.

Pharmacy executive leadership issues and associated skills, knowledge, and abilities.

PubMed

Meadows, Andrew B; Maine, Lucinda L; Keyes, Elizabeth K; Pearson, Kathy; Finstuen, Kenn

2005-01-01

To identify challenges that current and future pharmacy executives are facing or will face in the future and to define what skills, knowledge, and abilities (SKAs) are required to successfully negotiate these challenges. Delphi method for executive decision making. Civilian pharmacy profession. 110 pharmacists who graduated from the GlaxoSmithKline Executive Management Program for Pharmacy Leaders. Two iterations of the Delphi method for executive decision making separated by an expert panel content analysis. Round 1--participants were asked to identify five major issues they believed to be of greatest importance to pharmacy leaders in the next 5-10 years and name specific SKAs that might be needed by future leaders to successfully deal with those issues. An expert panel reviewed the issues, classified issues into specific domains, and titled each domain. Round 2-participants rated the SKAs on a 7-point scale according to their individual assessment of importance in each domain. For Delphi rounds 1 and 2, response rates were 21.8% and 18.2%, respectively. More than 100 total issue statements were identified. The expert panel sorted the issues into five domains: management and development of the pharmacy workforce, pharmacy finance, total quality management of work-flow systems, influences on the practice of pharmacy, and professional pharmacy leadership. Five of the top 15 SKAs-and all four highest ranked items--came from the professional pharmacy leadership domain, including ability to see the big picture, ability to demonstrate the value of pharmacy services, ability to lead and manage in an ethical manner, and skills for influencing an organization's senior leadership. Through successful integration of communication skills, critical thinking, and problem solving techniques, future public-sector pharmacy executives will be better equipped to effectively position their organizations and the profession for the challenges that lie ahead.

Issues and Impediments Faced by Canadian Teachers While Integrating ICT in Pedagogical Practice

ERIC Educational Resources Information Center

Saxena, Anoop

2017-01-01

Teachers in many schools struggle to integrate Information and Communications Technology (ICT) as part of their teaching practice. Among the issues faced by teachers when attempting to integrate ICT into their classrooms are gaps in ICT knowledge and skills, lack of training and inadequate support and scaffolding. Other issues include inability to…

Issues Facing Urban Agriscience Teachers: A Delphi Study

ERIC Educational Resources Information Center

Warner, Wendy J.; Washburn, Shannon G.

2009-01-01

This national study used the Delphi technique to identify the issues facing urban agriscience teachers. The first round of the study used a questionnaire with one open-ended question to generate responses from the expert panel. In the second round, respondents were asked to rate their level of agreement with 72 issues identified in round one using…

The many faces of research on face perception.

PubMed

Little, Anthony C; Jones, Benedict C; DeBruine, Lisa M

2011-06-12

Face perception is fundamental to human social interaction. Many different types of important information are visible in faces and the processes and mechanisms involved in extracting this information are complex and can be highly specialized. The importance of faces has long been recognized by a wide range of scientists. Importantly, the range of perspectives and techniques that this breadth has brought to face perception research has, in recent years, led to many important advances in our understanding of face processing. The articles in this issue on face perception each review a particular arena of interest in face perception, variously focusing on (i) the social aspects of face perception (attraction, recognition and emotion), (ii) the neural mechanisms underlying face perception (using brain scanning, patient data, direct stimulation of the brain, visual adaptation and single-cell recording), and (iii) comparative aspects of face perception (comparing adult human abilities with those of chimpanzees and children). Here, we introduce the central themes of the issue and present an overview of the articles.

The Current and Historical Distribution of Special Status Amphibians at the Livermore Site and Site 300

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

Hattem, M V; Paterson, L; Woollett, J

2008-08-20

65 surveys were completed in 2002 to assess the current distribution of special status amphibians at the Lawrence Livermore National Laboratory's (LLNL) Livermore Site and Site 300. Combined with historical information from previous years, the information presented herein illustrates the dynamic and probable risk that amphibian populations face at both sites. The Livermore Site is developed and in stark contrast to the mostly undeveloped Site 300. Yet both sites have significant issues threatening the long-term sustainability of their respective amphibian populations. Livermore Site amphibians are presented with a suite of challenges inherent of urban interfaces, most predictably the bullfrog (Ranamore » catesbeiana), while Site 300's erosion issues and periodic feral pig (Sus scrofa) infestations reduce and threaten populations. The long-term sustainability of LLNL's special status amphibians will require active management and resource commitment to maintain and restore amphibian habitat at both sites.« less

The Effects of Health Education through Face To Face Teaching and Educational Movies, on Suburban Women in Childbearing Age.

PubMed

Vameghi, R; Mohammad, K; Karimloo, M; Soleimani, F; Sajedi, F

2010-01-01

The aim of the study was to compare the effects of 'face-to-face education' and 'educational movies' on 'knowledge' and 'practice' of women of child-bearing-age, in terms of health-care during pregnancy and during infancy in a suburban region near Tehran City, Iran. In this quasi-experimental study, the sample included 873 married women. Questionnaires for knowledge and practice assessment were designed. The women were assigned to three groups: control (group I), face-to-face education (group II), and educational movie (group III). Knowledge questionnaires were completed before and immediately after intervention. Practice questionnaires were completed before and three months after intervention. Both questionnaires consisted of two types of questions: type A (concerning infant care issues) and type B (concerning prenatal health care). There was a significant difference in post-test knowledge between groups I and II and between groups I and III, but not between groups II and III. In terms of post-test practice, the changes were determined for every individual question, and significantly, better results were seen in group II, especially concerning type B questions. Face to face education lead to better practice than educational movies. In addition, significantly better practice occurred regarding child health care issues rather than prenatal issues in both groups. Realistic and tangible issues, those easy to practice, and with little or no economical burden imposed on the family, progressed from the knowledge state to the practice state more successfully in both groups.

Rural roads and bridges : management issues facing local highway officials

DOT National Transportation Integrated Search

1996-09-01

The report documents management practices used by, and issues facing, local transportation administrators. Data are drawn from a national survey of county and town highway officials, in Fall 1994 and Spring 1995, which provided usable information fro...

From Cases to Capacity? A Critical Reflection on the Role of ‘Ethical Dilemmas’ in the Development of Dual-Use Governance

PubMed Central

Edwards, Brett; Revill, James; Bezuidenhout, Louise

2016-01-01

The dual-use issue is often framed as a series of paralyzing ‘dilemmas’ facing the scientific community as well as institutions which support innovation. While this conceptualization of the dual-use issue can be useful in certain contexts (such as in awareness-raising and as part of educational activities directed at the scientific community) its usefulness is more limited when reflecting on the governance and politics of the dual-use issue. Within this paper, key shortcomings of the dilemma framing are outlined. It is argued that many of the issues raised in the most recent debates about ‘dual-use’ bird flu research remain unresolved. This includes questions about the trajectories of certain lines of research, as well as broader trends in the practice and governance of science. This leads to difficult questions about current approaches to the dual-use issue within the US, as well as internationally. PMID:23703451

Performance study of galactic cosmic ray shield materials

NASA Technical Reports Server (NTRS)

Kim, Myung-Hee Y.; Wilson, John W.; Thibeault, Sheila A.; Nealy, John E.; Badavi, Francis F.; Kiefer, Richard L.

1994-01-01

The space program is faced with two difficult radiation protection issues for future long-term operations. First, retrofit of shield material or conservatism in shield design is prohibitively expensive and often impossible. Second, shielding from the cosmic heavy ions is faced with limited knowledge on the physical properties and biological responses of these radiations. The current status of space shielding technology and its impact on radiation health is discussed herein in terms of conventional protection practice and a test biological response model. The impact of biological response on the selection of optimum materials for cosmic ray shielding is presented in terms of the transmission characteristics of the shield material. Although the systematics of nuclear cross sections are able to demonstrate the relation of exposure risk to shield-material composition, the current uncertainty in-nuclear cross sections will not allow an accurate evaluation of risk reduction. This paper presents a theoretical study of risk-related factors and a pilot experiment to study the effectiveness of choice of shield materials to reduce the risk in space operations.

DOT's budget : management and performance issues facing the department in fiscal year 1999

DOT National Transportation Integrated Search

1998-02-12

This testimony discusses key resource management issues and performance challenges facing the Department of Transportation in 1999 and beyond. 1. There is a need for increased management attention to highway, transit, and rail programs - which accoun...

Future Issues Facing Administrators in Pharmaceutical Education.

ERIC Educational Resources Information Center

Fink, Joseph L., III

1986-01-01

Issues facing pharmaceutical education include the need to keep up with advancing technology, the need to keep faculty from overemphasizing technology to the detriment of other responsibilities, motivating and rewarding faculty, dealing with loss of faculty productivity, and part-time faculty. (MSE)

A comparative analysis of traditional and online lab science transfer courses in the rural community college

NASA Astrophysics Data System (ADS)

Scott, Andrea

Through distance learning, the community college system has moved beyond geographical boundaries to serve all students and provide educational opportunities at a distance to individuals previously out of reach of the college community. With the inception of the Mississippi Virtual Community College (MSVCC) in January 2000, Mississippi's public community colleges have experienced unprecedented growth in online enrollments and online course offerings to include the laboratory sciences; however, transfer of online lab science courses are problematic for individuals who wish to gain admittance to Medical, Dental, and Pharmacy schools in Mississippi. Currently online lab science courses are not accepted for transfer for students seeking admission to Mississippi Medical, Dental, or Pharmacy schools. The need for this study, the statement of the problem, and the purpose of the study address transfer issues related to the transfer of online lab science courses in Mississippi and the impact of such on the student and community college. The study also addresses existing doubts regarding online course delivery as a viable method of lab science delivery. The purpose of the study was to investigate differences between online instructional delivery as compared to traditional face-to-face delivery with the following research questions to: (1) Investigate the perception of quality of online courses as compared to traditional face-to-face courses. (2) Investigate the difference in student performance in online transfer lab science courses as compared to student performance in traditional face-to-face lab science courses. The results of this 13 semester study show significant differences in both perception of quality and student performance between online instructional delivery as compared to traditional face-to-face delivery. The findings demonstrate a need for Mississippi Dental, Medical, and Pharmacy schools to reexamine the articulation agreement between IHL and Community and Junior Colleges and consider accepting online lab sciences courses taken at the community college as transfer for admission to Medical, Dental, and Pharmacy schools. Conclusions are included in the study; however, additional studies are needed to address the issue of student performance in the online lab science classroom.

Current situation and issues using maternal and child health-related information in the "Healthy parents and children 21" campaign across municipalities in Japan.

PubMed

Uehara, Ritei; Shinohara, Ryoji; Akiyama, Yuka; Ichikawa, Kaori; Ojima, Toshiyuki; Tamakoshi, Koji; Matsuura, Kencho; Yamazaki, Yoshihisa; Yamagata, Zentaro

2016-01-01

Objectives The use of maternal and child health-related information is an issue faced by the "Healthy parents and children 21" campaign, a national campaign to improve the health standards of mothers and children in Japan. This study described the current situation and issues faced by municipalities across Japan that use this information.Methods Data across municipalities selected for the current survey of promoting the "Healthy parents and children 21" campaign in 2013 were analyzed in this study. First, we chose prefectures where collected and analyzed maternal and child health-related information was provided by the municipalities. Then, we divided the municipalities according to those prefectures where the municipalities regularly reported the maternal and child health-related information and those that did not report it regularly. Finally, the characteristics about maternal and child health in those municipalities were investigated.Results Of the 47 prefectures analyzed, 35 prefectures (74.5%) collected and analyzed maternal and child health-related information provided by the municipalities. The 35 prefectures included 1,242 municipalities, of which 700 (56.4%) regularly reported maternal and child health-related information, and 542 (43.6%) did not report it regularly. The proportion of municipalities, where information about smoking during pregnancy, immunization, or low birth weight in infants was positively used, was significantly lower among municipalities that did not regularly report maternal and child health-related information than among those that regularly reported it (P<0.001). The proportion of municipalities that coordinated projects on prevention of child abuse or low birth weight in infants with the prefectures was significantly lower among municipalities that did not regularly report maternal and child health-related information than among those that regularly reported it.Conclusion Among municipalities that did not regularly report maternal and child health-related information, coordinating projects about child abuse with the prefectures might be associated with an increase in using the information. In addition to collecting and analyzing maternal and child health-related information provided by municipalities, prefectures should help municipalities coordinate projects about those issues to increase the use of the information in municipalities.

Chinese medicine education and its challenges in the United States.

PubMed

Kwon, Yihyun

2014-04-01

Over the past 4 decades Chinese medicine (CM) has come increasingly into the spotlight in the United States as the clinical effectiveness of CM has been not only empirically well-tested over a long period of time but also proven by recent scientific research. It has proven cost effectiveness, safety, and is authorized for natural and holistic approaches. In consideration, CM is one of the underutilized health care professions in the United States with a promising future. However, CM faces many challenges in its education and system, its niche in the health care system as an independent profession, legal and ethical issues. This paper discusses the confronting issues in the United States: present education, standards of CM education with shifting first professional degree level, new delivery systems of CM education. Development of new research models, training of evidence-based practice, and implementation of integrative medicine into CM education also are the key issues in the current CM profession. This paper also discusses opportunities for the CM profession going beyond the current status, especially with a focus on fusion medicine.

Attrition bias in a U.S. Internet survey of alcohol use among college freshmen.

PubMed

McCoy, Thomas P; Ip, Edward H; Blocker, Jill N; Champion, Heather; Rhodes, Scott D; Wagoner, Kimberly G; Mitra, Ananda; Wolfson, Mark

2009-07-01

Attrition bias is an important issue in survey research on alcohol, tobacco, and other drug use. The issue is even more salient for Internet studies, because these studies often have higher rates of attrition than face-to-face or telephone surveys, and there is limited research examining the issue in the field of drug usage, specifically for college underclassmen. This study assessed whether measures of high-risk drinking and alcohol-related consequences were related to attrition groups ("stayers" or "leavers") in a cohort of college freshmen. Data were collected in 2003 and 2004 from 2,144 first-year college students at 10 universities in the southeastern United States. Demographics, indicators of high-risk drinking, and alcohol-related consequences were compared between cohort stayers and leavers in statistical analyses using two methods. Analyses indicated that cohort leavers reported significantly higher levels of high-risk drinking (past-30-day heavy episodic drinking, weekly drunkenness) and past-30-day smoking but not significantly increased alcohol-related consequences. The directionality of bias was modestly consistent across outcomes and comparison methods. The current study's findings suggest that intervention efforts to reduce smoking or high-risk drinking need to consider attrition bias during study follow-up or account for it in analyses.

Attrition Bias in a U.S. Internet Survey of Alcohol Use Among College Freshmen*

PubMed Central

McCoy, Thomas P.; Ip, Edward H.; Blocker, Jill N.; Champion, Heather; Rhodes, Scott D.; Wagoner, Kimberly G.; Mitra, Ananda; Wolfson, Mark

2009-01-01

Objective: Attrition bias is an important issue in survey research on alcohol, tobacco, and other drug use. The issue is even more salient for Internet studies, because these studies often have higher rates of attrition than face-to-face or telephone surveys, and there is limited research examining the issue in the field of drug usage, specifically for college underclassmen. This study assessed whether measures of high-risk drinking and alcohol-related consequences were related to attrition groups (“stayers” or “leavers”) in a cohort of college freshmen. Method: Data were collected in 2003 and 2004 from 2,144 first-year college students at 10 universities in the southeastern United States. Demographics, indicators of high-risk drinking, and alcohol-related consequences were compared between cohort stayers and leavers in statistical analyses using two methods. Results: Analyses indicated that cohort leavers reported significantly higher levels of high-risk drinking (past-30-day heavy episodic drinking, weekly drunkenness) and past-30-day smoking but not significantly increased alcohol-related consequences. The directionality of bias was modestly consistent across outcomes and comparison methods. Conclusions: The current study's findings suggest that intervention efforts to reduce smoking or high-risk drinking need to consider attrition bias during study follow-up or account for it in analyses. PMID:19515302

US Clean Energy Sector and the Opportunity for Modeling and Simulation

NASA Technical Reports Server (NTRS)

Inge, Carole Cameron

2011-01-01

The following paper sets forth the current understanding of the US clean energy demand and opportunity. As clean energy systems come online and technology is developed, modeling and simulation of these complex energy programs provides an untapped business opportunity. The US Department of Defense provides a great venue for developing new technology in the energy sector because it is demanding lower fuel costs, more energy efficiencies in its buildings and bases, and overall improvements in its carbon footprint. These issues coupled with the security issues faced by foreign dependence on oil will soon bring more clean energy innovations to the forefront (lighter batteries for soldiers, alternative fuel for jets, energy storage systems for ships, etc).

Intelligent home risk assessment systems and integration with biometric identification

NASA Astrophysics Data System (ADS)

Roper, William E.

2003-08-01

An overview is given of the Home of the 21st Century Laboratory. The laboratory is operated as a joint program with America-On-Line and George Washington University. The program is described with illustrations and discussion of the systems that are part of the laboratory. The concept of application for face recognition systems in the intelligent home of the future is presented and some initial approaches in using biometrics are shown. Issues of privacy and sharing of information within and outside the home are addressed. Issues include safety and security concerns vs. inappropriate observations of activities in and outside the home. Technology options currently available for application in the home are described and assessed.

Introduction to Special Issue: The Retirement Career Phase across Cultures.

PubMed

Lytle, Megan C

2015-06-01

Increasingly, older workers in the United States remain in the workforce beyond retirement age, meaning the term "retirement" might include at least some form of workforce participation. Although the proportions of women and individuals from racial and ethnic minority groups working past the age of 65 has significantly increased (Wegman & McGee, 2004); few scholars have examined the retirement career phase from a multicultural perspective. This special issue will critically review vocational literature as well as provide specific recommendations for research and practice with the aim of helping scholars and practitioners conceptualize the current concerns older adults across cultures (e.g., women and racial/ethnic minorities, among others) face during retirement planning.

Cloud computing security.

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

Shin, Dongwan; Claycomb, William R.; Urias, Vincent E.

Cloud computing is a paradigm rapidly being embraced by government and industry as a solution for cost-savings, scalability, and collaboration. While a multitude of applications and services are available commercially for cloud-based solutions, research in this area has yet to fully embrace the full spectrum of potential challenges facing cloud computing. This tutorial aims to provide researchers with a fundamental understanding of cloud computing, with the goals of identifying a broad range of potential research topics, and inspiring a new surge in research to address current issues. We will also discuss real implementations of research-oriented cloud computing systems for bothmore » academia and government, including configuration options, hardware issues, challenges, and solutions.« less

Nuclear Weapons and NATO, Analytical Survey of Literature

DTIC Science & Technology

1975-06-01

contribution to the current debate on important issues now facing the Alliance." 3 EUROPEAN SECURITY AND THE AT- LANTIC SYSTEM, ed. by William T. R...a good long run ahead of it." (*)—CRISIS IN EUROPEAN DEFENCE: THE NEXT TEN YEARS, by Geoffrey Lee Wil- liams and Alan Lee Williams . London...with its Headquarters at Rhein- dahlen , and Fourth Allied Tactical Air Force with its headquarters at Ramstein." NATO RESHAPING TACTICAL AIR POS

Essential Nutrition and Food Systems Components for School Curricula: Views from Experts in Iran

PubMed Central

SADEGHOLVAD, Sanaz; YEATMAN, Heather; OMIDVAR, Nasrin; PARRISH, Anne-Maree; WORSLEY, Anthony

2017-01-01

Background: This study aimed to investigate food experts’ views on important nutrition and food systems knowledge issues for education purposes at schools in Iran. Methods: In 2012, semi-structured, face-to-face or telephone interviews were conducted with twenty-eight acknowledged Iranian experts in food and nutrition fields. Participants were selected from four major provinces in Iran (Tehran, Isfahan, Fars and Gilan). Open-ended interview questions were used to identify nutrition and food systems knowledge issues, which experts considered as important to be included in school education programs. Qualitative interviews were analyzed thematically using NVivo. Results: A framework of knowledge that would assist Iranian students and school-leavers to make informed decisions in food-related areas was developed, comprising five major clusters and several sub-clusters. Major knowledge clusters included nutrition basics; food production; every day food-related practices; prevalent nutritional health problems in Iran and improvement of students’ ethical attitudes in the food domain. Conclusion: These findings provide a guide to curriculum developers and policy makers to assess current education curricula in order to optimize students’ knowledge of nutrition and food systems. PMID:28845405

The Use of a Virtual Online Debating Platform to Facilitate Student Discussion of Potentially Polarising Topics.

PubMed

McGreevy, Paul D; Tzioumis, Vicky; Degeling, Chris; Johnson, Jane; Brown, Robert; Sands, Mike; Starling, Melissa J; Phillips, Clive J C

2017-09-02

The merits of students exchanging views through the so-called human continuum exercise (HCE) are well established. The current article describes the creation of the virtual human continuum (VHC), an online platform that facilitates the same teaching exercise. It also reports feedback on the VHC from veterinary science students ( n = 38). First-year Doctor of Veterinary Medicine students at the University of Sydney, Australia, trialed the platform and provided feedback. Most students agreed or strongly agreed that the VHC offered: a non-threatening environment for discussing emotive and challenging issues; and an opportunity to see how other people form ideas. It also made them think about how to express their ideas and make arguments; and left them feeling more comfortable about expressing their views using it than they would discussing ideas face-to-face (98%, 84%, 79% and 76%, respectively). All respondents agreed or strongly agreed that the VHC encouraged them to consider other opinions. These data suggest that the transition of the HCE to an online platform facilitates dialogue on difficult ethical issues in a supportive environment.

Battlefield euthanasia - courageous compassion or war crime?

PubMed

Neuhaus, Susan J

2011-03-21

Issues relating to voluntary euthanasia that are currently being debated by Australian society are distinctly different from those encountered by battlefield doctors. Doctors in war undertake to treat those affected by conflict; their participation in euthanasia challenges the profession's definition of "duty of care". Euthanasia must be distinguished from "triage" and medical withdrawal of care (which are decided within a medical facility where, although resources may be limited, comfort care can be provided in the face of treatment futility). Battlefield euthanasia is a decision made, often immediately after hostile action, in the face of apparently overwhelming injuries; there is often limited availability of pain relief, support systems or palliation that would be available in a civilian environment. The battlefield situation is further complicated by issues of personal danger, the immediacy of decision making and difficulties with distinguishing civilians from combatants. Regardless of the circumstances on a battlefield, doctors, whether they are civilians or members of a defence force, are subject to the laws of armed conflict, the special provisions of the Geneva Conventions and the ethical codes of the medical profession.

Key water issues now facing our nation

USGS Publications Warehouse

Hirsch, Robert M.; Miller, Timothy L.; Hamilton, Pixie A.; Gilliom, Robert J.

2008-01-01

Challenges to sustaining sufficient and high-quality water for human consumption, industry, farms, energy production, and ecosystem services continue to intensify in many parts of the Nation. We face four key water issues that call for support from the science and engineering communities.

Four Cornerstones for Ensuring a Sustainable Workforce and Opportunity for the Next Generation of Geoscientists

NASA Astrophysics Data System (ADS)

Keane, C. M.; Houlton, H. R.

2012-04-01

The great demographic shift underway in many developed nations is impacting the geosciences extraordinarily hard. We examine the situation in the United States as an example of how there are four clear overarching issues to establishing a sustainable geosciences workforce: Carrying Capacity of the Educational Sector, the fundamentals of meeting future demand, the issue of graduate quality, and the emerging challenge of sustaining the capacity building of future geoscientist generations. The United States currently hosts about half of all geoscientists globally and is facing the imminent, and in the case of the Federal geosciences workforce, attrition of the Baby Boom generation geoscientists. This demographic shift is impacting all parts of the geosciences and when coupled by internal shifts in the geosciences on subdisciplinary thrusts, the match between the skill portfolio of new graduates is not necessarily well-aligned with the exiting skills of retirees. In particular, the US geosciences face the challenge of, based on current demand, attrition, and graduation rates of being short nearly 150,000 geoscientists by 2021. At the same time, the educational community is seeing the retirement of faculty that are leading into constrained ability to educate students in a number of topics, especially those in the resource industries. Given current funding trends and priorities, this phenomenon is likely to be in a feedback loop and will complicate the broad skill portfolio of the future geosciences. We also examine the issues of global migration and how it does not appear to be nearly as important to addressing the challenges as assumed by many. In addition, the prospective future geosciences majors appear to be of lesser quality than even 5 years ago based on test score, yet we will also present several broad strategies and cautionary tales that can help the US, and likely the global, geosciences community to ensure a stable and effective future and how this is actually opening new opportunities for the next generation of geoscientists.

Culture: what is its effect on stress in the military?

PubMed

Langston, Victoria; Gould, Matthew; Greenberg, Neil

2007-09-01

Culture provides the unwritten rules that inform and shape expected behaviors. To date, little research has been conducted into the attitudes or opinions that service personnel hold toward mental health issues. This article examines current literature and research into the recognition of mental health problems in the military and potential organizational barriers to care including stigma and the specific characteristics of a military culture such as the significant reliance on buddy support. We conclude that the barriers to care which operate in both military and civilian populations are not insignificant. Western militaries in fact currently face an uphill struggle to combat the substantial barriers to care that exist.

Stainless-Steel-Foam Structures Evaluated for Fan and Rotor Blades

NASA Technical Reports Server (NTRS)

Lerch, Bradley A.; Raj, Sai V.; Ghosn, Louis J.; Hebsur, Mohan G.; Cosgriff, Laura M.; Min, James B.; Holland, Frederic A., Jr.

2005-01-01

The goal of this project is to use a sandwich structure design, consisting of two stainlesssteel face sheets and a stainless-steel-foam core, to fabricate engine fan and propeller blades. Current fan blades are constructed either of polymer matrix composites (PMCs) or hollow titanium alloys. The PMC blades are expensive and have poor impact resistance on their leading edges, thereby requiring a metallic leading edge to satisfy the Federal Aviation Administration s impact requirements relating to bird strikes. Hollow titanium blades cost more to fabricate because of the intrinsically difficult fabrication issues associated with titanium alloys. However, both these current concepts produce acceptable lightweight fan blades.

Why Research Design and Methods Is So Crucial to Understanding Drug Use/Abuse: Introduction to the Special Issue.

PubMed

Scheier, Lawrence M

2018-06-01

The collection of articles in this special issue both raise the bar and inspire new thinking with regard to both design and methodology concerns that influence drug use/abuse research. Thematically speaking, the articles focus on issues related to missing data, response formats, strategies for data harmonization, propensity scoring methods as an alternative to randomized control trials, integrative data analysis, statistical corrections to reduce bias from attrition, challenges faced from conducting large-scale evaluations, and employing abductive theory of method as an alternative to the more traditional hypothetico-deductive reasoning. Collectively, these issues are of paramount importance as they provide specific means to improve our investigative tools and refine the logical framework we employ to examine the problem of drug use/abuse. Each of the authors addresses a specific challenge outlining how it affects our current research efforts and then outlines remedies that can advance the field. To their credit, they have included issues that affect both etiology and prevention, thus broadening our horizons as we learn more about developmental processes causally related to drug use/abuse and intervention strategies that can mitigate developmental vulnerability. This is the essential dialogue required to advance our intellectual tool kit and improve the research skills we bring to bear on the important questions facing the field of drug use/abuse. Ultimately, the goal is to increase our ability to identify the causes and consequences of drug use/abuse and find ways to ameliorate these problems as we engage the public health agenda.

Sexual assault prevention programs: current issues, future directions, and the potential efficacy of interventions with women.

PubMed

Yeater, E A; O'Donohue, W

1999-11-01

Current problems facing the primary prevention of sexual assault are reviewed. Effective sexual assault prevention programs for both males and females have been slow to develop due to the fact that the etiologies of sexual assault have not been identified. Although dissemination of prevention programs has become increasingly popular in recent years, few programs have evaluated the extent to which the constructs identified in the interventions are effective at decreasing rates of sexual assault. This article discusses previous studies in sexual assault prevention programs, methodological and conceptual problems that currently exist in the field, pragmatic difficulties regarding program implementation and evaluation, and recommendations for future research with an emphasis on interventions with female participants.

Major Issues Facing the Conservation Movement in the Coming Decade and Beyond.

ERIC Educational Resources Information Center

Strong, Maurice

1984-01-01

The key issues facing the conservation movement may be grouped into three areas: (1) threats to human health; (2) threats to food and fuel supplies; and (3) long-term threats to the biosphere. Each of these areas is discussed. (JN)

Understanding the working relationships between National Health Service clinicians and finance staff.

PubMed

Minogue, Virginia; McCaffry, Rebecca

2017-03-13

Purpose The Department of Health and the National Health Service (NHS) Future Focused Finance (FFF) programme promotes effective engagement between clinical and finance staff. Surveys undertaken by the Department of Health between 2013 and 2015 found few NHS Trusts reported high levels of engagement. The purpose of this paper is to gain a better understanding of current working relationships between NHS clinical and finance professionals and how they might be supported to become more effective. Design/methodology/approach Ipsos MORI were commissioned by the NHS FFF programme to undertake an online survey of NHS clinical and finance staff between June and August 2015. Findings The majority of clinicians had a member of a finance team linked to their speciality or directorate. Clinical and finance professionals have a positive view of joint working preferring face-to-face contact. Clinician's confidence in their understanding of finance was generally good and finance staff felt they had a good understanding of clinical issues. Effective working relationships were facilitated by face-to-face contact, a professional relationship, and the availability of clear, well presented finance and activity data. Research limitations/implications Data protection issues limited the accessibility of the survey team to NHS staff resulting in a relatively low-response rate. Other forms of communication, including social media, were utilised to increase access to the survey. Originality/value The FFF programme is a unique programme aimed at making the NHS finance profession fit for the future. The close partnering work stream brings together the finance and clinical perspective to share knowledge, evidence, training, and to develop good practice and engagement.

Stakeholders' perspectives on access-to-medicines policy and research priorities in Latin America and the Caribbean: face-to-face and web-based interviews.

PubMed

Azeredo, Thiago Botelho; Luiza, Vera Lucia; Oliveira, Maria Auxiliadora; Emmerick, Isabel Cristina Martins; Bigdeli, Maryam

2014-06-25

This study aims to rank policy concerns and policy-related research issues in order to identify policy and research gaps on access to medicines (ATM) in low- and middle-income countries in Latin America and the Caribbean (LAC), as perceived by policy makers, researchers, NGO and international organization representatives, as part of a global prioritization exercise. Data collection, conducted between January and May 2011, involved face-to-face interviews in El Salvador, Colombia, Dominican Republic, and Suriname, and an e-mail survey with key-stakeholders. Respondents were asked to choose the five most relevant criteria for research prioritization and to score policy/research items according to the degree to which they represented current policies, desired policies, current research topics, and/or desired research topics. Mean scores and summary rankings were obtained. Linear regressions were performed to contrast rankings concerning current and desired policies (policy gaps), and current and desired research (research gaps). Relevance, feasibility, and research utilization were the top ranked criteria for prioritizing research. Technical capacity, research and development for new drugs, and responsiveness, were the main policy gaps. Quality assurance, staff technical capacity, price regulation, out-of-pocket payments, and cost containment policies, were the main research gaps. There was high level of coherence between current and desired policies: coefficients of determination (R2) varied from 0.46 (Health system structure; r = 0.68, P <0.01) to 0.86 (Sustainable financing; r = 0.93, P <0.01). There was also high coherence between current and desired research on Rational selection and use of medicines (r = 0.71, P <0.05, R2 = 0.51), Pricing/affordability (r = 0.82, P <0.01, R2 = 0.67), and Sustainable financing (r = 0.76, P <0.01, R2 = 0.58). Coherence was less for Health system structure (r = 0.61, P <0.01, R2 = 0.38). This study combines metrics approaches, contributing to priority setting methodology development, with country and regional level stakeholder participation. Stakeholders received feedback with the results, and we hope to have contributed to the discussion and implementation of ATM research and policy priorities in LAC.

Workforce Issues Facing HRD.

ERIC Educational Resources Information Center

1995

These four papers are from a symposium facilitated by Eugene Andette on work force issues facing human resources development (HRD) at the 1995 Academy of Human Resource Development conference. "Meaning Construction and Personal Transformation: Alternative Dimensions of Job Loss" (Terri A. Deems) reports a study conducted to explore the ways…

Effects of Face-to-Face and Computer-Mediated Constructive Controversy on Social Interdependence, Motivation, and Achievement

ERIC Educational Resources Information Center

Roseth, Cary J.; Saltarelli, Andy J.; Glass, Chris R.

2011-01-01

Cooperative learning capitalizes on the relational processes by which peers promote learning, yet it remains unclear whether these processes operate similarly in face-to-face and online settings. This study addresses this issue by comparing face-to-face and computer-mediated versions of "constructive controversy", a cooperative learning procedure…

Evolution of Monitoring and Evaluation of AIDS Response in Ukraine: Laying the Groundwork for Evidence-Based Health Care.

PubMed

Dumchev, Kostyantyn; Varetska, Olga; Kuzin, Ihor

2017-07-01

Once facing the most severe HIV epidemic in Eastern Europe, Ukraine has built an elaborate Monitoring and Evaluation (M&E) system to track the response to AIDS. This system was developed using recommendations and input from multiple international expert organizations and donors and, at the current stage, serves as a best practice model in many areas. The present paper aims to provide a comprehensive overview of the evolution of the M&E system in Ukraine since its inception. Notable achievements and challenges are described and illustrated by epidemiological data and the recommendations for future development are discussed. Unique experiences and advances in M&E in Ukraine may be useful to other countries facing similar epidemiological, structural or methodological issues.

Digital Methodology to implement the ECOUTER engagement process.

PubMed

Wilson, Rebecca C; Butters, Oliver W; Clark, Tom; Minion, Joel; Turner, Andrew; Murtagh, Madeleine J

2016-01-01

ECOUTER ( E mploying CO ncept u al schema for policy and T ranslation E  in R esearch - French for 'to listen' - is a new stakeholder engagement method incorporating existing evidence to help participants draw upon their own knowledge of cognate issues and interact on a topic of shared concern. The results of an ECOUTER can form the basis of recommendations for research, governance, practice and/or policy. This paper describes the development of a digital methodology for the ECOUTER engagement process based on currently available mind mapping freeware software. The implementation of an ECOUTER process tailored to applications within health studies are outlined for both online and face-to-face scenarios. Limitations of the present digital methodology are discussed, highlighting the requirement of a purpose built software for ECOUTER research purposes.

Issues in national missile defense

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

Canavan, G.H.

1998-12-01

Strategic missiles and weapons are proliferating rapidly; thus, the US and its Allies are likely to face both capable bilateral threats and multilateral configurations with complex coalitions for which defenses could be essential for stability. Current hit-to-kill interceptor and radar and infrared detection, track, and discrimination technology should suffice for limited threats, but it is necessary to meet those threats in time while maintaining growth potential for the more sophisticated threats likely to follow. National Missile Defense faces a confusing array of threats, programs, and alternatives, but the technologies in development are clearly an appropriate first step towards any ofmore » them. They are likely to succeed in the near term; the challenge is to retain flexibility to provide needed options in the mid and long terms.« less

International Conference on Advances in Radiation Oncology (ICARO): outcomes of an IAEA meeting.

PubMed

Salminen, Eeva K; Kiel, Krystyna; Ibbott, Geoffrey S; Joiner, Michael C; Rosenblatt, Eduardo; Zubizarreta, Eduardo; Wondergem, Jan; Meghzifene, Ahmed

2011-02-04

The IAEA held the International Conference on Advances in Radiation Oncology (ICARO) in Vienna on 27-29 April 2009. The Conference dealt with the issues and requirements posed by the transition from conventional radiotherapy to advanced modern technologies, including staffing, training, treatment planning and delivery, quality assurance (QA) and the optimal use of available resources. The current role of advanced technologies (defined as 3-dimensional and/or image guided treatment with photons or particles) in current clinical practice and future scenarios were discussed.ICARO was organized by the IAEA at the request of the Member States and co-sponsored and supported by other international organizations to assess advances in technologies in radiation oncology in the face of economic challenges that most countries confront. Participants submitted research contributions, which were reviewed by a scientific committee and presented via 46 lectures and 103 posters. There were 327 participants from 70 Member States as well as participants from industry and government. The ICARO meeting provided an independent forum for the interaction of participants from developed and developing countries on current and developing issues related to radiation oncology.

RECOGNIZING AND IDENTIFYING PEOPLE: A neuropsychological review

PubMed Central

Barton, Jason J S; Corrow, Sherryse L

2016-01-01

Recognizing people is a classic example of a cognitive function that involves multiple processing stages and parallel routes of information. Neuropsychological data have provided important evidence for models of this process, particularly from case reports; however, the quality and extent of the data varies widely between studies. In this review we first discuss the requirements and logical basis of the types of neuropsychological evidence to support conclusions about the modules in this process. We then survey the adequacy of the current body of reports to address two key issues. First is the question of which cognitive operation generates a sense of familiarity: the current debate revolves around whether familiarity arises in modality-specific recognition units or later amodal processes. Key evidence on this point comes from the search for dissociations between familiarity for faces, voices and names. The second question is whether lesions can differentially affect the abilities to link diverse sources of person information (e.g. face, voice, name, biographic data). Dissociations of these linkages may favour a distributed-only model of the organization of semantic knowledge, whereas a ‘person-hub’ model would predict uniform impairments of all linkages. While we conclude that there is reasonable evidence for dissociations in name, voice and face familiarity in regards to the first question, the evidence for or against dissociated linkages between information stores in regards to the second is tenuous at best. We identify deficiencies in the current literature that should motivate and inform the design of future studies. PMID:26773237

Human Factors Research for Space Exploration: Measurement, Modeling, and Mitigation

NASA Technical Reports Server (NTRS)

Kaiser, Mary K.; Allen, Christopher S.; Barshi, Immanuel; Billman, Dorrit; Holden, Kritina L.

2010-01-01

As part of NASA's Human Research Program, the Space Human Factors Engineering Project serves as the bridge between Human Factors research and Human Spaceflight applications. Our goal is to be responsive to the operational community while addressing issues at a sufficient level of abstraction to ensure that our tools and solutions generalize beyond the point design. In this panel, representatives from four of our research domains will discuss the challenges they face in solving current problems while also enabling future capabilities.

Ergonomics: safe patient handling and mobility.

PubMed

Hallmark, Beth; Mechan, Patricia; Shores, Lynne

2015-03-01

This article reviews and investigates the issues surrounding ergonomics, with a specific focus on safe patient handling and mobility. The health care worker of today faces many challenges, one of which is related to the safety of patients. Safe patient handling and mobility is on the forefront of the movement to improve patient safety. This article reviews the risks associated with patient handling and mobility, and informs the reader of current evidence-based practice relevant to this area of care. Copyright © 2015 Elsevier Inc. All rights reserved.

Challenges and issues facing lithium metal for solid-state rechargeable batteries

NASA Astrophysics Data System (ADS)

Mauger, A.; Armand, M.; Julien, C. M.; Zaghib, K.

2017-06-01

The commercial use of lithium metal batteries was delayed because of dendrite formation on the surface of the lithium electrode, and the difficulty finding a suitable electrolyte that has both the mechanical strength and ionic conductivity required for solid electrolytes. Recently, strategies have developed to overcome these difficulties, so that these batteries are currently an option for different applications, including electric cars. In this work, we review these strategies, and discuss the different routes that are promising for progress in the near future.

Software Engineering Tools for Scientific Models

NASA Technical Reports Server (NTRS)

Abrams, Marc; Saboo, Pallabi; Sonsini, Mike

2013-01-01

Software tools were constructed to address issues the NASA Fortran development community faces, and they were tested on real models currently in use at NASA. These proof-of-concept tools address the High-End Computing Program and the Modeling, Analysis, and Prediction Program. Two examples are the NASA Goddard Earth Observing System Model, Version 5 (GEOS-5) atmospheric model in Cell Fortran on the Cell Broadband Engine, and the Goddard Institute for Space Studies (GISS) coupled atmosphere- ocean model called ModelE, written in fixed format Fortran.

Disruptive visions.

PubMed

Satava, R M

2002-10-01

Numerous advanced technologies, both medical and nonmedical, are emerging faster than their social, behavioral, political, moral, and ethical implications can be understood. Some of these technologies will fundamentally challenge the practice of surgery: human cloning, genetic engineering, tissue engineering, intelligent robotics, nanotechnology, suspended animation, regeneration, and species prolongation. Because of the rapidity of change, the current status of these emerging technologies with their specific moral and ethical issues must be addressed at this time by the new generation of surgeons, or we must all face the consequences of an uncontrolled and unprepared future.

An integrated methodology to assess the benefits of urban green space.

PubMed

De Ridder, K; Adamec, V; Bañuelos, A; Bruse, M; Bürger, M; Damsgaard, O; Dufek, J; Hirsch, J; Lefebre, F; Pérez-Lacorzana, J M; Thierry, A; Weber, C

2004-12-01

The interrelated issues of urban sprawl, traffic congestion, noise, and air pollution are major socioeconomic problems faced by most European cities. A methodology is currently being developed for evaluating the role of green space and urban form in alleviating the adverse effects of urbanisation, mainly focusing on the environment but also accounting for socioeconomic aspects. The objectives and structure of the methodology are briefly outlined and illustrated with preliminary results obtained from case studies performed on several European cities.

Army Communicator. Volume 32, Number 3, Summer 2007

DTIC Science & Technology

2007-01-01

goal of bringing people from across the Army together to talk about the issues and challenges they are experiencing in the field and try to work out...actually facing the challenges . Each work- shop had a mediator who collected information on issues being faced and suggested solutions to these problems...these possible items that Signal Center actions may be put forth to bring about resolutions to the challenges facing the warfighter in the field. “I

Civil Rights Issues Facing Arab Americans in Michigan.

ERIC Educational Resources Information Center

Michigan State Advisory Committee to the U.S. Commission on Civil Rights.

This report is a summary statement of the Michigan Advisory Committee's study on civil rights issues facing Arab American communities in Michigan. It is based on information received by the Committee at a community forum held in Dearborn, Michigan, in 1999. Six sections focus on: (1) "Introduction," including Arab American demographics…

Review of Issues Facing Congress. News from Capitol Hill.

ERIC Educational Resources Information Center

Heinz, Ann Simeo

2001-01-01

Discusses various topics that have faced the 107th U.S. Congress, such as tax cuts, judicial appointments, domestic issues, patients' bill of rights, stem cell research, election law, and campaign finance reform. Includes information on U.S. Senate and federal judicial appointments. Provides ideas for student learning activities. (CMK)

Workforce Issues Facing HRD. [Concurrent Symposium Session at AHRD Annual Conference, 1997.

ERIC Educational Resources Information Center

1997

This document contains three papers from a symposium on work force issues facing human resource development (HRD). "Diversity Management in Nonprofit Women's Health Care Settings: A Qualitative Study of Race, Class, and Gender Influences" (Camille A. Cordak) demonstrates which organizational activities support diversity and how an…

Outsourcing issues for nurse practitioner practices.

PubMed

Mackey, Thomas A; McNiel, Nancy O; Klingensmith, Kenneth

2004-01-01

Nurse practitioner managed practices face multiple business and clinical processes. While most practice managers are prepared as clinicians, they are not well prepared to deal with the daily multiple business infrastructure issues they face. To provide for increased efficiency and effectiveness, nurse practitioner practices should consider outsourcing context business functions.

Critical Issues Facing America's Community Colleges: A Summary of the Community College Futures Assembly 2008

ERIC Educational Resources Information Center

Basham, Matthew J.; Campbell, Dale F.; Mendoza, Pilar

2008-01-01

Three focus groups consisting of board of trustee members, community college presidents, senior administrators, administrators, and faculty members developed critical issues facing community colleges with respect to instructional planning and services; planning, governance, and finance; and workforce development. Thereafter, the delegation of more…

Measurement Issues in Health Disparities Research

PubMed Central

Ramírez, Mildred; Ford, Marvella E; Stewart, Anita L; A Teresi, Jeanne

2005-01-01

Background Racial and ethnic disparities in health and health care have been documented; the elimination of such disparities is currently part of a national agenda. In order to meet this national objective, it is necessary that measures identify accurately the true prevalence of the construct of interest across diverse groups. Measurement error might lead to biased results, e.g., estimates of prevalence, magnitude of risks, and differences in mean scores. Addressing measurement issues in the assessment of health status may contribute to a better understanding of health issues in cross-cultural research. Objective To provide a brief overview of issues regarding measurement in diverse populations. Findings Approaches used to assess the magnitude and nature of bias in measures when applied to diverse groups include qualitative analyses, classic psychometric studies, as well as more modern psychometric methods. These approaches should be applied sequentially, and/or iteratively during the development of measures. Conclusions Investigators performing comparative studies face the challenge of addressing measurement equivalence, crucial for obtaining accurate results in cross-cultural comparisons. PMID:16179000

Worker health and safety and climate change in the Americas: issues and research needs.

PubMed

Kiefer, Max; Rodríguez-Guzmán, Julietta; Watson, Joanna; van Wendel de Joode, Berna; Mergler, Donna; da Silva, Agnes Soares

2016-09-01

SYNOPSIS This report summarizes and discusses current knowledge on the impact that climate change can have on occupational safety and health (OSH), with a particular focus on the Americas. Worker safety and health issues are presented on topics related to specific stressors (e.g., temperature extremes), climate associated impacts (e.g., ice melt in the Arctic), and a health condition associated with climate change (chronic kidney disease of non-traditional etiology). The article discusses research needs, including hazards, surveillance, and risk assessment activities to better characterize and understand how OSH may be associated with climate change events. Also discussed are the actions that OSH professionals can take to ensure worker health and safety in the face of climate change.

A privacy authentication scheme based on cloud for medical environment.

PubMed

Chen, Chin-Ling; Yang, Tsai-Tung; Chiang, Mao-Lun; Shih, Tzay-Farn

2014-11-01

With the rapid development of the information technology, the health care technologies already became matured. Such as electronic medical records that can be easily stored. However, how to get medical resources more convenient is currently concerning issue. In spite of many literatures discussed about medical systems, these literatures should face many security challenges. The most important issue is patients' privacy. Therefore, we propose a privacy authentication scheme based on cloud environment. In our scheme, we use mobile device's characteristics, allowing peoples to use medical resources on the cloud environment to find medical advice conveniently. The digital signature is used to ensure the security of the medical information that is certified by the medical department in our proposed scheme.

Worker health and safety and climate change in the Americas: issues and research needs

PubMed Central

Kiefer, Max; Rodríguez-Guzmán, Julietta; Watson, Joanna; van Wendel de Joode, Berna; Mergler, Donna; da Silva, Agnes Soares

2016-01-01

SYNOPSIS This report summarizes and discusses current knowledge on the impact that climate change can have on occupational safety and health (OSH), with a particular focus on the Americas. Worker safety and health issues are presented on topics related to specific stressors (e.g., temperature extremes), climate associated impacts (e.g., ice melt in the Arctic), and a health condition associated with climate change (chronic kidney disease of non-traditional etiology). The article discusses research needs, including hazards, surveillance, and risk assessment activities to better characterize and understand how OSH may be associated with climate change events. Also discussed are the actions that OSH professionals can take to ensure worker health and safety in the face of climate change. PMID:27991978

Basics and recent advances in peptide and protein drug delivery

PubMed Central

Bruno, Benjamin J; Miller, Geoffrey D; Lim, Carol S

2014-01-01

While the peptide and protein therapeutic market has developed significantly in the past decades, delivery has limited their use. Although oral delivery is preferred, most are currently delivered intravenously or subcutaneously due to degradation and limited absorption in the gastrointestinal tract. Therefore, absorption enhancers, enzyme inhibitors, carrier systems and stability enhancers are being studied to facilitate oral peptide delivery. Additionally, transdermal peptide delivery avoids the issues of the gastrointestinal tract, but also faces absorption limitations. Due to proteases, opsonization and agglutination, free peptides are not systemically stable without modifications. This review discusses oral and transdermal peptide drug delivery, focusing on barriers and solutions to absorption and stability issues. Methods to increase systemic stability and site-specific delivery are also discussed. PMID:24228993

Caring for adults with thalassemia in a pediatric world.

PubMed

Compagno, Laurice M

2005-01-01

Improved technology and medical advances have increased the life span for patients with thalassemia. Therefore, serious consideration must now be given to adult issues such as fertility, employment opportunities, medical insurance, and long-term coping with chronic illness. Since thalassemia is a childhood illness, most adults are seen in pediatric hospitals-often, in centers with a specialty for thalassemia. Compared to a decade ago, many more patients in thalassemia centers are adolescents or older. Unfortunately, pediatric hospitals are not fully equipped to meet the changing and complex needs of adults. Emergency room care, hospital admissions, decentralized care, comprehensive care, and psychosocial issues are current challenges that must be addressed. In this study, six adult patients were asked to keep track of their care for one month to further examine self-care for thalassemia, a high-maintenance disease. From a qualitative perspective, the issues and challenges that adults face are examined and solutions for improved care are discussed.

Current status of coastal zone issues and management in China: a review.

PubMed

Cao, Wenzhi; Wong, Ming H

2007-10-01

This paper identifies and examines social-economic and environmental issues recently emerged in China's coastal zone. Evaluation of management scheme and progress in perspectives of coordinated legislation, institutional arrangement, public participation, capacity building, and scientific research (mainly coastal planning and functional zoning) in China's coastal zone are made. The Chinese government has made a significant effort in developing legislation for the coastal zone. Jurisdictional and zoning boundaries, and allocating use rights for coastal and marine resources have been established. State Oceanic Administration is the leading agency responsible for China's ocean policymaking and overall management of ocean and coastal affairs. A demonstrated project for integrated coastal management in Xiamen has been implemented, and is characterized as "decentralization" approach in decision-making process. In view of the above, comprehensive coastal management in China is a big challenge, facing with many difficulties. Finally, recommendations are raised for tackling these issues for China's coastal zone management.

Transplantation and the primary care physician.

PubMed

McGill, Rita L; Ko, Tina Y

2011-11-01

Increasing appreciation of the survival benefits of kidney transplantation, compared with chronic dialysis, has resulted in more patients with kidney disease being referred and receiving organs. The evolving disparity between a rapidly increasing pool of candidates and a smaller pool of available donors has created new issues for the physicians who care for kidney patients and their potential living donors. This article outlines current efforts to address the growing number of patients who await transplantation, including relaxation of traditional donation criteria, maximization of living donation, and donation schemas that permit incompatible donor-recipient pairs to participate through paired donation and transplantation chains. New ethical issues faced by donors and recipients are discussed. Surgical advances that reduce the morbidity of donors are also described, as is the role of the primary physician in medical issues of both donors and recipients. Copyright © 2011 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

Anticipating issues related to increasing preimplantation genetic diagnosis use: a research agenda.

PubMed

Klitzman, Robert; Appelbaum, Paul S; Chung, Wendy; Sauer, Mark

2008-01-01

Increasing use of preimplantation genetic diagnosis (PGD) poses numerous clinical, social, psychological, ethical, legal and policy dilemmas, many of which have received little attention. Patients and providers are now considering and using PGD for a widening array of genetic disorders, and patients may increasingly seek 'designer babies.' In the USA, although governmental oversight policies have been discussed, few specific guidelines exist. Hence, increasingly, patients and providers will face challenging ethical and policy questions of when and for whom to use PGD, and how it should be financed. These issues should be better clarified and addressed through collection of data concerning the current use of PGD in the USA, including factors involved in decision making about PGD use, as well as the education of the various communities that are, and should be, involved in its implementation. Improved understanding of these issues will ultimately enhance the development and implementation of future clinical guidelines and policies.

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

PubMed Central

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

2018-01-01

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

A biopsychosocial model for the management of patients with sickle-cell disease transitioning to adult medical care.

PubMed

Crosby, Lori E; Quinn, Charles T; Kalinyak, Karen A

2015-04-01

The lifespan of patients with sickle-cell disease (SCD) continues to increase, and most affected individuals in high-resource countries now live into adulthood. This necessitates a successful transition from pediatric to adult health care. Care for transitioning patients with SCD often falls to primary care providers who may not be fully aware of the many challenges and issues faced by patients and the current management strategies for SCD. In this review, we aim to close the knowledge gap between primary care providers and specialists who treat transitioning patients with SCD. We describe the challenges and issues encountered by these patients, and we propose a biopsychosocial multidisciplinary approach to the management of the identified issues. Examples of this approach, such as transition-focused integrated care models and quality improvement collaboratives, with the potential to improve health outcomes in adulthood are also described.

Critical gases for critical issues: CO2 technologies for oral drug delivery.

PubMed

Danan, Hana; Esposito, Pierandrea

2014-02-01

In recent years, CO2-based technologies have gained considerable interest in the pharmaceutical industry for their potential applications in drug formulation and drug delivery. The exploitation of peculiar properties of gases under supercritical conditions has been studied in the last 20 years with mixed results. Promising drug-delivery technologies, based on supercritical CO2, have mostly failed when facing challenges of industrial scaleability and economical viability. Nevertheless, a 'second generation' of processes, based on CO2 around and below critical point has been developed, possibly offering technology-based solutions to some of the current issues of pharmaceutical development. In this review, we highlight the most recent advancements in this field, with a particular focus on the potential of CO2-based technologies in addressing critical issues in oral delivery, and briefly discuss the future perspectives of dense CO2-assisted processes as enabling technologies in drug delivery.

The use of online discussions for post-clinical conference.

PubMed

Berkstresser, Kristie

2016-01-01

Nurse educators, at every level of pre-licensure nursing education, are charged with developing critical thinking skills within their students. Post-clinical conference is one teaching strategy that nurse educators can employ to help promote the development of critical thinking skills in pre-licensure nursing students. However, traditional face-to-face post-clinical conference is marred with issues and concerns, as identified in the nursing education literature. An alternative to face-to-face post-clinical conference, asynchronous online learning environment, mitigates the issues and concerns associated with traditional post-clinical conference. Adult learning theory supports the use of asynchronous online learning environment because the asynchronous online learning environment promotes student-centered teaching strategy in place of teacher-centered learning, which by its nature traditional face-to-face post-clinical conference tends to support. Copyright © 2015 Elsevier Ltd. All rights reserved.

Face transplantation for the blind: more than being blind in a sighted world.

PubMed

Lee, Joseph

2018-06-01

Face transplantation (FT) is a landmark in reconstructive surgery involving vascularised composite allotransplantation. A recent issue of FT for patients who are blind has arisen. Some bioethicists recommend not excluding a patient who is blind, as this may amount to discrimination. From an ethical standpoint, FT for those with blindness is appropriate in selected candidates. This article seeks to add to the clinical evidence supporting FT for those with blindness by detailing a complementary psychosocial perspective. Currently, there is little relevant research about the subjectivity of the blind. This is critical since the arguments against FT for the blind refer to their inability to see their face and to view the reaction of others to their disfigured faces. We begin with a brief look at examples of FT involving blindness and associated arguments. The next part is a multidisciplinary investigation of the experiences of the blind. These are gleaned from a close reading of the literature and drawing inferences, as direct studies are rare. The discussion analyses identity themes of the blind in relation to their faces: as they experience it; the face they wish to show to the world; and how others perceive and react to their face in a saturated environment of imagery and visual communication. Disability and the blind person's experience of faces are well-founded considerations for medical practitioners and ethics boards in the process of FT decision-making. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Altered medial prefrontal activity during dynamic face processing in schizophrenia spectrum patients.

PubMed

Mothersill, Omar; Morris, Derek W; Kelly, Sinead; Rose, Emma Jane; Bokde, Arun; Reilly, Richard; Gill, Michael; Corvin, Aiden P; Donohoe, Gary

2014-08-01

Processing the emotional content of faces is recognised as a key deficit of schizophrenia, associated with poorer functional outcomes and possibly contributing to the severity of clinical symptoms such as paranoia. At the neural level, fMRI studies have reported altered limbic activity in response to facial stimuli. However, previous studies may be limited by the use of cognitively demanding tasks and static facial stimuli. To address these issues, the current study used a face processing task involving both passive face viewing and dynamic social stimuli. Such a task may (1) lack the potentially confounding effects of high cognitive demands and (2) show higher ecological validity. Functional MRI was used to examine neural activity in 25 patients with a DSM-IV diagnosis of schizophrenia/schizoaffective disorder and 21 age- and gender-matched healthy controls while they participated in a face processing task, which involved viewing videos of angry and neutral facial expressions, and a non-biological baseline condition. While viewing faces, patients showed significantly weaker deactivation of the medial prefrontal cortex, including the anterior cingulate, and decreased activation in the left cerebellum, compared to controls. Patients also showed weaker medial prefrontal deactivation while viewing the angry faces relative to baseline. Given that the anterior cingulate plays a role in processing negative emotion, weaker deactivation of this region in patients while viewing faces may contribute to an increased perception of social threat. Future studies examining the neurobiology of social cognition in schizophrenia using fMRI may help establish targets for treatment interventions. Copyright © 2014 Elsevier B.V. All rights reserved.

Families Facing the Nuclear Taboo.

ERIC Educational Resources Information Center

Jacobs, Judith Bula

1988-01-01

Discusses attitudes of 12 families participating in group which was formed to focus on issues related to the possibility of a nuclear disaster. Why and how these families are facing the nuclear taboo plus various outcomes of doing so are discussed as well as the role of the professional in encouraging such openness about these difficult issues.…

Emerging Issues, 2006. Policy Brief

ERIC Educational Resources Information Center

Howard, Mimi

2006-01-01

The Education Commission of the States (ECS) recently conducted analyses, interviews and a survey for a study designed to identify the most pressing early learning issues facing policymakers. The goal was to hear both from those who are faced with making decisions and from those who are on the ground conducting research and developing programs. To…

Critical Issues Facing America's Community Colleges: A Summary of the Community Colleges Futures Assembly 2006

ERIC Educational Resources Information Center

Campbell, Dale F.; Basham, Matthew J.

2007-01-01

Three focus groups consisting of 42 board of trustee members, community college presidents, senior administrators, and faculty members developed critical issues facing community colleges with respect to instructional planning and services; planning, governance, finance; and workforce development. Thereafter, the delegation of more than 200 voted…

An Operational Commander’s Guide to Contractors on the Battlefield

DTIC Science & Technology

2007-05-10

Operational Law Handbook, Charlottesville, VA: 2005, 145. 12 R. R. Vernon, “Battlefield Contractors: Facing Tough Issues,” Public Contract Law Journal...Operations. Joint Pub 4-0. Washington, DC: 6 April 2000. Vernon, R. R. “Battlefield Contractors: Facing Tough Issues.” Public Contract Law Journal, Vol. 33 (Winter 2004): 404-421.

MO-FG-BRB-02: Debater [medical physics education

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

Hazle, J.

Building on the energy and excitement of Washington DC in a presidential election year, AAPM will host its own Presidential Debate to better understand the views of the AAPM membership! Past presidents of the AAPM, Drs. Bayouth, Hazle, Herman, and Seibert, will debate hot topics in medical physics including issues facing education, professional practice, and the advancement of science. The moderators, Drs. Brock and Stern, will also draw in topics from Point-Counterpoint articles from the Medical Physics Journals. Wrapping up the debate, the audience will have the opportunity to question the candidates in a town hall format. At the conclusionmore » of this lively debate, the winner will be decided by the audience, so bring your Audience Response Units! Be part of Medical Physics - Decision 2016! Learning Objectives: Understand AAPM members’ views and opinions on issues facing medical physics education Learn AAPM members’ views and opinions on issues facing professional practice Identify AAPM members’ view and opinions on issues facing the advancement of science in medical physics J. Bayouth, Funding support from NCI;Scientific Advisory Board member - ViewRay.« less

MO-FG-BRB-00: AAPM Presidential Debate [medical physics education

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

NONE

Building on the energy and excitement of Washington DC in a presidential election year, AAPM will host its own Presidential Debate to better understand the views of the AAPM membership! Past presidents of the AAPM, Drs. Bayouth, Hazle, Herman, and Seibert, will debate hot topics in medical physics including issues facing education, professional practice, and the advancement of science. The moderators, Drs. Brock and Stern, will also draw in topics from Point-Counterpoint articles from the Medical Physics Journals. Wrapping up the debate, the audience will have the opportunity to question the candidates in a town hall format. At the conclusionmore » of this lively debate, the winner will be decided by the audience, so bring your Audience Response Units! Be part of Medical Physics - Decision 2016! Learning Objectives: Understand AAPM members’ views and opinions on issues facing medical physics education Learn AAPM members’ views and opinions on issues facing professional practice Identify AAPM members’ view and opinions on issues facing the advancement of science in medical physics J. Bayouth, Funding support from NCI;Scientific Advisory Board member - ViewRay.« less

MO-FG-BRB-04: Debater [Medical physics education

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

Seibert, J.

Building on the energy and excitement of Washington DC in a presidential election year, AAPM will host its own Presidential Debate to better understand the views of the AAPM membership! Past presidents of the AAPM, Drs. Bayouth, Hazle, Herman, and Seibert, will debate hot topics in medical physics including issues facing education, professional practice, and the advancement of science. The moderators, Drs. Brock and Stern, will also draw in topics from Point-Counterpoint articles from the Medical Physics Journals. Wrapping up the debate, the audience will have the opportunity to question the candidates in a town hall format. At the conclusionmore » of this lively debate, the winner will be decided by the audience, so bring your Audience Response Units! Be part of Medical Physics - Decision 2016! Learning Objectives: Understand AAPM members’ views and opinions on issues facing medical physics education Learn AAPM members’ views and opinions on issues facing professional practice Identify AAPM members’ view and opinions on issues facing the advancement of science in medical physics J. Bayouth, Funding support from NCI;Scientific Advisory Board member - ViewRay.« less

MO-FG-BRB-01: Debater [medical physics education

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

Bayouth, J.

Building on the energy and excitement of Washington DC in a presidential election year, AAPM will host its own Presidential Debate to better understand the views of the AAPM membership! Past presidents of the AAPM, Drs. Bayouth, Hazle, Herman, and Seibert, will debate hot topics in medical physics including issues facing education, professional practice, and the advancement of science. The moderators, Drs. Brock and Stern, will also draw in topics from Point-Counterpoint articles from the Medical Physics Journals. Wrapping up the debate, the audience will have the opportunity to question the candidates in a town hall format. At the conclusionmore » of this lively debate, the winner will be decided by the audience, so bring your Audience Response Units! Be part of Medical Physics - Decision 2016! Learning Objectives: Understand AAPM members’ views and opinions on issues facing medical physics education Learn AAPM members’ views and opinions on issues facing professional practice Identify AAPM members’ view and opinions on issues facing the advancement of science in medical physics J. Bayouth, Funding support from NCI;Scientific Advisory Board member - ViewRay.« less

MO-FG-BRB-03: Debater [medical physics education

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

Herman, M.

Building on the energy and excitement of Washington DC in a presidential election year, AAPM will host its own Presidential Debate to better understand the views of the AAPM membership! Past presidents of the AAPM, Drs. Bayouth, Hazle, Herman, and Seibert, will debate hot topics in medical physics including issues facing education, professional practice, and the advancement of science. The moderators, Drs. Brock and Stern, will also draw in topics from Point-Counterpoint articles from the Medical Physics Journals. Wrapping up the debate, the audience will have the opportunity to question the candidates in a town hall format. At the conclusionmore » of this lively debate, the winner will be decided by the audience, so bring your Audience Response Units! Be part of Medical Physics - Decision 2016! Learning Objectives: Understand AAPM members’ views and opinions on issues facing medical physics education Learn AAPM members’ views and opinions on issues facing professional practice Identify AAPM members’ view and opinions on issues facing the advancement of science in medical physics J. Bayouth, Funding support from NCI;Scientific Advisory Board member - ViewRay.« less

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

Bourham, Mohamed A.; Gilligan, John G.

Safety considerations in large future fusion reactors like ITER are important before licensing the reactor. Several scenarios are considered hazardous, which include safety of plasma-facing components during hard disruptions, high heat fluxes and thermal stresses during normal operation, accidental energy release, and aerosol formation and transport. Disruption events, in large tokamaks like ITER, are expected to produce local heat fluxes on plasma-facing components, which may exceed 100 GW/m{sup 2} over a period of about 0.1 ms. As a result, the surface temperature dramatically increases, which results in surface melting and vaporization, and produces thermal stresses and surface erosion. Plasma-facing componentsmore » safety issues extends to cover a wide range of possible scenarios, including disruption severity and the impact of plasma-facing components on disruption parameters, accidental energy release and short/long term LOCA's, and formation of airborne particles by convective current transport during a LOVA (water/air ingress disruption) accident scenario. Study, and evaluation of, disruption-induced aerosol generation and mobilization is essential to characterize database on particulate formation and distribution for large future fusion tokamak reactor like ITER. In order to provide database relevant to ITER, the SIRENS electrothermal plasma facility at NCSU has been modified to closely simulate heat fluxes expected in ITER.« less

A qualitative study of the current situation of elderly care in Iran: what can we do for the future?

PubMed

Goharinezhad, Salime; Maleki, Mohammadreza; Baradaran, Hamid Reza; Ravaghi, Hamid

2016-01-01

With the successful improvement of global health systems and social security in societies, the world is now advancing toward aging. All countries have to face the phenomenon of population aging sooner or later depending on their degree of development; however, elderly care is predicted to soon become a major concern for developing countries such as Iran. This study was conducted to identify the challenges of elderly care in Iran and to help policymakers develop roadmaps for the future through providing a clearer image of the current state of affairs in this area of healthcare. This study has adopted a framework approach to qualitative data analysis. For this purpose, 37 semi-structured interviews were conducted in 2015 with a number of key informants in elderly care who were familiar with the process at macro-, meso-, and micro-levels. Maximum variation purposive sampling was performed to select the study samples. A conceptual framework was designed using a review of the literature, and key issues were then identified for data analysis. The elderly care process yielded five major challenges, including policymaking, access, technical infrastructure, integrity and coordination, and health-based care services. According to the stakeholders of elderly care in Iran, the current care system is not well-suited for meeting the needs of the elderly, as the elderly tend to receive the services they need sporadically and in a non-coherent manner. Given the rapid growth of the elderly population in the coming decades, it is the authorities' job to concentrate on the challenges faced by the health system and to use foresight methods for the comprehensive and systematical management of the issue.

Adolescent Girls’ Communication with “Mothers” About Topical Microbicides

PubMed Central

Sunder, Punita K.; Ramos, Stephanie; Short, Mary B.; Rosenthal, Susan L.

2007-01-01

Study Objective Topical microbicides, a female-initiated method to protect against sexually transmitted infections (STIs) and pregnancy, will only be effective if found acceptable. Mothers may have an influence on acceptability and use among adolescent girls. The current study examined the communication between girls and mothers to understand the potential predictors and nature of conversations regarding surrogate microbicide products. Design Sexually experienced girls, 14 to 21 years, were recruited for a 6-month study examining microbicide acceptability. During face-to-face interviews, qualitative data were collected regarding communication between girls and mothers. Two independent raters coded the responses, which were organized into themes. Themes were interpreted according to the conceptual understanding of mother-daughter communication. Results Fifty percent of the 171 girls with codable responses had a conversation with their mother. Higher levels of indirect parental monitoring were related to being more likely to have a conversation. Concrete events related to the study (i.e. receiving phone call from the researcher, having an appointment, or seeing the product) or inquiries by mothers appeared to promote conversation. Barriers to conversation included the private nature of the information and relationship issues between the mother and daughter. Conversations often addressed issues related to girls’ participation in the study, although some conversations included global issues related to sexuality. Conclusions Girls may talk to their mothers about new products for STI prevention, and such conversations may provide opportunities to promote use. PMID:17174825

Adolescent girls' communication with "mothers" about topical microbicides.

PubMed

Sunder, Punita K; Ramos, Stephanie; Short, Mary B; Rosenthal, Susan L

2006-12-01

Topical microbicides, a female-initiated method to protect against sexually transmitted infections (STI) and pregnancy, will only be effective if found acceptable. Mothers may have an influence on acceptability and use among adolescent girls. The current study examined the communication between girls and mothers to understand the potential predictors and nature of conversations regarding surrogate microbicide products. Sexually experienced girls, 14 to 21 years, were recruited for a 6-month study examining microbicide acceptability. During face-to-face interviews, qualitative data were collected regarding communication between girls and mothers. Two independent raters coded the responses, which were organized into themes. Themes were interpreted according to the conceptual understanding of mother-daughter communication. Fifty percent of the 171 girls with codable responses had a conversation with their mother. Higher levels of indirect parental monitoring were related to being more likely to have a conversation. Concrete events related to the study (i.e. receiving phone call from the researcher, having an appointment, or seeing the product) or inquiries by mothers appeared to promote conversation. Barriers to conversation included the private nature of the information and relationship issues between the mother and daughter. Conversations often addressed issues related to girls' participation in the study, although some conversations included global issues related to sexuality. Girls may talk to their mothers about new products for STI prevention, and such conversations may provide opportunities to promote use.

Knowledge management and informatics considerations for comparative effectiveness research: a case-driven exploration.

PubMed

Embi, Peter J; Hebert, Courtney; Gordillo, Gayle; Kelleher, Kelly; Payne, Philip R O

2013-08-01

As clinical data are increasingly collected and stored electronically, their potential use for comparative effectiveness research (CER) grows. Despite this promise, challenges face those wishing to leverage such data. In this paper we aim to enumerate some of the knowledge management and informatics issues common to such data reuse. After reviewing the current state of knowledge regarding biomedical informatics challenges and best practices related to CER, we then present 2 research projects at our institution. We analyze these and highlight several common themes and challenges related to the conduct of CER studies. Finally, we represent these emergent themes. The informatics challenges commonly encountered by those conducting CER studies include issues related to data information and knowledge management (eg, data reuse, data preparation) as well as those related to people and organizational issues (eg, sociotechnical factors and organizational factors). Examples of these are described in further detail and a formal framework for describing these findings is presented. Significant challenges face researchers attempting to use often diverse and heterogeneous datasets for CER. These challenges must be understood in order to be dealt with successfully and can often be overcome with the appropriate use of informatics best practices. Many research and policy questions remain to be answered in order to realize the full potential of the increasingly electronic clinical data available for such research.

Rethinking the financing of healthcare in Canada.

PubMed

Taylor, D Wayne

2016-11-01

Canadians need to talk about their healthcare, about who pays for what, when. Lack of money is not the issue; how that money is spent is the issue-what public healthcare is covering and not covering. The same dollar amount can be spent quite differently and more effectively. The 1950s first-dollar, single-payor decision shifted the burden from the individual to government, but a lot has changed since the 1950s. Today Medicare is not universal, comprehensive, reasonably accessible, or portable. With residual constitutional power residing in Ottawa, there is no reason for the fragmentation and inequalities facing Canadians. Sound fiscal policy enables funding at appropriate levels when needed; however, current fiscal policy is not sound. Canada can learn from countries that outperform it in terms of quality, waits, access, outcomes, and value for money. This article provides some fresh thinking about the financing of a system that currently is failing Canadians. © 2016 The Canadian College of Health Leaders.

Extending the purposes of science education: addressing violence within socio-economic disadvantaged communities

NASA Astrophysics Data System (ADS)

Castano, Carolina

2012-09-01

Current discourses about science education show a wide concern towards humanisation and a more socio-cultural perspective of school science. They suggest that science education can serve diverse purposes and be responsive to social and environmental situations we currently face. However, these discourses and social approaches to science education tend to focus on global issues. They do not respond to the immediate needs and local context of some communities. I discuss in this paper why the purposes of science education need to be extended to respond to the local issue of violence. For this, I present a case study with a group of 38 students from a poor population in Bogotá, Colombia, located in one of the suburbs with highest levels of crime in the city. I examine the ways that science education contributes to and embodies its own forms of violence and explore how a new approach to science education could contribute to break the cycle of violence.

[New information technologies and health consumerism].

PubMed

Vasconcellos-Silva, Paulo Roberto; Castiel, Luis David; Bagrichevsky, Marcos; Griep, Rosane Harter

2010-08-01

Concepts related to consumption have shifted to include social processes not previously covered by traditional categories. The current review analyzes the application of classical concepts of consumerism to practices recently identified in the health field, like the phenomenon of cyberchondria. The theoretical challenge relates to the difficulty in extrapolating from the economic perspectives of consumerism to self-care issues in the context of information and communication technologies (ICTs). Drawing on recent anthropological categories, the study seeks to understand the phenomenon of self-care commodification under the imperative of self-accountability for health. New consumer identities are described in light of the unprecedented issues concerning technical improvements currently altering the nature of self-care. The study concludes that health is consumed as vitality, broken down into commercial artifacts in the context of a new bioeconomy - no longer linked to the idea of emulation and possession, but to forms of self-perception and self-care in the face of multiple risks and new definitions of the human being.

Facing Diabetes: What You Need to Know

MedlinePlus

... of this page please turn Javascript on. Feature: Diabetes Facing Diabetes: What You Need to Know Past Issues / Fall ... your loved ones. Photos: AP The Faces of Diabetes Diabetes strikes millions of Americans, young and old, ...

Sponge systematics facing new challenges.

PubMed

Cárdenas, P; Pérez, T; Boury-Esnault, N

2012-01-01

Systematics is nowadays facing new challenges with the introduction of new concepts and new techniques. Compared to most other phyla, phylogenetic relationships among sponges are still largely unresolved. In the past 10 years, the classical taxonomy has been completely overturned and a review of the state of the art appears necessary. The field of taxonomy remains a prominent discipline of sponge research and studies related to sponge systematics were in greater number in the Eighth World Sponge Conference (Girona, Spain, September 2010) than in any previous world sponge conferences. To understand the state of this rapidly growing field, this chapter proposes to review studies, mainly from the past decade, in sponge taxonomy, nomenclature and phylogeny. In a first part, we analyse the reasons of the current success of this field. In a second part, we establish the current sponge systematics theoretical framework, with the use of (1) cladistics, (2) different codes of nomenclature (PhyloCode vs. Linnaean system) and (3) integrative taxonomy. Sponges are infamous for their lack of characters. However, by listing and discussing in a third part all characters available to taxonomists, we show how diverse characters are and that new ones are being used and tested, while old ones should be revisited. We then review the systematics of the four main classes of sponges (Hexactinellida, Calcispongiae, Homoscleromorpha and Demospongiae), each time focusing on current issues and case studies. We present a review of the taxonomic changes since the publication of the Systema Porifera (2002), and point to problems a sponge taxonomist is still faced with nowadays. To conclude, we make a series of proposals for the future of sponge systematics. In the light of recent studies, we establish a series of taxonomic changes that the sponge community may be ready to accept. We also propose a series of sponge new names and definitions following the PhyloCode. The issue of phantom species (potential new species revealed by molecular studies) is raised, and we show how they could be dealt with. Finally, we present a general strategy to help us succeed in building a Porifera tree along with the corresponding revised Porifera classification. Copyright © 2012 Elsevier Ltd. All rights reserved.

Migration of health workers in the Pacific Islands: a bottleneck to health development.

PubMed

Yamamoto, T S; Sunguya, B F; Shiao, L W; Amiya, R M; Saw, Y M; Jimba, M

2012-07-01

Human resources for health (HRH) are a crucial component of a well-functioning health system. Problems in the global HRH supply and distribution are an obstacle to achieving the health-related Millennium Development Goals and other health outcomes. The Pacific Island region, covering 20,000 to 30,000 islands in the South Pacific Ocean, is suffering a serious HRH crisis. Yet updated evidence and data are not available for the 22 Pacific Island Countries and Territories. The objective of this study was thus to explore the current HRH situation in the Pacific Island region, focusing particularly on the issue of health workforce migration. HRH trends and gaps differ by country, with some showing increases in HRH density over the past 20 years whereas others have made negligible progress. Currently, three Pacific Island countries are facing critical HRH shortages, a worsening of the situation from 2006, when HRH issues were first brought to widespread global attention. In this region, skilled personnel migration is a major issue contributing to the limited availability of HRH. Political commitment from source and destination countries to strengthen HRH would be a key factor toward increasing efforts to train new health personnel and to implement effective retention strategies.

The future of acoustics distance education at Penn State

NASA Astrophysics Data System (ADS)

Brooks, Karen P.; Sparrow, Victor W.; Atchley, Anthony A.

2005-04-01

For nearly 20 years Penn State's Graduate Program in Acoustics has offered a graduate distance education program, established in response to Department of Defense needs. Using satellite technology, courses provided synchronous classes incorporating one-way video and two-way audio. Advancements in technology allowed more sophisticated delivery systems to be considered and courses to be offered to employees of industry. Current technology utilizes real time video-streaming and archived lectures to enable individuals anywhere to access course materials. The evolution of technology, expansion of the geographic market and changing needs of the student, among other issues, require a new paradigm. This paradigm must consider issues such as faculty acceptance and questions facing all institutions with regard to blurring the distinction between residence and distance education. Who will be the students? What will be the purpose of education? Will it be to provide professional and/or research degrees? How will the Acoustics Program ensure it remains attractive to all students, while working within the boundaries and constraints of a major research university? This is a look at current practice and issues with an emphasis on those relevant to constructing the Acoustics Programs distance education strategy for the future.

The neurosurgical workforce in North America: a critical review of gender issues.

PubMed

Woodrow, Sarah I; Gilmer-Hill, Holly; Rutka, James T

2006-10-01

The role of women in Western society has changed dramatically in the past several decades. Despite this, many gender disparities still exist for professionals in the health care sector. In neurosurgery, a disproportionately small percentage of the workforce in the United States and Canada is female. These figures are lower than most reported in other medical specialties. This review critically examines factors that may be influencing women's ability to advance in demanding subspecialties such as neurosurgery. The literature on women in medicine, and surgery in particular, were reviewed to identify different issues facing women currently in practice in neurosurgery. In addition, the concerns of prospective trainees were examined. There remain many challenges for women entering neurosurgery, including unique lifestyle concerns, limited mentorship, out-dated career programs, and deep-seeded societal beliefs. Discrimination and harassment are also contributing factors. If neurosurgery is to continue to progress as a subspecialty, the issue of gender inequality needs to be scrutinized more closely. Innovative programs must be developed to meet the needs of current female faculty members and to ensure attracting the brightest individuals of both genders into a career in neurosurgery.

Comparing Online and Face-to-Face Instruction at a Large Virtual University: Data and Issues in the Measurement of Quality. AIR 2001 Annual Forum Paper.

ERIC Educational Resources Information Center

Wisan, Gail; Nazma, Shirin; Pscherer, Charles P., Jr.

The fiscal year 2000 Alumni Survey at a large, substantially online university was used to assess undergraduate students' satisfaction with both online and face-to-face academic quality and student services. Students who had taken online classes evaluated both their online and face-to-face classes. In addition, students who took only face-to-face…

Visual Search for Faces with Emotional Expressions

ERIC Educational Resources Information Center

Frischen, Alexandra; Eastwood, John D.; Smilek, Daniel

2008-01-01

The goal of this review is to critically examine contradictory findings in the study of visual search for emotionally expressive faces. Several key issues are addressed: Can emotional faces be processed preattentively and guide attention? What properties of these faces influence search efficiency? Is search moderated by the emotional state of the…

Aging and Cognitive Performance: Challenges and Implications for Physicians Practicing in the 21st Century

ERIC Educational Resources Information Center

Durning, Steven J.; Artino, Anthony R.; Holmboe, Eric; Beckman, Thomas J.; van der Vleuten, Cees; Schuwirth, Lambert

2010-01-01

The demands of physician practice are growing. Some specialties face critical shortages and a significant percentage of physicians are aging. To improve health care it is paramount to understand and address challenges, including cognitive issues, facing aging physicians. In this article, we outline several issues related to cognitive performance…

Friending, IMing, and Hanging out Face-to-Face: Overlap in Adolescents' Online and Offline Social Networks

ERIC Educational Resources Information Center

Reich, Stephanie M.; Subrahmanyam, Kaveri; Espinoza, Guadalupe

2012-01-01

Many new and important developmental issues are encountered during adolescence, which is also a time when Internet use becomes increasingly popular. Studies have shown that adolescents are using these online spaces to address developmental issues, especially needs for intimacy and connection to others. Online communication with its potential for…

2009 Division 35 Presidential Address: Feminist Psychology and Women with Disabilities--An Emerging Alliance

ERIC Educational Resources Information Center

Banks, Martha E.

2010-01-01

This article is an application of the "Guidelines for Psychological Practice with Girls and Women" to psychological issues faced by Women with Disabilities. It includes culture-specific issues faced by Women with Disabilities, the multiple roles of Women with Disabilities, the importance of informal support systems, and the intersection between…

Conflict in Multiculturalism Classes: Too Much Heat or Too Little?

ERIC Educational Resources Information Center

Meacham, Jack

1995-01-01

The issues that arise in a college course on multiculturalism can touch students very personally and may be a first opportunity for many students to talk face-to-face about important social issues. Anticipating when students may become defensive, angry, hurt, or when conflict might erupt will help faculty know when to lower or raise the…

Psychosocial Crises of Older Men.

ERIC Educational Resources Information Center

Solomon, Kenneth

Retirement is a major issue facing the older American man. Not only must he give up his work, a source of identity and self-esteem, the retiree must also face new relationships with his spouse, children, and peers; and he must learn to use leisure time appropriately. Widowerhood is a second major issue. Aside from deep emotional loss, the widower…

As the World Turns: The Shifting Developmental Issues Facing Today's College Man, Part II.

ERIC Educational Resources Information Center

Franklin, E. Bernard

1997-01-01

Discusses issues facing black male college students, and ways colleges and universities can support their growth more effectively. Identifies and explores students' unmet needs: to feel loved, feel accepted, feel competent, have power, resolve pain and anger from lack of appropriate male guidance, find meaning and purpose in life's struggles, and…

(Im)migrant Voices: An Ethnographic Inquiry into Contemporary (Im)migrant Issues Faced by (Im)migrant University Students

ERIC Educational Resources Information Center

Cantu, Elizabeth A.

2016-01-01

This dissertation examines contemporary issues that 18 (im)migrant university students faced during a time of highly militarized U.S.-Mexico border relations while living in Arizona during the time of this dissertation research. Utilizing critical race theory and public sphere theory as theoretical frameworks, the project addresses several related…

Biosimilars--global issues, national solutions.

PubMed

Knezevic, Ivana; Griffiths, Elwyn

2011-09-01

Biotechnology derived medicinal products are presently the best characterized biologicals with considerable production and clinical experience, and have revolutionized the treatment of some of the most difficult-to-treat diseases, prolonging and improving the quality of life and patient care. They are also currently one of the fastest growing segments of the pharmaceutical industry market. The critical challenge that the biopharmaceutical industry is facing is the expiry of patents for the first generation of biopharmaceuticals, mainly recombinant DNA derived products, such as interferons, growth hormone and erythropoetin. The question that immediately arose was how should such copies of the originator products be licensed, bearing in mind that they are highly complex biological molecules produced by equally complex biological production processes with their inherent problem of biological variability. Copying biologicals is much more complex than copying small molecules and the critical issue was how to handle the licensing of products if relying in part on data from an innovator product. Since 2004 there has been considerable international consultation on how to deal with biosimilars and biological copy products. This has led to a better understanding of the challenges in the regulatory evaluation of the quality, safety and efficacy of "biosimilars", to the exchange of information between regulators, as well as to the identification of key issues. The aim of this article is to provide a brief overview of the scientific and regulatory challenges faced in developing and evaluating similar biotherapeutic products for global use. It is intended as an introduction to the series of articles in this special issue of Biologicals devoted to similar biotherapeutic products. Copyright © 2011. Published by Elsevier Ltd.

Effects of Synchronicity and Belongingness on Face-to-Face and Computer-Mediated Constructive Controversy

ERIC Educational Resources Information Center

Saltarelli, Andy J.; Roseth, Cary J.

2014-01-01

Adapting face-to-face (FTF) pedagogies to online settings raises boundary questions about the contextual conditions in which the same instructional method stimulates different outcomes. We address this issue by examining FTF and computer-mediated communication (CMC) versions of constructive controversy, a cooperative learning procedure involving…

Current status of psychology and clinical psychology in India - an appraisal.

PubMed

Virudhagirinathan, Baboo Sankar; Karunanidhi, Subbiah

2014-10-01

This paper provides an overview of the social and cultural context for the emergence and development of psychology in India and also more specifically of the development of clinical psychology. It details the range of universities offering psychology programmes and the various bodies involved in supporting the development of the psychology. The paper also describes the development of clinical psychology in India and the variety of roles undertaken by clinical psychologists. Finally, it raises a number of issues facing the development of Indian psychology into the future.

Integrated networks and health care provider cooperatives: new models for rural health care delivery and financing.

PubMed

Casey, M M

1997-01-01

Minnesota's 1994 health care reform legislation authorized the establishment of community integrated service networks (CISNs) and health care provider cooperatives, which were envisioned as new health care delivery models that could be successfully implemented in rural areas of the state. Four CISNs are licensed, and three organizations are incorporated as health care provider cooperatives. Many of the policy issues Minnesota has faced regarding the development of CISNs and health care provider cooperatives in rural areas are similar to those raised by current Medicare reform proposals.

[The problems of antihypertensive balneotherapy].

PubMed

Vladimirskiĭ, E V; Fil'tsagina, T N

2013-01-01

This review is devoted to the challenging problems of balneotherapeutics, such as the mechanisms of antihypertensive balneotherapy and its optimization. The experience of the authors with the practical application of chloride - sodium, iodine - bromide, and hydrogen sulfide mineral baths is analysed in comparison with the literature data. The role, dosage regimen, and duration of balneotherapeutic treatment as well as the effectiveness of its combination with medicamental therapy are considered. The authors hope that the discussion of these issues will be conducive to the solution of problems currently facing modern antihypertensive balneotherapy.

The A to Z of healthcare data breaches.

PubMed

Kobus, Theodore J

2012-01-01

There currently exists a myriad of privacy laws that impact a healthcare entity, including more than 47 notification laws that require notification when a data breach occurs, as well as the breach notification requirements of the Health Information Technology for Economic and Clinical Health Act. Given the plethora of issues a healthcare entity faces, there are certain principles that can be built into an organization's philosophy that will comply with the law and help protect it from reputational harm. © 2012 American Society for Healthcare Risk Management of the American Hospital Association.

What’s in a Face? How Face Gender and Current Affect Influence Perceived Emotion

PubMed Central

Harris, Daniel A.; Hayes-Skelton, Sarah A.; Ciaramitaro, Vivian M.

2016-01-01

Faces drive our social interactions. A vast literature suggests an interaction between gender and emotional face perception, with studies using different methodologies demonstrating that the gender of a face can affect how emotions are processed. However, how different is our perception of affective male and female faces? Furthermore, how does our current affective state when viewing faces influence our perceptual biases? We presented participants with a series of faces morphed along an emotional continuum from happy to angry. Participants judged each face morph as either happy or angry. We determined each participant’s unique emotional ‘neutral’ point, defined as the face morph judged to be perceived equally happy and angry, separately for male and female faces. We also assessed how current state affect influenced these perceptual neutral points. Our results indicate that, for both male and female participants, the emotional neutral point for male faces is perceptually biased to be happier than for female faces. This bias suggests that more happiness is required to perceive a male face as emotionally neutral, i.e., we are biased to perceive a male face as more negative. Interestingly, we also find that perceptual biases in perceiving female faces are correlated with current mood, such that positive state affect correlates with perceiving female faces as happier, while we find no significant correlation between negative state affect and the perception of facial emotion. Furthermore, we find reaction time biases, with slower responses for angry male faces compared to angry female faces. PMID:27733839

Historical Perspectives and Guidelines for Botulinum Neurotoxin Subtype Nomenclature

PubMed Central

Peck, Michael W.; Smith, Theresa J.; Anniballi, Fabrizio; Austin, John W.; Bano, Luca; Bradshaw, Marite; Cuervo, Paula; Cheng, Luisa W.; Derman, Yagmur; Dorner, Brigitte G.; Fisher, Audrey; Hill, Karen K.; Kalb, Suzanne R.; Korkeala, Hannu; Lindström, Miia; Lista, Florigio; Lúquez, Carolina; Mazuet, Christelle; Pirazzini, Marco; Popoff, Michel R.; Rossetto, Ornella; Rummel, Andreas; Sesardic, Dorothea; Singh, Bal Ram; Stringer, Sandra C.

2017-01-01

Botulinum neurotoxins are diverse proteins. They are currently represented by at least seven serotypes and more than 40 subtypes. New clostridial strains that produce novel neurotoxin variants are being identified with increasing frequency, which presents challenges when organizing the nomenclature surrounding these neurotoxins. Worldwide, researchers are faced with the possibility that toxins having identical sequences may be given different designations or novel toxins having unique sequences may be given the same designations on publication. In order to minimize these problems, an ad hoc committee consisting of over 20 researchers in the field of botulinum neurotoxin research was convened to discuss the clarification of the issues involved in botulinum neurotoxin nomenclature. This publication presents a historical overview of the issues and provides guidelines for botulinum neurotoxin subtype nomenclature in the future. PMID:28106761

Introduction: Science, Sexuality, and Psychotherapy: Shifting Paradigms.

PubMed

Cerbone, Armand R

2017-08-01

This introduction presents an overview of the current issue (73, 8) of Journal of Clinical Psychology: In Session. This issue features a series of articles, with clinical cases, each presented to illustrate the challenges faced by individuals and couples whose sexual and gender identities and expressions do not comport with traditional and cultural norms. These articles also document the challenges to the therapists who treat them. Considered individually, each article underscores the need to recognize the importance of evidence in guiding psychotherapy in cases involving sexuality. The discussions in each article offer recommendations meant to help and guide psychotherapists. Considered collectively, they raise important questions and considerations about shifting paradigms of human sexuality. Implications for assessment and treatment of cases involving sexuality and gender identity are discussed and recommended. © 2017 Wiley Periodicals, Inc.

Ethical and Legal Issues in Gestational Surrogacy

PubMed Central

Casella, Claudia; Capasso, Emanuele; Terracciano, Lucia; Delbon, Paola; Fedeli, Piergiorgio; Salzano, Francesco Antonio; Policino, Fabio; Niola, Massimo

2018-01-01

Abstract This study originated from events that occurred in 2014 in an Italian hospital, where the embryos of a couple, obtained by means of homologous insemination, were mistakenly implanted into the uterus of another woman who, along with her husband, underwent the same treatment. Faced with this serious adverse circumstance, that gives rise to ethical and legal issues, the authors conducted a comparative examination of how to consider the division of maternity (between biological mother and uterine mother) and the related division of paternity (between genetic father and legal father, husband or partner of the gestational mother). Some preliminary observations are made concerning parenthood and filiation within the context of currently applicable Italian law. The following is a detailed analysis of the arguments in favour of the parental figures involved (gestational mother/genetic mother). PMID:29675478

Ethical and Legal Issues in Gestational Surrogacy.

PubMed

Casella, Claudia; Capasso, Emanuele; Terracciano, Lucia; Delbon, Paola; Fedeli, Piergiorgio; Salzano, Francesco Antonio; Policino, Fabio; Niola, Massimo

2018-01-01

This study originated from events that occurred in 2014 in an Italian hospital, where the embryos of a couple, obtained by means of homologous insemination, were mistakenly implanted into the uterus of another woman who, along with her husband, underwent the same treatment. Faced with this serious adverse circumstance, that gives rise to ethical and legal issues, the authors conducted a comparative examination of how to consider the division of maternity (between biological mother and uterine mother) and the related division of paternity (between genetic father and legal father, husband or partner of the gestational mother). Some preliminary observations are made concerning parenthood and filiation within the context of currently applicable Italian law. The following is a detailed analysis of the arguments in favour of the parental figures involved (gestational mother/genetic mother).

Historical Perspectives and Guidelines for Botulinum Neurotoxin Subtype Nomenclature.

PubMed

Peck, Michael W; Smith, Theresa J; Anniballi, Fabrizio; Austin, John W; Bano, Luca; Bradshaw, Marite; Cuervo, Paula; Cheng, Luisa W; Derman, Yagmur; Dorner, Brigitte G; Fisher, Audrey; Hill, Karen K; Kalb, Suzanne R; Korkeala, Hannu; Lindström, Miia; Lista, Florigio; Lúquez, Carolina; Mazuet, Christelle; Pirazzini, Marco; Popoff, Michel R; Rossetto, Ornella; Rummel, Andreas; Sesardic, Dorothea; Singh, Bal Ram; Stringer, Sandra C

2017-01-18

Botulinum neurotoxins are diverse proteins. They are currently represented by at least seven serotypes and more than 40 subtypes. New clostridial strains that produce novel neurotoxin variants are being identified with increasing frequency, which presents challenges when organizing the nomenclature surrounding these neurotoxins. Worldwide, researchers are faced with the possibility that toxins having identical sequences may be given different designations or novel toxins having unique sequences may be given the same designations on publication. In order to minimize these problems, an ad hoc committee consisting of over 20 researchers in the field of botulinum neurotoxin research was convened to discuss the clarification of the issues involved in botulinum neurotoxin nomenclature. This publication presents a historical overview of the issues and provides guidelines for botulinum neurotoxin subtype nomenclature in the future.

Stakeholders’ perspectives on access-to-medicines policy and research priorities in Latin America and the Caribbean: face-to-face and web-based interviews

PubMed Central

2014-01-01

Background This study aims to rank policy concerns and policy-related research issues in order to identify policy and research gaps on access to medicines (ATM) in low- and middle-income countries in Latin America and the Caribbean (LAC), as perceived by policy makers, researchers, NGO and international organization representatives, as part of a global prioritization exercise. Methods Data collection, conducted between January and May 2011, involved face-to-face interviews in El Salvador, Colombia, Dominican Republic, and Suriname, and an e-mail survey with key-stakeholders. Respondents were asked to choose the five most relevant criteria for research prioritization and to score policy/research items according to the degree to which they represented current policies, desired policies, current research topics, and/or desired research topics. Mean scores and summary rankings were obtained. Linear regressions were performed to contrast rankings concerning current and desired policies (policy gaps), and current and desired research (research gaps). Results Relevance, feasibility, and research utilization were the top ranked criteria for prioritizing research. Technical capacity, research and development for new drugs, and responsiveness, were the main policy gaps. Quality assurance, staff technical capacity, price regulation, out-of-pocket payments, and cost containment policies, were the main research gaps. There was high level of coherence between current and desired policies: coefficients of determination (R2) varied from 0.46 (Health system structure; r = 0.68, P <0.01) to 0.86 (Sustainable financing; r = 0.93, P <0.01). There was also high coherence between current and desired research on Rational selection and use of medicines (r = 0.71, P <0.05, R2 = 0.51), Pricing/affordability (r = 0.82, P <0.01, R2 = 0.67), and Sustainable financing (r = 0.76, P <0.01, R2 = 0.58). Coherence was less for Health system structure (r = 0.61, P <0.01, R2 = 0.38). Conclusions This study combines metrics approaches, contributing to priority setting methodology development, with country and regional level stakeholder participation. Stakeholders received feedback with the results, and we hope to have contributed to the discussion and implementation of ATM research and policy priorities in LAC. PMID:24965383

The different faces of one’s self: an fMRI study into the recognition of current and past self-facial appearances

PubMed Central

Apps, Matthew A. J.; Tajadura-Jiménez, Ana; Turley, Grainne; Tsakiris, Manos

2013-01-01

Mirror self-recognition is often considered as an index of self-awareness. Neuroimaging studies have identified a neural circuit specialised for the recognition of one’s own current facial appearance. However, faces change considerably over a lifespan, highlighting the necessity for representations of one’s face to continually be updated. We used fMRI to investigate the different neural circuits involved in the recognition of the childhood and current, adult, faces of one’s self. Participants viewed images of either their own face as it currently looks morphed with the face of a familiar other or their childhood face morphed with the childhood face of the familiar other. Activity in areas which have a generalised selectivity for faces, including the inferior occipital gyrus, the superior parietal lobule and the inferior temporal gyrus, varied with the amount of current self in an image. Activity in areas involved in memory encoding and retrieval, including the hippocampus and the posterior cingulate gyrus, and areas involved in creating a sense of body ownership, including the temporo-parietal junction and the inferior parietal lobule, varied with the amount of childhood self in an image. We suggest that the recognition of one’s own past or present face is underpinned by different cognitive processes in distinct neural circuits. Current self-recognition engages areas involved in perceptual face processing, whereas childhood self-recognition recruits networks involved in body ownership and memory processing. PMID:22940117

The different faces of one's self: an fMRI study into the recognition of current and past self-facial appearances.

PubMed

Apps, Matthew A J; Tajadura-Jiménez, Ana; Turley, Grainne; Tsakiris, Manos

2012-11-15

Mirror self-recognition is often considered as an index of self-awareness. Neuroimaging studies have identified a neural circuit specialised for the recognition of one's own current facial appearance. However, faces change considerably over a lifespan, highlighting the necessity for representations of one's face to continually be updated. We used fMRI to investigate the different neural circuits involved in the recognition of the childhood and current, adult, faces of one's self. Participants viewed images of either their own face as it currently looks morphed with the face of a familiar other or their childhood face morphed with the childhood face of the familiar other. Activity in areas which have a generalised selectivity for faces, including the inferior occipital gyrus, the superior parietal lobule and the inferior temporal gyrus, varied with the amount of current self in an image. Activity in areas involved in memory encoding and retrieval, including the hippocampus and the posterior cingulate gyrus, and areas involved in creating a sense of body ownership, including the temporo-parietal junction and the inferior parietal lobule, varied with the amount of childhood self in an image. We suggest that the recognition of one's own past or present face is underpinned by different cognitive processes in distinct neural circuits. Current self-recognition engages areas involved in perceptual face processing, whereas childhood self-recognition recruits networks involved in body ownership and memory processing. Copyright © 2012 Elsevier Inc. All rights reserved.

Water management: Current and future challenges and research directions

NASA Astrophysics Data System (ADS)

Cosgrove, William J.; Loucks, Daniel P.

2015-06-01

Water distinguishes our planet compared to all the others we know about. While the global supply of available freshwater is more than adequate to meet all current and foreseeable water demands, its spatial and temporal distributions are not. There are many regions where our freshwater resources are inadequate to meet domestic, economic development and environmental needs. In such regions, the lack of adequate clean water to meet human drinking water and sanitation needs is indeed a constraint on human health and productivity and hence on economic development as well as on the maintenance of a clean environment and healthy ecosystems. All of us involved in research must find ways to remove these constraints. We face multiple challenges in doing that, especially given a changing and uncertain future climate, and a rapidly growing population that is driving increased social and economic development, globalization, and urbanization. How best to meet these challenges requires research in all aspects of water management. Since 1965, the journal Water Resources Research has played an important role in reporting and disseminating current research related to managing the quantity and quality and cost of this resource. This paper identifies the issues facing water managers today and future research needed to better inform those who strive to create a more sustainable and desirable future.

Future Critical Issues and Problems Facing Technology and Engineering Education in the Commonwealth of Virginia

ERIC Educational Resources Information Center

Katsioloudis, Petros; Moye, Johnny J.

2012-01-01

The purpose of this research was to determine the future critical issues and problems facing the K-12 technology and engineering education profession in the Commonwealth of Virginia. This study was based on the Wicklein nationwide studies (1993a, 2005). Even though this study did not exactly replicate the Wicklein studies--since it was limited to…

An Exploratory Multiple-Case Study of the Experiences of Participants in Self-Initiated Peer Support Groups among School Leaders

ERIC Educational Resources Information Center

House, Collette R.

2016-01-01

School leaders commonly face issues of loneliness, isolation, burnout, and depression. The purpose of this qualitative multiple-case study was to explore self-initiated peer support group participation for professional impact and personal impact on school leaders facing issues of loneliness, isolation, stress, and burnout. This study provides an…

Last Breath: Art Therapy with a Lung Cancer Patient Facing Imminent Death

ERIC Educational Resources Information Center

Furman, Lisa R.

2011-01-01

Art therapy can be an effective way to focus on end of life issues with cancer patients facing imminent death. This viewpoint discusses ethical challenges in the treatment of a 63-year-old man with terminal lung cancer who was participating in short-term individual art therapy. Difficult issues that often surface in the final days of life may…

"What's Past Is Prologue": "English Journal" Roots of a Performance-Based Approach to Teaching Shakespeare

ERIC Educational Resources Information Center

Haughey, Joseph

2012-01-01

In scouring the earliest editions of "English Journal," one of the most fascinating details one uncovers is that the issues facing Shakespeare teachers today are similar to those issues that faced Shakespeare teachers 100 years ago. The earliest contributors to "English Journal" were far more in line with contemporary educational scholars than one…

Colleague 1990. An Annual Collection of Articles on Academic and Administrative Issues Facing Community Colleges of the State University of New York.

ERIC Educational Resources Information Center

State Univ. of New York, Albany.

Designed as a means of communicating creative ideas in community college education, this journal contains 12 articles on instructional and administrative issues facing the community colleges of the State University of New York. This collection includes the following: (1) "Egalitarian Education in an Elitist Environment," by Eduardo J.…

Mathematical analysis and coordinated current allocation control in battery power module systems

NASA Astrophysics Data System (ADS)

Han, Weiji; Zhang, Liang

2017-12-01

As the major energy storage device and power supply source in numerous energy applications, such as solar panels, wind plants, and electric vehicles, battery systems often face the issue of charge imbalance among battery cells/modules, which can accelerate battery degradation, cause more energy loss, and even incur fire hazard. To tackle this issue, various circuit designs have been developed to enable charge equalization among battery cells/modules. Recently, the battery power module (BPM) design has emerged to be one of the promising solutions for its capability of independent control of individual battery cells/modules. In this paper, we propose a new current allocation method based on charging/discharging space (CDS) for performance control in BPM systems. Based on the proposed method, the properties of CDS-based current allocation with constant parameters are analyzed. Then, real-time external total power requirement is taken into account and an algorithm is developed for coordinated system performance control. By choosing appropriate control parameters, the desired system performance can be achieved by coordinating the module charge balance and total power efficiency. Besides, the proposed algorithm has complete analytical solutions, and thus is very computationally efficient. Finally, the efficacy of the proposed algorithm is demonstrated using simulations.

A Variety of Diversity: Facing Higher Education's Educational Challenges

NASA Astrophysics Data System (ADS)

Dey, Eric L.

2008-10-01

First among the many important challenges facing American higher education is the need to improve the effectiveness of our educational programs. Public concern has heightened the sense of urgency for colleges and universities to make progress on improving and measuring educational outcomes, which is made more challenging by the varieties of diversity facing us. Diversity is not just an issue related to student recruitment or experience, but rather it is one that also relates to institutions and their faculties. New educational methods must address such diversity to be effective, and one possible example can be found in ongoing research at the University of Michigan that explores the educational implications of implementing a web-based lecture capture system in large lecture courses. Student use of and reactions to such systems is important, as is the potential to influence course performance for students in general, but also for underrepresented and at-risk student subpopulations. In addition to helping bring our current landscape into focus, this paper will identify effective practices as well as continuing challenges to improving educational practice for undergraduate students.

Romantic relationship status biases memory of faces of attractive opposite-sex others: evidence from a reverse-correlation paradigm.

PubMed

Karremans, Johan C; Dotsch, Ron; Corneille, Olivier

2011-12-01

Previous research has demonstrated that, presumably as a way to protect one's current romantic relationship, individuals involved in a heterosexual romantic relationship tend to give lower attractiveness ratings to attractive opposite-sex others as compared to uninvolved individuals (i.e., the derogation effect). The present study importantly extends this research by examining whether romantic relationship status actually biases memory for the facial appearance of attractive (vs. unattractive) mates. To address this issue, we used a reverse-correlation technique (Mangini & Biederman, 2004), originally developed to get a visual approximation of an individual's internal representation of a target category or person. In line with the derogation effect, results demonstrated that romantically involved (vs. uninvolved) individuals indeed held a less attractive memory of a previously encountered attractive mate's face. Interestingly, they also held a more attractive memory of an unattractive mate's face as compared to uninvolved individuals. This latter finding may suggest that romantically involved (as compared to uninvolved) individuals differentiate opposite-sex others along the attractiveness dimension less. Copyright © 2011 Elsevier B.V. All rights reserved.

Enhancing a Face-to-Face Course with Online Lectures: Instructional and Pedagogical Issues.

ERIC Educational Resources Information Center

Keefe, Thomas

Since 1999, and as part of an Ameritech grant, the author has systematically investigated use of streaming media to enhance face-to-face classes. Technology invites experimentation but raises questions about such things as student acceptance, student use, academic performance, and what to do with class time when lectures are put online. Students…

Recent advances in nerve tissue engineering.

PubMed

Zhang, Bill G X; Quigley, Anita F; Myers, Damian E; Wallace, Gordon G; Kapsa, Robert M I; Choong, Peter F M

2014-04-01

Nerve injury secondary to trauma, neurological disease or tumor excision presents a challenge for surgical reconstruction. Current practice for nerve repair involves autologous nerve transplantation, which is associated with significant donor-site morbidity and other complications. Previously artificial nerve conduits made from polycaprolactone, polyglycolic acid and collagen were approved by the FDA (USA) for nerve repair. More recently, there have been significant advances in nerve conduit design that better address the requirements of nerve regrowth. Innovations in materials science, nanotechnology, and biology open the way for the synthesis of new generation nerve repair conduits that address issues currently faced in nerve repair and regeneration. This review discusses recent innovations in this area, including the use of nanotechnology to improve the design of nerve conduits and to enhance nerve regeneration.

Strategic management and organizational behavior in dental education: reflections on key issues in an environment of change.

PubMed

Dunning, David G; Durham, Timothy M; Lange, Brian M; Aksu, Mert N

2009-06-01

With issues such as shrinking revenue, access to care, faculty workloads, and graying faculty, dental schools are faced with difficult challenges that fall to dental school deans to manage. Do dental school deans have the organizational skill sets and ethical frameworks necessary to address the challenges now facing dental schools? The purpose of this article is to pose questions and suggestions regarding some of the key issues in dental colleges today and to stimulate discussion in the dental community about needed changes in dental education.

Medical cyber-physical systems: A survey.

PubMed

Dey, Nilanjan; Ashour, Amira S; Shi, Fuqian; Fong, Simon James; Tavares, João Manuel R S

2018-03-10

Medical cyber-physical systems (MCPS) are healthcare critical integration of a network of medical devices. These systems are progressively used in hospitals to achieve a continuous high-quality healthcare. The MCPS design faces numerous challenges, including inoperability, security/privacy, and high assurance in the system software. In the current work, the infrastructure of the cyber-physical systems (CPS) are reviewed and discussed. This article enriched the researches of the networked Medical Device (MD) systems to increase the efficiency and safety of the healthcare. It also can assist the specialists of medical device to overcome crucial issues related to medical devices, and the challenges facing the design of the medical device's network. The concept of the social networking and its security along with the concept of the wireless sensor networks (WSNs) are addressed. Afterward, the CPS systems and platforms have been established, where more focus was directed toward CPS-based healthcare. The big data framework of CPSs is also included.

Global water fluoridation: what is holding us back?

PubMed

Botchey, Sally-Ann; Ouyang, Jing; Vivekanantham, Sayinthen

2015-01-01

Artificial water fluoridation was introduced more than 60 y ago as a public health intervention to control dental caries. Despite wide recommendations for its use from the World Health Organization (WHO) and studies showing the benefits of water fluoridation, many countries have opted out. Currently, only 25 countries, including the United Kingdom, the United States, and Australia have schemes for artificial water fluoridation. The issues faced in efforts to promote the global uptake of water fluoridation and the factors that affect the decision to implement it are unique in both developed and developing countries and must be explored. This article addresses the benefits and challenges of artificial water fluoridation. Further, it tackles the complexities faced with uptake of water fluoridation globally, such as ethical and political controversies and the use of alternative fluoride therapies. Potential future strategies to encourage the uptake of artificial water fluoridation are also discussed.

Animal models of binge drinking, current challenges to improve face validity.

PubMed

Jeanblanc, Jérôme; Rolland, Benjamin; Gierski, Fabien; Martinetti, Margaret P; Naassila, Mickael

2018-05-05

Binge drinking (BD), i.e., consuming a large amount of alcohol in a short period of time, is an increasing public health issue. Though no clear definition has been adopted worldwide the speed of drinking seems to be a keystone of this behavior. Developing relevant animal models of BD is a priority for gaining a better characterization of the neurobiological and psychobiological mechanisms underlying this dangerous and harmful behavior. Until recently, preclinical research on BD has been conducted mostly using forced administration of alcohol, but more recent studies used scheduled access to alcohol, to model more voluntary excessive intakes, and to achieve signs of intoxications that mimic the human behavior. The main challenges for future research are discussed regarding the need of good face validity, construct validity and predictive validity of animal models of BD. Copyright © 2018 Elsevier Ltd. All rights reserved.

The chronic kidney disease epidemic: a challenge for nephrology training programs.

PubMed

Kohan, Donald E; Rosenberg, Mark E

2009-09-01

A major challenge facing the nephrology community in the United States is the training of adequate numbers of nephrologists to meet patient care and research needs. There is particular cause for concern because of the increasing incidence and prevalence of patients with chronic kidney disease. Data on the clinical and research nephrology workforce are incomplete or absent. However, the number of such individuals likely is inadequate to meet current and projected needs. To solve these workforce shortages, significant issues with regard to clinical and research training need to be addressed. These include funding of fellowship training, increasing the pipeline of medical students and internal medicine residents, and enhancing interest in nephrology among international and particularly US medical graduates. This review discusses these challenges facing the renal community, with emphasis on the care, prevention, and treatment of chronic kidney disease, and identifies potential pathways to developing solutions.

Contemporary United States Foreign Policy Towards Indonesia

DTIC Science & Technology

2004-01-01

regard to resolving a number of longstanding territorial disputes, and it has become a cornerstone for the promotion of economic and social development...and stability and security in the region. However, Indonesia is also faced with a variety of social , economic, and internal security issues, most...faced with significant social , economic, and security issues. Thesis Question The thesis question is: Does contemporary US policy promote US national

Colleague 1989. An Annual Collection of Articles on Academic and Administrative Issues Facing Community Colleges of the State University of New York.

ERIC Educational Resources Information Center

State Univ. of New York, Albany.

Designed as a means of communicating creative ideas in community college education, this second edition of Colleague contains 11 articles on instructional and administrative issues facing the community colleges of the State University of New York. The collection includes: (1) "Professional Growth and Development: An In-House Effort," by Alvin J.…

Face recognition ability matures late: evidence from individual differences in young adults.

PubMed

Susilo, Tirta; Germine, Laura; Duchaine, Bradley

2013-10-01

Does face recognition ability mature early in childhood (early maturation hypothesis) or does it continue to develop well into adulthood (late maturation hypothesis)? This fundamental issue in face recognition is typically addressed by comparing child and adult participants. However, the interpretation of such studies is complicated by children's inferior test-taking abilities and general cognitive functions. Here we examined the developmental trajectory of face recognition ability in an individual differences study of 18-33 year-olds (n = 2,032), an age interval in which participants are competent test takers with comparable general cognitive functions. We found a positive association between age and face recognition, controlling for nonface visual recognition, verbal memory, sex, and own-race bias. Our study supports the late maturation hypothesis in face recognition, and illustrates how individual differences investigations of young adults can address theoretical issues concerning the development of perceptual and cognitive abilities. PsycINFO Database Record (c) 2013 APA, all rights reserved.

Open Issues in Evolutionary Robotics.

PubMed

Silva, Fernando; Duarte, Miguel; Correia, Luís; Oliveira, Sancho Moura; Christensen, Anders Lyhne

2016-01-01

One of the long-term goals in evolutionary robotics is to be able to automatically synthesize controllers for real autonomous robots based only on a task specification. While a number of studies have shown the applicability of evolutionary robotics techniques for the synthesis of behavioral control, researchers have consistently been faced with a number of issues preventing the widespread adoption of evolutionary robotics for engineering purposes. In this article, we review and discuss the open issues in evolutionary robotics. First, we analyze the benefits and challenges of simulation-based evolution and subsequent deployment of controllers versus evolution on real robotic hardware. Second, we discuss specific evolutionary computation issues that have plagued evolutionary robotics: (1) the bootstrap problem, (2) deception, and (3) the role of genomic encoding and genotype-phenotype mapping in the evolution of controllers for complex tasks. Finally, we address the absence of standard research practices in the field. We also discuss promising avenues of research. Our underlying motivation is the reduction of the current gap between evolutionary robotics and mainstream robotics, and the establishment of evolutionary robotics as a canonical approach for the engineering of autonomous robots.

Methods for assessment of keel bone damage in poultry.

PubMed

Casey-Trott, T; Heerkens, J L T; Petrik, M; Regmi, P; Schrader, L; Toscano, M J; Widowski, T

2015-10-01

Keel bone damage (KBD) is a critical issue facing the laying hen industry today as a result of the likely pain leading to compromised welfare and the potential for reduced productivity. Recent reports suggest that damage, while highly variable and likely dependent on a host of factors, extends to all systems (including battery cages, furnished cages, and non-cage systems), genetic lines, and management styles. Despite the extent of the problem, the research community remains uncertain as to the causes and influencing factors of KBD. Although progress has been made investigating these factors, the overall effort is hindered by several issues related to the assessment of KBD, including quality and variation in the methods used between research groups. These issues prevent effective comparison of studies, as well as difficulties in identifying the presence of damage leading to poor accuracy and reliability. The current manuscript seeks to resolve these issues by offering precise definitions for types of KBD, reviewing methods for assessment, and providing recommendations that can improve the accuracy and reliability of those assessments. © 2015 Poultry Science Association Inc.

Cancer survivorship: challenges and changing paradigms.

PubMed

Gilbert, Scott M; Miller, David C; Hollenbeck, Brent K; Montie, James E; Wei, John T

2008-02-01

We summarize the potential issues faced by cancer survivors, define a conceptual framework for cancer survivorship, describe challenges associated with improving the quality of survivorship care and outline proposed survivorship programs that may be implemented going forward. We performed a nonsystematic review of current cancer survivorship literature. Given the comprehensive scope and high profile, the recent report by the Institute of Medicine, From Cancer Patient to Cancer Survivor: Lost in Transition, served as the principal guide for the review. In recognition of the increasing number of cancer survivors in the United States survivorship has become an important health care concern. The recent report by the Institute of Medicine comprehensively outlined deficits in the care provided to cancer survivors, and proposed mechanisms to improve the coordination and quality of followup care for this increasing number of Americans. Measures to achieve these objectives include improving communication between health care providers through a survivorship care plan, providing evidence based surveillance guidelines and assessing different models of survivorship care. Implementing coordinated survivorship care broadly will require additional health care resources, and commitment from health care providers and payers. Research demonstrating the effectiveness of survivorship care will be important on this front. Potential shortcomings in the recognition and management of ongoing issues faced by cancer survivors may impact the overall quality of long-term care in this increasing population. Although programs to address these issues have been proposed, there is substantial work to be done in this area.

Liquid-metal plasma-facing component research on the National Spherical Torus Experiment

NASA Astrophysics Data System (ADS)

Jaworski, M. A.; Khodak, A.; Kaita, R.

2013-12-01

Liquid metal plasma-facing components (PFCs) have been proposed as a means of solving several problems facing the creation of economically viable fusion power reactors. Liquid metals face critical issues in three key areas: free-surface stability, material migration and demonstration of integrated scenarios. To date, few demonstrations exist of this approach in a diverted tokamak and we here provide an overview of such work on the National Spherical Torus Experiment (NSTX). The liquid lithium divertor (LLD) was installed and operated for the 2010 run campaign using evaporated coatings as the filling method. Despite a nominal liquid level exceeding the capillary structure and peak current densities into the PFCs exceeding 100 kA m-2, no macroscopic ejection events were observed. The stability can be understood from a Rayleigh-Taylor instability analysis. Capillary restraint and thermal-hydraulic considerations lead to a proposed liquid-metal PFCs scheme of actively-supplied, capillary-restrained systems. Even with state-of-the-art cooling techniques, design studies indicate that the surface temperature with divertor-relevant heat fluxes will still reach temperatures above 700 °C. At this point, one would expect significant vapor production from a liquid leading to a continuously vapor-shielded regime. Such high-temperature liquid lithium PFCs may be possible on the basis of momentum-balance arguments.

The medical examination in United States immigration applications: the potential use of genetic testing leads to heightened privacy concerns.

PubMed

Burroughs, A Maxwell

2005-01-01

The medical examination has been an integral part of the immigration application process since the passing of the Immigration Act of 1891. Failing the medical examination can result in denial of the application. Over the years the medical examination has been expanded to include questioning about diseases that are scientifically shown to be rooted in an individual's genetic makeup. Recent advances in the fields of genomics and bioinformatics are making accurate and precise screening for these conditions a reality. Government policymakers will soon be faced with decisions regarding whether or not to sanction the use of these newly-developed genetic tests in the immigration application procedure. The terror threat currently facing the United States may ultimately bolster the argument in favor of genetic testing and/or DNA collection of applicants. However, the possibility of a government mandate requiring genetic testing raises a host of ethical issues; including the threat of eugenics and privacy concerns. Genetic testing has the ability to uncover a wealth of sensitive medical information about an individual and currently there are no medical information privacy protections afforded to immigration applicants. This article examines the potential for genetic testing in the immigration application process and the ethical issues surrounding this testing. In particular, this article explores the existing framework of privacy protections afforded to individuals living in the United States and how this and newly-erected standards like those released by the Health and Human Services (HHS) might apply to individuals seeking to immigrate to the United States.

The Use of a Virtual Online Debating Platform to Facilitate Student Discussion of Potentially Polarising Topics

PubMed Central

McGreevy, Paul D.; Tzioumis, Vicky; Johnson, Jane; Brown, Robert; Sands, Mike; Starling, Melissa J.; Phillips, Clive J. C.

2017-01-01

Simple Summary The Human Continuum is a classroom exercise for secondary and tertiary students that offers a cooperative/cognitive learning strategy, requiring students to identify and commit to a position in response to a stimulus question. The purpose of the current submission is to contextualize and introduce online, a virtual human continuum for teaching purposes. It describes an innovative tool design while also reporting its use for a particular cohort: a small group of veterinary science students. Abstract The merits of students exchanging views through the so-called human continuum exercise (HCE) are well established. The current article describes the creation of the virtual human continuum (VHC), an online platform that facilitates the same teaching exercise. It also reports feedback on the VHC from veterinary science students (n = 38). First-year Doctor of Veterinary Medicine students at the University of Sydney, Australia, trialed the platform and provided feedback. Most students agreed or strongly agreed that the VHC offered: a non-threatening environment for discussing emotive and challenging issues; and an opportunity to see how other people form ideas. It also made them think about how to express their ideas and make arguments; and left them feeling more comfortable about expressing their views using it than they would discussing ideas face-to-face (98%, 84%, 79% and 76%, respectively). All respondents agreed or strongly agreed that the VHC encouraged them to consider other opinions. These data suggest that the transition of the HCE to an online platform facilitates dialogue on difficult ethical issues in a supportive environment. PMID:28869501

Writing as Involvement: A Case for Face-to-Face Classroom Talk in a Computer Age.

ERIC Educational Resources Information Center

Berggren, Anne G.

The abandonment of face-to-face voice conversations in favor of the use of electronic conversations in composition classes is an issue to be interrogated. In a recent push to "prepare students for the 21st century," teachers are asked to teach computer applications in the humanities--and composition teachers, who will teach writing in…

A Hospital-Based Committee of Moral Philosophy to Revive Ethics.

PubMed

Illy, Margaux; Le Coz, Pierre; Mege, Jean-Louis

2017-08-15

The Méditerranée Infection Foundation's primary goal is supporting a research hospital for the treatment of infectious diseases in Marseille. The main objective of this innovative center is to understand the mechanisms of contagion and face them. The Foundation will include a committee on moral philosophy that will accompany and supervise biomedical research. This is not a conventional ethics committee, frequently giving rise to a board's bureaucratic excesses, which might slow down creative biomedical clinical research without necessarily restricting abuses. Moral philosophy, however, can handle contemporary biomedical issues. In all its diversity, this discipline is able to enrich the debate on medical issues, thanks to many philosophical currents such as deontological ethics and consequentialism. The purpose of this committee is therefore to advance reflection on the bioethical issues encountered in biomedical research in infectious diseases, while respecting the precepts of moral philosophy. © The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

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.

Regulation of stem cell-based therapies in Canada: current issues and concerns.

PubMed

von Tigerstrom, Barbara; Nguyen, Thu Minh; Knoppers, Bartha Maria

2012-09-01

Stem cell therapies offer enormous potential for the treatment of a wide range of diseases and conditions. Despite the excitement over such advances, regulators are faced with the challenge of determining criteria to ensure stem cells and their products are safe and effective for human use. However, stem cell-based products and therapies present unique regulatory challenges because standard drug development models do not wholly apply given the complexity and diversity of these products and therapies. As a result, regulatory requirements are often unclear and ambiguous creating unnecessary barriers for research. In order to better understand the barriers that might affect Canadian stem cell researchers, we sought feedback from stakeholders regarding areas of uncertainty or concern about existing regulatory oversight of cell therapies. A selection of Canadian researchers and clinicians working in the area of stem cell research were interviewed to assess certain key questions: 1) whether current regulatory requirements are easily accessible and well understood; 2) whether regulatory requirements create important challenges or barriers; and 3) whether there is a need for further guidance on the issue. The results of this survey are summarized and compared to issues and concerns experienced in other countries, as reported in the literature, to identify challenges which may be on the horizon and to provide possible solutions for regulatory reform.

Ethical and regulatory issues of pragmatic cluster randomized trials in contemporary health systems

PubMed Central

Anderson, Monique L; Califf, Robert M; Sugarman, Jeremy

2015-01-01

Cluster randomized trials (CRTs) randomly assign groups of individuals to examine research questions or test interventions and measure their effects on individuals. Recent emphasis on quality improvement, comparative effectiveness, and learning health systems has prompted expanded use of pragmatic CRTs in routine healthcare settings, which in turn poses practical and ethical challenges that current oversight frameworks may not adequately address. The 2012 Ottawa Statement provides a basis for considering many issues related to pragmatic CRTs but challenges remain, including some arising from the current U.S. research and healthcare regulations. In order to examine the ethical, regulatory, and practical questions facing pragmatic CRTs in healthcare settings, the National Institutes of Health (NIH) Health Care Systems Research Collaboratory convened a workshop in Bethesda, Maryland in July of 2013. Attendees included experts in clinical trials, patient advocacy, research ethics, and research regulations from academia, industry, the NIH, and other federal agencies. Workshop participants identified substantial barriers to implementing these types of CRTs, including issues related to research design, gatekeepers and governance in health systems, consent, institutional review boards, data monitoring, privacy, and special populations. We describe these barriers and suggest means for understanding and overcoming them to facilitate pragmatic CRTs in healthcare settings. PMID:25733677

Evidence, Engagement, and Technology: Themes of and the State of Primary Care Practice-based Network Research.

PubMed

Nease, Donald E

2016-01-01

Practice-based research supported by practice-based research network (PBRN) infrastructure has historically provided an important method for challenging guidelines and evidence arising from secondary and tertiary care settings. This sample of current practice-based research in this issue of the JABFM provides an opportunity to ask whether practice-based research continues to address questions relevant to primary care practices and clinicians and whether a PBRN infrastructure is instrumental to maintaining the relevance and feasibility of practice-based research. Based on this issue's articles, the current state of practice-based research seems to be good, at face value addressing relevant issues for primary care practices. Less clear is the degree to which PBRN infrastructures and relationships informed the questions asked and facilitated the implementation of the studies presented. Practice-based research-related articles that routinely report about how study questions arose-from practices and their clinicians, staff and communities, or elsewhere-could help directly answer questions of relevance. In addition, reporting how practices are recruited to practice-based research studies could inform the degree to which ongoing relationships central to PBRNs facilitate the recruitment and conduct of practice-based research. © Copyright 2016 by the American Board of Family Medicine.

Veterans and Military Family Health

MedlinePlus

Service members and veterans face some different health issues from civilians. Their families also face some unique challenges. Families may have to cope with Separation from their loved ones Anxiety over ...

Developing a novel Poverty in Healthcare curriculum for medical students at the University of Michigan Medical School.

PubMed

Doran, Kelly M; Kirley, Katherine; Barnosky, Andrew R; Williams, Joy C; Cheng, Jason E

2008-01-01

Nearly 90 million Americans live below 200% of the federal poverty threshold. The links between lower socioeconomic status and poor health are clear, and all physicians face the resulting challenges in patient care. Current medical school curricula do not adequately prepare students to address this issue despite recommendations from the Association of American Medical Colleges and the Institute of Medicine. In response, students and faculty at the University of Michigan Medical Center established the Poverty in Healthcare curriculum, which encompasses required learning experiences spanning all four years of undergraduate medical education. This article describes the design and implementation of this curriculum. The authors provide thorough descriptions of the individual learning experiences, including community site visits, longitudinal cases, mini-electives, and family centered experiences. The authors also discuss the history, costs, challenges, and evaluation process related to the Poverty in Healthcare curriculum, including issues specifically related to medical students' involvement in developing and implementing the curriculum. This information may be used as a guide for other medical schools in the development of curricula to address this current gap in medical student education.

Individualized assessment of driving fitness for older individuals with health, disability, and age-related concerns.

PubMed

Wheatley, Carol J; Di Stefano, Marilyn

2008-08-01

Driver licensing agencies are faced with an increasing population of drivers who are seeking to maintain driving privileges whilst coping with functional changes associated with health, disability, or aging-related issues. Some of these changes impact upon the motor, sensory, and cognitive capacities essential for safe motor vehicle operation. The driver assessment process, as provided by occupational therapists and other professionals trained in the techniques of driver rehabilitation, can provide objective data to identify driver strengths and limitations and options available to increase mobility independence via consideration of adaptive mobility equipment, vehicle choice, driver training, or alternative transportation if necessary. This article provides an overview of the driver rehabilitation specialist's assessment and training process, with an analysis of the key issues related to this form of assessment and the need for further research. The basic driver rehabilitation process is outlined including examples of common deficits, assessment considerations, and intervention approaches. The clinical and on-road assessment procedures are described, with illustrations of the reasoning process that leads to a determination of the person's overall driving competence and rehabilitation recommendations. A review of the literature is provided that examines the currently available documentation that supports this assessment and rehabilitation process. The article concludes with a review of current literature that examines the claim that detailed clinical and on-road assessment, as provided by driver rehabilitation specialists, is currently the best method for assisting drivers with complex health, disability, or aging-related issues to resume or retain driving privileges.

Bus driver fatigue and stress issues study

DOT National Transportation Integrated Search

2001-02-01

Fatigue-related issues associated with motorcoach drivers differ from the issues faced by truck drivers because of the distinct nature of their jobs. For example, truck and motorcoach drivers deal with different vehicular operating characteristics, n...

7 CFR 1767.19 - Liabilities and other credits.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Issued A. This account shall include the face value of membership certificates outstanding. A detailed....2Memberships Subscribed But Unissued This account shall include the face value of memberships subscribed for... account shall include, in a separate subdivision for each class and series of bonds, the face value of the...

7 CFR 1767.19 - Liabilities and other credits.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Issued A. This account shall include the face value of membership certificates outstanding. A detailed....2Memberships Subscribed But Unissued This account shall include the face value of memberships subscribed for... account shall include, in a separate subdivision for each class and series of bonds, the face value of the...

7 CFR 1767.19 - Liabilities and other credits.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Issued A. This account shall include the face value of membership certificates outstanding. A detailed....2Memberships Subscribed But Unissued This account shall include the face value of memberships subscribed for... account shall include, in a separate subdivision for each class and series of bonds, the face value of the...

7 CFR 1767.19 - Liabilities and other credits.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Issued A. This account shall include the face value of membership certificates outstanding. A detailed....2Memberships Subscribed But Unissued This account shall include the face value of memberships subscribed for... account shall include, in a separate subdivision for each class and series of bonds, the face value of the...

Local Stakeholder Perception on Community Participation in Marine Protected Area Management: A Q-Method Approach

NASA Astrophysics Data System (ADS)

Megat Jamual Fawaeed, P. S.; Daim, M. S.

2018-02-01

Local stakeholder involvement in Marine Protected Area (MPA) management can bring to a successful MPA. Generally, participatory research in marine protected area management is exploring the relationship between marine protected area management approach adopted by the management agencies and the level of participation of local stakeholder whom reside within the marine protected areas. However, the scenario of local community participation in MPA management in Malaysia seems discouraging and does not align with the International Aichi Biodiversity Target 2020. In order to achieve the International Aichi Biodiversity Target 2020, this paper attempts to explore the methodology on participatory research towards the local stakeholder of Pulau Perhentian Marine Park (PPMP), Terengganu, Malaysia. A Q-methodology is used to investigate the perspective of local stakeholder who represents different stances on the issues, by having participants rank and sort a series of statements by comply quantitative and qualitative method in collecting the data. A structured questionnaire will be employed across this study by means of face-to-face interview. In total, 210 respondents from Kampung Pasir Hantu are randomly selected. Meanwhile, a workshop with the agency (Department of Marine Park) had been held to discuss about the issues faces on behalf of management that manage the PPMP. Using the Q-method, researcher acknowledged wise viewpoints, reflecting how different stakeholders’ perception and opinion about community participation with highlights the current level of community participation in MPA. Thus, this paper describes the phases involved in this study, methodology and analysis used in making a conclusion .

A comparison of communication models of traditional and video-mediated health care delivery.

PubMed

Demiris, George; Edison, Karen; Vijaykumar, Santosh

2005-10-01

While there may be benefits that accrue to the use of telemedicine technology in patient care, such as decreased costs and improved access, it has yet to be determined how telemedicine impacts patients' ability to express themselves and accordingly, how it impacts health care providers' communication of instructions or expressions of empathy. The aim of this study was to examine the effect of telemedicine technology on communication by comparing the style and content of communication between actual (i.e., face to face) and virtual (i.e., non-face to face, telemedical) dermatology visits. The hypothesis was that there is no difference in the content and style of communication between actual and virtual visits in dermatology. Face-to-face and video-mediated dermatology sessions were observed and also audiotaped, timed and transcribed. A content analysis was performed. Average duration of a face-to-face session was 11 min (S.D. 0.08) and of a telemedical session 9 min (S.D. 0.002). Small talk occurred in 20% of all face-to-face and 29.6% of all telemedical visits. Clinical assessment occurred in all sessions. Patient education occurred in 90% of face-to-face and 78% of telemedical visits. Other themes were also identified (e.g., discussion of treatment, promotion of compliance, psychosocial issues). In 14.8% of telemedical sessions technical issues were raised. Findings indicate that communication patterns in the two modes of care delivery are comparable.

Health research involving First Nations, Inuit and Métis children and their communities

PubMed Central

Starkes, Jill M; Baydala, Lola T

2014-01-01

Canadian and international guidelines address the ethical conduct of health research in general and the issues affecting Indigenous populations in particular. This statement summarizes, for clinicians and researchers, relevant ethical and practical considerations for health research involving Aboriginal children and youth. While not intended to duplicate findings arising from lengthy collaborative processes, it does highlight ‘wise practices’ that have successfully generated knowledge relevant to, respectful of and useful for Aboriginal children, youth and their communities. Further research on current health issues and inequities should lead to practical, effective and culturally relevant applications. Expanding our knowledge of ways to address the health disparities facing Canada’s Aboriginal children and youth can inform health policy and the provision of services. Community-based participatory research is proposed as a means to achieve this goal. PMID:24596485

Addressing education of speech-language pathologists in the World Report on Disability: development of a speech-language pathology program in Malaysia.

PubMed

Ahmad, Kartini; Ibrahim, Hasherah; Othman, Basyariatul Fathi; Vong, Etain

2013-02-01

The current paper is a response to the Wiley, McAllister, Davidson, and Marshall lead article regarding the application of the World Report on Disability (WRD) to people with communication disorders. The current paper directly addresses recommendation 5 (improvement of human resource capacity) and indirectly addresses recommendations 7, 8, and 9 (related to improving local knowledge and data on communicative disabilities) indirectly. The paper describes Malaysia's initiatives in the early 1990s, in developing its local professional capacity to provide services for people with communication disorders (PWCD). It charts the history of development of a local undergraduate entry-level degree program for speech-language pathology (SLP) from the point of conceptualization to full execution. The article provides glimpses to the processes and challenges faced by Universiti Kebangsaan Malaysia as the pioneer university in the South East Asia region to undertake the training and education of the SLP profession and highlights relevant issues faced by newly introduced professions in a country where resources and practice traditions were previously unavailable. It underscores the important role played by government institutions and an international professional network in driving forward-looking policies to implement and sustain the program.

Health Care Financing In Iran; Is Privatization A Good Solution?

PubMed Central

Davari, M; Haycox, A; Walley, T

2012-01-01

Background: This paper considers a range of issues related to the financing of health care system and relevant government policies in Iran. Methods: This study used mixed methods. A systematic literature review was undertaken to identify relevant publications. This was supplemented by hand searching in books and journals, including government publications. The issues and uncertainties identified in the literature were explored in detail through semi-structured interviews with key informants. These were triangulated with empirical evidence in the form of the literature, government statistics and independent expert opinions to validate the views expressed in the interviews. Results: The systematic review of published literature showed that no previous publication has addressed issues relating to the financing of healthcare services in Iran. However, a range of opinion pieces outlined issues to be explored further in the interviews. Such issues summarised into four main categories. Conclusion: The health care market in Iran has faced a period in which financial issues have enhanced managerial complexity. Privatization of health care services would appear to be a step too far in assisting the system to confront its challenges at the current time. The most important step toward solving such challenges is to focus on a feasible, relevant and comprehensive policy, which optimises the use of health care resources in Iran. PMID:23113205

Health care financing in iran; is privatization a good solution?

PubMed

Davari, M; Haycox, A; Walley, T

2012-01-01

This paper considers a range of issues related to the financing of health care system and relevant government policies in Iran. This study used mixed methods. A systematic literature review was undertaken to identify relevant publications. This was supplemented by hand searching in books and journals, including government publications. The issues and uncertainties identified in the literature were explored in detail through semi-structured interviews with key informants. These were triangulated with empirical evidence in the form of the literature, government statistics and independent expert opinions to validate the views expressed in the interviews. The systematic review of published literature showed that no previous publication has addressed issues relating to the financing of healthcare services in Iran. However, a range of opinion pieces outlined issues to be explored further in the interviews. Such issues summarised into four main categories. The health care market in Iran has faced a period in which financial issues have enhanced managerial complexity. Privatization of health care services would appear to be a step too far in assisting the system to confront its challenges at the current time. The most important step toward solving such challenges is to focus on a feasible, relevant and comprehensive policy, which optimises the use of health care resources in Iran.

Guide to the design and application of online questionnaire surveys.

PubMed

Regmi, Pramod R; Waithaka, Elizabeth; Paudyal, Anjana; Simkhada, Padam; van Teijlingen, Edwin

2016-12-01

Collecting research data through traditional approaches (face-to-face, postal or telephone survey) can be costly and time consuming. The emerging data collection approach based on internet/e-based technologies (e.g. online platforms and email), is a relatively cost effective survey alternative. These novel data collection strategies can collect large amounts of data from participants in a short time frame. Similarly, they also seem to be feasible and effective in collecting data on sensitive issues or with samples they are generally hard to reach, for example, men who have sex with men (MSM) or migrants. As a significant proportion of the population currently in the world are digitally connected, the shift from postal (paper-pencil) or telephone towards online survey use in research is in the interests of researchers in academia as well as in the commercial world. However, compared to designing and executing paper version of the questionnaire, there is limited literature to help a starting researcher with the design and a use of online questionnaires. This short paper highlights issues around: a) methodological aspect of online questionnaire survey; b) online survey planning and management; and c) ethical concerns that may arise while using this option. We believe that this paper will be useful for researchers who want to gain knowledge or apply this approach in their research.

Placing learning needs in context: distance learning for clinical officers in Tanzania.

PubMed

Brigley, Stephen; Hosein, Ian; Myemba, Irnei

2009-04-01

Poor public health indicators in Tanzania have led to the upgrading of nursing and clinical personnel who currently have just core training. Clinical officers (COs) have 3 years training in basic and applied medicine and are responsible for healthcare of large and dispersed rural populations. UNESCO-Wales has funded colleagues in Wales (UK) to assist the upgrade of COs. An inquiry into their learning needs and the Tanzanian context has produced a framework for design of a module for COs on sexually transmissible infections and HIV & AIDS by distance learning. Face-to-face discussions were held with the Ministry of Health, healthcare workers, educators and administrators in Tanzania; a review of training documents was carried out; and a follow-up questionnaire issued to COs. The discussions and review highlighted teacher-centred approaches, and management, infrastructure and resources obstacles to curriculum change. Principal learning needs of COs around STIs were: counselling, syndromic management, drugs management, laboratory diagnosis, health education, resources, staffing and service morale. Placing learning needs in context in dialogue with Tanzanian colleagues was an advance on simple transfer of educational technologies and expertise. The inquiry resulted in a draft study guide and resources pack that were positively reviewed by Tanzanian tutors. Management and resources issues raised problems of sustainability in the module implementation.

Short-term Internet search using makes people rely on search engines when facing unknown issues.

PubMed

Wang, Yifan; Wu, Lingdan; Luo, Liang; Zhang, Yifen; Dong, Guangheng

2017-01-01

The Internet search engines, which have powerful search/sort functions and ease of use features, have become an indispensable tool for many individuals. The current study is to test whether the short-term Internet search training can make people more dependent on it. Thirty-one subjects out of forty subjects completed the search training study which included a pre-test, a six-day's training of Internet search, and a post-test. During the pre- and post- tests, subjects were asked to search online the answers to 40 unusual questions, remember the answers and recall them in the scanner. Un-learned questions were randomly presented at the recalling stage in order to elicited search impulse. Comparing to the pre-test, subjects in the post-test reported higher impulse to use search engines to answer un-learned questions. Consistently, subjects showed higher brain activations in dorsolateral prefrontal cortex and anterior cingulate cortex in the post-test than in the pre-test. In addition, there were significant positive correlations self-reported search impulse and brain responses in the frontal areas. The results suggest that a simple six-day's Internet search training can make people dependent on the search tools when facing unknown issues. People are easily dependent on the Internet search engines.

Short-term Internet search using makes people rely on search engines when facing unknown issues

PubMed Central

Wang, Yifan; Wu, Lingdan; Luo, Liang; Zhang, Yifen

2017-01-01

The Internet search engines, which have powerful search/sort functions and ease of use features, have become an indispensable tool for many individuals. The current study is to test whether the short-term Internet search training can make people more dependent on it. Thirty-one subjects out of forty subjects completed the search training study which included a pre-test, a six-day’s training of Internet search, and a post-test. During the pre- and post- tests, subjects were asked to search online the answers to 40 unusual questions, remember the answers and recall them in the scanner. Un-learned questions were randomly presented at the recalling stage in order to elicited search impulse. Comparing to the pre-test, subjects in the post-test reported higher impulse to use search engines to answer un-learned questions. Consistently, subjects showed higher brain activations in dorsolateral prefrontal cortex and anterior cingulate cortex in the post-test than in the pre-test. In addition, there were significant positive correlations self-reported search impulse and brain responses in the frontal areas. The results suggest that a simple six-day’s Internet search training can make people dependent on the search tools when facing unknown issues. People are easily dependent on the Internet search engines. PMID:28441408

The hidden challenges in role transitions and how leadership coaching can help new leaders find solid ground.

PubMed

Weinstock, Beth

2011-01-01

Leadership coaching is becoming an increasingly important intervention that helps individual nurse executives and managers develop and use the best of their strengths, gifts, and talents. As the need for leadership in nursing becomes urgent and brave souls move into the positions of greater authority and potential impact, they will face challenges as they move up in rank. This article identifies the hidden and often-overlooked challenges that are faced by new leaders as they transition into roles of increased responsibility, and it demonstrates how leadership coaching can help new leaders make successful transitions. As the current health care crisis creates opportunity for new leaders, those who opt for promotions and lateral shifts encounter both expected and surprising challenges. The expected challenges include mastering new content skills, learning new organizational structures, and getting to know new teams. The less obvious stressors include issues of self-esteem, assertiveness, self-consciousness, self-criticism, perfectionism, new boundaries, changing identities, and finding one's own leadership style. These important issues are often kept out of conscious awareness and overlooked at great cost to the individual leader and her institution. Leadership coaching can provide support and practical strategies for managing and overcoming these hidden challenges.

Establishing a composite tissue allotransplantation program.

PubMed

Pomahac, Bohdan

2012-01-01

Composite tissue allotransplantation (CTA) has emerged as a promising surgical option to restore the form and function of missing or severely damaged structures such as the face, hands, or trachea. Currently, there are four active CTA programs in the United States and numerous others under development. The process of development of a CTA program in the United States involves successful collaboration between a strong project leader with vested clinical research interest, a multidisciplinary team of investigators, an Institutional Review Board, a regional Organ Processing Organization (PO), and the hospital's administration. The process of establishment of a CTA program can be slow and lengthy, therefore the project leader must strive to maintain the enthusiasm alive and drive the project forward. At all phases of development, the project must remain focused on the patients, must recognize and address all potential patient safety issues, must take into account the concerns, issues and logistic hurdles faced by the OPO, and must be financially responsible by ensuring that postoperative costs related to medical care and life-long immunosuppression are covered by medical insurance. This article describes the process of establishment of a CTA program at Brigham and Women's Hospital, Boston, MA with special emphasis on strategy and planning. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Broad issues to consider for library involvement in bioinformatics*

PubMed Central

Geer, Renata C.

2006-01-01

Background: The information landscape in biological and medical research has grown far beyond literature to include a wide variety of databases generated by research fields such as molecular biology and genomics. The traditional role of libraries to collect, organize, and provide access to information can expand naturally to encompass these new data domains. Methods: This paper discusses the current and potential role of libraries in bioinformatics using empirical evidence and experience from eleven years of work in user services at the National Center for Biotechnology Information. Findings: Medical and science libraries over the last decade have begun to establish educational and support programs to address the challenges users face in the effective and efficient use of a plethora of molecular biology databases and retrieval and analysis tools. As more libraries begin to establish a role in this area, the issues they face include assessment of user needs and skills, identification of existing services, development of plans for new services, recruitment and training of specialized staff, and establishment of collaborations with bioinformatics centers at their institutions. Conclusions: Increasing library involvement in bioinformatics can help address information needs of a broad range of students, researchers, and clinicians and ultimately help realize the power of bioinformatics resources in making new biological discoveries. PMID:16888662

14 CFR 6 - Objective Classification of Balance Sheet Elements

Code of Federal Regulations, 2012 CFR

2012-01-01

...] Current Liabilities 2000Current Maturities of Long-term Debt. Record here the face value or principal... not properly classifiable as current. 2005Notes Payable—Banks. Record here the face value of all notes... should be included in account 2000. 2015Notes Payable—Other. Record here the face value of all notes...

14 CFR Section 6 - Objective Classification of Balance Sheet Elements

Code of Federal Regulations, 2014 CFR

2014-01-01

...] Current Liabilities 2000Current Maturities of Long-term Debt. Record here the face value or principal... not properly classifiable as current. 2005Notes Payable—Banks. Record here the face value of all notes... should be included in account 2000. 2015Notes Payable—Other. Record here the face value of all notes...

14 CFR Section 6 - Objective Classification of Balance Sheet Elements

Code of Federal Regulations, 2013 CFR

2013-01-01

...] Current Liabilities 2000Current Maturities of Long-term Debt. Record here the face value or principal... not properly classifiable as current. 2005Notes Payable—Banks. Record here the face value of all notes... should be included in account 2000. 2015Notes Payable—Other. Record here the face value of all notes...

Survivorship in Non-Small Cell Lung Cancer: Challenges Faced and Steps Forward.

PubMed

Vijayvergia, Namrata; Shah, Prashant C; Denlinger, Crystal S

2015-09-01

Improvements in curative therapies and the advent of screening have led to increased numbers of non-small cell lung cancer (NSCLC) survivors. Most survivors have undergone invasive treatment (surgery, radiation therapy, and/or chemotherapy) and carry a higher comorbidity burden than survivors of other cancers. Overall quality of life (QOL) and health-related quality of life (HRQOL) suffer during the treatment phase, with the potential for long-term decline, and both clinical characteristics and treatment impact these measures. Physical and mental components of HRQOL seem to be most at risk for decline. The issues faced by survivors include physical symptoms such as respiratory issues, fatigue, hearing loss, neuropathy, and postsurgical pain; psychological distress leading to depression, financial issues, and poor compliance with recommended guidelines; and fear or risk of recurrence and secondary malignancies. This article summarizes the major issues faced by NSCLC survivors and suggests appropriate management. Future collaborative efforts are needed to further elucidate the complex issues that affect overall QOL and HRQOL in NSCLC survivors and to develop appropriate interventions in this large and diverse survivor population. Copyright © 2015 by the National Comprehensive Cancer Network.

Systems and Techniques for Identifying and Avoiding Ice

NASA Technical Reports Server (NTRS)

Hansman, R. John

1995-01-01

In-flight icing is one of the most difficult aviation weather hazards facing general aviation. Because most aircraft in the general aviation category are not certified for flight into known icing conditions, techniques for identifying and avoiding in-flight ice are important to maintain safety while increasing the utility and dispatch capability which is part of the AGATE vision. This report summarizes a brief study effort which: (1) Reviewed current ice identification, forecasting, and avoidance techniques; (2) Assessed feasibility of improved forecasting and ice avoidance procedures; and (3) Identified key issues for the development of improved capability with regard to in-flight icing.

Gambling disorder in adolescents: prevalence, new developments, and treatment challenges

PubMed Central

Floros, Georgios D

2018-01-01

Research on adolescence gambling over the past twenty years has revealed significant incidence and prevalence rates and highlighted the possible negative effects on an adolescent’s well-being. Several risk and protective factors have also been identified. Over the course of the past few years, technological advances have heralded the advent of new avenues for gambling as well as new opportunities to gamble without any direct monetary exchange. This review article examines those established trends as well as the new issues that we are faced with, in order to accurately portray the current challenges in research, prevention, and treatment. PMID:29535564

Aerodynamics for Revolutionary Air Vehicles

NASA Technical Reports Server (NTRS)

Sellers, William L., III; Singer, Bart A.; Leavitt, Laurence D.

2003-01-01

Aeronautics research has seriously declined partly because of the perception that it is a mature science and only incremental improvements are possible. Recent aeronautics roadmapping activities at NASA Langley paint a different picture of the future. Breakthroughs are still felt to be possible if we expand the current design space of today's vehicles and optimize the airspace and vehicles as a system. The paper describes some of the challenges that the aircraft and airline industry face. These challenges include political, technical and environmental issues. Examples of the opportunities and technologies that could provide a different vision for the future are discussed.

Gambling disorder in adolescents: prevalence, new developments, and treatment challenges.

PubMed

Floros, Georgios D

2018-01-01

Research on adolescence gambling over the past twenty years has revealed significant incidence and prevalence rates and highlighted the possible negative effects on an adolescent's well-being. Several risk and protective factors have also been identified. Over the course of the past few years, technological advances have heralded the advent of new avenues for gambling as well as new opportunities to gamble without any direct monetary exchange. This review article examines those established trends as well as the new issues that we are faced with, in order to accurately portray the current challenges in research, prevention, and treatment.

Proactive labor relations.

PubMed

Borland, D T

1982-08-01

The current economic and social environment in the country are affecting the allied health professions in a variety of ways. The employment relationships in health care institutions also are being affected by historical and political pressures within the trade labor movement. While there is disagreement as to how these diverse pressures may evolve in the allied health professions, it is clear that assertive activity by parties on each side of the employment issue has the potential to create positive and effective resolution of differences, whether through collective or individual means. This dilemma facing the allied health professions and the principles of proactive labor relations are examined.

Molecular science for drug development and biomedicine.

PubMed

Zhong, Wei-Zhu; Zhou, Shu-Feng

2014-11-04

With the avalanche of biological sequences generated in the postgenomic age, molecular science is facing an unprecedented challenge, i.e., how to timely utilize the huge amount of data to benefit human beings. Stimulated by such a challenge, a rapid development has taken place in molecular science, particularly in the areas associated with drug development and biomedicine, both experimental and theoretical. The current thematic issue was launched with the focus on the topic of "Molecular Science for Drug Development and Biomedicine", in hopes to further stimulate more useful techniques and findings from various approaches of molecular science for drug development and biomedicine.[...].

Issues In Space Radiation Protection: Galactic Cosmic Rays

NASA Technical Reports Server (NTRS)

Wilson, J. W.; Kim, M.; Schimmerling, W.; Badavi, F. F.; Thibeault, S. A.; Cucinotta, F. A.; Shinn, J. L.; Kiefer, R.

1995-01-01

When shielding from cosmic heavy ions, one is faced with limited knowledge about the physical properties and biological responses of these radiations. Herein, the current health is discussed in terms of conventional protection practice and a test biological response model. The impact of biological response on optimum materials selection for cosmic ray shielding is presented in terms of the transmission characteristics of the shield material. Although liquid hydrogen is an optimum shield material, evaluation of the effectiveness of polymeric structural materials must await improvement in our knowledge of both the biological response and the nuclear processes.

Current Management of Neonatal Liver Tumors.

PubMed

Langham, Max R; Furman, Wayne L; Fernandez-Pineda, Israel

2015-01-01

This review is focused on the special issues and challenges confronting physicians and surgeons caring for an unborn child, or a newborn with a liver tumor. Liver tumors at this age are very rare and they make it difficult for pediatric surgeons to gain experience necessary to obtain good results. On the other hand, adult hepatobiliary surgeons faced with a fetus or infant with a liver mass are ill equipped to care for the patient even if they have done a high volume of adult liver surgery and are expert in the field. Often a team approach is the best solution.

Child neurology: past, present, and future: part 3: the future.

PubMed

Ridel, Keith R; Gilbert, Donald L

2010-10-12

This is the last of a 3-part series exploring the past, present, and future of the field of child neurology. This article addresses the 2 fundamental challenges facing child neurology. The most important challenge is our inadequate workforce; based on current numbers, recruitment patterns, and projected retirement, the child neurology clinical and research workforce shortage will likely worsen. The second challenge involves adapting our training to prepare child neurologists for changes ahead. We propose that these 2 issues are related, and that solutions need to include consideration of career options in research, education, and patient care.

China Biobanking.

PubMed

Zhang, Yong; Li, Qiyuan; Wang, Xian; Zhou, Xiaolin

2015-01-01

Biobanks are playing increasingly important roles in clinical and translational research nowadays. China, as a country with the largest population and abundant clinical resources, attaches great importance to the development of biobanks. In recent years, with the increasing support from the Chinese government, biobanks are blooming across the country. This paper provides a detailed overview of China biobanking, which is further divided in the following four parts: (i) general introduction of the number, category and distribution of current biobanks; (ii) summarization of the current development status, and issues that Chinese biobanks are faced with; (iii) international cooperation between China and the global biobanking community; (iv) prospect of the modern twenty-first century Chinese biobanks, which would achieve standardized operation, systematic specimen management, and extensive collaboration, and thus provide support for the robust research discoveries and personalized medicine etc.

Digital optical tape: Technology and standardization issues

NASA Technical Reports Server (NTRS)

Podio, Fernando L.

1996-01-01

During the coming years, digital data storage technologies will continue an aggressive growth to satisfy the user's need for higher storage capacities, higher data transfer rates and long-term archival media properties. Digital optical tape is a promising technology to satisfy these user's needs. As any emerging data storage technology, the industry faces many technological and standardization challenges. The technological challenges are great, but feasible to overcome. Although it is too early to consider formal industry standards, the optical tape industry has decided to work together by initiating prestandardization efforts that may lead in the future to formal voluntary industry standards. This paper will discuss current industry optical tape drive developments and the types of standards that will be required for the technology. The status of current industry prestandardization efforts will also be discussed.

But I Don't Understand You: One Faculty's Observations of the Challenges Facing International Healthcare Students

ERIC Educational Resources Information Center

DuBose, Cheryl O.

2017-01-01

International students face many challenges when pursuing a degree in higher education. Communication and cultural differences are typically cited as the most challenging aspects of any study abroad program. Students attempting to complete a healthcare program face sometimes insurmountable issues, as communication, cultural differences, and…

Financial Awareness Education with Apprentices in the Australian Construction Industry: Program Evaluation

ERIC Educational Resources Information Center

Du Plessis, Karin; Green, Emma

2013-01-01

A financial awareness education program was implemented with construction industry apprentices in Victoria, Australia. The program included face-to-face delivery of education around a range of financial management issues that apprentices face as they begin their apprenticeship. The paper reports on an evaluation of the program, which included…

Smart health monitoring systems: an overview of design and modeling.

PubMed

Baig, Mirza Mansoor; Gholamhosseini, Hamid

2013-04-01

Health monitoring systems have rapidly evolved during the past two decades and have the potential to change the way health care is currently delivered. Although smart health monitoring systems automate patient monitoring tasks and, thereby improve the patient workflow management, their efficiency in clinical settings is still debatable. This paper presents a review of smart health monitoring systems and an overview of their design and modeling. Furthermore, a critical analysis of the efficiency, clinical acceptability, strategies and recommendations on improving current health monitoring systems will be presented. The main aim is to review current state of the art monitoring systems and to perform extensive and an in-depth analysis of the findings in the area of smart health monitoring systems. In order to achieve this, over fifty different monitoring systems have been selected, categorized, classified and compared. Finally, major advances in the system design level have been discussed, current issues facing health care providers, as well as the potential challenges to health monitoring field will be identified and compared to other similar systems.

Intersegmental Articulation.

ERIC Educational Resources Information Center

CATESOL Journal, 1996

1996-01-01

This English-as-a-Second Language (ESL) journal periodically devotes entire issues to specific themes. The theme of this issue is "Intersegmental Articulation" (especially in California schools). Articles include: "Why Is ESL a Burning Issue?" (Robby Ching, Anne Ediger, Debbie Poole); "Challenges Facing California ESL…

International and domestic regulator issues facing the Canadian MSAT system

NASA Technical Reports Server (NTRS)

Bahman, Azarbar; Langlois, Jacques R.; Frank, Christopher J.

1988-01-01

International and domestic regulatory issues which affect the implementation of a mobile satellite system (MSAT) over North America are addressed. WARC-MOB-87, MSAT frequency co-ordination, frequency sharing and key Canadian domestic issues are discussed.

Prioritization of high-cost new drugs for HCV: making sustainability ethical.

PubMed

Craxì, L; Sacchini, D; Refolo, P; Minacori, R; Daloiso, V; Ricci, G; Bruno, R; Cammà, C; Cicchetti, A; Gasbarrini, A; Spagnolo, A G

2016-01-01

Hepatitis C virus (HCV) infection is a major health problem worldwide. Chronic HCV infection may in the long run cause cirrhosis, hepatic decompensation and hepatocellular carcinoma, with an ultimate disease burden of at least 350,000 deaths per year worldwide. The new generation of highly effective direct acting antivirals (DAA) to treat HCV infection brings major promises to infected patients in terms of exceedingly high rates of sustained virological response (SVR) but also of tolerability, allowing even the sickest patients to be treated. Even in the face of the excellent safety and efficacy and wide theoretical applicability of these regimens, their introduction is currently facing cost and access issues denying their use to many patients in need. Health systems in all countries are facing a huge problem of distributive justice, since while they should guarantee individual rights, among which the right to health in its broader sense, therefore not limited to healing, but extended to quality of life, they must also grant equal access to the healthcare resources and keep the distribution system sustainable. In the face of a disease with a relatively unpredictable course, where many but not of all chronically infected will eventually die of liver disease, selective allocation of this costly resource is debatable. In most countries the favorite solution has been a stratification of patients for prioritization of treatment, which means allowing Interferon-free DAA treatment only in patients with advanced fibrosis or cirrhosis, while keeping on hold persons with lesser stages of liver disease. In this report, we will perform an ethical assessment addressing the issues linked to access to new therapies, prioritization and eligibility criteria, analyzing the meaning of the term "distributive justice" and the different approaches that can guide us (individualistic libertarianism, social utilitarianism and egalitarianism) on this specific matter. Even if over time the price of new DAA will be reduced through competition and eventual patent expiration, the phenomenon of high drug costs will go on in the next decades and we need adequate tools to face the problems of distributive justice that come with it.

A survey on medicinal materials used in traditional systems of medicine in Sri Lanka.

PubMed

Kankanamalage, T N M; Dharmadasa, R M; Abeysinghe, D C; Wijesekara, R G S

2014-08-08

Sri Lanka has rich traditional systems of medicine, which cater to 60-70% of the rural population׳s primary health care needs. However, development of existing systems has been hindered by the unavailability of up-to-date information on medicinal materials and other related issues. For streamlining purposes, we investigated the present-day scenario of country׳s medicinal plant industry by gathering up-to-date information on the types of raw materials required, their aggregate quantities, heavily used and rare materials, family wise distribution, challenges faced by stakeholders as well as other pertinent issues. The present survey covered the selected government Ayurveda hospitals, traditional and Ayurveda practitioners, large and small-scale herbal drug and cosmetic manufactures, importers, collectors and Ayurveda commissioners throughout the country. A systematic questionnaire was distributed and face-to-face interviews were conducted. Collected data were tabulated and analyzed. A diverse range of medicinal materials, including 290 species (64.73%) from dried plants, 59 (13.17%) from fresh plants, 69 (15.40%) from minerals, 18 (4.02%) from animal sources and 12 (2.68%) from other sources were recorded. A total of 302 plant species belonging to 95 families, dominated by Leguminosae family, was listed. Out of these, 46 species belonging to 35 families were used intensively. A large portion of herbal materials was of completely local origin (71.13%) while 26% were imported and the rest (2.87%) can be obtained by both routes. Leaves were the most highly used part of the plant (22.2%). High price, poor quality, insufficient or totally absence of continuous supply and adulteration were the main constraints faced by the stakeholders. The unavailability of systematic cultivation and processing protocols, incorrect identification, and lack of proper quality control methodologies were identified as major challenges of the industry. The present study revealed a currently bleak scenario of the medicinal material industry in Sri Lanka. The results clearly demonstrated the need to implement a national strategy to address the major challenges faced by different stakeholders. Information generated through this study could be effectively incorporated for the formulation of a sustainable development strategy for this industry. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Multicultural Education: Issues and Perspectives. 6th Edition

ERIC Educational Resources Information Center

Banks, James A.; Banks, Cherry A. McGee

2006-01-01

Today's classrooms are more diverse than ever before. In order to reach these students, educators must be aware of the issues facing their various cultural, racial, ethnic, and language groups. Focusing on the pertinent issues in multicultural education, this new edition raises these critical issues and facilitates meaningful discussion. It has…

Community Colleges--Prevention Challenges. Issues in Prevention

ERIC Educational Resources Information Center

Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention, 2012

2012-01-01

This issue of "Issues in Prevention" focuses on prevention challenges facing community colleges. This issue contains the following articles: (1) Prevention at Community Colleges; (2) Q&A With William Auvenshine; (3) Chancellor's Initiative at the University of Wisconsin-Stout; (4) Alcohol Marketing in the Digital Age; and (5) Higher Education…

Toward shared care for people with cancer: developing the model with patients and GPs.

PubMed

Hall, Susan J; Samuel, Leslie M; Murchie, Peter

2011-10-01

The number of people surviving cancer for extended periods is increasing. Consequently, due to workload and quality issues, there is considerable interest in alternatives to traditional secondary care-led cancer follow-up. To explore the views of potential recipients of shared follow-up of cancer. To conduct a modelling exercise for shared follow-up and to explore the opinions and experiences of both the patients and GPs involved. Semi-structured audio-taped telephone or face-to-face interviews were conducted with 18 patients with a range of cancers currently attending for structured follow-up in secondary care. Six GPs and five patients (four with melanoma and one with stable metastatic colorectal cancer) took part in a shared follow-up modelling exercise. During the modelling exercise, the GPs attended 4 review meetings, which included brief training seminars, and at the conclusion 10 individuals took part in semi-structured audio-taped telephone or face-to-face interviews. Many rural patients, and some urban patients, would appreciate follow-up being available nearer to home with the associated benefits of time saved and easier parking and continuity of care. Patients have concerns related to the level of extra training received by the GP and loss of contact with their consultant. GPs have concerns about gaining and maintaining the clinical skills needed to conduct follow-up, especially if the numbers of patients seen are small. They also have concerns about lack of support from other GPs, and some administrative and organizational issues. Many patients would be willing to have GPs share their cancer follow-up with the caveat that they had received extra training and were appropriately supported by secondary care specialists. Patients attending shared care clinics appreciated a local service and longer appointment times. GPs stress the importance of maintaining their own clinical skills and reliable clinical and administrative support from secondary care.

On the Adaptive Protection of Microgrids: A Review on How to Mitigate Cyber Attacks and Communication Failures

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

Habib, Hany F; Lashway, Christopher R; Mohammed, Osama A

One main challenge in the practical implementation of a microgrid is the design of an adequate protection scheme in both grid connected and islanded modes. Conventional overcurrent protection schemes face selectivity and sensitivity issues during grid and microgrid faults since the fault current level is different in both cases for the same relay. Various approaches have been implemented in the past to deal with this problem, yet the most promising ones are the implementation of adaptive protection techniques abiding by the IEC 61850 communication standard. This paper presents a critical review of existing adaptive protection schemes, the technical challenges formore » the use of classical protection techniques and the need for an adaptive, smart protection system. However, the risk of communication link failures and cyber security threats still remain a challenge in implementing a reliable adaptive protection scheme. A contingency is needed where a communication issue prevents the relay from adjusting to a lower current level during islanded mode. An adaptive protection scheme is proposed that utilizes energy storage (ES) and hybrid ES (HESS) already available in the network as a mechanism to source the higher fault current. Four common grid ES and HESS are reviewed for their suitability in feeding the fault while some solutions are proposed.« less

Health Inequalities Associated with Post-Stroke Visual Impairment in the United Kingdom and Ireland: A Systematic Review

PubMed Central

Hanna, K. L.; Rowe, F. J.

2017-01-01

ABSTRACT The aim of this study was to report on the health inequalities facing stroke survivors with visual impairments as described in the current literature. A systemic review of the literature was conducted to investigate the potential health inequalities facing stroke survivors with subsequent visual impairments. A quality-of-evidence and risk-of-bias assessment was conducted for each of the included articles using the appropriate tool dependent on the type of article. Only four articles discussed health inequalities affecting stroke survivors with visual impairment specifically. A further 23 articles identified health inequalities after stroke, and 38 reported on health inequalities within the visually impaired UK or Irish population. Stroke survivors with visual impairment face inconsistency in eye care provision nationally, along with variability in the assessment and management of visual disorders. The subgroups identified as most at risk were females; black ethnicity; lower socioeconomic status; older age; and those with lower education attainment. The issue of inconsistent service provision for this population must be addressed in future research. Further research must be conducted in order to firmly establish whether or not stroke survivors are at risk of the aforementioned sociodemographic and economic inequalities. PMID:28512502

77 FR 69913 - Self-Regulatory Organizations; Fixed Income Clearing Corporation; Notice of Filing of Proposed...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-21

... to enhance the NOS for SPTs by no longer requiring the current face value submitted on each member's NOS to exactly match the current face value of the SPT. Instead, members will have the ability to submit and match multiple NOS to reduce the SPT current face until it is fully settled. For example, if a...

In Practice: Weaving the Campus Safety Net by Integrating Student Health Issues into the Curriculum

ERIC Educational Resources Information Center

Olson, Todd A.; Riley, Joan B.

2009-01-01

Georgetown University has developed an innovative approach to addressing student health and wellness issues through curriculum infusion--a collaborative pedagogy that introduces real-life health issues faced by college students into their academic courses.

Issues faced by community health centers.

PubMed

Grover, Jane

2009-05-01

Federally qualified health centers face numerous issues with regard to marketplace competition, staffing, and reimbursement streams that assure financial viability. Positioning the dental department of a health center to a high community profile strengthens the health center in professional educational development leading to a pipeline of workforce members, effective dental directors, and innovative fund-raising. A new dental team member developed by the American Dental Association can be utilized in health centers to make all traditional auxiliaries more productive.

Business continuity management in emerging markets: the case of Jordan.

PubMed

Sawalha, Ihab H; Anchor, John R

2012-01-01

Despite their considerable growth in last few decades, emerging markets (EM) face numerous risks that have the potential to slow down or obstruct their development. Three main issues are discussed in this paper: first, the risks facing organisations operating in emerging markets and Jordan in particular; secondly, the role of business continuity management (BCM) in emerging markets; and thirdly, potential factors that underpin the role of BCM in emerging markets. These issues are significant, as they represent the role of BCM in highly dynamic and fast changing business environments. The paper provides a discussion of the significance of BCM in reducing or preventing risks facing organisations operating in emerging markets, especially those in Jordan.

Brief report.

PubMed

Colnerud, Gunnel

2013-10-01

Most accounts of the ethical problems facing researchers across a broad spectrum of research fields come from ethicists, ethics committees, and specialists committed to the study of ethics in human research. In contrast, this study reports on the ethical questions that researchers, themselves, report facing in their everyday practice. Fifty-five Swedish researchers contributed 109 examples of ethical dilemmas, conflicts, and problems in research. They were all researchers at the postdoctoral level in the fields of medicine, the humanities, education, and the social sciences, who devoted at least 50 percent of their working hours to research. They reported issues they face before, during, and after gathering data. Their range of issues is broader than generally discussed and points to the importance of researchers' ethical sensitivity.

Insights from Parents about Caring for a Child with Birth Defects

PubMed Central

Lemacks, Jodi; Fowles, Kristin; Mateus, Amanda; Thomas, Kayte

2013-01-01

Birth defects affect 1 in 33 babies. Having a child with a birth defect impacts the whole family. Parents of children who have birth defects face unique challenges and desire to make life better for their kids. They also want to help to prevent birth defects in the future. Some of the challenges parents face involve communication with healthcare professionals, quality of life issues, creating awareness and advocating for research and funding, finding resources and support, and helping teens transition to appropriate, specialized adult care. This paper addresses these issues and their sub-issues, provides examples, and makes suggestions for improvement and research. PMID:23965922

Ethical challenges faced by healthcare professionals who care for suicidal patients: a scoping review.

PubMed

Saigle, Victoria; Racine, Eric

2018-04-17

For each one of the approximately 800,000 people who die from suicide every year, an additional twenty people attempt suicide. Many of these attempts result in hospitalization or in contact with other healthcare services. However, many personal, educational, and institutional barriers make it difficult for healthcare professionals to care for suicidal individuals. We reviewed literature that discusses suicidal patients in healthcare settings in order to highlight common ethical issues and to identify knowledge gaps. A sample was generated via PubMed using keywords "[(ethics OR *ethic*) AND suicid*] AND [English (Language) OR French (Language)]" (final N = 52), ethics content was extracted according to scoping review methodology, and categorized thematically. We identified three main areas posing ethical challenges for health professionals caring for suicidal individuals and their families. These were: (1) making clinical decisions for patients in acute care or when presented with specific circumstances; (2) issues arising from therapeutic relationships in chronic care, and (3) organizational factors. There is considerable uncertainty about how to resolve ethical issues when caring for someone who is suicidal. The stigma associated with suicide and mental illness, problems associated with risk-benefit assessments, and the fear of being held liable for malpractice should a patient die by suicide were overarching themes present across these three categories. Caring for suicidal patients is clinically and ethically challenging. The current literature highlights the complexity and range of decisions that need to be made. More attention should be paid to the difficulties faced by healthcare professionals and the development of solutions.

Women's health is a community issue.

PubMed

Irvin, A

1997-01-01

When a member of the Community Life Project in Nigeria led a group of women in a discussion about HIV/AIDS, the women reported that they understood that condom use is the best means of protection but that they were unable to negotiate condom use with their husbands. Even if the women were economically independent, they would rather face the risk of HIV/AIDS than divorce. Thus, efforts to improve women's health have not generated much change on the local level. This can also be seen by the facts that current programs have failed to reduce the numbers of women dying from pregnancy-related causes each year, nearly 3000 women die from tuberculosis each day, women suffer occupational health risks, and domestic violence is an important determinant of health problems for women. Because women lack power in many societies, efforts to effect individual change may be blocked by a woman's particular circumstances. Thus, the involvement of entire communities is necessary to improve the conditions affecting women's health. Community-level discussions may open the door for couples to discuss sexuality and gender-based issues as well as safer sex behavior. Despite the important role they can play, women's community health groups face stiff challenges because of a lack of knowledge or training and because of the difficulty in overcoming gender-based discrimination. The Hesperian Foundation's publication, "Where Women Have No Doctor," is an excellent resource for understanding how poverty and gender issues affect women's health. The book contains practical information, promotes a model of community-based responses to problems with social origins, and shares experiences of grassroots groups world-wide.

Attitudes to face transplantation: results of a public engagement exercise at the Royal Society Summer Science Exhibition.

PubMed

Clarke, Alex; Simmons, Jon; White, Paul; Withey, Simon; Butler, Peter E M

2006-01-01

Hettiaratchy and Butler (Lancet 2002;360:5-6) framed face transplantation as the next logical step on the reconstructive ladder for severe facial injury, in particular, pan-facial burns. The procedure formed the basis for a Royal College of Surgeons of England working party report. Ethical, surgical, and psychological issues were identified as research priorities before face transplantation is attempted in the United Kingdom. Public engagement is a vital mechanism if people are to be informed about the risks and benefits of the technique and ultimately to be able to consent to either receiving or donating facial tissue. To sample public opinion about the procedure, 304 people attending the Royal Society Summer Science Exhibition were sampled by online questionnaire to determine their attitude toward face transplantation. Although people were more cautious about face transplantation when comparing this with solid-organ transplantation, most of the sample were in favor of the procedure, whether receiving a donor face or donating their own face after their death. Only 10% were against the idea in principle. Concerns about altered identity were not a barrier to face transplantation for 69% of the sample, with most people appropriately identifying the long-term problems of immunosuppression as the issue that most concerned them. There is a substantial population of people who, given the right circumstances, would contemplate face transplantation for themselves and would be willing to donate their own face for transplantation after their death.

Animal Health and Welfare Issues Facing Organic Production Systems

PubMed Central

Sutherland, Mhairi A.; Webster, Jim; Sutherland, Ian

2013-01-01

Simple Summary The demand for organically grown, animal derived produce is increasing due to a growing desire for consumer products that have minimal chemical inputs and high animal welfare standards. Evaluation of the scientific literature suggests that a major challenge facing organic animal production systems is the management and treatment of health-related issues. However, implementation of effective management practices can help organic animal producers achieve and maintain high standards of health and welfare, which is necessary to assure consumers that organic animal-based food and fibre has not only been produced with minimal or no chemical input, but under high standards of animal welfare. Abstract The demand for organically-grown produce is increasing worldwide, with one of the drivers being an expectation among consumers that animals have been farmed to a high standard of animal welfare. This review evaluates whether this expectation is in fact being met, by describing the current level of science-based knowledge of animal health and welfare in organic systems. The primary welfare risk in organic production systems appears to be related to animal health. Organic farms use a combination of management practices, alternative and complementary remedies and convenional medicines to manage the health of their animals and in many cases these are at least as effective as management practices employed by non-organic producers. However, in contrast to non-organic systems, there is still a lack of scientifically evaluated, organically acceptable therapeutic treatments that organic animal producers can use when current management practices are not sufficient to maintain the health of their animals. The development of such treatments are necessary to assure consumers that organic animal-based food and fibre has not only been produced with minimal or no chemical input, but under high standards of animal welfare. PMID:26479750

Sexual health: the role of sexual health services among homeless young women living in Toronto, Canada.

PubMed

Oliver, Vanessa; Cheff, Rebecca

2012-05-01

Recent statistics indicate limited condom use, high STI (sexually transmitted infection) rates, and a general lack of knowledge about reproductive and sexual health among homeless youth. This research focuses on the experiences of homeless female and transgendered youth, providing an insider's perspective on shaping sexual health interventions. This qualitative research is based on life history interviews and participant observation with eight homeless young women who reflect the diversity of the homeless population in Toronto, Ontario, Canada. Their particularized sexual experiences and health-seeking behaviors illustrate the range of issues faced by this community, speaking to the efficacy of current health promotion strategies. Too often faced with judgmental health and social service providers who they perceive to undermine their agency and empowerment, these women highlight the challenges they face when seeking sexual and reproductive health services and information. In addition to speaking to the struggles and frustrations they face in regard to their sexual health and the services with which they choose to interact, the women provide suggestions for improved care. From these, the authors include key recommendations for the provision of culturally competent, sex-positive, and nonjudgmental health services with the hope that health practitioners and promoters can learn from these experiences, both positive and negative, when caring for and supporting young women living in exceptional circumstances.

Student Perceptions of an Online Medical Dosimetry Program

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

Lenards, Nishele, E-mail: lenards.nish@uwlax.ed

2011-07-01

The University of Wisconsin-La Crosse offers the first online medical dosimetry program in the nation. There is no data to research a program of this type. This research consisted of the evaluation of other distance education programs including health profession programs in addition to face-to-face medical dosimetry programs. There was a need to collect and analyze student perceptions of online learning in medical dosimetry. This research provided a guide for future implementation by other programs as well as validated the University of Wisconsin-La Crosse program. Methodology used consisted of an electronic survey sent to all previous and currently enrolled studentsmore » in the University of Wisconsin-La Crosse medical dosimetry program. The survey was both quantitative and qualitative in demonstrating attitudinal perceptions of students in the program. Quantitative data was collected and analyzed using a 5-point Likert scale. Qualitative data was gathered based on the open-ended responses and the identifying themes from the responses. The results demonstrated an overall satisfaction with this program, the instructor, and the online courses. Students felt a sense of belonging to the courses and the program. Considering that a majority of the students had never taken an online course previously, the students felt there were no technology issues. Future research should include an evaluation of board exam statistics for students enrolled in the online and face-to-face medical dosimetry programs.« less

Ethical Issues for Community College Student Programmers.

ERIC Educational Resources Information Center

Friedrich, Sue

2002-01-01

Discusses examples of unique ethical issues faced by community college student programmers: member commitment, poor program attendance and lack of programming board diversity, and conflicts of interest (EV)

Disaster Research: A Nursing Opportunity

PubMed Central

Savage, Jane; Barcelona-deMendoza, Veronica; Harville, Emily W.

2013-01-01

Nurses working or living near a community disaster have the opportunity to study health-related consequences to disaster or disaster recovery. In such a situation, the researchers need to deal with the conceptual and methodological issues unique to post-disaster research and know what resources are available to guide them, even if they have no specialized training or previous experience in disaster research. The purpose of this article is to review issues and challenges associated with conducting post-disaster research and encourage nurses to seek resources and seize opportunities to conduct research should the situation arise. Current disaster studies and the authors’ personal experiences conducting maternal-child research in post-Katrina New Orleans (2005–2013) provide real-life examples of how health professionals and nurses faced the challenges of doing post-disaster research. After catastrophic events, nurses need to step forward to conduct disaster research that informs and improves future disaster planning and health care responses. PMID:23899191

Mathematical Learning Disabilities in Special Populations: Phenotypic Variation and Cross-Disorder Comparisons

PubMed Central

Dennis, Maureen; Berch, Daniel B.; Mazzocco, Michèle M.M.

2011-01-01

What is mathematical learning disability (MLD)? The reviews in this special issue adopt different approaches to defining the construct of MLD. Collectively, they demonstrate the current status of efforts to establish a consensus definition and the challenges faced in this endeavor. In this commentary, we reflect upon the proposed pathways to mathematical learning difficulties and disabilities presented across the reviews. Specifically we consider how each of the reviews contributes to identifying the MLD phenotype by specifying the range of assets and deficits in mathematics, identifying sources of individual variation, and characterizing the natural progression of MLD over the life course. We show how principled comparisons across disorders address issues about the cognitive and behavioral co-morbidities of MLD, and whether commonalities in brain dysmorphology are associated with common mathematics performance profiles. We project the status of MLD research ten years hence with respect to theoretical gains, advances in methodology, and principled intervention studies. PMID:19213019

Information Flow Model of Human Extravehicular Activity Operations

NASA Technical Reports Server (NTRS)

Miller, Matthew J.; McGuire, Kerry M.; Feigh, Karen M.

2014-01-01

Future human spaceflight missions will face the complex challenge of performing human extravehicular activity (EVA) beyond the low Earth orbit (LEO) environment. Astronauts will become increasingly isolated from Earth-based mission support and thus will rely heavily on their own decision-making capabilities and onboard tools to accomplish proposed EVA mission objectives. To better address time delay communication issues, EVA characters, e.g. flight controllers, astronauts, etc., and their respective work practices and roles need to be better characterized and understood. This paper presents the results of a study examining the EVA work domain and the personnel that operate within it. The goal is to characterize current and historical roles of ground support, intravehicular (IV) crew and EV crew, their communication patterns and information needs. This work provides a description of EVA operations and identifies issues to be used as a basis for future investigation.

Ecological literacy and beyond: Problem-based learning for future professionals.

PubMed

Lewinsohn, Thomas M; Attayde, José Luiz; Fonseca, Carlos Roberto; Ganade, Gislene; Jorge, Leonardo Ré; Kollmann, Johannes; Overbeck, Gerhard E; Prado, Paulo Inácio; Pillar, Valério D; Popp, Daniela; da Rocha, Pedro L B; Silva, Wesley Rodrigues; Spiekermann, Annette; Weisser, Wolfgang W

2015-03-01

Ecological science contributes to solving a broad range of environmental problems. However, lack of ecological literacy in practice often limits application of this knowledge. In this paper, we highlight a critical but often overlooked demand on ecological literacy: to enable professionals of various careers to apply scientific knowledge when faced with environmental problems. Current university courses on ecology often fail to persuade students that ecological science provides important tools for environmental problem solving. We propose problem-based learning to improve the understanding of ecological science and its usefulness for real-world environmental issues that professionals in careers as diverse as engineering, public health, architecture, social sciences, or management will address. Courses should set clear learning objectives for cognitive skills they expect students to acquire. Thus, professionals in different fields will be enabled to improve environmental decision-making processes and to participate effectively in multidisciplinary work groups charged with tackling environmental issues.

Rural sewage treatment processing in Yongjia County, Zhejiang Province

NASA Astrophysics Data System (ADS)

Wang, W. H.; Kuan, T. H.

2016-08-01

Issues regarding water pollution in rural areas of China have garnered increased attention over the years. Further discussion on the circumstances and results of existing domestic sewage treatment methods may serve as an appropriate reference in solving these important issues. This article explored the current conditions of water contamination in rural areas of China, introduced the characteristics and effects of applicable sewage treatment technology, and summarized the results of the planning, installation, and operation of rural sewage treatment facilities in Yongjia County in Zhejiang Province. However, relying on a single technical design rule is not adequate for solving the practical problems that these villages face. Instead, methods of planning rural sewage treatment should be adapted to better suit local conditions and different residential forms. It is crucial, ultimately, for any domestic sewage treatment system in a rural area to be commissioned, engineered, and maintained by a market-oriented professional company.

Psychiatric comorbidities in asperger syndrome and high functioning autism: diagnostic challenges

PubMed Central

2012-01-01

Several psychiatric conditions, both internalizing and externalizing, have been documented in comorbidity with Asperger Syndrome (AS) and High Functioning Autism (HFA). In this review we examine the interplay between psychiatric comorbidities and AS/HFA. In particular, we will focus our attention on three main issues. First, we examine which psychiatric disorders are more frequently associated with AS/HFA. Second, we review which diagnostic tools are currently available for clinicians to investigate and diagnose the associated psychiatric disorders in individuals with AS/HFA. Third, we discuss the challenges that clinicians and researchers face in trying to determine whether the psychiatric symptoms are phenotypic manifestations of AS/HFA or rather they are the expression of a distinct, though comorbid, disorder. We will also consider the role played by the environment in the manifestation and interpretation of these symptoms. Finally, we will propose some strategies to try to address these issues, and we will discuss therapeutic implications. PMID:22731684

Climate Change and Health in the Urban Context: The Experience of Barcelona.

PubMed

Villalbí, Joan R; Ventayol, Irma

2016-07-01

Climate change poses huge challenges for public health, and cities are at the forefront of this process. The purpose of this paper is to present the issues climate change poses for public health in the city of Barcelona, how they are being addressed, and what are the current major challenges, trying to contribute to the development of a baseline understanding of the status of adaptation in cities from a public health perspective. The major issues related to climate change faced by the city are common to other urban centers in a Mediterranean climate: heat waves, water availability and quality, air quality, and diseases transmitted by vectors, and all are reviewed in detail with empirical data. They are not a potential threat for the future, but have actually challenged the city services and infrastructure over the last years, requiring sustainable responses and rigorous planning. © The Author(s) 2016.

Preparing national health systems to cope with the impending tsunami of ageing and its associated complexities: Towards more sustainable health care.

PubMed

Amalberti, René; Nicklin, Wendy; Braithwaite, Jeffrey

2016-06-01

Healthcare systems across the world are experiencing increased financial, organizational and social pressures attributable to a range of critical issues including the challenge of ageing populations. Health systems need to adapt, in order to sustainably provide quality care to the widest range of patients, particularly those with chronic and complex diseases, and especially those in vulnerable and low-income groups. We report on a workshop designed to tackle such issues under the auspices of ISQua, with representatives from Argentina, Australia, Canada, Columbia, Denmark, Emirates, France, Ireland, Jordan, Qatar, Malaysia, Norway, Oman, UK, South Africa and Switzerland. We discuss some of the challenges facing healthcare systems in countries ageing rapidly, to those less so, and touch on current and future reform options. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

'If you have a soul, you will volunteer at once': gendered expectations of duty to care during pandemics.

PubMed

Godderis, Rebecca; Rossiter, Kate

2013-02-01

Duty to care has been identified as a pressing ethical issue in contemporary discussions of pandemic preparedness; however, nuanced discussions of this complicated issue are relatively limited. This article presents historical data from the experience of the 1918 influenza pandemic in Brantford, Ontario in Canada, demonstrating that, in the face of an actual pandemic, the particular construction of duty to care as both moral and gendered meant that women were placed at a greater personal risk during this time. Given that women still dominate the front lines of healthcare work, we argue that it is critical for current stakeholders to reflect on how these historical patterns may be replicated in contemporary pandemic planning and response. © 2012 The Authors. Sociology of Health & Illness 2012 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.

The contribution of human/non-human animal chimeras to stem cell research.

PubMed

Levine, Sonya; Grabel, Laura

2017-10-01

Chimeric animals are made up of cells from two separate zygotes. Human/non-human animal chimeras have been used for a number of research purposes, including human disease modeling. Pluripotent stem cell (PSC) research has relied upon the chimera approach to examine the developmental potential of stem cells, to determine the efficacy of cell replacement therapies, and to establish a means of producing human organs. Based on ethical issues, this work has faced pushback from various sources including funding agencies. We discuss here the essential role these studies have played, from gaining a better understanding of human biology to providing a stepping stone to human disease treatments. We also consider the major ethical issues, as well as the current status of support for this work in the United States. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Modelling plankton ecosystems in the meta-omics era. Are we ready?

PubMed

Stec, Krzysztof Franciszek; Caputi, Luigi; Buttigieg, Pier Luigi; D'Alelio, Domenico; Ibarbalz, Federico Matias; Sullivan, Matthew B; Chaffron, Samuel; Bowler, Chris; Ribera d'Alcalà, Maurizio; Iudicone, Daniele

2017-04-01

Recent progress in applying meta-omics approaches to the study of marine ecosystems potentially allows scientists to study the genetic and functional diversity of plankton at an unprecedented depth and with enhanced precision. However, while a range of persistent technical issues still need to be resolved, a much greater obstacle currently preventing a complete and integrated view of the marine ecosystem is the absence of a clear conceptual framework. Herein, we discuss the knowledge that has thus far been derived from conceptual and statistical modelling of marine plankton ecosystems, and illustrate the potential power of integrated meta-omics approaches in the field. We then propose the use of a semantic framework is necessary to support integrative ecological modelling in the meta-omics era, particularly when having to face the increased interdisciplinarity needed to address global issues related to climate change. Copyright © 2017. Published by Elsevier B.V.

CTE's Role in Urban Education. Issue Brief

ERIC Educational Resources Information Center

Association for Career and Technical Education (ACTE), 2012

2012-01-01

This Issue Brief explores the promising role that career and technical education programs play in addressing key student achievement issues facing urban schools. CTE programs engage urban students by providing rigorous and relevant coursework, fostering positive relationships, establishing clear pathways and connecting education and…

Assisted suicide: implications for nurses and nursing.

PubMed

Daly, B J; Berry, D; Fitzpatrick, J J; Drew, B; Montgomery, K

1997-01-01

Assisted suicide is an issue of great importance to nurses. This issue reflects our values and beliefs as a society, calls for a clear and precise response as a profession, and challenges individual nurses to think about their own moral views. The history of the debate and the compelling moral arguments on both sides attest to the complexity of the issue and also suggest that it will not soon be resolved. The current position of the profession, as expressed in the ANA Code for Nurses and a specific position statement, were reviewed. The dilemma faced by the individual nurse who perceives an obligation to adhere to the guidelines specified by his or her profession's code and yet whose conscience dictates an act in violation of this code has been discussed as an instance of conscientious objection. While this analysis has been necessarily brief, it was intended to illustrate the importance of being clear about one's personal moral views and equally clear about one's duty to fulfil the obligations stemming from the profession's public statements. It is essential that the profession continue to explore the moral issues involved in requests for assistance in dying and provide additional guidelines for practicing nurses, with sound rationale for the profession's position.

Mixing Online and Face-to-Face Therapy: How to Benefit From Blended Care in Mental Health Care.

PubMed

Wentzel, Jobke; van der Vaart, Rosalie; Bohlmeijer, Ernst T; van Gemert-Pijnen, Julia E W C

2016-02-09

Blended care, a combination of online and face-to-face therapy, is increasingly being applied in mental health care to obtain optimal benefit from the advantages these two treatment modalities have. Promising results have been reported, but a variety in descriptions and ways of operationalizing blended care exists. Currently, what type of "blend" works for whom, and why, is unclear. Furthermore, a rationale for setting up blended care is often lacking. In this viewpoint paper, we describe postulates for blended care and provide an instrument (Fit for Blended Care) that aims to assist therapists and patients whether and how to set up blended care treatment. A review of the literature, two focus groups (n=5 and n=5), interviews with therapists (n=14), and interviews with clients (n=2) were conducted to develop postulates of eHealth and blended care and an instrument to assist therapists and clients in setting up optimal blended care. Important postulates for blended care are the notion that both treatment modalities should complement each other and that set up of blended treatment should be based on shared decision making between patient and therapist. The "Fit for Blended Care" instrument is presented which addresses the following relevant themes: possible barriers to receiving blended treatment such as the risk of crisis, issues in communication (at a distance), as well as possible facilitators such as social support. More research into the reasons why and for whom blended care works is needed. To benefit from blended care, face-to-face and online care should be combined in such way that the potentials of both treatment modalities are used optimally, depending on patient abilities, needs, and preferences. To facilitate the process of setting up a personalized blended treatment, the Fit for Blended Care instrument can be used. By applying this approach in research and practice, more insight into the working mechanisms and optimal (personal) "blends" of online and face-to-face therapy becomes within reach.

Midwifery: "at the edge of history".

PubMed

Dahlen, H

2006-03-01

The paper focuses on possible future pathways in maternity care for midwives and nations to consider. The paper blends personal and professional experiences to outline priority areas facing midwives in the future. It begins by examining maternal mortality and morbidity in the developing world and considering the potential of the ten high priority action messages (1997) in helping to improve the plight of women and children in the future. The paper then examines major issues facing midwives in the developed world including: the way birth is viewed; the medical-midwifery divide; marketing midwifery; and finally the challenge of dealing with fear around birth. The third part of the paper examines a part of society where the two worlds meet and there are issues from both the developed and developing world to consider. The paper focuses on women from culturally and linguistically diverse communities, Aboriginal and Torres Strait Islander women and women birthing in remote and rural areas. By looking at these three worlds separately the paper examines different concerns facing midwives in the future but also draws on common issues that face us all as citizens of this planet and particularly as predominantly women. The paper challenges midwives to be politically active and dare to change the world.

Digital Media & Learning in Afterschool. MetLife Foundation Afterschool Alert. Issue Brief No. 58

ERIC Educational Resources Information Center

Afterschool Alliance, 2013

2013-01-01

The Afterschool Alliance, in partnership with MetLife Foundation, is proud to present the final issue brief in its latest series of four issue briefs examining critical issues facing middle school youth and the vital role afterschool programs play in addressing these issues. This brief explores afterschool and digital learning. At the core of…

Automatic face recognition in HDR imaging

NASA Astrophysics Data System (ADS)

Pereira, Manuela; Moreno, Juan-Carlos; Proença, Hugo; Pinheiro, António M. G.

2014-05-01

The gaining popularity of the new High Dynamic Range (HDR) imaging systems is raising new privacy issues caused by the methods used for visualization. HDR images require tone mapping methods for an appropriate visualization on conventional and non-expensive LDR displays. These visualization methods might result in completely different visualization raising several issues on privacy intrusion. In fact, some visualization methods result in a perceptual recognition of the individuals, while others do not even show any identity. Although perceptual recognition might be possible, a natural question that can rise is how computer based recognition will perform using tone mapping generated images? In this paper, a study where automatic face recognition using sparse representation is tested with images that result from common tone mapping operators applied to HDR images. Its ability for the face identity recognition is described. Furthermore, typical LDR images are used for the face recognition training.

Ethical Issues in Providing Online Psychotherapeutic Interventions

PubMed Central

2000-01-01

The Internet offers psychotherapists a new communication medium through which they can deliver psychotherapeutic interventions that are appropriate to the medium. Yet online psychotherapy also offers new ethical challenges for therapists interested in providing online psychotherapeutic services. The differences between interactive text-based communication and in-person verbal communication create new ethical challenges not previously encountered in face-to-face therapy. This article will examine the Internet's potential for providing online psychotherapeutic interventions and will review the ethical issues involved with providing interactive text-based psychotherapy. PMID:11720924

In search for the many faces of community resilience among LGBT individuals.

PubMed

Wong, Frank Y

2015-03-01

Many countries (e.g., Egypt, Russia, and Uganda) have very draconian laws against LGBT individuals. Despite facing such adversity or hostility many LGBT individuals do strive and maintain their sense of self-worth. How do they do it? The collection of papers in this special issue attempts to provide some answers to this question. I will attempt to analyze two overlapping issues in these papers, and how they might inform LGBT research using a resilience lens.

How have hospitals faced the pricing issues of the 1990's?

PubMed

Kleimenhagen, A; Naidu, G M; Pillari, G D

1994-01-01

National health care expenditures are rising rapidly, bringing on a health care financing crisis. For this reason, it is useful to see how hospitals are facing the price issues of the 1990's. This study examines the price strategies hospitals follow and analyzes their observations on price sensitivity and payer mix. The results clearly show that hospitals have not given much attention to the pricing variable. The study suggests that marketing and finance will have to work closely together in developing future pricing strategies.

Increasing the relevance of research to health care managers: hospital CEO imperatives for improving quality and lowering costs.

PubMed

Alexander, Jeffrey A; Hearld, Larry R; Jiang, H Joanna; Fraser, Irene

2007-01-01

Evidence-based management assumes that available research evidence is consistent with the problems and decision-making conditions faced by those who will utilize this evidence in practice. This article attempts to identify how hospital leaders view key determinants of hospital quality and costs, as well as the fundamental ways these leaders "think" about solutions to quality and cost issues in their organizations. The objective of this analysis is to better inform the research agenda and approaches pursued by health services research so that this research reflects the "realities" of practice in hospitals. We conducted a series of semistructured interviews with a convenience sample of eight hospital and three health system leaders. Questions focused on current and future challenges facing hospitals as they relate to hospital quality, costs, and efficiency, and potential solutions to those challenges. Nine major organizational and managerial factors emerged from the interviews, including staffing, evidence-based practice, information technology, data availability and benchmarking, and leadership. Hospital leaders tend to think about these factors systemically and consider process-related factors as the important drivers of cost and quality. The results suggest a need to expand the methods utilized by health services researchers to make their research more relevant to health care managers. Expanding research methods to reflect the systemic way that managers view the challenges and solutions facing their organizations may enhance the application of research findings into management practice. Finally, better communication is needed between the research and practice communities. Researchers must learn to think more like managers if their research is to be relevant, and managers must learn to more effectively communicate their issues with the research community and frame their problems in researchable terms.

System and method of adjusting the equilibrium temperature of an inductively-heated susceptor

DOEpatents

Matsen, Marc R; Negley, Mark A; Geren, William Preston

2015-02-24

A system for inductively heating a workpiece may include an induction coil, at least one susceptor face sheet, and a current controller coupled. The induction coil may be configured to conduct an alternating current and generate a magnetic field in response to the alternating current. The susceptor face sheet may be configured to have a workpiece positioned therewith. The susceptor face sheet may be formed of a ferromagnetic alloy having a Curie temperature and being inductively heatable to an equilibrium temperature approaching the Curie temperature in response to the magnetic field. The current controller may be coupled to the induction coil and may be configured to adjust the alternating current in a manner causing a change in at least one heating parameter of the susceptor face sheet.

Primary care of adults with developmental disabilities

PubMed Central

Sullivan, William F.; Berg, Joseph M.; Bradley, Elspeth; Cheetham, Tom; Denton, Richard; Heng, John; Hennen, Brian; Joyce, David; Kelly, Maureen; Korossy, Marika; Lunsky, Yona; McMillan, Shirley

2011-01-01

Abstract Objective To update the 2006 Canadian guidelines for primary care of adults with developmental disabilities (DD) and to make practical recommendations based on current knowledge to address the particular health issues of adults with DD. Quality of evidence Knowledgeable health care providers participating in a colloquium and a subsequent working group discussed and agreed on revisions to the 2006 guidelines based on a comprehensive review of publications, feedback gained from users of the guidelines, and personal clinical experiences. Most of the available evidence in this area of care is from expert opinion or published consensus statements (level III). Main message Adults with DD have complex health issues, many of them differing from those of the general population. Good primary care identifies the particular health issues faced by adults with DD to improve their quality of life, to improve their access to health care, and to prevent suffering, morbidity, and premature death. These guidelines synthesize general, physical, behavioural, and mental health issues of adults with DD that primary care providers should be aware of, and they present recommendations for screening and management based on current knowledge that practitioners can apply. Because of interacting biologic, psychoaffective, and social factors that contribute to the health and well-being of adults with DD, these guidelines emphasize involving caregivers, adapting procedures when appropriate, and seeking input from a range of health professionals when available. Ethical care is also emphasized. The guidelines are formulated within an ethical framework that pays attention to issues such as informed consent and the assessment of health benefits in relation to risks of harm. Conclusion Implementation of the guidelines proposed here would improve the health of adults with DD and would minimize disparities in health and health care between adults with DD and those in the general population. PMID:21571716

Safety I-II, resilience and antifragility engineering: a debate explained through an accident occurring on a mobile elevating work platform.

PubMed

Martinetti, Alberto; Chatzimichailidou, Maria Mikela; Maida, Luisa; van Dongen, Leo

2018-04-24

Occupational health and safety (OHS) represents an important field of exploration for the research community: in spite of the growth of technological innovations, the increasing complexity of systems involves critical issues in terms of degradation of the safety levels. In such a situation, new safety management approaches are now mandatory in order to face the safety implications of the current technological evolutions. Along these lines, performing risk-based analysis alone seems not to be enough anymore. The evaluation of robustness, antifragility and resilience of a socio-technical system is now indispensable in order to face unforeseen events. This article will briefly introduce the topics of Safety I and Safety II, resilience engineering and antifragility engineering, explaining correlations, overlapping aspects and synergies. Secondly, the article will discuss the applications of those paradigms to a real accident, highlighting how they can challenge, stimulate and inspire research for improving OHS conditions.

Competences in Social Media Use in the Area of Health and Healthcare.

PubMed

Kouri, Pirkko; Rissanen, Marja-Liisa; Weber, Patrick; Park, Hyeoun-Ae

2017-01-01

In today's life, social media offer new working ways. People are increasingly expanding interactions from face-to-face meetings to online ways of communication, networking, searching, creating and sharing information, and furthermore taking care of patients/citizens via tweeting care, Facebook care, blogging care, vlogging care, infotainment care, gamification-care, infographic care, for instance. This chapter discusses the utilisation of social media in the healthcare domain including nursing education, practice and research. When in the current healthcare era, social media is used effectively and purposefully, it can give all of us a greater choice in how we live, how we take care of our health and how we learn and build both our professional competences and produce evidence-based, qualified data. Nurses need continuous education and proper tools to take the most of the benefits of social media, not forgetting privacy and ethical issues. This use of social media in professional nursing generates the need for new competences.

Women's work. Maintaining a healthy body weight.

PubMed

Welch, Nicky; Hunter, Wendy; Butera, Karina; Willis, Karen; Cleland, Verity; Crawford, David; Ball, Kylie

2009-08-01

This study describes women's perceptions of the supports and barriers to maintaining a healthy weight among currently healthy weight women from urban and rural socio-economically disadvantaged areas. Using focus groups and interviews, we asked women about their experiences of maintaining a healthy weight. Overwhelmingly, women described their healthy weight practices in terms of concepts related to work and management. The theme of 'managing health' comprised issues of managing multiple responsibilities, time, and emotions associated with healthy practices. Rural women faced particular difficulties in accessing supports at a practical level (for example, lack of childcare) and due to the gendered roles they enacted in caring for others. Family background (in particular, mothers' attitudes to food and weight) also appeared to influence perceptions about healthy weight maintenance. In the context of global increases in the prevalence of obesity, the value of initiatives aimed at supporting healthy weight women to maintain their weight should not be under-estimated. Such initiatives need to work within the social and personal constraints that women face in maintaining good health.

A New Generation of Telecommunications for Mars: The Reconfigurable Software Radio

NASA Technical Reports Server (NTRS)

Adams, J.; Horne, W.

2000-01-01

Telecommunications is a critical component for any mission at Mars as it is an enabling function that provides connectivity back to Earth and provides a means for conducting science. New developments in telecommunications, specifically in software - configurable radios, expand the possible approaches for science missions at Mars. These radios provide a flexible and re-configurable platform that can evolve with the mission and that provide an integrated approach to communications and science data processing. Deep space telecommunication faces challenges not normally faced by terrestrial and near-earth communications. Radiation, thermal, highly constrained mass, volume, packaging and reliability all are significant issues. Additionally, once the spacecraft leaves earth, there is no way to go out and upgrade or replace radio components. The reconfigurable software radio is an effort to provide not only a product that is immediately usable in the harsh space environment but also to develop a radio that will stay current as the years pass and technologies evolve.

[The roles and functions of volunteer counselors to the elderly].

PubMed

Chen, Chun-Yu

2004-06-01

In Taiwan's current counseling centers for the elderly, large numbers of volunteers are supervised by only a few social workers or nurses, so the roles and functions of these volunteers are very important. A neat summary of the services provided by the volunteers would include: (1) Direct services: telephone counseling, telephone interviewing, case handling, mail counseling, resource provision. (2) Indirect services: fundraising, supervision. (3) Administration: administrative assistance, management of institutional web sites. (4) Strategic consultancy: consultancy, provision of expertise. (5) Advocacy: service as educators and spokespersons; public relations and marketing. (6) MANAGEMENT: team leadership, plan implementation. To sum up, their functions are, by means of telephone and face-to-face contact, to provide information to the elderly about finances, medical services, housing, citizenship, the dignity of life and death, and related issues, as well as to serve as advocates for the provision of resources--such as educational courses--and to facilitate such provision. Indeed, the roles and functions of volunteer counselors become more diverse and more comprehensive by the day.

Face-to-Face, Hybrid, or Online?: Issues Faculty Face Redesigning an Introductory Engineering Graphics Course

ERIC Educational Resources Information Center

Branoff, Theodore; Wiebe, Eric

2009-01-01

A hybrid introductory course was developed and piloted during the Fall 2007 semester in three laptop sections (i.e., all of the students owned and brought laptops to class each day). The online portion of the course included voiced-over content presentations, software demonstrations, and sketching examples as well as online assessments. Sections…

US-Japan workshop Q-181 on high heat flux components and plasma-surface interactions for next devices: Proceedings

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

McGrath, R.T.; Yamashina, T.

This report contain viewgraphs of papers from the following sessions: plasma facing components issues for future machines; recent PMI results from several tokamaks; high heat flux technology; plasma facing components design and applications; plasma facing component materials and irradiation damage; boundary layer plasma; plasma disruptions; conditioning and tritium; and erosion/redeposition.

Facilitating collaboration between pharmacists and physicians using an iterative interview process

PubMed Central

Chui, Michelle A.; Stone, Jamie A.; Odukoya, Olufumilola K.; Maxwell, Leigh

2014-01-01

Objective To elicit and describe mutually agreed upon common problems and subsequent solutions resulting from a facilitated face-to-face meeting between pharmacists and physicians. Design Descriptive, exploratory, non-experimental study. Setting Wisconsin from October to December 2011. Participants Physicians and community pharmacists Intervention Face-to-face semi-structured interviews with pharmacists and physicians from the same community, informed by previous individual interviews. Main outcome measure Methods to enhance collaboration and barriers to implementing collaboration between pharmacists and physicians Results Physicians and pharmacists generated ideas in which collaboration could improve patient care, including controlled substance monitoring, medication adherence, collaborative practice agreements for point of service issues, and a mechanism for urgent communication. Methods on how to collaborate on these issues were also discussed. Conclusions Bringing physicians and pharmacists together for a face-to-face interaction that was informed by information gained in previous individual interviews successfully stimulated conversation on ways in which each profession could help the other provide optimal patient care. This interaction appeared to dispel assumptions and build trust. Results of this project may provide pharmacists with the confidence to reach out to their physician colleagues. PMID:24362573

Smart wearable systems: current status and future challenges.

PubMed

Chan, Marie; Estève, Daniel; Fourniols, Jean-Yves; Escriba, Christophe; Campo, Eric

2012-11-01

Extensive efforts have been made in both academia and industry in the research and development of smart wearable systems (SWS) for health monitoring (HM). Primarily influenced by skyrocketing healthcare costs and supported by recent technological advances in micro- and nanotechnologies, miniaturisation of sensors, and smart fabrics, the continuous advances in SWS will progressively change the landscape of healthcare by allowing individual management and continuous monitoring of a patient's health status. Consisting of various components and devices, ranging from sensors and actuators to multimedia devices, these systems support complex healthcare applications and enable low-cost wearable, non-invasive alternatives for continuous 24-h monitoring of health, activity, mobility, and mental status, both indoors and outdoors. Our objective has been to examine the current research in wearable to serve as references for researchers and provide perspectives for future research. Herein, we review the current research and development of and the challenges facing SWS for HM, focusing on multi-parameter physiological sensor systems and activity and mobility measurement system designs that reliably measure mobility or vital signs and integrate real-time decision support processing for disease prevention, symptom detection, and diagnosis. For this literature review, we have chosen specific selection criteria to include papers in which wearable systems or devices are covered. We describe the state of the art in SWS and provide a survey of recent implementations of wearable health-care systems. We describe current issues, challenges, and prospects of SWS. We conclude by identifying the future challenges facing SWS for HM. Copyright © 2012 Elsevier B.V. All rights reserved.

Challenge theme 5: Current and future needs of energy and mineral resources in the Borderlands and the effects of their development: Chapter 7 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

USGS Publications Warehouse

Updike, Randall G.; Ellis, Eugene G.; Page, William R.; Parker, Melanie J.; Hestbeck, Jay B.; Horak, William F.

2013-01-01

Exploration and extraction activities related to energy and mineral resources in the Borderlands—such as coal-fired power plants, offshore drilling, and mining—can create issues that have potentially major economic and environmental implications. Resource assessments and development projects, environmental studies, and other related evaluations help to understand some of these issues, such as power plant emissions and the erosion/denudation of abandoned mine lands. Information from predictive modeling, monitoring, and environmental assessments are necessary to understand the full effects of energy and mineral exploration, development, and utilization. The exploitation of these resources can negatively affect human health and the environment, its natural resources, and its ecological services (air, water, soil, recreation, wildlife, etc.). This chapter describes the major energy and mineral issues of the Borderlands and how geologic frameworks, integrated interdisciplinary (geobiologic) investigations, and other related studies can address the anticipated increases in demands on natural resources in the region.

Human behavioral research in space: quandaries for research subjects and researchers

NASA Technical Reports Server (NTRS)

Shepanek, Marc

2005-01-01

With the advent of long-duration spaceflight on board the International Space Station (ISS) and possible future missions beyond low Earth orbit (LEO) such as Mars, it is critical that those at NASA have a realistic assessment of the challenges that will face individuals on long-duration missions so that they can develop preventive and real-time countermeasures to behavioral health issues. While space travellers are very interested in having countermeasures to the deleterious effects of space missions, they have a powerful disincentive to participate in this research if they feel it could in any way negatively affect their flight status. The behavioral issues of isolation and confinement for extended-duration space missions are reviewed. Areas of basic and clinical behavioral research are listed. And the classical clinical model for research is not considered appropriate for the current configuration of the space program. The use of analogue environments and advanced statistical analysis are suggested as ways to address the limited spaceflight research opportunities. The challenge of research subject or patient confidentiality vs. mission safety and issues of personal flight status are addressed.

Understanding forensic psychiatry in healthcare practices and collaboration between legal nurse consultants and physicians.

PubMed

Sharpe, Daphne K; Hall, Jasmine K; Ochije, Sochima; Bailey, Rahn K

2018-03-01

In 2000, the Institute of Medicine stunned many professionals with their published report that noted the vast number of deaths that occur each year in hospitals across the United States which reach as many as 98,000. Therefore, it comes as no surprise that the healthcare arena faces litigious issues regularly, with some specialties budgets being significantly impacted by the cost of maintaining liability insurance. Legal Nurse Consultants and forensic physicians working in tandem but who work independently from treating clinicians can carry out forensic independent medical examinations (IME). This can help to assess the validity of malpractice claims, including issues of causation and degree of injuries claimed due to the incident(s) and recommend treatment strategies where appropriate. Reviews can cover a wide range of issues such as a person's past or current testamentary capacity, a prisoner or an accused person's mental health and/or mental impairment where necessary sending them for more assessment or treatment outside prison. This article argues that independent medical reviews are a useful tool that can assist the civil and criminal courts processes.

Human behavioral research in space: quandaries for research subjects and researchers.

PubMed

Shepanek, Marc

2005-06-01

With the advent of long-duration spaceflight on board the International Space Station (ISS) and possible future missions beyond low Earth orbit (LEO) such as Mars, it is critical that those at NASA have a realistic assessment of the challenges that will face individuals on long-duration missions so that they can develop preventive and real-time countermeasures to behavioral health issues. While space travellers are very interested in having countermeasures to the deleterious effects of space missions, they have a powerful disincentive to participate in this research if they feel it could in any way negatively affect their flight status. The behavioral issues of isolation and confinement for extended-duration space missions are reviewed. Areas of basic and clinical behavioral research are listed. And the classical clinical model for research is not considered appropriate for the current configuration of the space program. The use of analogue environments and advanced statistical analysis are suggested as ways to address the limited spaceflight research opportunities. The challenge of research subject or patient confidentiality vs. mission safety and issues of personal flight status are addressed.

Globalization and the cultural impact on distance education.

PubMed

McPhee, W; Nøhr, C

2000-09-01

With the delivery of distance (or flexible) learning in today's society, the changing roles of both the teacher and the learner need to be seriously considered. This is particularly relevant with the use of new technologies to deliver courses in locations with entirely different cultural and academic traditions. International education of this kind currently faces difficulties in facilitating cross-cultural learning. While problems of limited communications technologies, lack of teacher training, inadequate competence of university administration and general cultural differences may be known, global changes call for the development of new pedagogies with new communication technologies in ways, which are sensitive to issues of cultural diversity.

Emerging issues and future directions of the field of health communication.

PubMed

Hannawa, Annegret F; Kreps, Gary L; Paek, Hye-Jin; Schulz, Peter J; Smith, Sandi; Street, Richard L

2014-01-01

The interdisciplinary intersections between communication science and health-related fields are pervasive, with numerous differences in regard to epistemology, career planning, funding perspectives, educational goals, and cultural orientations. This article identifies and elaborates on these challenges with illustrative examples. Furthermore, concrete suggestions for future scholarship are recommended to facilitate compatible, coherent, and interdisciplinary health communication inquiry. The authors hope that this article helps current and future generations of health communication scholars to make more informed decisions when facing some of the challenges discussed in this article so that they will be able to seize the interdisciplinary and international potential of this unique and important field of study.

Airports offer unrealized potential for alternative energy production.

PubMed

DeVault, Travis L; Belant, Jerrold L; Blackwell, Bradley F; Martin, James A; Schmidt, Jason A; Wes Burger, L; Patterson, James W

2012-03-01

Scaling up for alternative energy such as solar, wind, and biofuel raises a number of environmental issues, notably changes in land use and adverse effects on wildlife. Airports offer one of the few land uses where reductions in wildlife abundance and habitat quality are necessary and socially acceptable, due to risk of wildlife collisions with aircraft. There are several uncertainties and limitations to establishing alternative energy production at airports, such as ensuring these facilities do not create wildlife attractants or other hazards. However, with careful planning, locating alternative energy projects at airports could help mitigate many of the challenges currently facing policy makers, developers, and conservationists.

Current state and problems of integrated development of mineral resources base in Russia

NASA Astrophysics Data System (ADS)

Filimonova, I. V.; Eder, L. V.; Mishenin, M. V.; Mamakhatov, T. M.

2017-09-01

The article deals with the issues of integrated development of subsoil resources taking into account the actual problems facing the Russian oil and gas complex. The key factors determining the need for integrated development of subsoil resources have been systematized and investigated. These factors are the change of the hydrocarbon resource base quality, the improvement of the depletion degree of basic (unique and major) oil fields, the increase in the number of small and smallest oil fields discovered and introduced into development, the increased capital intensity and the riskiness of geological exploration, and the territorial location of new subsoil use facilities.

Issues in Space Radiation Protection: Galactic Cosmic Rays

NASA Technical Reports Server (NTRS)

Wilson, J. W.; Kim, M.; Schimmerling, W.; Badavi, F. F.; Thibeault, S. A.; Cucinotta, F. A.; Shinn, J. L.; Kiefer, R.

1995-01-01

With shielding from cosmic heavy ions, one is faced with limited knowledge about the physical properties and biological responses of these radiations. Herein, the current status of space shielding technology and its impact on radiation health is discussed in terms of conventional protection practice and a test biological response model. The impact of biological response on optimum materials selection for cosmic ray shielding is presented in terms of the transmission characteristics of the shield material. Although liquid hydrogen gas is an optimum shield material, evaluation of the effectiveness of polymeric structural materials must await improvement in our knowledge of both the biological response and the nuclear processes.

Beta-blocker use in decompensated heart failure.

PubMed

Alharethi, Rami; Hershberger, Ray E

2006-06-01

Despite the current advances in treatment, acute decompensated heart failure accounts for more than 1 million hospital admissions annually. Many of the patients hospitalized are already receiving long-term treatment with beta-blockers. For patients who receive full dose beta-blocker therapy and suffer acute decompensated heart failure, clinicians face two key questions: what to do, if anything, with the dosage of beta-blocker and what is the best way to integrate inotropic and beta-blocker therapies for patients who require inotropes. This article discusses these issues and reviews the available literature. Because these topics have received little systematic evaluation, we also present our clinical approaches to these problems.

General concepts in the management of a kidney transplant.

PubMed

Ortiz-Heredia, Luis; Cangiano, Jose L

2011-01-01

The management of a kidney transplant patient is, in most cases, challenging and requires a multidisciplinary approach. For the physician caring for the patient it is imperative to have a broad knowledge regarding several concepts on their management, as they are increasingly faced with long-term care. Baseline rapport and accessibility provides a pivotal role in the treatment, monitoring and preventive measures in the kidney transplant patient. Currently, most aspects regarding patient management vary according to each transplant center. This article describes the importance of several medical issues directed towards the clinician aiming to improve awareness and expand knowledge, with the development of a systematic approach.

The lab without walls: a deployable approach to tropical infectious diseases.

PubMed

Inglis, Timothy J J

2013-04-01

The Laboratory Without Walls is a modular field application of molecular biology that provides clinical laboratory support in resource-limited, remote locations. The current repertoire arose from early attempts to deliver clinical pathology and public health investigative services in remote parts of tropical Australia, to address the shortcomings of conventional methods when faced with emerging infectious diseases. Advances in equipment platforms and reagent chemistry have enabling rapid progress, but also ensure the Laboratory Without Walls is subject to continual improvement. Although new molecular biology methods may lead to more easily deployable clinical laboratory capability, logistic and technical governance issues continue to act as important constraints on wider implementation.

Righting wrongs and reforming rights.

PubMed

Ivey, Laurie C

2014-03-01

Discusses issues faced by LGBT people, such as a lack of equal civil rights and the need for extra legal and financial protection for families because partners cannot be married. The author notes that, in our society, it is no longer acceptable to be racist, but it is still okay to be homophobic. The many campaigns against gay marriage and efforts in the legislature to prevent change toward equal civil rights and protections are prime examples. In our current political climate, two things are very clear: (a) homophobia is freely tolerated and (b) the times are changing as we inch closer to equal rights every day. We are "righting wrongs and reforming rights."

Challenges facing lithium batteries and electrical double-layer capacitors.

PubMed

Choi, Nam-Soon; Chen, Zonghai; Freunberger, Stefan A; Ji, Xiulei; Sun, Yang-Kook; Amine, Khalil; Yushin, Gleb; Nazar, Linda F; Cho, Jaephil; Bruce, Peter G

2012-10-01

Energy-storage technologies, including electrical double-layer capacitors and rechargeable batteries, have attracted significant attention for applications in portable electronic devices, electric vehicles, bulk electricity storage at power stations, and "load leveling" of renewable sources, such as solar energy and wind power. Transforming lithium batteries and electric double-layer capacitors requires a step change in the science underpinning these devices, including the discovery of new materials, new electrochemistry, and an increased understanding of the processes on which the devices depend. The Review will consider some of the current scientific issues underpinning lithium batteries and electric double-layer capacitors. Copyright © 2012 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Tree physiology research in a changing world.

PubMed

Kaufmann, Merrill R.; Linder, Sune

1996-01-01

Changes in issues and advances in methodology have contributed to substantial progress in tree physiology research during the last several decades. Current research focuses on process interactions in complex systems and the integration of processes across multiple spatial and temporal scales. An increasingly important challenge for future research is assuring sustainability of production systems and forested ecosystems in the face of increased demands for natural resources and human disturbance of forests. Meeting this challenge requires significant shifts in research approach, including the study of limitations of productivity that may accompany achievement of system sustainability, and a focus on the biological capabilities of complex land bases altered by human activity.

Analytical challenges: bridging the gap from regulation to enforcement.

PubMed

Van den Eede, Guy; Kay, Simon; Anklam, Elke; Schimmel, Heinz

2002-01-01

An overview is presented of the analytical steps that may be needed to determine the presence of genetically modified organisms (GMOs) or for analysis of GMO-derived produce. The analytical aspects necessary for compliance with labeling regulations are discussed along with bottlenecks that may develop when a plant product or a food sample is analyzed for conformity with current European Union GMO legislation. In addition to sampling and testing, other topics deal with complications that arise from biological and agricultural realities that may influence testing capabilities. The issues presented are intended to serve as elements to examine the different challenges that enforcement laboratories might face.

Intersectionality at Work: South Asian Muslim Women's Experiences of Employment and Leadership in the United Kingdom.

PubMed

Tariq, Memoona; Syed, Jawad

2017-01-01

Drawing on qualitative interviews with 20 South Asian heritage, Muslim, female leaders, managers, and supervisors in the United Kingdom, we examine the multi-layered issues and challenges they face in pursuit of employment and leadership positions. The paper offers an intersectional perspective taking into account interconnected and overlapping factors (gender, ethnicity, religion, and family status) that affect not only the issues and challenges these women face in the labour market but also the individual agency and strategies they use to overcome any obstacles in the way of their employment and career. The results show that although Muslim women continue to face a myriad of challenges in the workplace, they are also able to tackle some of these issues through their individual strategies and networks, such as personal networks and further education. The study highlights the need for policymakers and employers to consider intersectionality to enable ethnic minority women's inclusion and leadership within and outside the workplace.