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Sample records for dissector assisted malar

  1. Robotic adenomectomy using a laparoscopic dissector.

    PubMed

    Gonçalves, Lessandro Curcio; Lott, Felipe Monnerat; Rosa, Rafael

    2018-03-15

    Only few reports are known about the use of robotic surgery for prostate benign enlargement. The robotic surgery can be improved by laparoscopic tricks. We show a video of robotic adenomectomy where a laparoscopic dissector is used to help create the plan between prostatic capsule and adenoma. A 62 years old male had severe urinary flow outlet obstruction. Medical therapy was not effective. Ultrasound detected a 92gr enlarged prostate with a large middle lobe. Robotic assisted adenomectomy was scheduled. The procedure followed this sequence: opening of Retzius space, superficial suture of the Dorsal vein complex, horizontal cistotomy. The plan was created with electrocautery and blunt dissection with the laparoscopic dissector. Haemostatic sutures were placed between prostate fossa and the posterior bladder neck and closure of the cistotomy. Whole operation time was 160 minutes, with a blood loss of 80cc. There was no perioperative or post-operative complication. Catheter was removed after 4 days. Post-operatory uroflowmetry shows a peak flow of 30ml/sec. Pathological examination is negative for tumor. After 60 days IPSS was 8. Robotic prostate adenomectomy using the laparoscopic dissector is a safe and effective minimally invasive treatment for benign prostatic enlargement. It is a novel technique to find and dissect the plane between prostatic adenoma and capsule. This could be one more use of laparoscopic technology to improve surgical outcomes in robotic field. Copyright® by the International Brazilian Journal of Urology.

  2. Image dissector camera system study

    NASA Technical Reports Server (NTRS)

    Howell, L.

    1984-01-01

    Various aspects of a rendezvous and docking system using an image dissector detector as compared to a GaAs detector were discussed. Investigation into a gimbled scanning system is also covered and the measured video response curves from the image dissector camera are presented. Rendezvous will occur at ranges greater than 100 meters. The maximum range considered was 1000 meters. During docking, the range, range-rate, angle, and angle-rate to each reflector on the satellite must be measured. Docking range will be from 3 to 100 meters. The system consists of a CW laser diode transmitter and an image dissector receiver. The transmitter beam is amplitude modulated with three sine wave tones for ranging. The beam is coaxially combined with the receiver beam. Mechanical deflection of the transmitter beam, + or - 10 degrees in both X and Y, can be accomplished before or after it is combined with the receiver beam. The receiver will have a field-of-view (FOV) of 20 degrees and an instantaneous field-of-view (IFOV) of two milliradians (mrad) and will be electronically scanned in the image dissector. The increase in performance obtained from the GaAs photocathode is not needed to meet the present performance requirements.

  3. Vertical Localization of the Malar Prominence

    PubMed Central

    Kaptein, John S.; Markarian, Alexander

    2015-01-01

    Background: During reconstruction or augmentation, it is important to localize the malar complex in a symmetrical and aesthetically pleasing position. Few studies have determined the location of this feature and none related the location to gender, age, or ethnicity. Some of these have attempted to relate the position to the aesthetically pleasing Golden Ratio φ. Methods: We assessed the vertical location of the malar prominence relative to other facial landmarks, determined consistency among individuals, and compared this with values used in artistry. Study population consisted of a convenience sample of 67 patients taken from an otolaryngology practice at a large urban medical center. Coordinates of the malar prominence were referenced to distinct facial landmarks from which the ratio of chin-to-malar prominence to chin-to-eye canthus was determined. Results: Average chin-to-malar prominence distance was 0.793 ± 0.023 (SD) of the chin-to-eye canthus distance. Variability due to the specific image chosen [coefficient of variation (CV) = 1.19%] and combined inter/intrareader variability (CV = 1.71%) validate the methodology. Variability among individuals (CV = 2.84%) indicates population consistency. No difference was found between gender and age groups or between whites and Hispanics. Individuals of other/unknown ethnicities were within the range common to whites and Hispanics. Our population’s value is not different from the value of 0.809 used in artistry, which is based on the Golden Ratio φ. Conclusions: The vertical position of the malar prominence is consistent among individuals, is clinically well-approximated by the value based on the Golden Ratio, and may be useful as a reference for surgical reconstruction or augmentation. PMID:26180712

  4. The Versajet water dissector: a new tool for tangential excision.

    PubMed

    Klein, Matthew B; Hunter, Sue; Heimbach, David M; Engrav, Loren H; Honari, Shari; Gallery, Ellen; Kiriluk, Diane-Marie; Gibran, Nicole S

    2005-01-01

    Goulian and Watson knives work well for tangential burn excision on large flat areas. They do not work well in small areas and in areas with a three-dimensional structure. The Versajet Hydrosurgery System (Smith and Nephew, Key Largo, FL) is a new waterjet-powered surgical tool designed for wound excision. The small size of the cutting nozzle and the ability to easily maneuver the water dissector into small spaces makes it a potentially useful tool for excision of burns of the eyelids, digits and web spaces. The Versajet Hydrosurgery System contains a power console that propels saline through a handheld cutting device. This stream of pressurized saline functions as a knife. We have used the Versajet for burn excision in 44 patients. Although there is a learning curve for both surgeons using and operating room staff setting up the device, the Versajet provides a relatively facile method for excision of challenging aesthetic and functional areas.

  5. [Laparoscopic liver resection using a radiofrequency dissector. Initial experience].

    PubMed

    Croce, Enrico; Olmi, Stefano; Bertolini, Aimone; Erba, Luigi; Perego, Paolo; Magnone, Stefano

    2003-01-01

    Laparoscopic liver surgery, especially when resective, requires both the skill of an expert laparoscopist and the experience of a liver surgeon. The aims of the study were to assess the feasibility of minor laparoscopic liver resection by means of a radiofrequency dissector and to evaluate the laparoscopic approach. From January 1993 to November 2002 we carried out 7 laparoscopic liver resections (3 men, 4 women), 5 of which for benign diseases and 2 for metastases from colorectal cancer. In 4 of the above resections we used an argon coagulator, while the last 3 were performed using a radiofrequency instrument. We had no perioperative or postoperative complications in this small series of patients. The mean perioperative blood loss was 120 ml (range: 80-200) and the procedure took about 90 minutes on average (range: 80-110). The mean hospital stay was 4 days and pain was adequately controlled by administering 2 ml of Toradol twice daily. We believe that the advantages of the laparoscopic technique together with the efficacy of the radiofrequency instrument in liver surgery will lead to a more widespread use of this procedure and extension of its use to include the safe execution of both minor and major resections.

  6. Image dissector photocathode solar damage test program. [solar radiation shielding using a fast optical lens

    NASA Technical Reports Server (NTRS)

    Smith, R. A.

    1977-01-01

    Image dissector sensors of the same type which will be used in the NASA shuttle star tracker were used in a series of tests directed towards obtaining solar radiation/time damage criteria. Data were evaluated to determine the predicted level of operability of the star tracker if tube damage became a reality. During the test series a technique for reducing the solar damage effect was conceived and verified. The damage concepts are outlined and the test methods and data obtained which were used for verification of the technique's feasibility are presented. The ability to operate an image dissector sensor with the solar image focussed on the photocathode by a fast optical lens under certain conditions is feasible and the elimination of a mechanical protection device is possible.

  7. Image dissector control and data system, part 1. [instrument packages and equipment specifications

    NASA Technical Reports Server (NTRS)

    1974-01-01

    A general description of the image dissector control and data system is presented along with detailed design information, operating instructions, and maintenance and trouble-shooting procedures for the four instrumentation packages. The four instrumentation packages include a 90 inch telescope, a simplified telescope module for use on the 90 inch or other telescopes, a photographic plate scanner module which permits the scanning of astronomical photographic plates in the laboratory, and the lunar experiment package module.

  8. Laminar and turbulent surgical plume characteristics generated from curved- and straight-blade laparoscopic ultrasonic dissectors.

    PubMed

    Kim, Fernando J; Sehrt, David; Pompeo, Alexandre; Molina, Wilson R

    2014-05-01

    To characterize laparoscopic ultrasonic dissector surgical plume emission (laminar or turbulent) and investigate plume settlement time between curved and straight blades. A straight and a curved blade laparoscopic ultrasonic dissector were activated on tissue and in a liquid environment to evaluate plume emission. Plume emission was characterized as either laminar or turbulent and the plume settlement times were compared. Devices were then placed in liquid to observed consistency in the fluid disruption. Two types of plume emission were identified generating different directions of plume: laminar flow causes minimal visual obstruction by directing the aerosol downwards, while turbulent flow directs plume erratically across the cavity. Laminar plume dissipates immediately while turbulent plume reaches a second maximum obstruction approximately 0.3 s after activation and clears after 2 s. Turbulent plume was observed with the straight blade in 10 % of activations, and from the curved blade in 47 % of activations. The straight blade emitted less obstructive plume. Turbulent flow is disruptive to laparoscopic visibility with greater field obstruction and requires longer settling than laminar plume. Ultrasonic dissectors with straight blades have more consistent oscillations and generate more laminar flow compared with curved blades. Surgeons may avoid laparoscope smearing from maximum plume generation depending on blade geometry.

  9. Malaria Early Warning: The MalarSat project

    NASA Astrophysics Data System (ADS)

    Roca, M.; Escorihuela, M. J.; Martínez, D.; Torrent, M.; Aponte, J.; Nunez, F.; Garcia, J.

    2009-04-01

    Malaria is one of the major public health challenges undermining development in the world. The aim of MalarSat Project is to provide a malaria risks infection maps at global scale using Earth Observation data to support and prevent epidemic episodes. The proposed service for creating malaria risk maps would be critically useful to improve the efficiency in insecticide programs, vaccine campaigns and the logistics epidemic treatment. Different teams have already carried out studies in order to exploit the use of Earth Observation (EO) data with epidemiology purposes. In the case of malaria risk maps, it has been shown that meteorological data is not sufficient to fulfill this objective. In particular being able to map the malaria mosquito habitat would increase the accuracy of risk maps. The malaria mosquitoes mainly reproduce in new water puddles of very reduced dimensions (about 1 meter wide). There is no instrument that could detect such small patches of water unless there are many of them spread in an area of several hundreds of meters. MalarSat aims at using the radar altimeter data from the EnviSat, RA-2, to try and build indicators of mosquitoes existence. This presentation will show the scientific objectives and principles of the MalarSat project.

  10. A fiber-optics dissector for spectroscopy of nebulosities around quasars and similar objects

    NASA Astrophysics Data System (ADS)

    Vanderriest, C.

    1980-12-01

    It is noted that to extract optimally the available spectroscopic information in nebulosities of quasars, two-dimensional spatial resolution is required and that this can be conveniently achieved by an image dissector device using fiber optics. The prototype used in the test, which has more than 200 fibers of 100 micron diameter and 100 mm length, transforms a hexagonal field into a straight line which constitutes the entrance slit of the spectrograph. On the basis of comparisons with classical slit spectra of the same object, it is concluded that such devices, coupled to adequate spectrographs and detectors, could yield reliable data on the structure of quasars' nebulosities or other faint objects with moderate extent.

  11. Surgical anatomy of the midcheek and malar mounds.

    PubMed

    Mendelson, Bryan C; Muzaffar, Arshad R; Adams, William P

    2002-09-01

    The anatomy of the midcheek has not been satisfactorily described to adequately explain midcheek aging and malar mounds, nor has it suggested a logical approach to their correction or provided sufficient detail for safe surgery in this area. This cadaver study, which was complemented by many operative dissections, located a missing link: a glide plane space overlying the body of the zygoma. The space functions to allow mobility of the orbicularis oculi, where it overlies the zygoma and the origins of the elevator muscles to the upper lip. The space is a cleft between the sub-orbicularis oculi fat and the preperiosteal fat and is lined by a fine membrane. The anatomic boundaries are clearly defined by retaining ligaments, which correlate with the triangularity of the space. Several anatomic features provide the functional characteristics of the prezygomatic space, including the (1) absence of direct attachments between the orbicularis in the roof to the floor, (2) more rigid inferior boundary formed by the zygomatic ligaments, and (3) more mobile upper ligamentous boundary formed by the orbicularis retaining ligament (separating from the preseptal space of the lower lid). These components determine the characteristic aging changes that occur in this region and explain much about malar mounds. An appreciation of this anatomy has several surgical implications. The prezygomatic space is a junction area that can be approached from the temple, lower lid, and cheek. The zygomatic branches of the facial nerve to the orbicularis do not cross the space; rather, they course in the walls and in the sub-orbicularis fat within the roof of the space.

  12. The "beauty arch: " a new aesthetic analysis for malar augmentation planning.

    PubMed

    Marianetti, Tito Matteo; Cozzolino, Salvatore; Torroni, Andrea; Gasparini, Giulio; Pelo, Sandro

    2015-05-01

    Midface is a critical area for the aesthetics of the face. Despite malar hypoplasia is often combined with a class III malocclusion, there are few studies focusing on the results of a combined approach of malar implants and Le Fort I. We describe a new aesthetic analysis, named "beauty arch" analysis, for the assessment of sagittal projection of the malar region. We took a reference group of 74 Italian women participating in a national beauty contest in 2011 on which we performed our analysis. We used the ideal values to elaborate the surgical treatment planning of a second group of 45 consecutive female patients affected by skeletal class III malocclusion.Twenty-three patients undergo simultaneous Le Fort I osteotomy and malar implants. From the descriptive statistical comparison of the patients' values before and after orthognathic surgery and malar implants with the reference values, we observed how all parameters considered got closer to the ideal population. We consider our beauty arch a useful help for surgeon in the treatment planning of patients with skeletal malocclusions and malar implants.

  13. Huntington II Simulation Program - MALAR. Student Workbook, Teacher's Guide, and Resource Handbook.

    ERIC Educational Resources Information Center

    Friedland, James; Frishman, Austin

    Described is the computer model "MALAR" which deals with malaria and its eradication. A computer program allows the tenth- to twelfth-grade student to attempt to control a malaria epidemic. This simulation provides a context within which to study the biological, economic, social, political, and ecological aspects of a classic world health problem.…

  14. Malar augmentation assessed by magnetic resonance imaging in patients after face lift and fat injection.

    PubMed

    Swanson, Eric

    2011-05-01

    Restoration of cheek volume is recognized as an important part of facial rejuvenation. However, there are no previous studies that have determined whether any soft-tissue technique is effective for achieving lasting malar augmentation. This study prospectively evaluated a subset of five patients who had deep-plane face lifts with fat injection, and other facial cosmetic procedures. The mean volumes of fat injected were 9.1 cc (range, 4 to 12 cc) into the right cheek and 8.5 cc (range, 4 to 11.5 cc) into the left cheek. Magnetic resonance imaging scans were obtained before surgery and at intervals after surgery up to 6 months (and 1 year in one patient) for a total of 22 studies. Axial, coronal, and sagittal images, T1- and T2-weighted, were obtained. Thickness of the malar fat pads was measured. Malar thicknesses showed significant increases at the time of the 1-month follow-up appointments (p < 0.01). This increase was maintained at the next follow-up appointment (p < 0.01). There was no significant difference in thickness between the first postoperative appointment and the second postoperative appointment. The T1- and T2-weighted images revealed that the increase was attributable to tissue with fat density, not fluid. The average increase in malar projection was 0.66 cm for the right cheek and 0.60 cm for the left cheek. Fat injection at the time of face-lift surgery produces an increase in malar volume that is still present up to 6 months after surgery. This study confirms the rationale for injecting fat at the time of face-lift surgery.

  15. Simultaneous malaroplasty with porous polyethylene implants and orthognathic surgery for correction of malar deficiency.

    PubMed

    Robiony, M; Costa, F; Demitri, V; Politi, M

    1998-06-01

    Patients with skeletal malrelationships caused by maxillary anteroposterior defect and midface hypoplasia may present with an alteration of cheekbone contour. High osteotomies, segmental osteotomies of the zygomatic complex, and malar expansion with alloplastic materials can be performed to improve facial aesthetics. This article describes the restoration of cheekbone-nasal base-lip contour by performing a malaroplasty using an alloplastic implant in addition to orthognathic surgery. From 1995 to 1996, 17 patients with maxillomandibular malrelationships and deficient cheekbone contour were tested by malar augmentation with porous high-density polyethylene in association with maxillary advancement and mandibular setback. The diagnosis of cheekbone contour alteration was made after observing the patient from a lateral, frontal, and oblique point of view. The position of the implant was determined by using Mladick's point, with lateral or medial extension in relation to the depressed area. By the restoration of normal cheekbone-nasal base-upper lip contour produced excellent aesthetic results in all patients. Malaroplasty in association with bimaxillary orthognathic surgery seems to be an effective procedure for treating midface skeletal deficiencies.

  16. Midfacial augmentation in teenage cleft patients using malar and paranasal Medpor implants.

    PubMed

    Atherton, D; Haers, P

    2014-07-01

    Malar and paranasal implants offer a way to augment and reconstruct midfacial deformities, and can be used across a broad spectrum of craniofacial deformities. Three patients aged between 13 and 15 years underwent such a procedure. Access was achieved via a labial mucosal approach; 'super petite' and 'petite' malar and paranasal Medpor implants were inserted in a subperiosteal plane and secured with titanium screws. All patients underwent an uneventful postoperative recovery and have remained pleased with their reconstruction at follow-up. In carefully selected patients, Medpor implants may have a role in teenage cleft patients with subtle midfacial hypoplasia, where formal osteotomies are not felt to be required, or where the lengthy preparation period might not be tolerated. In the cases described, they were used as a bridging or temporizing measure as there was not yet the skeletal maturity for definitive osteotomies. These patients may otherwise face a lengthy wait during their teenage years, in which they may struggle to manage what they may perceive as a significant facial deformity. Copyright © 2014 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  17. Complete biodegradable nature of calcium hydroxylapatite after injection for malar enhancement: an MRI study.

    PubMed

    Pavicic, Tatjana

    2015-01-01

    Radiesse(®) (Calcium hydroxylapatite [CaHA]) is a biocompatible, injectable gel for facial soft tissue augmentation. It is a completely biodegradable filler and this is well documented, but objective imaging methods to confirm this property are scarce. We present a case report in which CaHA was injected into the midface of a 50-year-old woman for volume restoration and shaping of the cheek region. On the right side of the face, 1.6 mL CaHA was injected as several (5-7) small depots (0.1-0.2 mL) using a 28G 3/4 inch needle and the vertical supraperiosteal depot technique. On the contralateral side of the face, the subject received 1.6 mL CaHA over three entry points using a 27G 1 1/2 inch blunt cannula and the fanning technique. CaHA location and degradation were assessed using magnetic resonance imaging (MRI). CaHA appears as low-to-intermediate signal intensity on MRI images taken immediately after injection for malar enhancement with a symmetrical distribution. On MRI images taken 2.5 years after injection, no CaHA was visible but tissue volume remained increased, indicating a collagen-stimulating effect. The treatment was well tolerated. In addition to producing long-lasting aesthetic and collagen-stimulating effects, MRI images confirm that CaHA is completely biodegradable with no product remaining 2.5 years after injection.

  18. Complete biodegradable nature of calcium hydroxylapatite after injection for malar enhancement: an MRI study

    PubMed Central

    Pavicic, Tatjana

    2015-01-01

    Background Radiesse® (Calcium hydroxylapatite [CaHA]) is a biocompatible, injectable gel for facial soft tissue augmentation. It is a completely biodegradable filler and this is well documented, but objective imaging methods to confirm this property are scarce. Methods We present a case report in which CaHA was injected into the midface of a 50-year-old woman for volume restoration and shaping of the cheek region. On the right side of the face, 1.6 mL CaHA was injected as several (5−7) small depots (0.1−0.2 mL) using a 28G 3/4 inch needle and the vertical supraperiosteal depot technique. On the contralateral side of the face, the subject received 1.6 mL CaHA over three entry points using a 27G 1 1/2 inch blunt cannula and the fanning technique. CaHA location and degradation were assessed using magnetic resonance imaging (MRI). Results CaHA appears as low-to-intermediate signal intensity on MRI images taken immediately after injection for malar enhancement with a symmetrical distribution. On MRI images taken 2.5 years after injection, no CaHA was visible but tissue volume remained increased, indicating a collagen-stimulating effect. The treatment was well tolerated. Conclusion In addition to producing long-lasting aesthetic and collagen-stimulating effects, MRI images confirm that CaHA is completely biodegradable with no product remaining 2.5 years after injection. PMID:25709485

  19. Meloplication of the malar fat pads by percutaneous cable-suture technique for midface rejuvenation: outcome study (392 cases, 6 years' experience).

    PubMed

    Sasaki, Gordon H; Cohen, Andrew T

    2002-08-01

    The aging anterior midface is restored by reversing the contour undulations produced by sagging of the malar fat pad complex toward the nasolabial line. The convex irregularities include the exposed bulges of the post-septal fat, the unveiled malar bag, and the prominent nasolabial fold. The depressed irregularities are represented by the cresent-shaped hollow at the lid-cheek junction, the accentuated nasojugal groove, and the deepening nasolabial line. Repositioning of the ptotic malar fat pad, among other elements of meloplasty, represents a key procedure. In this study, the malar fat pad has been defined as a fan-shaped structure by external anatomic landmarks that correlate closely to the findings in cadaveric dissections and clinical cases, confirmed by the findings of spiral computed tomographic scanning. A simple but powerful adjustable and long-lasting percutaneous suture elevation technique was developed over the past 6 years by the senior author (G.H.S.) to reposition the fat pad in a superolateral direction. Through a dot incision within the nasolabial line, a permanent CV-3 Gore-Tex (or 4-0 clear Prolene) suspension suture, looped through a Gore-Tex anchor graft, suspends the malar fat pad in a direction perpendicular to the nasolabial line. A second suspension system is identically passed through another lower dot incision to broaden the repositioning vectors on the malar fat pad. Tension on each of the paired suture ends elevates the malar fat pad by 1 to 3 mm as measured from the nasolabial dot incisions. The sutures are fixed to the deep temporal fascia through a Gore-Tex tab, effectively stabilizing the soft-tissue repositioning. This maneuver may be performed in younger patients who present with an isolated malar fat pad ptosis without excess facial skin. The procedure may also be incorporated into open rhytidectomies to address this recalcitrant area along with superficial musculoaponeurotic system tightening. A total of 392 patients since 1995

  20. A study of the long-term effect of malar fat repositioning in face lift surgery: short-term success but long-term failure.

    PubMed

    Hamra, Sam T

    2002-09-01

    In 1990, the author reported on a series of 403 cases of deep plane face lifts, the first published technique describing the repositioning of the cheek fat, known as malar fat, in face lift surgery. This study examines the long-term results of 20 of the original series in an attempt to determine what areas of the rejuvenated face (specifically, the malar fat) showed long-term improvement. The results were judged by comparing the preoperative and long-term postoperative views in a half-and-half same-side hemiface photograph. The anatomy of the jawline (superficial musculoaponeurotic system [SMAS]), the nasolabial fold (malar fat), and the periorbital diameter were evaluated. The results confirmed that repositioning of the SMAS remained for longer than improvement in the nasolabial fold and that the vertical diameter of the periorbit did not change at all. The early results of malar fat repositioning shown at 1 to 2 years were successful, but the long-term results showed failure of the early improvement, manifested by recurrence of the nasolabial folds. There was, however, continuation of the improved results of the forehead lift and SMAS maneuvers of the original procedure. The conclusion is that only a direct excision will produce a permanent correction of the aging nasolabial fold.

  1. The Effect of Steri-Strip Dressing on Patients’ Satisfaction and Reduction of Ecchymosis in Lower Eyelid, Malar and Cheek Following Rhinoplasty

    PubMed Central

    Farahvash, Mohammad Reza; Khorasani, Ghasemali; Mahdiani, Yadollah; Taheri, Ahmad Reza

    2016-01-01

    BACKGROUND Early postoperative edema and ecchymosis are the most common factors to complicate initial patient perceptions about rhinoplasty. The current study was conducted to determine the effects of longer steri-strip tape on patient malar and cheek in terms of ecchymosis control and reduction. METHODS Through a randomized controlled clinical trial, 64 patients who underwent rhinoplasty were randomly enrolled. One side of the patients’ face was randomly selected for different experience of dressing while the main intervention was different length of tape and steri-strip dressing. In one group, the right side and in the rest, the left side of face was applied with steri-stip from the nose to lateral malar and cheek. In the opposite side of the face, steri-strip taping was done from the nose to medical malar and cheek. RESULTS The mean area of ecchymosis after rhinoplasty through our trial was 1.55 mm and 2.31 mm, respectively in sides with and without steri-strip which differed significantly. When patients’ age and sex were taken into account, the distribution of ecchymosis had no significant difference in this regard. CONCLUSION The present study showed significant reduction in the area of post-rhinoplasty ecchymosis in lower lid, malar and cheek soft tissues as well as the obvious increase in satisfaction rate among intervention side of face in comparison to the control side. But longer steri-strip tape failed to control sub conjunctival bleeding or decrease it. PMID:27308241

  2. The Effect of Steri-Strip Dressing on Patients' Satisfaction and Reduction of Ecchymosis in Lower Eyelid, Malar and Cheek Following Rhinoplasty.

    PubMed

    Farahvash, Mohammad Reza; Khorasani, Ghasemali; Mahdiani, Yadollah; Taheri, Ahmad Reza

    2016-01-01

    Early postoperative edema and ecchymosis are the most common factors to complicate initial patient perceptions about rhinoplasty. The current study was conducted to determine the effects of longer steri-strip tape on patient malar and cheek in terms of ecchymosis control and reduction. Through a randomized controlled clinical trial, 64 patients who underwent rhinoplasty were randomly enrolled. One side of the patients' face was randomly selected for different experience of dressing while the main intervention was different length of tape and steri-strip dressing. In one group, the right side and in the rest, the left side of face was applied with steri-stip from the nose to lateral malar and cheek. In the opposite side of the face, steri-strip taping was done from the nose to medical malar and cheek. The mean area of ecchymosis after rhinoplasty through our trial was 1.55 mm and 2.31 mm, respectively in sides with and without steri-strip which differed significantly. When patients' age and sex were taken into account, the distribution of ecchymosis had no significant difference in this regard. The present study showed significant reduction in the area of post-rhinoplasty ecchymosis in lower lid, malar and cheek soft tissues as well as the obvious increase in satisfaction rate among intervention side of face in comparison to the control side. But longer steri-strip tape failed to control sub conjunctival bleeding or decrease it.

  3. Prognostic implications of active discoid lupus erythematosus and malar rash at the time of diagnosis of systemic lupus erythematosus: Results from a prospective cohort study.

    PubMed

    Drucker, A M; Su, J; Mussani, F; Siddha, S K; Gladman, D D; Urowitz, M B

    2016-04-01

    Cutaneous lupus erythematosus (CLE) may have prognostic implications for systemic lupus erythematosus (SLE). We aimed to determine the impact of discoid lupus erythematosus (DLE) and malar rash on SLE disease activity. Data were analyzed from the Toronto Lupus Clinic prospective cohort study. We compared SLE patients with active DLE or malar rash at SLE diagnosis to SLE patients who never developed CLE. Outcomes were assessed at one and five years, including Adjusted Mean Systemic Lupus Erythematosus Disease Activity Index 2000 (AMS). A total of 524 SLE patients (284 without CLE, 65 with DLE, and 175 with malar rash) were included. Mean AMS scores in patients without CLE at one and five years were 5.96 ± 5.06 and 4.00 ± 3.52, which did not differ significantly from scores at one (6.93 ± 5.31, p = 0.17) and five years (4.29 ± 2.62, p = 0.63) in the DLE group. In patients with malar rash, AMS scores at one (8.30 ± 6.80, p < 0.001) and five years (5.23 ± 3.06, p = 0.004) were higher than controls without CLE. Malar rash may be a marker of more severe systemic disease over time, while DLE has no significant impact on general SLE disease activity. © The Author(s) 2015.

  4. Three-Dimensional Topographic Surface Changes in Response to Compartmental Volumization of the Medial Cheek: Defining a Malar Augmentation Zone.

    PubMed

    Stern, Carrie S; Schreiber, Jillian E; Surek, Chris C; Garfein, Evan S; Jelks, Elizabeth B; Jelks, Glenn W; Tepper, Oren M

    2016-05-01

    Given the widespread use of facial fillers and recent identification of distinct facial fat compartments, a better understanding of three-dimensional surface changes in response to volume augmentation is needed. Advances in three-dimensional imaging technology now afford an opportunity to elucidate these morphologic changes for the first time. A cadaver study was undertaken in which volumization of the deep medial cheek compartment was performed at intervals up to 4 cc (n = 4). Three-dimensional photographs were taken after each injection to analyze the topographic surface changes, which the authors define as the "augmentation zone." Perimeter, diameter, and projection were studied. The arcus marginalis of the inferior orbit consistently represented a fixed boundary of the augmentation zone, and additional cadavers underwent similar volumization following surgical release of this portion of the arcus marginalis (n = 4). Repeated three-dimensional computer analysis was performed comparing the augmentation zone with and without arcus marginalis release. Volumization of the deep medial cheek led to unique topographic changes of the malar region defined by distinct boundaries. Interestingly, the cephalic border of the augmentation zone was consistently noted to be at the level of the arcus marginalis in all specimens. When surgical release of the arcus marginalis was performed, the cephalic border of the augmentation zone was no longer restricted. Using advances in three-dimensional photography and computer analysis, the authors demonstrate characteristic surface anatomy changes in response to volume augmentation of facial compartments. This novel concept of the augmentation zone can be applied to volumization of other distinct facial regions. Therapeutic, V.

  5. Virtual quad zygoma implant placement using cone beam computed tomography: sufficiency of malar bone volume, intraosseous implant length, and relationship to the sinus according to the degree of alveolar bone atrophy.

    PubMed

    Bertos Quílez, J; Guijarro-Martínez, R; Aboul-Hosn Centenero, S; Hernández-Alfaro, F

    2018-02-01

    The objective of this study was to investigate the malar bone volume and length that a zygomatic implant can engage, and the relationship to the sinus according to the degree of alveolar bone atrophy. A three-dimensional evaluation was performed using cone beam computed tomography scans from 23 patients with a totally edentulous maxilla; quad zygoma implants were virtually placed. The predictor variable was the amount of malar bone volume and length that a zygomatic implant can engage. The primary outcome variable was the relationship to the sinus according to the degree of alveolar bone atrophy. Other variables were the residual alveolar bone height to the floor of the sinus and the nasal cavity. The mean volume of malar bone engaged in this sample of 92 zygomatic implants was 0.19±0.06cm 3 . The implant had an extrasinus path in 60.9% of cases, a parasinus path in 25%, and an intrasinus path in 14.1%. The results suggest that the average volume of malar bone engaged by a zygomatic implant is constant regardless of implant position and the degree of alveolar bone atrophy. As alveolar atrophy increases, the trajectory of the implant becomes more parasinus and intrasinus. The examiners were able to find enough bone to adequately distribute the implants in all cases. Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  6. Two-Piece Hollow Bulb Obturator for Postsurgical Partial Maxillectomy Defect in a Young Patient Revamping Lost Malar Prominence: A Clinical Report.

    PubMed

    Vaidya, Sharad; Parkash, Hari; Gupta, Sharad; Bhargava, Akshay; Kapoor, Charu

    2016-01-01

    The most frequent type of treatment for patients diagnosed with a malignant neoplasia of the oral cavity is surgical resection of the tumor. Ablative surgery may be followed by a reconstructive phase, in which the surgeon may choose between local flaps, nonvascularized bone grafts or free vascularized flaps to close the surgical site, depending on the general conditions of the patient. Esthetic and functional results are challenging to achieve for the prosthodontist, as variable amount of hard and soft tissues are removed. This report describes the fabrication of a two-piece hollow obturator for a 19-year-old patient who underwent wide surgical excision of the osteosarcoma of the maxilla and was rehabilitated to function. In this case, the surgical site was covered with submental flap, and the second piece of the obturator provided fullness to the lost malar prominence. © 2015 by the American College of Prosthodontists.

  7. [Lasting treatment of facial HIV and non HIV lipoatrophies through the use of SAM GoreTex malar implants and polyacrylamide hydrogel filler Eutrophill. About 90 consecutive cases].

    PubMed

    Môle, B

    2006-04-01

    HIV-related lipoatrophy (HIV LA) stands out with regard to its recent discovery, increasing incidence, multiple etiologies, relatively low morbidity, apparently irreversible effects, and unequivocal clinical features. The underlying cause of HIVLA is still controversial but there is an increasing demand of correction. We describe a technique using soft malar implants and acrylamid gel injections separately or in combination. Expanded polytetrafluoroethylene (Gore SAM) malar implants are used for augmentation of the most sunken areas below the eye; they should be placed subperiostealy and more medially than conventional implants. After trying sheets and custom made implants, preshaped GoreTex) Sam implants are now used systematicaly. Eutrophill) is a 2.5% polyacrylamide hydrogel obtained by polymerization of acrylamide monomers with an official half-life of 5 years. The soluable chains are more or less slowly released by enzymatic degradation and subsequently cleared via interstitial tissue without further metabolism or degradation. Injection should be performed continuously and evenly from one side to the other in the deepest part of the sunken area at the subcutaneous level only. A total of 90 consecutive patients were treated using implants alone in 11 cases, injections alone in 68 cases, and both implants and injections in 11 cases. Drawbacks were very few except three cases of chronic inflammation (dental conflict) with sheets and custom made implants which were never observed since the use of preshaped forms, and some very light bulgings with acrylamid injections which usually desapear in a few months. Mean follow-up was 17 months for injections and 29 for implants.

  8. Robot-assisted laparoscopic transperitoneal pelvic lymphadenectomy and metastasectomy for melanoma: initial report of two cases.

    PubMed

    Sohn, William; Finley, David S; Jakowatz, James; Ornstein, David K

    2010-08-01

    Robotic pelvic lymphadenectomy is a well established procedure in the urologic and gynecologic literature. To our knowledge robotic pelvic lymphadectomy for metastatic melanoma has yet to be described. Herein we present the first report of robot-assisted pelvic lymphadenectomy in malignant melanoma. After placement of six laparoscopic ports (12 mm camera, three 8-mm robotic ports, 12-mm and 5-mm assistant ports) the DaVinci S robot (Intuitive Surgical, CA, USA) was docked in standard fashion with the patient in low lithotomy. In both cases the patients had enlarged pelvic lymph nodes on computed tomography and complete excision of these masses was accomplished along with complete lymphadenectomy extending from Cooper's ligament to just below the hypogastric artery in case 1 and to level of the bifurcation of aorta in case 2. A PK Maryland Dissector and monopolar scissors were used for dissection. Both patients were discharged on postoperative day #1. Robotic pelvic lymphadenectomy can be safely used for management of patients with metastatic melanoma involving the pelvic lymph nodes. Compared with the standard open procedure, pelvic lymphadenectomy with robotic assistance is associated with excellent vision and minimum morbidity.

  9. Assisted Living

    MedlinePlus

    ... but they don't need full-time nursing care. Some assisted living facilities are part of retirement ... change. Assisted living costs less than nursing home care. It is still fairly expensive. Older people or ...

  10. Surgical Assisting

    MedlinePlus

    ... and Certification Information / Surgical Assisting Surgical Assisting Occupational Description As defined by the American College of ... completion of basic science (college level) instruction, including: ... and physiology Medical terminology Curriculum . ...

  11. Assistive Technology

    MedlinePlus

    ... at3center.net/home . Some Area Agencies on Aging (AAA) have programs or link to services that assist ... obtain low-cost assistive technology. To locate your AAA, call the Eldercare Locator at 1-800-677- ...

  12. Assistive Technologies

    ERIC Educational Resources Information Center

    Auat Cheein, Fernando A., Ed.

    2012-01-01

    This book offers the reader new achievements within the Assistive Technology field made by worldwide experts, covering aspects such as assistive technology focused on teaching and education, mobility, communication and social interactivity, among others. Each chapter included in this book covers one particular aspect of Assistive Technology that…

  13. Ventricular assist device

    MedlinePlus

    VAD; RVAD; LVAD; BVAD; Right ventricular assist device; Left ventricular assist device; Biventricular assist device; Heart pump; Left ventricular assist system; LVAS; Implantable ventricular assist ...

  14. Gravitational Assist

    NASA Technical Reports Server (NTRS)

    Diehl, R.

    1995-01-01

    Deep-space missions some times use close gravity-assist 'swingbys' of planets and moons to gain or lose velocity. These maneuvers increase the amount of mass that can be delivered and/or decrease mission flight times. The two Voyager spacecraft used gravity assists to leave the solar system. The Galileo spacecraft is using gravity assists to move among the various moons of Jupiter and the Cassini spacecraft will do similar maneuvers around Saturn.

  15. Assisted suicide.

    PubMed

    1998-02-06

    A protege of Dr. Jack Kevorkian assisted in the suicide of a transsexual with AIDS in January. The patient suffered from a number of AIDS-related symptoms and died from intravenous poisoning. Dr. Kevorkian was not directly involved, although he did consult with the doctor who performed the assisted suicide.

  16. An actuated force feedback-enabled laparoscopic instrument for robotic-assisted surgery.

    PubMed

    Moradi Dalvand, Mohsen; Shirinzadeh, Bijan; Shamdani, Amir Hossein; Smith, Julian; Zhong, Yongmin

    2014-03-01

    Robotic-assisted minimally invasive surgery systems not only have the advantages of traditional laparoscopic instruments but also have other important advantages, including restoring the surgeon's hand-eye coordination and improving the surgeon's precision by filtering hand tremors. Unfortunately, these benefits have come at the expense of the surgeon's ability to feel. Various solutions for restoring this feature have been proposed. An actuated modular force feedback-enabled laparoscopic instrument was proposed that is able to measure tip-tissue lateral interaction forces as well as normal grasping forces. The instrument has also the capability to adjust the grasping direction inside the patient body. In order to measure the interaction forces, strain gauges were employed. A series of finite element analyses were performed to gain an understanding of the actual magnitude of surface strains where gauges are applied. The strain gauge bridge configurations were calibrated. A series of experiments was conducted and the results were analysed. The modularity feature of the proposed instrument makes it interchangeable between various tip types of different functionalities (e.g. cutter, grasper, dissector). Calibration results of the strain gauges incorporated into the tube and at the base of the instrument presented the monotonic responses for these strain gauge configurations. Experimental results from tissue probing and tissue characterization experiments verified the capability of the proposed instrument in measuring lateral probing forces and characterizing artificial tissue samples of varying stiffness. The proposed instrument can improve the quality of palpation and characterization of soft tissues of varying stiffness by restoring sense of touch in robotic assisted minimally invasive surgery operations. Copyright © 2013 John Wiley & Sons, Ltd.

  17. Assisted Living

    MedlinePlus

    ... Transportation Back to top How to Choose a Facility? The following suggestions can help you get started ... for a safe, comfortable and appropriate assisted living facility: Think ahead. What will the resident’s future needs ...

  18. Assisted Living

    MedlinePlus

    ... Recreational activities Security Transportation How to Choose a Facility A good match between a facility and a resident's needs depends as much on the philosophy and services of the assisted living facility as it does on the quality of care. ...

  19. Assisted Ventilation.

    PubMed

    Dries, David J

    2016-01-01

    Controlled Mechanical Ventilation may be essential in the setting of severe respiratory failure but consequences to the patient including increased use of sedation and neuromuscular blockade may contribute to delirium, atelectasis, and diaphragm dysfunction. Assisted ventilation allows spontaneous breathing activity to restore physiological displacement of the diaphragm and recruit better perfused lung regions. Pressure Support Ventilation is the most frequently used mode of assisted mechanical ventilation. However, this mode continues to provide a monotonous pattern of support for respiration which is normally a dynamic process. Noisy Pressure Support Ventilation where tidal volume is varied randomly by the ventilator may improve ventilation and perfusion matching but the degree of support is still determined by the ventilator. Two more recent modes of ventilation, Proportional Assist Ventilation and Neurally Adjusted Ventilatory Assist (NAVA), allow patient determination of the pattern and depth of ventilation. Proposed advantages of Proportional Assist Ventilation and NAVA include decrease in patient ventilator asynchrony and improved adaptation of ventilator support to changing patient demand. Work of breathing can be normalized with these modes as well. To date, however, a clear pattern of clinical benefit has not been demonstrated. Existing challenges for both of the newer assist modes include monitoring patients with dynamic hyperinflation (auto-positive end expiratory pressure), obstructive lung disease, and air leaks in the ventilator system. NAVA is dependent on consistent transduction of diaphragm activity by an electrode system placed in the esophagus. Longevity of effective support with this technique is unclear.

  20. First experimental results with a new waterjet dissector: Erbejet 2.

    PubMed

    Tschan, C A; Tschan, K; Krauss, J K; Oertel, J

    2009-11-01

    Waterjet dissection represents a useful technique for many surgical procedures. In this experimental study, the technical features and dissection qualities of the new Erbejet 2 with its new pump and nozzle applicator system are evaluated for its neurosurgical use compared to the established Helix Hydro-Jet. One hundred twenty-six fresh cadaveric pig brains were simultaneously cut with the Helix Hydro-Jet and Erbejet 2. Different pressure levels were applied to cerebral tissue with and without meninges, cerebellum and brainstem. Additionally, dissection characteristics of various cutting media were investigated. There was a nearly equal dissection quality at up to 10 bar of both instruments. In contrast to the Helix Hydro-Jet, Erbejet 2 application at higher pressures resulted in an almost linear increase of dissection depth with a small standard deviation. Smoother cutting margins and less foaming were found. Preserved vessels were observed with both devices. Hydroxyaethyl starch led, in contrast to Ringer's solution and isotonic saline solution, to increased dissection width and more foaming. The new Erbejet 2 is more precise, with almost linear correlation of pressure and dissection depth compared to the Helix Hydro-Jet. Less foaming and the possible application of various separating media are a considerable advantage. All things considered, the new Erbejet 2 offers more options to enlarge the field of neurosurgical indications for waterjet dissection.

  1. Mixed reality temporal bone surgical dissector: mechanical design.

    PubMed

    Hochman, Jordan Brent; Sepehri, Nariman; Rampersad, Vivek; Kraut, Jay; Khazraee, Milad; Pisa, Justyn; Unger, Bertram

    2014-08-08

    The Development of a Novel Mixed Reality (MR) Simulation. An evolving training environment emphasizes the importance of simulation. Current haptic temporal bone simulators have difficulty representing realistic contact forces and while 3D printed models convincingly represent vibrational properties of bone, they cannot reproduce soft tissue. This paper introduces a mixed reality model, where the effective elements of both simulations are combined; haptic rendering of soft tissue directly interacts with a printed bone model. This paper addresses one aspect in a series of challenges, specifically the mechanical merger of a haptic device with an otic drill. This further necessitates gravity cancelation of the work assembly gripper mechanism. In this system, the haptic end-effector is replaced by a high-speed drill and the virtual contact forces need to be repositioned to the drill tip from the mid wand. Previous publications detail generation of both the requisite printed and haptic simulations. Custom software was developed to reposition the haptic interaction point to the drill tip. A custom fitting, to hold the otic drill, was developed and its weight was offset using the haptic device. The robustness of the system to disturbances and its stable performance during drilling were tested. The experiments were performed on a mixed reality model consisting of two drillable rapid-prototyped layers separated by a free-space. Within the free-space, a linear virtual force model is applied to simulate drill contact with soft tissue. Testing illustrated the effectiveness of gravity cancellation. Additionally, the system exhibited excellent performance given random inputs and during the drill's passage between real and virtual components of the model. No issues with registration at model boundaries were encountered. These tests provide a proof of concept for the initial stages in the development of a novel mixed-reality temporal bone simulator.

  2. Primary immunodeficiency diseases: dissectors of the immune system.

    PubMed

    Buckley, Rebecca H

    2002-07-01

    The past 50 years have seen enormous progress in this field. An unknown concept until 1952, there are now more than 100 different primary immunodeficiency syndromes in the world's literature. Each novel syndrome has shed new insight into the workings of the immune system, dissecting its multiple parts into unique functioning components. This has been especially true over the past decade, as the molecular bases of approximately 40 of these diseases have been identified in rapid succession. Advances in the treatment of these diseases have also been impressive. Antibody replacement has been improved greatly by the development of human immunoglobulin preparations that can be safely administered by the intravenous route, and cytokine and humanized anticytokine therapies are now possible through recombinant technologies. The ability to achieve life-saving immune reconstitution of patients with lethal severe combined immunodeficiency by administering rigorously T-cell-depleted allogeneic related haploidentical bone marrow stem cells has extended this option to virtually all such infants, if diagnosed before untreatable infections develop. Finally, the past 3 years have witnessed the first truly successful gene therapy. The impressive results in X-linked severe combined immunodeficiency offer hope that this approach can be extended to many more diseases in the future.

  3. Financial Assistance

    MedlinePlus

    ... help with costs that aren't covered, financial assistance might be available. Certain government programs and nonprofit organizations can help. You can also discuss concerns about paying your medical bills with your health care provider, social worker or the business office of your clinic ...

  4. Hydro-Jet Assisted Laparoscopic Cholecystectomy: Initial Experience in a Porcine Model

    PubMed Central

    Shekarriz, Hodjat; Upadhyay, Jyoti; Comman, Andreas; Markert, Uwe; Bürk, Conny G.; Kujath, Peter; Bruch, Hans-Peter

    2002-01-01

    Background and Objectives: Hydro-Jet technology has long been used for cutting various materials like metal and wood in the industrial field. In the medical field, this technology has been applied successfully for selective cutting of the parenchyma of the liver. However, to our knowledge, no data exist on the use of the Hydro-Jet technique for laparoscopic cholecystectomy. The purpose of this study was to evaluate a new dissection technique using a high-pressure water stream (Hydro-Jet) and a new dissection probe for laparoscopic cholecystectomy. Methods: Thirty pigs underwent laparoscopic cholecystectomy. Pigs were randomized to receive either the conventional or Hydro-Jet assisted dissection technique. The feasibility of this technique and the features of surgical dissection were evaluated and compared between the 2 groups. Results: Laparoscopic cholecystectomy was successful in all animals with no need for conversion to open surgery. The mean operative time was 28 and 36 minutes for Hydro-Jet versus conventional dissection, respectively. Complications using the Hydro-Jet and conventional techniques included 6% and 20% gallbladder perforation and 6.5% and 13% liver laceration, respectively. The use of the Hydro-Jet for cholecystectomy had clear technical advantages over conventional dissection. The Hydro-Jet resulted in a selective dissection of fibrous and connective tissue preserving blood vessels for later ligation. Therefore, the dissection was performed in a relatively bloodless field. The ease of dissection using the new bent tipped dissector represents another advantage. Finally, the continuous water flow allowed a clear view for the operator. Conclusions: This study shows that Hydro-jet dissection represents an excellent alternative to the conventional technique for laparoscopic cholecystectomy. The improved anatomical dissection combined with an almost bloodless operating field secondary to continuous water flow may decrease dissection

  5. Hydro-jet-assisted pneumonectomy: a new technique in a porcine model.

    PubMed

    Shekarriz, Hodjat; Shekarriz, Bijan; Bürk, Conny G; Kujath, Peter; Bruch, Hans-Peter

    2002-10-01

    Hydro-jet technology has long been used to cut various materials, such as metal and wood, in the industrial field. In the medical field, this technology has been applied successfully in selective cutting of the parenchyma of the liver. However, to our knowledge, no data are available on the use of the hydro-jet technique for pneumonectomy. The purpose of this study was to evaluate a new dissection technique in which a high-pressure water stream (hydro-jet) and a new dissection probe for pulmonary resection are used. Thirty pigs underwent right pneumonectomy. Pigs were randomized to either the conventional or hydro-jet-assisted dissection technique. The feasibility of this technique and the features of surgical dissection were evaluated and compared between the two groups. Pneumonectomy was successful in all animals. The mean operative times were 55 and 65 minutes and the mean volumes of blood loss were 37 and 65 mL for the hydro-jet and conventional dissection techniques, respectively. Complications included vascular injury in 6% and 20% of cases with the hydro-jet and conventional techniques, respectively. The use of hydro-jet for pneumonectomy had clear technical advantages over the conventional dissection. Hydro-jet resulted in a selective dissection of fibrous and connective tissue, preserving blood vessels for later ligation. Therefore, the dissection was performed in a relatively bloodless field. The ease of dissection with the bent-tip dissector represents another advantage. The continuous water flow allows a clear view for the operator. This study shows that hydro-jet dissection represents an excellent alternative to the conventional technique for pulmonary resection. The improved anatomic dissection combined with an almost bloodless operating field secondary to continuous water flow may decrease dissection-related complications.

  6. Hydro-Jet assisted laparroscopic cholecystectomy: initial experience in a porcine model.

    PubMed

    Shekarriz, Hodjat; Shekarriz, Bijan; Upadhyay, Jyoti; Comman, Andreas; Markert, Uwe; Bürk, Conny G; Kujath, Peter; Bruch, Hans-Peter

    2002-01-01

    Hydro-Jet technology has long been used for cutting various materials like metal and wood in the industrial field. In the medical field, this technology has been applied successfully for selective cutting of the parenchyma of the liver. However, to our knowledge, no data exist on the use of the Hydro-Jet technique for laparoscopic cholecystectomy. The purpose of this study was to evaluate a new dissection technique using a high-pressure water stream (Hydro-Jet) and a new dissection probe for laparoscopic cholecystectomy. Thirty pigs underwent laparoscopic cholecystectomy. Pigs were randomized to receive either the conventional or Hydro-Jet assisted dissection technique. The feasibility of this technique and the features of surgical dissection were evaluated and compared between the 2 groups. Laparoscopic cholecystectomy was successful in all animals with no need for conversion to open surgery. The mean operative time was 28 and 36 minutes for Hydro-Jet versus conventional dissection, respectively. Complications using the Hydro-Jet and conventional techniques included 6% and 20% gallbladder perforation and 6.5% and 13% liver laceration, respectively. The use of the Hydro-Jet for cholecystectomy had clear technical advantages over conventional dissection. The Hydro-Jet resulted in a selective dissection of fibrous and connective tissue preserving blood vessels for later ligation. Therefore, the dissection was performed in a relatively bloodless field. The ease of dissection using the new bent tipped dissector represents another advantage. Finally, the continuous water flow allowed a clear view for the operator. This study shows that Hydro-jet dissection represents an excellent alternative to the conventional technique for laparoscopic cholecystectomy. The improved anatomical dissection combined with an almost bloodless operating field secondary to continuous water flow may decrease dissection-related complications.

  7. Hydro-Jet-assisted laparoscopic cholecystectomy: a prospective randomized clinical study.

    PubMed

    Shekarriz, Hodjat; Shekarriz, Bijan; Kujath, Peter; Eckmann, Christian; Bürk, Conny; Comman, Andreas; Bruch, Hans-Peter

    2003-06-01

    A new dissection technique with high-pressure water stream (Hydro-Jet) has recently been applied for selective dissection during various surgical procedures. The aim of this study was to compare Hydro-Jet with the conventional technique for laparoscopic cholecystectomy. Eighty patients were randomized to undergo laparoscopic cholecystectomy with standard (n = 40) or Hydro-Jet-assisted (n = 40) dissection techniques. The rates of intraoperative complications, including blood loss and injury to the adjacent organs, were compared between the groups. The versatility of this technique and the features of surgical dissection were also evaluated and compared. Laparoscopic cholecystectomy was successfully completed in all subjects. The mean operative times were 78 minutes (range, 52-120 minutes) and 81 minutes (range, 45-135 minutes) for Hydro-Jet versus conventional dissection, respectively (P = not significant). Complications included gallbladder perforation in 15% and 30% (P <.1) and liver laceration in 0% and 10% (P <.04) with Hydro-Jet and conventional techniques, respectively. Increased hemorrhage from the gallbladder bed that necessitated fulguration occurred in 12 patients with the conventional technique as compared with none in the Hydro-Jet group (P <.001). Hydro-Jet resulted in a selective dissection of connective tissue preserving blood vessels and the cystic duct. The continuous water flow allowed a clear view for the operator, and the dissection was performed in a relatively bloodless field. The ease of blunt dissection with the bent-tip dissector represents another advantage. This study shows that Hydro-Jet dissection represents an excellent alternative to the conventional technique for laparoscopic cholecystectomy. The improved anatomic dissection combined with an almost bloodless operating field as the result of continuous water flow decreased the rate of dissection-related complications.

  8. Assistive Technologies

    NASA Astrophysics Data System (ADS)

    Edwards, Alistair D. N.

    To be excluded from access to the Web is becoming and increasingly severe disadvantage. One potential cause of exclusion is to have a visual impairment. Technologies exist which can make the Web more accessible to such people, but those technologies depend to a large extent on the way the Web content is designed. This chapter gives an introduction to the underlying Web technology and then to the assistive technologies which have been developed to facilitate access, notably specialized non-visual browsers and screen reader/visual browser combinations. Speculation about the future suggests that technologically the picture is quite positive as access and mainstream technologies merge together. The technologies are not the whole answer though; accessible content will only be generated if and when website owners pay greater attention to the need for it.

  9. Robot-assisted posterior retroperitoneoscopic adrenalectomy using single-port access: technical feasibility and preliminary results.

    PubMed

    Park, Jae Hyun; Kim, Soo Young; Lee, Cho-Rok; Park, Seulkee; Jeong, Jun Soo; Kang, Sang-Wook; Jeong, Jong Ju; Nam, Kee-Hyun; Chung, Woong Youn; Park, Cheong Soo

    2013-08-01

    Posterior retroperitoneoscopic adrenalectomy (PRA) has several benefits compared with transperitoneal adrenalectomy in that it is safe and has a short learning curve. In addition, it provides direct short access to the target organ, prevents irritation to the intraperitoneal space, and does not require retraction of adjacent organs.1 (-) 3 We have performed several cases of robot-assisted PRA using single-port access for small adrenal tumors. This multimedia article introduces the detailed methods and preliminary results of this procedure. Five patients underwent single-port robot-assisted PRA between March 2010 and June 2011 at our institution. During the procedure, patients were placed in a prone jackknife position with their hip joints bent at a right angle (Fig. 1). A 3 cm transverse skin incision was made just below the lowest tip of the 12th rib (Fig. 2), and the Glove port (Nelis, Kyung-gi, Korea) was placed through the skin incision while maintaining pneumoretroperitoneum (Fig. 3). CO2 was then insufflated to a pressure of 18 mm Hg to create an adequate working space. A 10 mm robotic camera with a 30-degree up view was placed at the center of the incision through the most cephalic portion of the Glove port. A Maryland dissector or Prograsp forceps (Intuitive Surgical, Inc., Sunnyvale, CA) was placed on the medial side of the incision, and Harmonic curved shears (Intuitive Surgical) were placed on the lateral side of the incision (Fig. 4). Using the Maryland dissector and the harmonic curved shears, the Gerota fascia is opened, perinephric fat is dissected, and the kidney upper pole is mobilized to expose the adrenal gland (Fig. 5). Gland dissection starts with lower margin detachment from the upper kidney pole in a lateral to medial direction (Fig. 6). After dissecting the adrenal gland from surrounding adipose tissue and medial isolation of the adrenal central vein, the vessel is ligated with a 5 mm hemolock clip (Fig. 7). Patient

  10. Physician-assisted death.

    PubMed Central

    1995-01-01

    Physician-assisted death includes both euthanasia and assistance in suicide. The CMA urges its members to adhere to the principles of palliative care. It does not support euthanasia and assisted suicide. The following policy summary includes definitions of euthanasia and assisted suicide, background information, basic ethical principles and physician concerns about legalization of physician-assisted death. PMID:7632208

  11. NORD's Patient Assistance Programs

    MedlinePlus

    ... ctx@rarediseases.org Fax: 1-203-517-0978 Cushing’s Disease | Accepting Applications Medical Assistance Co-Pay Assistance Premium Assistance Medication Assistance Contact: 1-855-864-4018 Email: cushings@rarediseases.org Fax: 1-203-517-0978 Cutaneuos ...

  12. Assisted Reproductive Technology (ART)

    MedlinePlus

    ... Share Facebook Twitter Pinterest Email Print Assisted Reproductive Technology (ART) ART refers to treatments and procedures that ... American Society for Reproductive Medicine. (2015). Assisted reproductive technologies: A guide for patients . Retrieved May 31, 2016, ...

  13. Vacuum-assisted delivery

    MedlinePlus

    ... medlineplus.gov/ency/patientinstructions/000514.htm Vacuum-assisted delivery To use the sharing features on this page, ... through the birth canal. When is Vacuum-assisted Delivery Needed? Even after your cervix is fully dilated ( ...

  14. Assisted delivery with forceps

    MedlinePlus

    ... page: //medlineplus.gov/ency/patientinstructions/000509.htm Assisted delivery with forceps To use the sharing features on ... called vacuum assisted delivery . When is a Forceps Delivery Needed? Even after your cervix is fully dilated ( ...

  15. Nurse Assistant Instructor Guide.

    ERIC Educational Resources Information Center

    Connecticut State Dept. of Education, Hartford. Div. of Vocational, Technical, and Adult Education.

    This document is designed to assist the teacher in a nurse assistant certification program. The program is intended to prepare students for entry-level employment in a long-term care facility or with a licensed home health care agency. The 135-hour course teaches basic skills in patient care that will qualify the student to assist the licensed…

  16. Dental Assisting Program Guide.

    ERIC Educational Resources Information Center

    Georgia Univ., Athens. Dept. of Vocational Education.

    This program guide contains the standard dental assisting curriculum for technical institutes in Georgia. The curriculum encompasses the minimum competencies required for entry-level dental assistants, and includes job skills in the technical areas of preventive dentistry; four-handed dentistry; chairside assisting with emphasis in diagnostics,…

  17. Turning assistive machines into assistive robots

    NASA Astrophysics Data System (ADS)

    Argall, Brenna D.

    2015-01-01

    For decades, the potential for automation in particular, in the form of smart wheelchairs to aid those with motor, or cognitive, impairments has been recognized. It is a paradox that often the more severe a person's motor impairment, the more challenging it is for them to operate the very assistive machines which might enhance their quality of life. A primary aim of my lab is to address this confound by incorporating robotics autonomy and intelligence into assistive machines turning the machine into a kind of robot, and offloading some of the control burden from the user. Robots already synthetically sense, act in and reason about the world, and these technologies can be leveraged to help bridge the gap left by sensory, motor or cognitive impairments in the users of assistive machines. This paper overviews some of the ongoing projects in my lab, which strives to advance human ability through robotics autonomy.

  18. Assisted suicide and euthanasia.

    PubMed

    van der Heide, Agnes

    2013-01-01

    Several countries have adopted laws that regulate physician assistance in dying. Such assistance may consist of providing a patient with a prescription of lethal medication that is self-administered by the patient, which is usually referred to as (physician) assistance in suicide, or of administering lethal medication to a patient, which is referred to as euthanasia. The main aim of regulating physician assistance in dying is to bring these practices into the open and to provide physicians with legal certainty. A key condition in all jurisdictions that have regulated either assistance in suicide or euthanasia is that physicians are only allowed to engage in these acts upon the explicit and voluntary request of the patient. All systems that allow physician assistance in dying have also in some way included the notion that physician assistance in dying is only accepted when it is the only means to address severe suffering from an incurable medical condition. Arguments against the legal regulation of physician assistance in dying include principled arguments, such as the wrongness of hastening death, and arguments that emphasize the negative consequences of allowing physician assistance in dying, such as a devaluation of the lives of older people, or people with chronic disease or disabilities. Opinion polls show that some form of accepting and regulating euthanasia and physician assistance in suicide is increasingly supported by the general population in most western countries. Studies in countries where physician assistance in dying is regulated suggest that practices have remained rather stable in most jurisdictions and that physicians adhere to the legal criteria in the vast majority of cases. © 2013 Elsevier B.V. All rights reserved.

  19. Egress door opening assister

    DOEpatents

    Allison, Thomas L.

    2015-10-06

    A door opening spring assistance apparatus is set forth that will automatically apply a door opening assistance force using a combination of rods and coil springs. The release of the rods by the coil springs reduces the force required to set the door in motion.

  20. Federal disaster assistance programs

    Treesearch

    William J. Patterson

    1995-01-01

    The Robert T. Stafford Disaster Relief and Emergency Assistance Act—Public Law 93-288, as amended—is designed to provide support and assistance to citizens, state, and local government from catastrophic disasters and emergencies. The law provides support in three distinct phases, including preparedness in avoiding or minimizing the effect of a disaster, response...

  1. Faculty Housing Assistance.

    ERIC Educational Resources Information Center

    Fink, Ira

    1982-01-01

    Some of the creative financing programs currently used to provide faculty housing assistance in California and elsewhere in the United States are described. Generally, the programs fall into one of four categories: rental housing, owner housing, mortgage assistance, and housing stipends. Institutions with a comprehensive housing program often have…

  2. Peer-Assisted Learning.

    ERIC Educational Resources Information Center

    Topping, Keith, Ed.; Ehly, Stewart, Ed.

    Peer-Assisted Learning (PAL) involves students consciously assisting others to learn, and in so doing, learning more effectively themselves. PAL encompasses peer tutoring, peer modeling, peer education, peer counseling, peer monitoring, and peer assessment, which are differentiated from other more general "cooperative learning" methods.…

  3. Physical Therapist Assistant.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This document, which is designed for use in developing a tech prep competency profile for the occupation of physical therapist assistant, lists technical competencies and competency builders for 16 units pertinent to the health technologies cluster in general as well as those specific to the occupation of physical therapist assistant. The…

  4. Occupational Therapy Assistant.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This document, which is designed for use in developing a tech prep competency profile for the occupation of occupational therapy assistant, lists technical competencies and competency builders for 16 units pertinent to the health technologies cluster in general as well as those specific to the occupation of occupational therapy assistant. The…

  5. Competition for Assistance Agreements

    EPA Pesticide Factsheets

    It is EPA policy to promote competition in the award of assistance agreements to the maximum extent practicable.When assistance agreements are awarded competitively, it is EPA policy that the competitive process be fair and open & that no applicant receive

  6. Robotic assisted laparoscopic colectomy.

    PubMed

    Pandalai, S; Kavanagh, D O; Neary, P

    2010-06-01

    Robotic surgery has evolved over the last decade to compensate for limitations in human dexterity. It avoids the need for a trained assistant while decreasing error rates such as perforations. The nature of the robotic assistance varies from voice activated camera control to more elaborate telerobotic systems such as the Zeus and the Da Vinci where the surgeon controls the robotic arms using a console. Herein, we report the first series of robotic assisted colectomies in Ireland using a voice activated camera control system.

  7. Pathways to Assisted Living

    PubMed Central

    Ball, Mary M.; Perkins, Molly M.; Hollingsworth, Carole; Whittington, Frank J.; King, Sharon V.

    2009-01-01

    This article examines how race and class influence decisions to move to assisted living facilities. Qualitative methods were used to study moving decisions of residents in 10 assisted living facilities varying in size and location, as well as race and socioeconomic status of residents. Data were derived from in-depth interviews with 60 residents, 43 family members and friends, and 12 administrators. Grounded theory analysis identified three types of residents based on their decision-making control: proactive, compliant, and passive/resistant. Only proactive residents (less than a quarter of residents) had primary control. Findings show that control of decision making for elders who are moving to assisted living is influenced by class, though not directly by race. The impact of class primarily related to assisted-living placement options and strategies available to forestall moves. Factors influencing the decision-making process were similar for Black and White elders of comparable socioeconomic status. PMID:19756172

  8. [Assisted peritoneal dialysis].

    PubMed

    Klarić, Dragan; Prkačin, Ingrid

    2014-04-01

    According to the National Registry of Renal Replacement Therapy (RRT), the incidence of chronic kidney disease (end-stage renal disease) and the need of RRT have declined in the last decade renal. One of the reasons for this tendency certainly is transplantation as the best choice. However, transplant procedure has limitations in elderly patients due to the number of comorbidities. This study was designed as retrospective analysis of outcomes in patients treated with peritoneal dialysis for a period of eleven years. Patients were divided into those who had been assisted or unassisted. Out of 100 patients treated with peritoneal dialysis (PD), 77 completed the treatment, including 26 assisted and 51 unassisted patients. Peritonitis was recorded in 20 assisted and 26 unassisted patients. Peritonitis was more common in unassisted patients, who were more frequently lost from PD. Assisted PD could be a good and safe choice of RRT in this special group of patients.

  9. Dental Assisting Program Standards.

    ERIC Educational Resources Information Center

    Georgia Univ., Athens. Dept. of Vocational Education.

    This publication contains statewide standards for the dental assisting program in Georgia. The standards are divided into 12 categories: foundations (philosophy, purpose, goals, program objectives, availability, evaluation); admissions (admission requirements, provisional admission requirements, recruitment, evaluation and planning); program…

  10. Physician Assistant profession (PA)

    MedlinePlus

    ... years of health-related experience. Educational programs for PAs are typically associated with colleges of medicine. They ... primary care. The physician assistant role has allowed PAs to perform tasks previously only performed by doctors. ...

  11. Technical Assistance Plan (TAP)

    EPA Pesticide Factsheets

    A Technical Assistance Plan (TAP) enables community groups to retain the services of an independent technical advisor and to provide resources for a community group to help inform other community members about site decisions.

  12. Assisted Reproductive Technology

    MedlinePlus

    Assisted reproductive technology (ART) is used to treat infertility. It includes fertility treatments that handle both a woman's egg and a man's sperm. ... is the most common and effective type of ART. ART procedures sometimes use donor eggs, donor sperm, ...

  13. Medical Assisting Program Standards.

    ERIC Educational Resources Information Center

    Georgia Univ., Athens. Dept. of Vocational Education.

    This publication contains statewide standards for the medical assisting program in Georgia. The standards are divided into 12 categories; Foundations (philosophy, purpose, goals, program objectives, availability, evaluation); Admissions (admission requirements, provisional admission requirements, recruitment, evaluation and planning); Program…

  14. EPA's Industry Assistance Office.

    ERIC Educational Resources Information Center

    Ruggiero, Michael A.

    1979-01-01

    The EPA's Industry Assistance Office, established under the Toxic Substance Control Act to help manufacturers and processors of chemical substances and mixtures to comply with the Act, is described. (BB)

  15. Preparing Teaching Assistants

    ERIC Educational Resources Information Center

    Barrus, J. L.; And Others

    1974-01-01

    Discusses the offering of a special one-credit course in teacher training for the teaching assistants of the chemistry department of the University of Idaho, involving the films used, micro-teaching assignments, and course evaluation questionnaires. (CC)

  16. Computer Assisted Instruction

    ERIC Educational Resources Information Center

    Higgins, Paul

    1976-01-01

    Methodology for developing a computer assisted instruction (CAI) lesson (scripting, programing, and testing) is reviewed. A project done by Informatics Education Ltd. (IEL) for the Department of National Defense (DND) is used as an example. (JT)

  17. Financial Assistance Information

    MedlinePlus

    ... assistance in paying for medical care for low-income families. Go to "Families & Children." Contact DHHS directly: ... for a medicaid waiver that waives the family income and looks only at the disabled person's income. ...

  18. Computer-Assisted Testing.

    ERIC Educational Resources Information Center

    Edwards, John S.

    1980-01-01

    The most common functions of computer-assisted testing are item-banking, in which test items are collected and stored; test-construction, specifying item attributes and determining information required for identification of the test; and test scoring. (JN)

  19. Mobile Autonomous Humanoid Assistant

    NASA Technical Reports Server (NTRS)

    Diftler, M. A.; Ambrose, R. O.; Tyree, K. S.; Goza, S. M.; Huber, E. L.

    2004-01-01

    A mobile autonomous humanoid robot is assisting human co-workers at the Johnson Space Center with tool handling tasks. This robot combines the upper body of the National Aeronautics and Space Administration (NASA)/Defense Advanced Research Projects Agency (DARPA) Robonaut system with a Segway(TradeMark) Robotic Mobility Platform yielding a dexterous, maneuverable humanoid perfect for aiding human co-workers in a range of environments. This system uses stereo vision to locate human team mates and tools and a navigation system that uses laser range and vision data to follow humans while avoiding obstacles. Tactile sensors provide information to grasping algorithms for efficient tool exchanges. The autonomous architecture utilizes these pre-programmed skills to form human assistant behaviors. The initial behavior demonstrates a robust capability to assist a human by acquiring a tool from a remotely located individual and then following the human in a cluttered environment with the tool for future use.

  20. ASSIST user manual

    NASA Technical Reports Server (NTRS)

    Johnson, Sally C.; Boerschlein, David P.

    1995-01-01

    Semi-Markov models can be used to analyze the reliability of virtually any fault-tolerant system. However, the process of delineating all the states and transitions in a complex system model can be devastatingly tedious and error prone. The Abstract Semi-Markov Specification Interface to the SURE Tool (ASSIST) computer program allows the user to describe the semi-Markov model in a high-level language. Instead of listing the individual model states, the user specifies the rules governing the behavior of the system, and these are used to generate the model automatically. A few statements in the abstract language can describe a very large, complex model. Because no assumptions are made about the system being modeled, ASSIST can be used to generate models describing the behavior of any system. The ASSIST program and its input language are described and illustrated by examples.

  1. Discrete Driver Assistance

    NASA Astrophysics Data System (ADS)

    Klette, Reinhard; Jiang, Ruyi; Morales, Sandino; Vaudrey, Tobi

    Applying computer technology, such as computer vision in driver assistance, implies that processes and data are modeled as being discretized rather than being continuous. The area of stereo vision provides various examples how concepts known in discrete mathematics (e.g., pixel adjacency graphs, belief propagation, dynamic programming, max-flow/min-cut, or digital straight lines) are applied when aiming for efficient and accurate pixel correspondence solutions. The paper reviews such developments for a reader in discrete mathematics who is interested in applied research (in particular, in vision-based driver assistance). As a second subject, the paper also discusses lane detection and tracking, which is a particular task in driver assistance; recently the Euclidean distance transform proved to be a very appropriate tool for obtaining a fairly robust solution.

  2. Dishing Out the Assist

    ERIC Educational Resources Information Center

    Roach, Ronald

    2007-01-01

    Running a high-quality Web site is a tall order for any college athletic department. That is why specialized Web-hosting companies have stepped up to lend a hand. Until this past January, Kristene Kelly managed Johnson C. Smith University's athletic department Web site the old-fashioned way--relying largely on the assistance of the school's…

  3. Robotic assisted andrological surgery

    PubMed Central

    Parekattil, Sijo J; Gudeloglu, Ahmet

    2013-01-01

    The introduction of the operative microscope for andrological surgery in the 1970s provided enhanced magnification and accuracy, unparalleled to any previous visual loop or magnification techniques. This technology revolutionized techniques for microsurgery in andrology. Today, we may be on the verge of a second such revolution by the incorporation of robotic assisted platforms for microsurgery in andrology. Robotic assisted microsurgery is being utilized to a greater degree in andrology and a number of other microsurgical fields, such as ophthalmology, hand surgery, plastics and reconstructive surgery. The potential advantages of robotic assisted platforms include elimination of tremor, improved stability, surgeon ergonomics, scalability of motion, multi-input visual interphases with up to three simultaneous visual views, enhanced magnification, and the ability to manipulate three surgical instruments and cameras simultaneously. This review paper begins with the historical development of robotic microsurgery. It then provides an in-depth presentation of the technique and outcomes of common robotic microsurgical andrological procedures, such as vasectomy reversal, subinguinal varicocelectomy, targeted spermatic cord denervation (for chronic orchialgia) and robotic assisted microsurgical testicular sperm extraction (microTESE). PMID:23241637

  4. Financial Management Assistant.

    ERIC Educational Resources Information Center

    Ohio State Univ., Columbus. Center on Education and Training for Employment.

    This publication contains 19 subjects appropriate for use in a competency list for the occupation of financial management assistant, 1 of 12 occupations within the business/computer technologies cluster. Each unit consists of a number of competencies; a list of competency builders is provided for each competency. Titles of the 19 units are as…

  5. Demystifying ventricular assist devices.

    PubMed

    Litton, Kimberley A

    2011-01-01

    Many people throughout the world are living with heart disease and advanced heart failure. They may be in need of a heart transplant, but because of the limited amount of donor hearts available, other options need to be available. Because of the advancement of technology, there are now other options, and one option available would be a mechanical circulatory and cardiac support device. Ventricular assist devices (VADs) have been developed over the past 30 years. From larger, earlier pulsatile devices to smaller, hand-held, newer axial flow or rotary pump devices, VADs are implanted cardiac assist devices. They are implanted to provide cardiac support and can be used temporarily as a bridge to transplant (for those awaiting a heart transplant) or implanted permanently, which is known as destination therapy. With the changes in the size of device, decrease in the size of drive line, increased length of battery life, as well as length of device life, thousands of people now have these implanted VAD devices and are living quality lives and functioning at high levels. Currently, there are 3 generations of the left ventricular assist devices being used throughout the world. Five of the most well-known type of left ventricular assist devices are discussed in this article.

  6. A data analysis assistant

    NASA Technical Reports Server (NTRS)

    Lansky, Amy L.

    1994-01-01

    This paper discusses the use of a domain-independent planner, COLLAGE, as a software assistant to Earth scientists working with remotely-sensed and ground based data sets. The planner can be viewed as an advisory agent that helps scientists select appropriate data and creates a suitable plan for data-processing that meets stated scientific requirements.

  7. Assisting Wine Growers

    NASA Technical Reports Server (NTRS)

    1993-01-01

    This video documents efforts at NASA Ames Research Center to assist wine growers in the Napa valley in their fight against a root parasite which is destroying millions of dollars worth of grape crops. NASA researchers are using airborne scanners and remote sensing equipment to detect the parasite before it becomes entrenched, so that growers can treat the harvest to resist infestation.

  8. Robotic assisted andrological surgery.

    PubMed

    Parekattil, Sijo J; Gudeloglu, Ahmet

    2013-01-01

    The introduction of the operative microscope for andrological surgery in the 1970s provided enhanced magnification and accuracy, unparalleled to any previous visual loop or magnification techniques. This technology revolutionized techniques for microsurgery in andrology. Today, we may be on the verge of a second such revolution by the incorporation of robotic assisted platforms for microsurgery in andrology. Robotic assisted microsurgery is being utilized to a greater degree in andrology and a number of other microsurgical fields, such as ophthalmology, hand surgery, plastics and reconstructive surgery. The potential advantages of robotic assisted platforms include elimination of tremor, improved stability, surgeon ergonomics, scalability of motion, multi-input visual interphases with up to three simultaneous visual views, enhanced magnification, and the ability to manipulate three surgical instruments and cameras simultaneously. This review paper begins with the historical development of robotic microsurgery. It then provides an in-depth presentation of the technique and outcomes of common robotic microsurgical andrological procedures, such as vasectomy reversal, subinguinal varicocelectomy, targeted spermatic cord denervation (for chronic orchialgia) and robotic assisted microsurgical testicular sperm extraction (microTESE).

  9. Information Desk Assistants' Manual.

    ERIC Educational Resources Information Center

    Bombeld, Madeleine; Crowe, Kathryn Moore

    The purpose of this manual is to acquaint desk assistants (whose two major functions are to provide information and to instruct patrons how to use library materials) with the services, policies, and procedures of the Reference Department and Jackson Library at the University of North Carolina, Greensboro. Information is presented about: their…

  10. ASSISTANT GROUNDSKEEPER, TEACHERS COPY.

    ERIC Educational Resources Information Center

    FITTS, JAMES; JOHNSON, JOHNNY

    THE PURPOSE OF THIS DOCUMENT IS TO PROVIDE A STUDY GUIDE FOR VOCATIONAL AGRICULTURE COOPERATIVE EDUCATION STUDENTS PREPARING TO BECOME ASSISTANT GROUNDSKEEPERS. IT WAS PREPARED BY VOCATIONAL AGRICULTURE TEACHERS IN CONSULTATION WITH SUBJECT MATTER SPECIALISTS. SECTIONS IN THE GUIDE INCLUDE (1) INTRODUCTION TO HORTICULTURE, (2) PLANT GROWING MEDIA,…

  11. Medical Services Assistant Curriculum.

    ERIC Educational Resources Information Center

    Leeman, Phyllis A.

    Designed to develop 12th-grade multiple competencies courses, this curriculum prepares the student to assist a physician, dentist, or other health professional with the management of a medical office and to perform basic health services procedures. Course descriptions are provided for the two courses in the curriculum: medical services assistant…

  12. Employee Assistance Programs.

    ERIC Educational Resources Information Center

    Levine, Hermine Zagat

    1985-01-01

    The author reports company responses to a questionnaire concerning employee assistance programs (EAP). Answers concern EAP structure, staff training, use of outside consultant, services provided by EAPs, program administration, employee confidence in EAPs, advertising the program, program philosophy, problems encountered by EAP users, coverage and…

  13. Assisted Cycling Tours

    ERIC Educational Resources Information Center

    Hollingsworth, Jan Carter

    2008-01-01

    This article discusses Assisted Cycling Tours (ACT), a Westminster, Colorado based 501(c)3, non-profit that is offering the joy of bicycle tours in breathtaking, scenic locations to children and adults with developmental and physical disabilities and their families. ACT was founded by Bob Matter and his son David with a goal of opening up the…

  14. Assistive Technologies for Reading

    ERIC Educational Resources Information Center

    Ruffin, Tiece M.

    2012-01-01

    Twenty-first century teachers working with diverse readers are often faced with the question of how to integrate technology in reading instruction that meets the needs of the techno-generation. Are today's teachers equipped with the knowledge of how to effectively use Assistive Technologies (AT) for reading? This position paper discusses AT for…

  15. Medical Assisting Learning Guides.

    ERIC Educational Resources Information Center

    Meyer, Rose

    Eight student learning guides are provided for a medical assisting program at the secondary, postsecondary, or adult level. Each learning guide is composed of these component parts: a title page that states the task, purpose, program and task numbers, estimated time, and prerequisites; an optional learning contract that includes terminal…

  16. CAA: Computer Assisted Athletics.

    ERIC Educational Resources Information Center

    Hall, John H.

    Computers have been used in a variety of applications for athletics since the late 1950's. These have ranged from computer-controlled electric scoreboards to computer-designed pole vaulting poles. Described in this paper are a computer-based athletic injury reporting system and a computer-assisted football scouting system. The injury reporting…

  17. Robotic assistant for laparoscopy.

    PubMed

    Panait, Lucian; Rafiq, Azhar; Mohammed, Ahmed; Mora, Francisco; Merrell, Ronald

    2006-04-01

    With the advent of technologies allowing for wider application of minimally invasive surgeries, the integration of telerobotics for mentoring by a surgeon at a remote site will make it possible to include a wider audience in surgical consultations and collaboration. Two surgery research fellows performed 8 laparoscopic cholecystectomies each in a swine model, as the animate portion of the study. Using the Zeus robotic system, a senior surgeon participated as a robotic assistant and consulted remotely. Teleconsultation was achieved using Hermes voice-activated software to display an on-screen pointer highlighting significant anatomic structures. To clarify the workspace space constraints on the robotic arms, an inanimate study was conducted to carry out retrieval, delivery, and complex object movement. All the laparoscopic cholecystectomies were completed successfully, with minimal blood loss and no complications. The robotic assistant surgeon participated in all surgeries and instructed on anatomical landmarks. The robotic tools were at a disadvantage due to the radius of movement. The simpler tasks were easier to complete than the complex movement, which required bimanual coordination. This study confirms the feasibility of integrating robotics as a surgical assistant and to consult distant audiences by a single senior surgeon. Incorporating remote access assistance and education capacities extends the limits of physical restrictions in completing surgical procedures safely.

  18. Families and Assisted Living

    ERIC Educational Resources Information Center

    Gaugler, Joseph E.; Kane, Robert L.

    2007-01-01

    Purpose: Despite growing research on assisted living (AL) as a residential care option for older adults, the social ramifications of residents' transitions to AL are relatively unexplored. This article examines family involvement in AL, including family structures of residents, types of involvement from family members living outside the AL…

  19. Assisting suicide in Michigan.

    PubMed

    Ellin, Joseph

    1996-01-01

    Perhaps no American state has seen more legal activity on assisting suicide than Michigan, but despite legislation, a study Commission, several legal cases and a state Supreme Court ruling, the state seems much further from a humane resolution of the question than when the activities of Dr. Jack Kevorkian began in June of 1990. This note summarizes major legal events over a twelve-month period (ending May '95), which included jury acquittal of Dr. Kevorkian, the inconclusive report of the Michigan Commission on Death and Dying, the failure of the state legislature to enact legislation to replace the expired absolute but temporary prohibition, and the decision of the Michigan Supreme Court in Mich. v. Kevorkian declaring assisting suicide a common law felony and ruling that in certain circumstances a person assisting suicide can be prosecuted for murder. The Commission's model decriminalization proposal and the bills subsequently introduced in the legislature (all of which to varying degrees surrounded assisting suicide with restrictions and safeguards), as well as the decision of the Supreme Court, are discussed. Certain puzzling features of the latter, especially with regard to the kind of causation that can turn helping another commit suicide into murder are noted.

  20. Assistance Focus: Africa

    SciTech Connect

    2017-05-18

    The Clean Energy Solutions Center, an initiative of the Clean Energy Ministerial, helps countries throughout the world create policies and programs that advance the deployment of clean energy technologies. Through the Solutions Center's no-cost Ask an Expert service, a team of international experts has delivered assistance to countries in all regions of the world, including Africa.

  1. Real Estate Assistance

    NASA Technical Reports Server (NTRS)

    1997-01-01

    The Commercial Remote Sensing Program at Stennis Space Center assists numerous companies across the United States, in learning to use remote sensing capabilities to enhance their competitiveness. Through the Visiting Investigator Program, SSC helped Coast Delta Realty in Diamondhead, Miss., incorporate remote sensing and Geogrpahic Information System technology for real estate marketing and management.

  2. Treatment. Technical Assistance Packet.

    ERIC Educational Resources Information Center

    Join Together, Boston, MA.

    Treatment is one component of a strategy to reduce substance abuse. It can include detoxification; inpatient counseling; outpatient counseling; therapeutic communities; and self help groups. Referrals can take place in settings such as emergency rooms; employee assistance programs; churches; and physicians' offices. Unmet treatment needs can cause…

  3. Housekeeping Management Assistant.

    ERIC Educational Resources Information Center

    Texas Tech. Univ., Lubbock. School of Home Economics.

    This course of study for housekeeping management assistant is one of a series available for use by teacher-coordinators and students in home economics cooperative education programs for grades 11 and 12. Based on job analysis interviews with hotel, motel, hospital, institutional, and domestic housekeeping personnel, this course was prepared by…

  4. Teaching Assistants Talking

    ERIC Educational Resources Information Center

    McLachlan, Benita

    2016-01-01

    Local Authorities (LAs) in Britain traditionally employ Visual Impairment (VI) teams as integrative statutory Special Educational Needs and Inclusion (SENI) provision. Teaching Assistants (TAs) work alongside Qualified Teachers (QTs) in VI teams to support children and young people (CYP) with VI. The VI TA has a broad role in covering early years,…

  5. Operation Bali assist.

    PubMed

    Hampson, Gregory V; Cook, Steven P; Frederiksen, Steven R

    Operation Bali Assist was the Australian Defence Force evacuation of injured Australians and other foreign nationals after the Bali terrorist bombing. This operation was the largest Australian aeromedical evacuation since the Vietnam War. It relied on military and civilian cooperation to move the critically injured initially from Denpasar to Darwin, and then on to specialist units around Australia.

  6. Assistive Technologies, Feature Issue.

    ERIC Educational Resources Information Center

    Wobschall, Rachel, Ed.; Lakin, Charlie, Ed.

    1995-01-01

    This feature issue of a newsletter on community integration of individuals with developmental disabilities considers the role of assistive technologies. It describes efforts to utilize consumer direction, public policy, creativity, energy, and professional know-how in the pursuit of technology-based opportunities to enhance community inclusion,…

  7. The Computerized "Assistant Prof."

    ERIC Educational Resources Information Center

    Shough, J. Stuart

    The computerized "Assistant Prof" program at the University of South Carolina at Spartanburg is written in Lotus 1-2-3 to aid college professors in all their various administrative duties. The program performs four distinctive functions: (1) record keeping; (2) form producing; (3) grade calculating; and (4) feedback of student class…

  8. Dementia and Assisted Living

    ERIC Educational Resources Information Center

    Hyde, Joan; Perez, Rosa; Forester, Brent

    2007-01-01

    Purpose: This article presents an overview of what is known about dementia services in assisted living settings and suggests areas for future research. Design and Methods: We undertook a search of Medline, the "Journals of Gerontology," and "The Gerontologist." We then organized publications dealing with the target subject into 10 topic areas and…

  9. Preparing for Assisted Reproductive Technology

    MedlinePlus

    ... CDC Cancel Submit Search The CDC Assisted Reproductive Technology (ART) Note: Javascript is disabled or is not ... visit this page: About CDC.gov . Assisted Reproductive Technology (ART) What Is ART Patient Resources Preparing for ...

  10. A gravity assist primer

    NASA Technical Reports Server (NTRS)

    Cesarone, R. J.

    1989-01-01

    An account is given of the method by which the 'energy gain' accruing to a spacecraft as a result of its 'gravity-assist', parabolic-trajectory flyby of a massive body, such as a planet. The procedure begins with the solution of the two-body portion of the problem, and the results thus obtained are used to calculate changes with respect to the other massive body in the overall scenario, namely the sun. Attention is given to the 'vector diagram' often used to display the gravity-assist effect. The present procedure is noted to be reasonably accurate for flybys in which the plane of the spacecraft's trajectory is approximately the same as that of the planet's orbit around the sun, or the ecliptic plane; this reduces the problem to one in two dimensions.

  11. ASSIST internals reference manual

    NASA Technical Reports Server (NTRS)

    Johnson, Sally C.; Boerschlein, David P.

    1994-01-01

    The Abstract Semi-Markov Specification Interface to the SURE Tool (ASSIST) program was developed at NASA LaRC in order to analyze the reliability of virtually any fault-tolerant system. A user manual was developed to detail its use. Certain technical specifics are of no concern to the end user, yet are of importance to those who must maintain and/or verify the correctness of the tool. This document takes a detailed look into these technical issues.

  12. Assistance Focus: Africa

    SciTech Connect

    2017-03-29

    The Clean Energy Solutions Center, an initiative of the Clean Energy Ministerial, helps countries throughout the world create policies and programs that advance the deployment of clean energy technologies. Through the Solutions Center's no-cost 'Ask an Expert' service, a team of international experts has delivered assistance to countries in all regions of the world. High-impact examples from Africa are featured here.

  13. Virtual Reality Lab Assistant

    NASA Technical Reports Server (NTRS)

    Saha, Hrishikesh; Palmer, Timothy A.

    1996-01-01

    Virtual Reality Lab Assistant (VRLA) demonstration model is aligned for engineering and material science experiments to be performed by undergraduate and graduate students in the course as a pre-lab simulation experience. This will help students to get a preview of how to use the lab equipment and run experiments without using the lab hardware/software equipment. The quality of the time available for laboratory experiments can be significantly improved through the use of virtual reality technology.

  14. Computer-assisted instruction

    NASA Technical Reports Server (NTRS)

    Atkinson, R. C.

    1974-01-01

    The results are presented of a project of research and development on strategies for optimizing the instructional process, and dissemination of information about the applications of such research to the instructional medium of computer-assisted instruction. Accomplishments reported include construction of the author language INSTRUCT, construction of a practical CAI course in the area of computer science, and a number of investigations into the individualization of instruction, using the course as a vehicle.

  15. Legal Assistance Preventive Law Series

    DTIC Science & Technology

    1994-06-01

    keep copies. 3. If you cannot get satisfaction from the retailer or 4 WARRANTIES manufacturer, contact your local consumer protection agencies. They...attorneys. 14. SUBJECT TERMS 1S. NUMBER OF PAGES Legal Assistance, Handouts, Family Law, Wills, N21E lo S Real Estate, Consumer Law, Loans 16. PRCE...Guide JA 265 Legal Assistance Consumer Law Guide JA 267 Legal Assistance Office Directory JA 268 Legal Assistance Notarial Guide JA 269 Legal

  16. Families and Assisted Living*

    PubMed Central

    Gaugler, Joseph E.; Kane, Robert L.

    2008-01-01

    Purpose Despite growing research on assisted living (AL) as a residential care option for older adults, the social ramifications of residents' transitions to assisted living is relatively unexplored. This article examines family involvement in AL, including family structures of residents, types of involvement from family members living outside the AL, and outcomes for these family members. Design and Methods We reviewed current literature utilizing the MEDLINE, PSYCINFO, and CINAHL databases to identify AL studies that examined issues pertaining to families or informal care. Following the screening of abstracts, 180 reports were retrieved for further review, and 62 studies were selected for inclusion. Results Families visit residents frequently and provide a wide range of instrumental assistance but provide only minimal personal care. Studies of family outcomes indicated relatively high satisfaction, but potential care burden as well. Implications How family care and involvement occurs in AL in relation to formal care provision and whether various types of formal-informal care integration influence family outcomes remains unclear. We suggest a research agenda that attempts to tease out causal relationships for family involvement, differentiate family roles, and implement longitudinal analyses for a range of family outcomes. PMID:18162571

  17. Teaching Assistant Policies and Procedures.

    ERIC Educational Resources Information Center

    Wisconsin Univ., Madison.

    Policies and procedures covering graduate teaching assistants (TAs) at the University of Wisconsin-Madison are presented. A TA's duties may include classroom teaching under the direction of a faculty member, assisting in teaching classes, discussion groups, problem-solving sessions or laboratories, assisting in planning courses and developing…

  18. The Orientation and Mobility Assistant.

    ERIC Educational Resources Information Center

    Wiener, William R.; And Others

    1990-01-01

    Implementation of recommendations of a position paper on training Orientation Mobility (OM) assistants is considered with suggestions concerning the roles of the OM specialist and OM assistant, specific skill areas for training, the role of the agency or school, and a preparation program for the mobility assistant leading to certification. (DB)

  19. Combined optical tweezers and laser dissector for controlled ablation of functional connections in neural networks.

    PubMed

    Difato, Francesco; Dal Maschio, Marco; Marconi, Emanuele; Ronzitti, Giuseppe; Maccione, Alessandro; Fellin, Tommasso; Berdondini, Luca; Chieregatti, Evelina; Benfenati, Fabio; Blau, Axel

    2011-05-01

    Regeneration of functional connectivity within a neural network after different degrees of lesion is of utmost clinical importance. To test pharmacological approaches aimed at recovering from a total or partial damage of neuronal connections within a circuit, it is necessary to develop a precise method for controlled ablation of neuronal processes. We combined a UV laser microdissector to ablate neural processes in vitro at single neuron and neural network level with infrared holographic optical tweezers to carry out force spectroscopy measurements. Simultaneous force spectroscopy, down to the sub-pico-Newton range, was performed during laser dissection to quantify the tension release in a partially ablated neurite. Therefore, we could control and measure the damage inflicted to an individual neuronal process. To characterize the effect of the inflicted injury on network level, changes in activity of neural subpopulations were monitored with subcellular resolution and overall network activity with high temporal resolution by concurrent calcium imaging and microelectrode array recording. Neuronal connections have been sequentially ablated and the correlated changes in network activity traced and mapped. With this unique combination of electrophysiological and optical tools, neural activity can be studied and quantified in response to controlled injury at the subcellular, cellular, and network level.

  20. Dissecting the Dissectors: Knowledge, Attitude, and Practice of Body Bequests by Nigerian Anatomists

    ERIC Educational Resources Information Center

    Anyanwu, Emeka G.; Obikili, Emmanuel N.

    2012-01-01

    Anatomy education in most African countries is limited by an insufficient number of cadavers for students to undertake dissection. This already significant shortage is exacerbated by an increasing number of medical schools and students. Virtual dissections are impractical in alleviating such a shortfall in African anatomy education, and further…

  1. Image dissector control and data system electronics, part 1, part 2, and part 3

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The operating and calibration procedures, design details, and maintenance information for the control console and the associated electronics are presented. Detailed circuit connector information is included which describes the destination of each wire leaving each pin of each circuit board. The schematic diagrams of the circuit boards in the system and of the interconnection between boards and consoles are presented.

  2. Combined optical tweezers and laser dissector for controlled ablation of functional connections in neural networks

    NASA Astrophysics Data System (ADS)

    Difato, Francesco; Dal Maschio, Marco; Marconi, Emanuele; Ronzitti, Giuseppe; Maccione, Alessandro; Fellin, Tommasso; Berdondini, Luca; Chieregatti, Evelina; Benfenati, Fabio; Blau, Axel

    2011-05-01

    Regeneration of functional connectivity within a neural network after different degrees of lesion is of utmost clinical importance. To test pharmacological approaches aimed at recovering from a total or partial damage of neuronal connections within a circuit, it is necessary to develop a precise method for controlled ablation of neuronal processes. We combined a UV laser microdissector to ablate neural processes in vitro at single neuron and neural network level with infrared holographic optical tweezers to carry out force spectroscopy measurements. Simultaneous force spectroscopy, down to the sub-pico-Newton range, was performed during laser dissection to quantify the tension release in a partially ablated neurite. Therefore, we could control and measure the damage inflicted to an individual neuronal process. To characterize the effect of the inflicted injury on network level, changes in activity of neural subpopulations were monitored with subcellular resolution and overall network activity with high temporal resolution by concurrent calcium imaging and microelectrode array recording. Neuronal connections have been sequentially ablated and the correlated changes in network activity traced and mapped. With this unique combination of electrophysiological and optical tools, neural activity can be studied and quantified in response to controlled injury at the subcellular, cellular, and network level.

  3. Heparin for assisted reproduction.

    PubMed

    Akhtar, Muhammad A; Sur, Shyamaly; Raine-Fenning, Nick; Jayaprakasan, Kannamannadiar; Thornton, Jim G; Quenby, Siobhan

    2013-08-17

    Heparin as an adjunct in assisted reproduction (peri-implantation heparin) is given at or after egg collection or at embryo transfer during assisted reproduction. Heparin has been advocated to improve embryo implantation and clinical outcomes.  It has been proposed that heparin enhances the intra-uterine environment by improving decidualisation with an associated activation of growth factors and a cytokine expression profile in the endometrium that is favourable to pregnancy. To investigate whether the administration of heparin around the time of implantation (peri-implantation heparin) improves clinical outcomes in subfertile women undergoing assisted reproduction. A comprehensive and exhaustive search strategy was developed in consultation with the Trials Search Co-ordinator of the Cochrane Menstrual Disorders and Subfertility Group (MDSG). The strategy was used in an attempt to identify all relevant studies regardless of language or publication status (published, unpublished, in press, and in progress). Relevant trials were identified from both electronic databases and other resources (last search 6 May 2013). All randomised controlled trials (RCTs) were included where peri-implantation heparin was given during assisted reproduction. Peri-implantation low molecular weight heparin (LMWH) during IVF/ICSI was given at or after egg collection or at embryo transfer in the included studies. Live birth rate was the primary outcome. Two review authors independently assessed the eligibility and quality of trials and extracted relevant data. The quality of the evidence was evaluated using GRADE methods. Three RCTs (involving 386 women) were included in the review.Peri-implantation LMWH administration during assisted reproduction was associated with a significant improvement in live birth rate compared with placebo or no LMWH (odds ratio (OR) 1.77, 95% confidence interval (CI) 1.07 to 2.90, three studies, 386 women, I(2) = 51%, very low quality evidence with high

  4. Solar-assisted hemodialysis.

    PubMed

    Agar, John W M; Perkins, Anthony; Tjipto, Alwie

    2012-02-01

    Hemodialysis resource use-especially water and power, smarter processing and reuse of postdialysis waste, and improved ecosensitive building design, insulation, and space use-all need much closer attention. Regarding power, as supply diminishes and costs rise, alternative power augmentation for dialysis services becomes attractive. The first 12 months of a solar-assisted dialysis program in southeastern Australia is reported. A 24-m(2), 3-kWh rated solar array and inverter-total cost of A$16,219-has solar-assisted the dialysis-related power needs of a four-chair home hemodialysis training service. All array-created, grid-donated power and all grid-drawn power to the four hemodialysis machines and minireverse osmosis plant pairings are separately metered. After the grid-drawn and array-generated kilowatt hours have been billed and reimbursed at their respective commercial rates, financial viability, including capital repayment, can be assessed. From July of 2010 to July of 2011, the four combined equipment pairings used 4166.5 kWh, 9% more than the array-generated 3811.0 kWh. Power consumption at 26.7 c/kWh cost A$1145.79. Array-generated power reimbursements at 23.5 c/kWh were A$895.59. Power costs were, thus, reduced by 76.5%. As new reimbursement rates (60 c/kWh) take effect, system reimbursements will more than double, allowing both free power and potential capital pay down over 7.7 years. With expected array life of ∼30 years, free power and an income stream should accrue in the second and third operative decades. Solar-assisted power is feasible and cost-effective. Dialysis services should assess their local solar conditions and determine whether this ecosensitive power option might suit their circumstance.

  5. Solar-Assisted Hemodialysis

    PubMed Central

    Agar, John W. M.; Perkins, Anthony; Tjipto, Alwie

    2012-01-01

    Summary Background and objectives Hemodialysis resource use—especially water and power, smarter processing and reuse of postdialysis waste, and improved ecosensitive building design, insulation, and space use—all need much closer attention. Regarding power, as supply diminishes and costs rise, alternative power augmentation for dialysis services becomes attractive. The first 12 months of a solar-assisted dialysis program in southeastern Australia is reported. Design, setting, participants, & measurements A 24-m2, 3-kWh rated solar array and inverter—total cost of A$16,219—has solar-assisted the dialysis-related power needs of a four-chair home hemodialysis training service. All array-created, grid-donated power and all grid-drawn power to the four hemodialysis machines and minireverse osmosis plant pairings are separately metered. After the grid-drawn and array-generated kilowatt hours have been billed and reimbursed at their respective commercial rates, financial viability, including capital repayment, can be assessed. Results From July of 2010 to July of 2011, the four combined equipment pairings used 4166.5 kWh, 9% more than the array-generated 3811.0 kWh. Power consumption at 26.7 c/kWh cost A$1145.79. Array-generated power reimbursements at 23.5 c/kWh were A$895.59. Power costs were, thus, reduced by 76.5%. As new reimbursement rates (60 c/kWh) take effect, system reimbursements will more than double, allowing both free power and potential capital pay down over 7.7 years. With expected array life of ∼30 years, free power and an income stream should accrue in the second and third operative decades. Conclusions Solar-assisted power is feasible and cost-effective. Dialysis services should assess their local solar conditions and determine whether this ecosensitive power option might suit their circumstance. PMID:22223614

  6. The Experimental Design Assistant.

    PubMed

    Percie du Sert, Nathalie; Bamsey, Ian; Bate, Simon T; Berdoy, Manuel; Clark, Robin A; Cuthill, Innes; Fry, Derek; Karp, Natasha A; Macleod, Malcolm; Moon, Lawrence; Stanford, S Clare; Lings, Brian

    2017-09-01

    Addressing the common problems that researchers encounter when designing and analysing animal experiments will improve the reliability of in vivo research. In this article, the Experimental Design Assistant (EDA) is introduced. The EDA is a web-based tool that guides the in vivo researcher through the experimental design and analysis process, providing automated feedback on the proposed design and generating a graphical summary that aids communication with colleagues, funders, regulatory authorities, and the wider scientific community. It will have an important role in addressing causes of irreproducibility.

  7. Personal digital assistants.

    PubMed

    Wiggins, Richard H

    2004-03-01

    Personal digital assistant sales are growing exponentially, and as medical technology advances the amount of information available becomes staggering, making a handheld device, with the ability to store a great amount of information, progressively more valuable to health care providers. Mobile computing allows for a great deal of knowledge in a small package, creating a "walking library" with a mobile collection of data always accessible. There are many diverse types of PDAs, and this article discusses the history of PDAs, general purchasing issues, general PDA features, and the most significant differences between the Palm and the Windows CE operating systems.

  8. Impact assisted segmented cutterhead

    DOEpatents

    Morrell, Roger J.; Larson, David A.; Ruzzi, Peter L.

    1992-01-01

    An impact assisted segmented cutterhead device is provided for cutting various surfaces from coal to granite. The device comprises a plurality of cutting bit segments deployed in side by side relationship to form a continuous cutting face and a plurality of impactors individually associated with respective cutting bit segments. An impactor rod of each impactor connects that impactor to the corresponding cutting bit segment. A plurality of shock mounts dampening the vibration from the associated impactor. Mounting brackets are used in mounting the cutterhead to a base machine.

  9. Communication in Assisted Living*

    PubMed Central

    Williams, Kristine N.; Warren, Carol A.B.

    2009-01-01

    This study of communication in an Assisted Living Facility (ALF) focuses on staff’s interpretive frameworks and situational tactics for managing elderly residents. It is based on interviews with staff and residents in an ALF together with ethnographic fieldwork. As in other quasi-total institutions, staff members engage in control as well as care, monitoring residents for compliance with rules and directives. Residents, aware of the threat of being moved to a nursing home, also monitor their own behavior and cognition in comparison to other residents. Other communication issues include the infantilization of the elderly by staff, and the race, class, and ethnic prejudices of residents. PMID:20107612

  10. 33 CFR 203.13 - Available assistance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) Drought assistance. Corps assistance may be provided to drought-distressed areas (as declared by the... consumption. Subpart E addresses drought assistance. (f) Advance Measures. Advance Measures assistance may be...

  11. 33 CFR 203.13 - Available assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) Drought assistance. Corps assistance may be provided to drought-distressed areas (as declared by the... consumption. Subpart E addresses drought assistance. (f) Advance Measures. Advance Measures assistance may be...

  12. Employee Assistance Program Issues

    NASA Technical Reports Server (NTRS)

    Gettleman, Alan G.; McGuire, William

    1999-01-01

    Employee Assistance Program (EAP) officers, as well as personnel in other disciplines from eight NASA Centers, attended this breakout session. Ms. Brenda Blair, MA, CEAP, a guest speaker at the conference, also attended as a consultant. Representatives from the NASA Centers introduced themselves and spoke briefly about their programs. In a discussion related to the conference theme on benchmarking, quality control issues within the EAP community and adequate documentation of cases were addressed. Disposition and provision for quality assurance checks for EAP providers in single person offices were also discussed. Ms. Blair presented methods for consulting with other NASA personnel in single person EAP offices as a quality control measure. EAP intervention in critical incidents was discussed. The question of whether EAP assistance is an asset or a potential liability in those situations was addressed. Suggestions were made of topics for future EAP video-teleconference topics. A program on EAP ethics was planned for a September video teleconference. Each person was asked to provide intake forms they use to Mr. Gettleman or Ms. Blair. Ms. Blair said she would review the forms to ensure that adequate notification is provided to the client for confidentiality. She would also review them to ensure they have adequate limits of confidentiality--a topic for future video teleconferencing. Mr. Gettleman described the NASA initiative to reduce stresses in the workplace, and the activities of an ad-hoc EAP group that will make recommendations to NASA senior management. Alternative training methods were discussed for reaching target audiences such as employees at risk, supervisors, and others. Pfc. David A. Pendleton, Victim Assistance Coordinator, U.S. Capitol Police. U.S. House of Representatives made a special presentation. Pfc. Pendleton was on duty during the tragic shooting of two Federal guards at the U.S. Capitol. He related the events immediately after the incident. He

  13. Dental Assisting Education in California.

    ERIC Educational Resources Information Center

    California State Dept. of Education, Sacramento. Bureau of Industrial Education.

    A survey of 22 dental assisting programs showed an average of 1,124 hours of instruction in dental assisting for 15 four-semester, 955 for three three-semester, and 1,042 for four two-semester programs. The average instructional hours for the four-semester programs were 48 in introduction to dental assisting, 179 in the life sciences, 221 in the…

  14. KSC's work flow assistant

    NASA Technical Reports Server (NTRS)

    Wilkinson, John; Johnson, Earl

    1991-01-01

    The work flow assistant (WFA) is an advanced technology project under the shuttle processing data management system (SPDMS) at Kennedy Space Center (KSC). It will be utilized for short range scheduling, controlling work flow on the floor, and providing near real-time status for all major space transportation systems (STS) work centers at KSC. It will increase personnel and STS safety and improve productivity through deeper active scheduling that includes tracking and correlation of STS and ground support equipment (GSE) configuration and work. It will also provide greater accessibility to this data. WFA defines a standards concept for scheduling data which permits both commercial off-the-shelf (COTS) scheduling tools and WFA developed applications to be reused. WFA will utilize industry standard languages and workstations to achieve a scalable, adaptable, and portable architecture which may be used at other sites.

  15. An Interactive Medical Knowledge Assistant

    NASA Astrophysics Data System (ADS)

    Czejdo, Bogdan D.; Baszun, Mikolaj

    This paper describes an interactive medical knowledge assistant that can help a doctor or a patient in making important health related decisions. The system is Web based and consists of several modules, including a medical knowledge base, a doctor interface module, patient interface module and a the main module of the medical knowledge assistant. The medical assistant is designed to help interpret the fuzzy data using rough sets approach. The patient interface includes sub-system for real time monitoring of patients' health parameters and sending them to the main module of the medical knowledge assistant.

  16. Technical Assistance to Brownfields Communities

    EPA Pesticide Factsheets

    This notice announces the availability of funds and solicits proposals from eligible entities (including eligible non-profit organizations) to provide technical assistance to communities on brownfields issues.

  17. Heteronuclear proton assisted recoupling

    NASA Astrophysics Data System (ADS)

    De Paëpe, Gaël; Lewandowski, Józef R.; Loquet, Antoine; Eddy, Matt; Megy, Simon; Böckmann, Anja; Griffin, Robert G.

    2011-03-01

    We describe a theoretical framework for understanding the heteronuclear version of the third spin assisted recoupling polarization transfer mechanism and demonstrate its potential for detecting long-distance intramolecular and intermolecular 15N-13C contacts in biomolecular systems. The pulse sequence, proton assisted insensitive nuclei cross polarization (PAIN-CP) relies on a cross term between 1H-15N and 1H-13C dipolar couplings to mediate zero- and/or double-quantum 15N-13C recoupling. In particular, using average Hamiltonian theory we derive effective Hamiltonians for PAIN-CP and show that the transfer is mediated by trilinear terms of the form N±C∓Hz (ZQ) or N±C±Hz (DQ) depending on the rf field strengths employed. We use analytical and numerical simulations to explain the structure of the PAIN-CP optimization maps and to delineate the appropriate matching conditions. We also detail the dependence of the PAIN-CP polarization transfer with respect to local molecular geometry and explain the observed reduction in dipolar truncation. In addition, we demonstrate the utility of PAIN-CP in structural studies with 15N-13C spectra of two uniformly 13C,15N labeled model microcrystalline proteins—GB1, a 56 amino acid peptide, and Crh, a 85 amino acid domain swapped dimer (MW = 2 × 10.4 kDa). The spectra acquired at high magic angle spinning frequencies (ωr/2π > 20 kHz) and magnetic fields (ω0H/2π = 700-900 MHz) using moderate rf fields, yield multiple long-distance intramonomer and intermonomer 15N-13C contacts. We use these distance restraints, in combination with the available x-ray structure as a homology model, to perform a calculation of the monomer subunit of the Crh protein.

  18. 10 CFR 455.122 - Applicant certifications for State grants for technical assistance, program assistance, and...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... assistance, program assistance, and marketing. 455.122 Section 455.122 Energy DEPARTMENT OF ENERGY ENERGY... for State grants for technical assistance, program assistance, and marketing. Applications from States for financial assistance for technical assistance programs, program assistance, and marketing shall...

  19. 10 CFR 455.122 - Applicant certifications for State grants for technical assistance, program assistance, and...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... assistance, program assistance, and marketing. 455.122 Section 455.122 Energy DEPARTMENT OF ENERGY ENERGY... for State grants for technical assistance, program assistance, and marketing. Applications from States for financial assistance for technical assistance programs, program assistance, and marketing shall...

  20. Restorative Nurse Assistant. Instructor Guide.

    ERIC Educational Resources Information Center

    Missouri Univ., Columbia. Instructional Materials Lab.

    This curriculum material covers the basic orientation and necessary skills which would enable the practicing Certified Nurse Assistant to be trained as a Restorative Nurse Assistant. The shift in emphasis from maintenance care to restorative care in the long-term care setting has created a need for trained paraprofessionals who are competent in…

  1. Public Assistance, Rights and Responsibilities.

    ERIC Educational Resources Information Center

    New Jersey Community Action Training Inst., Trenton.

    Based primarily on two official manuals of the Division of Public Welfare of the New Jersey Department of Institutions and Agencies, this handbook on public assistance rights and responsibilities can be used as a training manual for community action workers, and as a reference book for such workers and for those eligible for public assistance.…

  2. Issue Brief on Teacher Assistants

    ERIC Educational Resources Information Center

    Canadian Teachers' Federation (NJ1), 2009

    2009-01-01

    Generally speaking, teacher assistants provide needed support to teachers by carrying out a range of non-professional tasks in classrooms and schools. The growing use of teacher assistants in Canadian public schools is an issue that is embedded in a complex mix of related issues, policies and trends--class size in conjunction with class…

  3. Dental Assisting Competencies. Final Report.

    ERIC Educational Resources Information Center

    Richards, Beverly; And Others

    This document contains dental assisting competencies and competency-based performance objectives, learning activities, resources, and evaluation procedures for each competency that was adapted and developed by instructors of dental assisting to suit the needs and legal parameters of Pennsylvania. The competencies and associated elements are…

  4. Some Things Assistant Principals Do.

    ERIC Educational Resources Information Center

    Kealey, Robert J., Comp.

    The assistant principal of a Catholic elementary school carries out some of the duties (with the needed authority) of the school principal. How tasks and authority are delegated vary and depend upon the personality of each individual school. Fifteen assistant principals wrote essays relating one of their chief responsibilities to show a wide…

  5. Developing Successful Community Assistance Programs.

    ERIC Educational Resources Information Center

    Kozoll, Charles; Ulmer, Curtis, Ed.

    This guide is written for the adult education teachers and administrators; it shows why and how to use outside resources and the extensive agency and individual assistance available. The material presented concerns the following subject areas: A Realistic Self Appraisal (Where to Find Assistance; Obligations to the Adult Student; Responsibility in…

  6. The Shift in Assistive Technology

    ERIC Educational Resources Information Center

    Vlasak, Erin; Ranaldo, Michelle

    2012-01-01

    It is becoming increasingly clear that executive functioning deficits are a common area of concern for students and young adults with a variety of different intellectual disabilities. Assistive technology can be invaluable in aiding students and young adults in compensating for these deficits. The Assistive Technology Act of 1998, and the IDEA…

  7. The Ethics of Assisted Suicide.

    ERIC Educational Resources Information Center

    Callahan, Jay

    1994-01-01

    From social work perspective, considers ethics of assisted suicide. Discusses traditional social work value of client self-determination and identifies tensions in this ideal and conflicts with value of client well-being. Finds assisted suicide unethical, arguing that studies have shown judgment of most suicidal people to be impaired as result of…

  8. Assistive Technology. NICHCY News Digest.

    ERIC Educational Resources Information Center

    Horne, Richard, Ed.

    The newsletter presents six articles and associated information concerned with assistive technology for children and youth with handicaps. "Technology: Becoming an Informed Consumer" (Elizabeth Lahm and Sue Elting) reviews the history of technology with emphasis on assistive technology, offers case studies on technology applications, and gives…

  9. Guidelines for Medical Office Assistant.

    ERIC Educational Resources Information Center

    Savage, Molly F.; Daughtry, Miriam

    The manual provides guidelines for the development and implementation of programs for medical office assistants. A procedural outline for the development of two curricula have been included: one for a one-year (four quarters) program offering a diploma in medical assisting; and the other for a two-year (six quarters) program leading to an…

  10. Medical Assisting Competencies. Final Report.

    ERIC Educational Resources Information Center

    Richards, Beverly; And Others

    This document contains medical assisting competencies and competency-based performance objectives, learning activities, resources, and levels of achievement for each competency that were adapted and developed by instructors of medical assisting to suit the needs and legal parameters of Pennsylvania. The competencies and associated elements are…

  11. Hispanics' Awareness of Assistive Technology

    ERIC Educational Resources Information Center

    Guzman, Alberto; Ostrander, Noam

    2009-01-01

    This study compared Hispanics' awareness of services available to acquire assistive technology and whether they actually sought help to the findings from a national sample. The study assists the field by providing information on a group largely ignored in the literature. The authors sought to answer the following research questions: Are there…

  12. Assistive Technology and Mathematics Education

    ERIC Educational Resources Information Center

    Akpan, Joseph P.; Beard, Lawrence A.

    2014-01-01

    Educators and caregivers now have the opportunity to individualize and differentiate instructions with many technological devices never before available. Assistive Technology is being introduced in the classroom at all levels as a tool for teachers to help deliver instruction to all students. Assistive Technology is widely used to ensure…

  13. Computer Assisted Advising Tool (CAAT).

    ERIC Educational Resources Information Center

    Matsen, Marie E.

    Lane Community College's Computer Assisted Advising Tool (CAAT) is used by counselors to assist students in developing a plan for the completion of a degree or certificate. CAAT was designed to facilitate student advisement from matriculation to graduation by comparing degree requirements with the courses completed by students. Three major sources…

  14. Assisted Distillation of Quantum Coherence

    NASA Astrophysics Data System (ADS)

    Chitambar, E.; Streltsov, A.; Rana, S.; Bera, M. N.; Adesso, G.; Lewenstein, M.

    2016-02-01

    We introduce and study the task of assisted coherence distillation. This task arises naturally in bipartite systems where both parties work together to generate the maximal possible coherence on one of the subsystems. Only incoherent operations are allowed on the target system, while general local quantum operations are permitted on the other; this is an operational paradigm that we call local quantum-incoherent operations and classical communication. We show that the asymptotic rate of assisted coherence distillation for pure states is equal to the coherence of assistance, an analog of the entanglement of assistance, whose properties we characterize. Our findings imply a novel interpretation of the von Neumann entropy: it quantifies the maximum amount of extra quantum coherence a system can gain when receiving assistance from a collaborative party. Our results are generalized to coherence localization in a multipartite setting and possible applications are discussed.

  15. The future for physician assistants.

    PubMed

    Cawley, J F; Ott, J E; DeAtley, C A

    1983-06-01

    Physician assistants were intended to be assistants to primary care physicians. Physicians in private practice have only moderately responded to the availability of these professionals. Cutbacks in the numbers of foreign medical graduates entering American schools for graduate medical education, concern for overcrowding in some specialties, and the economic and clinical capabilities of physician assistants have lead to new uses for these persons. Physician assistants are employed in surgery and surgical subspecialties; in practice settings in institutions such as medical, pediatric, and surgical house staff; and in geriatric facilities, occupational medicine clinics, emergency rooms, and prison health systems. The projected surplus of physicians by 1990 may affect the use of physician assistants by private physicians in primary care.

  16. Assisted Distillation of Quantum Coherence.

    PubMed

    Chitambar, E; Streltsov, A; Rana, S; Bera, M N; Adesso, G; Lewenstein, M

    2016-02-19

    We introduce and study the task of assisted coherence distillation. This task arises naturally in bipartite systems where both parties work together to generate the maximal possible coherence on one of the subsystems. Only incoherent operations are allowed on the target system, while general local quantum operations are permitted on the other; this is an operational paradigm that we call local quantum-incoherent operations and classical communication. We show that the asymptotic rate of assisted coherence distillation for pure states is equal to the coherence of assistance, an analog of the entanglement of assistance, whose properties we characterize. Our findings imply a novel interpretation of the von Neumann entropy: it quantifies the maximum amount of extra quantum coherence a system can gain when receiving assistance from a collaborative party. Our results are generalized to coherence localization in a multipartite setting and possible applications are discussed.

  17. Physician-assisted death

    PubMed Central

    Abrahao, Agessandro; Downar, James; Pinto, Hanika; Dupré, Nicolas; Izenberg, Aaron; Kingston, William; Korngut, Lawrence; O'Connell, Colleen; Petrescu, Nicolae; Shoesmith, Christen; Tandon, Anu; Vargas-Santos, Ana Beatriz

    2016-01-01

    Objective: To survey amyotrophic lateral sclerosis (ALS) health care providers to determine attitudes regarding physician-assisted death (PAD) after the Supreme Court of Canada (SCC) invalidated the Criminal Code provisions that prohibit PAD in February 2015. Methods: We conducted a Canada-wide survey of physicians and allied health professionals (AHP) involved in the care of patients with ALS on their opinions regarding (1) the SCC ruling, (2) their willingness to participate in PAD, and (3) the PAD implementation process for patients with ALS. Results: We received 231 responses from ALS health care providers representing all 15 academic ALS centers in Canada, with an overall response rate for invited participants of 74%. The majority of physicians and AHP agreed with the SCC ruling and believed that patients with moderate and severe stage ALS should have access to PAD; however, most physicians would not provide a lethal prescription or injection to an eligible patient. They preferred the patient obtain a second opinion to confirm eligibility, have a psychiatric assessment, and then be referred to a third party to administer PAD. The majority of respondents felt unprepared for the initiation of this program and favored the development of PAD training modules and guidelines. Conclusions: ALS health care providers support the SCC decision and the majority believe PAD should be available to patients with moderate to severe ALS with physical or emotional suffering. However, few clinicians are willing to directly provide PAD and additional training and guidelines are required before implementation in Canada. PMID:27178703

  18. Nanoparticle-Assisted Metabolomics

    PubMed Central

    Zhang, Bo; Xie, Mouzhe; Bruschweiler-Li, Lei; Brüschweiler, Rafael

    2018-01-01

    Understanding and harnessing the interactions between nanoparticles and biological molecules is at the forefront of applications of nanotechnology to modern biology. Metabolomics has emerged as a prominent player in systems biology as a complement to genomics, transcriptomics and proteomics. Its focus is the systematic study of metabolite identities and concentration changes in living systems. Despite significant progress over the recent past, important challenges in metabolomics remain, such as the deconvolution of the spectra of complex mixtures with strong overlaps, the sensitive detection of metabolites at low abundance, unambiguous identification of known metabolites, structure determination of unknown metabolites and standardized sample preparation for quantitative comparisons. Recent research has demonstrated that some of these challenges can be substantially alleviated with the help of nanoscience. Nanoparticles in particular have found applications in various areas of bioanalytical chemistry and metabolomics. Their chemical surface properties and increased surface-to-volume ratio endows them with a broad range of binding affinities to biomacromolecules and metabolites. The specific interactions of nanoparticles with metabolites or biomacromolecules help, for example, simplify metabolomics spectra, improve the ionization efficiency for mass spectrometry or reveal relationships between spectral signals that belong to the same molecule. Lessons learned from nanoparticle-assisted metabolomics may also benefit other emerging areas, such as nanotoxicity and nanopharmaceutics. PMID:29533993

  19. [Assisted ventilation at home].

    PubMed

    Chevrolet, J C

    1993-05-11

    In patients with chronic respiratory failure, in particular in those with accompanying wall-dependent restrictive syndrome (i.e. kyphoscoliosis, certain myopathies...) shortness of breath and sequelae of cor pulmonale usually limit quality of life distinctly. In particular repeated hospitalizations necessitated by remittent occurrence of severe respiratory decompensation, usually in the course of infections, reduce life quality and life expectancy. Thus, selected patients may benefit remarkably from a device for assisted ventilation at home as a technical measure with good results. The number of hospitalizations is markedly reduced, shortness of breath can even disappear completely, so that patients can regain social activity. The usually non-invasive technique (ventilation with nose-mask) is applied at night, so that disturbance is low for the patient and his surroundings. It is however necessary, that his financial burden and technical maintenance and servicing of materials is granted by an organisation, who is also able to provide safety for the patient and his family on a long term.

  20. Magnetic Launch Assist

    NASA Technical Reports Server (NTRS)

    Jacobs, W. A.

    2000-01-01

    With the ever-increasing cost of getting to space and the need for safe, reliable, and inexpensive ways to access space, NASA is taking a look at technologies that will get us there. One of these technologies is Magnetic Launch Assist (MagLev). This is the concept of using both magnetic levitation and magnetic propulsion to provide an initial velocity by using electrical power from ground sources. The use of ground based power can significantly reduce operational costs over the consumables necessary to attain the same velocity. The technologies to accomplish this are both old and new. The concept of MagLev has been around for a long time and several MagLev Trains have already been made. Where NASA's MagLev diverges from the traditional train is in the immense power required to propel this vehicle to 600 feet per second in less than 10 seconds. New technologies or the upgrade of existing technologies will need to be investigated in areas of energy storage and power switching. Plus the separation of a very large mass (the space vehicle) and the aerodynamics of that vehicle while on the carrier are also of great concern and require considerable study and testing. NASA's plan is to mature these technologies in the next 10 years to achieve our goal of launching a full sized space vehicle off a MagLev rail.

  1. 44 CFR 300.3 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Financial assistance. 300.3 Section 300.3 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS DISASTER PREPAREDNESS ASSISTANCE § 300.3 Financial assistance. (a) The...

  2. 44 CFR 300.2 - Technical assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Technical assistance. 300.2 Section 300.2 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY PREPAREDNESS DISASTER PREPAREDNESS ASSISTANCE § 300.2 Technical assistance. Requests for...

  3. Ventricular assist devices in pediatrics

    PubMed Central

    Fuchs, A; Netz, H

    2001-01-01

    The implantation of a mechanical circulatory device for end-stage ventricular failure is a possible therapeutic approach in adult and pediatric cardiac surgery and cardiology. The aim of this article is to present mechanical circulatory assist devices used in infants and children with special emphasis on extracorporeal membrane oxygenation, Berlin Heart assist device, centrifugal pump and Medos assist device. The success of long-term support with implantable ventricular assist devices in adults and children has led to their increasing use as a bridge to transplantation in patients with otherwise non-treatable left ventricular failure, by transforming a terminal phase heart condition into a treatable cardiopathy. Such therapy allows rehabilitation of patients before elective cardiac transplantation (by removing contraindications to transplantation mainly represented by organ impairment) or acting as a bridge to recovery of the native left ventricular function (depending on underlying cardiac disease). Treatment may also involve permanent device implantation when cardiac transplantation is contraindicated. Indications for the implantation of assisted circulation include all states of cardiac failure that are reversible within a variable period of time or that require heart transplantation. This article will address the current status of ventricular assist devices by examining historical aspects of its development, current technical issues and clinical features of pediatric ventricular assist devices, including indications and contraindications for support. PMID:22368605

  4. Left Ventricular Assist Devices

    PubMed Central

    2004-01-01

    Executive Summary Objective The objective of this health technology policy assessment was to determine the effectiveness and cost-effectiveness of using implantable ventricular assist devices in the treatment of end-stage heart failure. Heart Failure Heart failure is a complex syndrome that impairs the ability of the heart to maintain adequate blood circulation, resulting in multiorgan abnormalities and, eventually, death. In the period of 1994 to 1997, 38,702 individuals in Ontario had a first hospital admission for heart failure. Despite reported improvement in survival, the five-year mortality rate for heart failure is about 50%. For patients with end-stage heart failure that does not respond to medical therapy, surgical treatment or traditional circulatory assist devices, heart transplantation (in appropriate patients) is the only treatment that provides significant patient benefit. Heart Transplant in Ontario With a shortage in the supply of donor hearts, patients are waiting longer for a heart transplant and may die before a donor heart is available. From 1999 to 2003, 55 to 74 people received a heart transplant in Ontario each year. Another 12 to 21 people died while waiting for a suitable donor heart. Of these, 1 to 5 deaths occurred in people under 18 years old. The rate-limiting factor in heart transplant is the supply of donor hearts. Without an increase in available donor hearts, attempts at prolonging the life of some patients on the transplant wait list could have a harmful effect on other patients that are being pushed down the waiting list (knock on effect). LVAD Technology Ventricular assist devices [VADs] have been developed to provide circulatory assistance to patients with end-stage heart failure. These are small pumps that usually assist the damaged left ventricle [LVADs] and may be situated within the body (intracorporeal] or outside the body [extracorporeal). Some of these devices were designed for use in the right ventricle [RVAD] or both

  5. Health Occupations Education: Medical Assistant.

    ERIC Educational Resources Information Center

    Sloan, Jamee Reid

    These medical assistant instructional materials include 28 instructional units organized into sections covering orientation; anatomy and physiology, related disorders, disease, and skills; office practices; and clinical practices. Each unit includes eight basic components: performance objectives, suggested activities for teachers, information…

  6. Application Kit for Federal Assistance

    EPA Pesticide Factsheets

    The Federal Grant & Cooperative Agreement Act of 1977 requires Federal agencies to use a contract to acquire property or services that directly benefit the Federal government.This letter to the applicant explains the Application Kit for Federal Assistance.

  7. Compliance Assistance Tools for Demolition

    EPA Pesticide Factsheets

    Learn about how to comply with the Resource Conservation and Recovery Act (RCRA), find contacts for asbestos National Emissions Standard for Hazardous Air Pollutants (NESHAP), and get construction industry specific compliance assistance

  8. Assistive Awareness in Smart Grids

    NASA Astrophysics Data System (ADS)

    Bourazeri, Aikaterini; Almajano, Pablo; Rodriguez, Inmaculada; Lopez-Sanchez, Maite

    The following sections are included: * Introduction * Background * The User-Infrastructure Interface * User Engagement through Assistive Awareness * Research Impact * Serious Games for Smart Grids * Serious Game Technology * Game scenario * Game mechanics * Related Work * Summary and Conclusions

  9. Technical Assistance Needs Assessments (TANAs)

    EPA Pesticide Factsheets

    The Technical Assistance Needs Assessment (TANA) is a process to identify whether a community requires additional support from EPA in order to understand technical information and have meaningful participation in the Superfund decision-making process.

  10. NASA Worldwide Emergency Medical Assistance

    NASA Technical Reports Server (NTRS)

    Martin, George A.; Tipton, David A.; Long, Irene D.

    1997-01-01

    In an effort to maintain employee health and welfare, ensure customer satisfaction, and to deliver high quality emergency medical care when necessary to employees located overseas, NASA has instituted a new contract with International SOS Assistance INC. International SOS Assistance INC. will provide civil servants and contractors engaged in official NASA business with many services upon request during a medical or personal emergency. Through the years, International SOS Assistance INC. has developed the expertise necessary to provide medical service in all remote areas of the world. One phone call connects you to the SOS network of multilingual staff trained to help resolve travel, medical, legal, and security problems. The SOS network of critical care and aeromedical specialists operates 24 hours a day, 365 days a year from SOS Alarm Centers around the world. This exhibit illustrates the details of the NASA-International SOS Assistance INC. agreement.

  11. 7 CFR 610.5 - Interdisciplinary assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Interdisciplinary assistance. Technical assistance is based on the principle that soil, water, plant, and related resources are interdependent and must be managed accordingly. Soil conservationists integrate the various...

  12. 7 CFR 610.5 - Interdisciplinary assistance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Interdisciplinary assistance. Technical assistance is based on the principle that soil, water, plant, and related resources are interdependent and must be managed accordingly. Soil conservationists integrate the various...

  13. 7 CFR 610.5 - Interdisciplinary assistance.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Interdisciplinary assistance. Technical assistance is based on the principle that soil, water, plant, and related resources are interdependent and must be managed accordingly. Soil conservationists integrate the various...

  14. 7 CFR 610.5 - Interdisciplinary assistance.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Interdisciplinary assistance. Technical assistance is based on the principle that soil, water, plant, and related resources are interdependent and must be managed accordingly. Soil conservationists integrate the various...

  15. 7 CFR 610.5 - Interdisciplinary assistance.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Interdisciplinary assistance. Technical assistance is based on the principle that soil, water, plant, and related resources are interdependent and must be managed accordingly. Soil conservationists integrate the various...

  16. Democracy Assistance in the Gulf

    DTIC Science & Technology

    2012-04-01

    regard to its democratic potential. This paper will explore four topics. First, it will establish the working definitions of “democracy promotion...some recommendations about the way ahead for democracy assistance in the Gulf. 4 I. Definitions of Democracy Promotion and Assistance The...the latter of which also includes military force and diplomatic pressure.8 Thomas Carothers offers an even more precise definition of “democracy

  17. [Active euthanasia, or assisted suicide?

    PubMed

    Julesz, Máté

    2016-10-01

    Both active euthanasia and assisted suicide are legal in The Netherlands, Belgium, Luxemburg and, most recently, in Canada. Examination of national legislations of countries where both active euthanasia and assisted suicide are legal. The number of accomplished active euthanasia cases and that of assisted suicide cases. Analysis of national statistical data. Comparison of statistical data before and after 2010. Comparison of the related practices in the surveyed countries. The number of active euthanasia cases markedly predominates over the number of assisted suicide cases. Cancer is a main reason for active euthanasia, or assisted suicide. In countries with a larger population, the number of active euthanasia cases is higher than that in countries with a smaller population. Regarding the fact that the applicants for active euthanasia withdraw their requests in a smaller number than the applicants for assisted suicide, patients prefer the choice of active euthanasia. Since the related legislative product is too recent in Canada at present, it may be only presumed that a certain preference will also develop in the related practices in Canada. Orv. Hetil., 2016, 157(40), 1595-1600.

  18. 34 CFR 300.105 - Assistive technology.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false Assistive technology. 300.105 Section 300.105 Education... DISABILITIES State Eligibility Other Fape Requirements § 300.105 Assistive technology. (a) Each public agency must ensure that assistive technology devices or assistive technology services, or both, as those terms...

  19. 34 CFR 300.105 - Assistive technology.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false Assistive technology. 300.105 Section 300.105 Education... DISABILITIES State Eligibility Other Fape Requirements § 300.105 Assistive technology. (a) Each public agency must ensure that assistive technology devices or assistive technology services, or both, as those terms...

  20. 7 CFR 1944.547 - Management assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 13 2010-01-01 2009-01-01 true Management assistance. 1944.547 Section 1944.547...) PROGRAM REGULATIONS (CONTINUED) HOUSING Technical and Supervisory Assistance Grants § 1944.547 Management assistance. The District Director will see that each TSA grantee receives management assistance to help...

  1. 20 CFR 625.3 - Reemployment assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Reemployment assistance. 625.3 Section 625.3 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR DISASTER UNEMPLOYMENT ASSISTANCE § 625.3 Reemployment assistance. (a) State assistance. Except as provided in paragraph (b) of this...

  2. 25 CFR 700.455 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Financial assistance. 700.455 Section 700.455 Indians THE... Funds § 700.455 Financial assistance. (a) The Commission may provide financial assistance to applicants eligible under this subpart from funds available for any fiscal year. (b) To obtain financial assistance...

  3. 38 CFR 21.6260 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Financial assistance. 21.6260 Section 21.6260 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED... Recipients Financial Assistance § 21.6260 Financial assistance. (a) Direct financial assistance prohibited...

  4. Dental Assistant, AFSC 981X0

    DTIC Science & Technology

    1989-03-01

    career ladder assist dental officers in the performance of restorative, endodontic, orthodontic, pedodontic, periodontic , prosthodontic , and dental... Prosthodontic Assistants (N=771), Preventive Dentistry Assistants (N=300), and Periodontal and Oral/Maxillofacial Surgery Assistants (N=117). II. DENTAL...maxillofacial functions Barksdale AFB LA USAF Hospital; provides a representative view of periodontal functions Offutt AFB NE USAF Regional Hospital

  5. 34 CFR 300.105 - Assistive technology.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Assistive technology. 300.105 Section 300.105 Education... DISABILITIES State Eligibility Other Fape Requirements § 300.105 Assistive technology. (a) Each public agency must ensure that assistive technology devices or assistive technology services, or both, as those terms...

  6. 34 CFR 300.105 - Assistive technology.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true Assistive technology. 300.105 Section 300.105 Education... DISABILITIES State Eligibility Other Fape Requirements § 300.105 Assistive technology. (a) Each public agency must ensure that assistive technology devices or assistive technology services, or both, as those terms...

  7. 34 CFR 300.105 - Assistive technology.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true Assistive technology. 300.105 Section 300.105 Education... DISABILITIES State Eligibility Other Fape Requirements § 300.105 Assistive technology. (a) Each public agency must ensure that assistive technology devices or assistive technology services, or both, as those terms...

  8. 7 CFR 1944.547 - Management assistance.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 13 2013-01-01 2013-01-01 false Management assistance. 1944.547 Section 1944.547...) PROGRAM REGULATIONS (CONTINUED) HOUSING Technical and Supervisory Assistance Grants § 1944.547 Management assistance. The District Director will see that each TSA grantee receives management assistance to help...

  9. 7 CFR 1944.547 - Management assistance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 13 2011-01-01 2009-01-01 true Management assistance. 1944.547 Section 1944.547...) PROGRAM REGULATIONS (CONTINUED) HOUSING Technical and Supervisory Assistance Grants § 1944.547 Management assistance. The District Director will see that each TSA grantee receives management assistance to help...

  10. 7 CFR 1944.547 - Management assistance.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 13 2012-01-01 2012-01-01 false Management assistance. 1944.547 Section 1944.547...) PROGRAM REGULATIONS (CONTINUED) HOUSING Technical and Supervisory Assistance Grants § 1944.547 Management assistance. The District Director will see that each TSA grantee receives management assistance to help...

  11. Improving Instructional Assistant Effectiveness in Inclusive Settings

    ERIC Educational Resources Information Center

    Weiner, Kimberly Beth

    2010-01-01

    As of 2007, 718,119 instructional assistants were employed in the United States (National Center for Education Statistics, 2009b). Of those instructional assistants, 373,466 were classified as full-time special education instructional assistants (Data Accountability Center, 2009a). As the employment of instructional assistants continues to grow,…

  12. 29 CFR 457.13 - Assistant Secretary.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 2 2012-07-01 2012-07-01 false Assistant Secretary. 457.13 Section 457.13 Labor... GENERAL Meaning of Terms as Used in This Chapter § 457.13 Assistant Secretary. Assistant Secretary means the Assistant Secretary of Labor for Employment Standards, head of the Employment Standards...

  13. 29 CFR 401.19 - Assistant Secretary.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 2 2012-07-01 2012-07-01 false Assistant Secretary. 401.19 Section 401.19 Labor... STANDARDS MEANING OF TERMS USED IN THIS SUBCHAPTER § 401.19 Assistant Secretary. Assistant Secretary means the Assistant Secretary of Labor for Employment Standards, head of the Employment Standards...

  14. 29 CFR 401.19 - Assistant Secretary.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 2 2011-07-01 2011-07-01 false Assistant Secretary. 401.19 Section 401.19 Labor... STANDARDS MEANING OF TERMS USED IN THIS SUBCHAPTER § 401.19 Assistant Secretary. Assistant Secretary means the Assistant Secretary of Labor for Employment Standards, head of the Employment Standards...

  15. 29 CFR 457.13 - Assistant Secretary.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Assistant Secretary. 457.13 Section 457.13 Labor... GENERAL Meaning of Terms as Used in This Chapter § 457.13 Assistant Secretary. Assistant Secretary means the Assistant Secretary of Labor for Employment Standards, head of the Employment Standards...

  16. 29 CFR 457.13 - Assistant Secretary.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 2 2011-07-01 2011-07-01 false Assistant Secretary. 457.13 Section 457.13 Labor... GENERAL Meaning of Terms as Used in This Chapter § 457.13 Assistant Secretary. Assistant Secretary means the Assistant Secretary of Labor for Employment Standards, head of the Employment Standards...

  17. 29 CFR 401.19 - Assistant Secretary.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Assistant Secretary. 401.19 Section 401.19 Labor... STANDARDS MEANING OF TERMS USED IN THIS SUBCHAPTER § 401.19 Assistant Secretary. Assistant Secretary means the Assistant Secretary of Labor for Employment Standards, head of the Employment Standards...

  18. 49 CFR 256.7 - Financial assistance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Financial assistance. 256.7 Section 256.7..., DEPARTMENT OF TRANSPORTATION FINANCIAL ASSISTANCE FOR RAILROAD PASSENGER TERMINALS Regulations Governing Applications for and Disbursement of Financial Assistance § 256.7 Financial assistance. (a) Demonstration funds...

  19. 49 CFR 256.7 - Financial assistance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Financial assistance. 256.7 Section 256.7..., DEPARTMENT OF TRANSPORTATION FINANCIAL ASSISTANCE FOR RAILROAD PASSENGER TERMINALS Regulations Governing Applications for and Disbursement of Financial Assistance § 256.7 Financial assistance. (a) Demonstration funds...

  20. 49 CFR 256.7 - Financial assistance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Financial assistance. 256.7 Section 256.7..., DEPARTMENT OF TRANSPORTATION FINANCIAL ASSISTANCE FOR RAILROAD PASSENGER TERMINALS Regulations Governing Applications for and Disbursement of Financial Assistance § 256.7 Financial assistance. (a) Demonstration funds...

  1. 49 CFR 256.7 - Financial assistance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Financial assistance. 256.7 Section 256.7..., DEPARTMENT OF TRANSPORTATION FINANCIAL ASSISTANCE FOR RAILROAD PASSENGER TERMINALS Regulations Governing Applications for and Disbursement of Financial Assistance § 256.7 Financial assistance. (a) Demonstration funds...

  2. 49 CFR 256.7 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Financial assistance. 256.7 Section 256.7..., DEPARTMENT OF TRANSPORTATION FINANCIAL ASSISTANCE FOR RAILROAD PASSENGER TERMINALS Regulations Governing Applications for and Disbursement of Financial Assistance § 256.7 Financial assistance. (a) Demonstration funds...

  3. 44 CFR 300.3 - Financial assistance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Financial assistance. 300.3... HOMELAND SECURITY PREPAREDNESS DISASTER PREPAREDNESS ASSISTANCE § 300.3 Financial assistance. (a) The... responsibilities for IFG, crisis counseling, mass care or other functional responsibilities; (7) Training for State...

  4. 44 CFR 300.3 - Financial assistance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Financial assistance. 300.3... HOMELAND SECURITY PREPAREDNESS DISASTER PREPAREDNESS ASSISTANCE § 300.3 Financial assistance. (a) The... responsibilities for IFG, crisis counseling, mass care or other functional responsibilities; (7) Training for State...

  5. 44 CFR 300.3 - Financial assistance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Financial assistance. 300.3... HOMELAND SECURITY PREPAREDNESS DISASTER PREPAREDNESS ASSISTANCE § 300.3 Financial assistance. (a) The... responsibilities for IFG, crisis counseling, mass care or other functional responsibilities; (7) Training for State...

  6. 44 CFR 300.3 - Financial assistance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Financial assistance. 300.3... HOMELAND SECURITY PREPAREDNESS DISASTER PREPAREDNESS ASSISTANCE § 300.3 Financial assistance. (a) The... responsibilities for IFG, crisis counseling, mass care or other functional responsibilities; (7) Training for State...

  7. 29 CFR 1960.60 - Training assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Training assistance. 1960.60 Section 1960.60 Labor... MATTERS Training § 1960.60 Training assistance. (a) Agency heads may seek training assistance from the... with training materials to assist in fulfilling the training needs of this subpart, including resident...

  8. 24 CFR 578.101 - Technical assistance.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Technical assistance. 578.101... Technical assistance. (a) Purpose. The purpose of Continuum of Care technical assistance is to increase the... housing and services for persons experiencing homelessness. (b) Defined. Technical assistance means the...

  9. 24 CFR 578.101 - Technical assistance.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 3 2013-04-01 2013-04-01 false Technical assistance. 578.101... Technical assistance. (a) Purpose. The purpose of Continuum of Care technical assistance is to increase the... housing and services for persons experiencing homelessness. (b) Defined. Technical assistance means the...

  10. Religious aspects of assisted reproduction

    PubMed Central

    Sallam, HN; Sallam, NH

    2016-01-01

    Abstract Human response to new developments regarding birth, death, marriage and divorce is largely shaped by religious beliefs. When assisted reproduction was introduced into medical practice in the last quarter of the twentieth century, it was fiercely attacked by some religious groups and highly welcomed by others. Today, assisted reproduction is accepted in nearly all its forms by Judaism, Hinduism and Buddhism, although most Orthodox Jews refuse third party involvement. On the contrary assisted reproduction is totally unacceptable to Roman Catholicism, while Protestants, Anglicans, Coptic Christians and Sunni Muslims accept most of its forms, which do not involve gamete or embryo donation. Orthodox Christians are less strict than Catholic Christians but still refuse third party involvement. Interestingly, in contrast to Sunni Islam, Shi’a Islam accepts gamete donation and has made provisions to institutionalize it. Chinese culture is strongly influenced by Confucianism, which accepts all forms of assisted reproduction that do not involve third parties. Other communities follow the law of the land, which is usually dictated by the religious group(s) that make(s) the majority of that specific community. The debate will certainly continue as long as new developments arise in the ever-evolving field of assisted reproduction. PMID:27822349

  11. Magnetic Launch Assist System Demonstration

    NASA Technical Reports Server (NTRS)

    1999-01-01

    This Quick Time movie demonstrates the Magnetic Launch Assist system, previously referred to as the Magnetic Levitation (Maglev) system, for space launch using a 5 foot model of a reusable Bantam Class launch vehicle on a 50 foot track that provided 6-g acceleration and 6-g de-acceleration. Overcoming the grip of Earth's gravity is a supreme challenge for engineers who design rockets that leave the planet. Engineers at the Marshall Space Flight Center have developed and tested Magnetic Launch Assist technologies that could levitate and accelerate a launch vehicle along a track at high speeds before it leaves the ground. Using electricity and magnetic fields, a Magnetic Launch Assist system would drive a spacecraft along a horizontal track until it reaches desired speeds. A full-scale, operational track would be about 1.5-miles long and capable of accelerating a vehicle to 600 mph in 9.5 seconds. The major advantages of launch assist for NASA launch vehicles is that it reduces the weight of the takeoff, the landing gear, the wing size, and less propellant resulting in significant cost savings. The US Navy and the British MOD (Ministry of Defense) are planning to use magnetic launch assist for their next generation aircraft carriers as the aircraft launch system. The US Army is considering using this technology for launching target drones for anti-aircraft training.

  12. Religious aspects of assisted reproduction

    PubMed

    Sallam, H N; Sallam, N H

    2016-03-28

    Human response to new developments regarding birth, death, marriage and divorce is largely shaped by religious beliefs. When assisted reproduction was introduced into medical practice in the last quarter of the twentieth century, it was fiercely attacked by some religious groups and highly welcomed by others. Today, assisted reproduction is accepted in nearly all its forms by Judaism, Hinduism and Buddhism, although most Orthodox Jews refuse third party involvement. On the contrary assisted reproduction is totally unacceptable to Roman Catholicism, while Protestants, Anglicans, Coptic Christians and Sunni Muslims accept most of its forms, which do not involve gamete or embryo donation. Orthodox Christians are less strict than Catholic Christians but still refuse third party involvement. Interestingly, in contrast to Sunni Islam, Shi'a Islam accepts gamete donation and has made provisions to institutionalize it. Chinese culture is strongly influenced by Confucianism, which accepts all forms of assisted reproduction that do not involve third parties. Other communities follow the law of the land, which is usually dictated by the religious group(s) that make(s) the majority of that specific community. The debate will certainly continue as long as new developments arise in the ever-evolving field of assisted reproduction.

  13. Ritual dynamics in humanitarian assistance.

    PubMed

    Richards, Paul

    2010-04-01

    Those who intervene in crises must take care to ensure that assistance does not undermine the processes through which social cohesion is generated or restored. From a neo-Durkheimian analytical perspective, feeding creates social loyalties as well as saves lives. Humanitarian agencies provide practical assistance to livelihoods, but they need also to create space for the ritual agency on which social cohesion depends. Attention to the rituals of food distribution helps humanitarian actors to address a potentially damaging dissociation between social and material facts. A post-war food security project in Sierra Leone is used to illustrate the point. The lessons of this intervention have implications for the organisation of humanitarian assistance at all levels, both international and local. The paper argues that establishing space for ritualisation within humanitarian programmes is an obligation for those who wish to do no harm.

  14. [Robot-assisted pancreatic resection].

    PubMed

    Müssle, B; Distler, M; Weitz, J; Welsch, T

    2017-06-01

    Although robot-assisted pancreatic surgery has been considered critically in the past, it is nowadays an established standard technique in some centers, for distal pancreatectomy and pancreatic head resection. Compared with the laparoscopic approach, the use of robot-assisted surgery seems to be advantageous for acquiring the skills for pancreatic, bile duct and vascular anastomoses during pancreatic head resection and total pancreatectomy. On the other hand, the use of the robot is associated with increased costs and only highly effective and professional robotic programs in centers for pancreatic surgery will achieve top surgical and oncological quality, acceptable operation times and a reduction in duration of hospital stay. Moreover, new technologies, such as intraoperative fluorescence guidance and augmented reality will define additional indications for robot-assisted pancreatic surgery.

  15. Justice-based social assistance

    PubMed Central

    Barrientos, Armando

    2016-01-01

    What are the main objectives of social protection institutions in developing countries? What should be their scope and reach? What is the source of their legitimacy? Finding appropriate answers to these questions is essential to understanding, and shaping, the emergence of welfare institutions in low- and middle-income countries. Most available answers rely on instrumental arguments. Few make reference to normative principles. This article draws on three concepts from Rawls – social justice as regulating cooperation, the social minimum, and the need for a freestanding political notion of social justice – to develop a coherent argument for grounding social assistance on social justice. In line with this argument, it identifies some parameters for a justice-based social assistance. This article then discusses, with examples, the tensions existing between a social justice-based social minimum and ‘real’ social assistance institutions emerging in developing countries. PMID:27708544

  16. Magnetic Launch Assist Demonstration Test

    NASA Technical Reports Server (NTRS)

    2001-01-01

    This image shows a 1/9 subscale model vehicle clearing the Magnetic Launch Assist System, formerly referred to as the Magnetic Levitation (MagLev), test track during a demonstration test conducted at the Marshall Space Flight Center (MSFC). Engineers at MSFC have developed and tested Magnetic Launch Assist technologies. To launch spacecraft into orbit, a Magnetic Launch Assist System would use magnetic fields to levitate and accelerate a vehicle along a track at very high speeds. Similar to high-speed trains and roller coasters that use high-strength magnets to lift and propel a vehicle a couple of inches above a guideway, a launch-assist system would electromagnetically drive a space vehicle along the track. A full-scale, operational track would be about 1.5-miles long and capable of accelerating a vehicle to 600 mph in 9.5 seconds. This track is an advanced linear induction motor. Induction motors are common in fans, power drills, and sewing machines. Instead of spinning in a circular motion to turn a shaft or gears, a linear induction motor produces thrust in a straight line. Mounted on concrete pedestals, the track is 100-feet long, about 2-feet wide and about 1.5-feet high. The major advantages of launch assist for NASA launch vehicles is that it reduces the weight of the take-off, the landing gear, the wing size, and less propellant resulting in significant cost savings. The US Navy and the British MOD (Ministry of Defense) are planning to use magnetic launch assist for their next generation aircraft carriers as the aircraft launch system. The US Army is considering using this technology for launching target drones for anti-aircraft training.

  17. SWIFT Intensive Technical Assistance Process. Technical Assistance Brief #1

    ERIC Educational Resources Information Center

    Sailor, Wayne; McCart, Amy; McSheehan, Michael; Mitchiner, Melinda; Quirk, Carol

    2014-01-01

    The national center on Schoolwide Integrated Framework for Transformation (SWIFT Center) is now approaching the halfway point in its first full year of providing intensive technical assistance (TA) to 68 schools in 20 local educational agencies across five states. The purpose of this brief is to provide a thumbnail sketch of how this TA process…

  18. Differentiated Technical Assistance for Sustainable Transformation. Technical Assistance Brief #2

    ERIC Educational Resources Information Center

    McCart, Amy; McSheehan, Michael; Sailor, Wayne

    2015-01-01

    Schoolwide Integrated Framework for Transformation (SWIFT) Center's technical assistance process supports states, districts, and schools as they become excellent and equitable teaching and learning environments for "all" students. Each school with support from its district begins this process from its own starting point and travels its…

  19. Database-assisted promoter analysis.

    PubMed

    Hehl, R; Wingender, E

    2001-06-01

    The analysis of regulatory sequences is greatly facilitated by database-assisted bioinformatic approaches. The TRANSFAC database contains information on transcription factors and their origins, functional properties and sequence-specific binding activities. Software tools enable us to screen the database with a given DNA sequence for interacting transcription factors. If a regulatory function is already attributed to this sequence then the database-assisted identification of binding sites for proteins or protein classes and subsequent experimental verification might establish functionally relevant sites within this sequence. The binding transcription factors and interacting factors might already be present in the database.

  20. Build an Assistive Technology Toolkit

    ERIC Educational Resources Information Center

    Ahrens, Kelly

    2011-01-01

    Assistive technology (AT) by its very nature consists of a variety of personal and customized tools for multiple learning styles and physical challenges. The author not only encourages students, parents, and educators to advocate for AT services, she also wants them to go a step further and build their own AT toolkits that can instill independence…

  1. Computer Assisted Teaching of FORTRAN.

    ERIC Educational Resources Information Center

    Balman, T.

    1981-01-01

    Discusses an interactive programing system (FCN) developed to assist the teaching of FORTRAN. The educational advantages drawn from incremental compilation of FORTRAN programs, specialized subsystems that can be used for intensive training, the intended role of this programing system, and its contribution to the curriculum are described. (CHC)

  2. Computer-Assisted Laboratory Stations.

    ERIC Educational Resources Information Center

    Snyder, William J., Hanyak, Michael E.

    1985-01-01

    Describes the advantages and features of computer-assisted laboratory stations for use in a chemical engineering program. Also describes a typical experiment at such a station: determining the response times of a solid state humidity sensor at various humidity conditions and developing an empirical model for the sensor. (JN)

  3. Physical Therapist Assistant Fitness Lab.

    ERIC Educational Resources Information Center

    Backstrom, Kurt; And Others

    Colby Community College's (CCC) Fitness Lab was established to provide the Physical Therapist Assistant (PTA) Program with a learning laboratory in which students can practice classroom-acquired skills, while at the same time promoting the physical, emotional, social, and intellectual well-being of CCC students and staff, and community members. A…

  4. Microwave-assisted Chemical Transformations

    EPA Science Inventory

    In recent years, there has been a considerable interest in developing sustainable chemistries utilizing green chemistry principles. Since the first published report in 1986 by Gedye and Giguere on microwave assisted synthesis in household microwave ovens, the use of microwaves as...

  5. Medical Assisting. A Learning Guide.

    ERIC Educational Resources Information Center

    Meyer, Rosemarie

    This competency-based, individualized learning package, consisting of 50 learning guides, is designed for use by students who are studying to become medical assistants. Included among the topics addressed in the individual learning guides are the following: using and caring for microscopes, understanding medical ethics and law, developing…

  6. Health Instruction Packages: Dental Assisting.

    ERIC Educational Resources Information Center

    McEnery, Paula

    Text, illustrations, and exercises are utilized in this set of four learning modules to instruct dental assisting students in various office skills. The first module, "Dental Office Telephone Techniques," examines the qualities of a good telephone voice and demeanor and provides guidelines for taking a message and handling various…

  7. Computer Assisted Learning and Evaluation.

    ERIC Educational Resources Information Center

    Velanoff, John

    This report describes courseware for comprehensive computer-assisted testing and instruction. With this program, a personal computer can be used to: (1) generate multiple test versions to meet test objectives; (2) create study guides for self-directed learning; and (3) evaluate student and teacher performance. Numerous multiple-choice examples,…

  8. Medical Office Receptionist/Assistant.

    ERIC Educational Resources Information Center

    Gorman, Dolores

    This curriculum guide provides materials for a competency-based course in medical office receptionist/assistant at the secondary level. The curriculum design uses the curriculum infused model for the teaching of basic skills as part of vocational education and demonstrates the relationship of vocationally related skills to communication,…

  9. Laser assisted graffiti paints removing

    NASA Astrophysics Data System (ADS)

    Novikov, B. Y.; Chikalev, Y. V.; Shakhno, E. A.

    2010-07-01

    It's hard to imagine a modern city view without some drawings and inscriptions, usually called "graffiti". Traditional cleaning methods do not suit modern requirements. Investigation of possibilities of laser assisted paints removing is described in this article. The conditions for removing different paints from different surfaces were defined.

  10. Laser assisted graffiti paints removing

    NASA Astrophysics Data System (ADS)

    Novikov, B. Y.; Chikalev, Y. V.; Shakhno, E. A.

    2011-02-01

    It's hard to imagine a modern city view without some drawings and inscriptions, usually called "graffiti". Traditional cleaning methods do not suit modern requirements. Investigation of possibilities of laser assisted paints removing is described in this article. The conditions for removing different paints from different surfaces were defined.

  11. Dental Assistant Specialist. (AFSC 98150).

    ERIC Educational Resources Information Center

    Eling, David R.

    This four-volume student text is designed for use by Air Force personnel enrolled in a self-study extension course for dental assistant specialists. Covered in the individual volumes are an introduction to dental services (the mission and organization of medical/dental service, career ladder progressions, medical readiness/wartime training, and…

  12. Assistive Technology Use and Stigma

    ERIC Educational Resources Information Center

    Parette, Phil; Scherer, Marcia

    2004-01-01

    Issues related to stigma and its impact on assistive technology (AT) use with persons having developmental disabilities are addressed. While stigma has been known to be associated with presence of disability for many years, relationship between stigma and AT usage, particularly when working with families across cultures, has only just begun to be…

  13. Subsidy Programs for Assistive Devices.

    ERIC Educational Resources Information Center

    Ward, Carolyn

    This paper examines the use of subsidy programs as a payment strategy for assistive devices for individuals with disabilities. The paper defines subsidies, classifies and describes these programs, and identifies commonalities and differences among varied models. Program models include: (1) competitive subsidies offered by private, nonprofit…

  14. Relocation assistance and advisory services.

    DOT National Transportation Integrated Search

    2010-11-04

    This brochure provides general information about relocation assistance provided by the Iowa Department of Transportation (DOT) for those individuals who may be required to move as a result of a highway project. It is not intended to be a legal docume...

  15. Public Sector Employee Assistance Programs.

    ERIC Educational Resources Information Center

    Kemp, Donna R.; Verlinde, Beverly

    This document discusses employee assistance programs (EAPs), programs which have been developed to help employees deal with personal problems that seriously affect job performance. It reviews literature which specifically addresses EAPs in the public sector, noting that there are no exact figures on how many public entities have EAPs. Previous…

  16. Respiratory Therapy Assistant. Student's Manual.

    ERIC Educational Resources Information Center

    Jones, Judy A.

    This manual is one in a new series of self-contained materials for students enrolled in training with the allied health field. It includes competencies that are associated with the performance of skills by students beginning the study of respiratory therapy assistance. Intended to be used for individualized instruction under the supervision of an…

  17. Weatherization Assistance Program Fact Sheet

    SciTech Connect

    None

    2018-02-01

    The U.S. Department of Energy’s (DOE) Weatherization Assistance Program reduces energy costs for low-income households by increasing the energy e ciency of their homes, while ensuring their health and safety. The Program supports 8,500 jobs and provides weatherization services to approximately 35,000 homes every year using DOE funds.

  18. Two Computer-Assisted Experiments

    ERIC Educational Resources Information Center

    Kraftmakher, Yaakov

    2013-01-01

    Two computer-assisted experiments are described: (i) determination of the speed of ultrasound waves in water and (ii) measurement of the thermal expansion of an aluminum-based alloy. A new data-acquisition system developed by PASCO scientific is used. In both experiments, the "Keep" mode of recording data is employed: the data are…

  19. Index to Computer Assisted Instruction.

    ERIC Educational Resources Information Center

    Lekan, Helen A., Ed.

    The computer assisted instruction (CAI) programs and projects described in this index are listed by subject matter. The index gives the program name, author, source, description, prerequisites, level of instruction, type of student, average completion time, logic and program, purpose for which program was designed, supplementary…

  20. Index to Computer Assisted Instruction.

    ERIC Educational Resources Information Center

    Lekan, Helen A., Ed.

    This index contains information on 456 computer-assisted instruction (CAI) programs and projects developed by 51 organizations. The information was obtained from correspondence, annual reports, technical reports, and questionnaires which were sent to the producers of the program. The material is organized to list: the name of each program or…

  1. The MENTOR School Assistance Program.

    ERIC Educational Resources Information Center

    Fishman, Robin; Stelk, Wayne; Clark, Hewitt B.

    1997-01-01

    Describes the support services offered by MENTOR, a national provider of treatment foster care services for children and adolescents with severe emotional and behavioral disabilities. MENTOR provides individualized residential services in host homes. The trained host/caregiver also provides both in- and out-of-the-classroom school assistance that…

  2. Magnetic Launch Assist Experimental Track

    NASA Technical Reports Server (NTRS)

    1999-01-01

    In this photograph, a futuristic spacecraft model sits atop a carrier on the Magnetic Launch Assist System, formerly known as the Magnetic Levitation (MagLev) System, experimental track at the Marshall Space Flight Center (MSFC). Engineers at MSFC have developed and tested Magnetic Launch Assist technologies that would use magnetic fields to levitate and accelerate a vehicle along a track at very high speeds. Similar to high-speed trains and roller coasters that use high-strength magnets to lift and propel a vehicle a couple of inches above a guideway, a Magnetic Launch Assist system would electromagnetically drive a space vehicle along the track. A full-scale, operational track would be about 1.5-miles long and capable of accelerating a vehicle to 600 mph in 9.5 seconds. This track is an advanced linear induction motor. Induction motors are common in fans, power drills, and sewing machines. Instead of spinning in a circular motion to turn a shaft or gears, a linear induction motor produces thrust in a straight line. Mounted on concrete pedestals, the track is 100-feet long, about 2-feet wide, and about 1.5-feet high. The major advantages of launch assist for NASA launch vehicles is that it reduces the weight of the take-off, the landing gear, the wing size, and less propellant resulting in significant cost savings. The US Navy and the British MOD (Ministry of Defense) are planning to use magnetic launch assist for their next generation aircraft carriers as the aircraft launch system. The US Army is considering using this technology for launching target drones for anti-aircraft training.

  3. Modeling of Plasma Assisted Combustion

    NASA Astrophysics Data System (ADS)

    Akashi, Haruaki

    2012-10-01

    Recently, many experimental study of plasma-assisted combustion has been done. However, numerous complex reactions in combustion of hydrocarbons are preventing from theoritical study for clarifying inside the plasma-assisted combustion, and the effect of plasma-assist is still not understood. Shinohara and Sasaki [1,2] have reported that the shortening of flame length by irradiating microwave without increase of gas temperature. And they also reported that the same phenomena would occur when applying dielectric barrier discharges to the flame using simple hydrocarbon, methane. It is suggested that these phenomena may result by the electron heating. To clarify this phenomena, electron behavior under microwave and DBD was examined. For the first step of DBD plasma-assisted combustion simulation, electron Monte Carlo simulation in methane, oxygen and argon mixture gas(0.05:0.14:0.81) [2] has been done. Electron swarm parameters are sampled and electron energy distribution function (EEDF)s are also determined. In the combustion, gas temperature is higher(>1700K), so reduced electric field E/N becomes relatively high(>10V/cm/Torr). The electrons are accelerated to around 14 eV. This result agree with the optical emission from argon obtained by the experiment of reference [2]. Dissociation frequency of methane and oxygens are obtained in high. This might be one of the effect of plasma-assist. And it is suggested that the electrons should be high enough to dissociate methane, but plasma is not needed.[4pt] [1] K. Shinohara et al, J. Phys. D:Appl. Phys., 42, 182008 (1-7) (2009).[0pt] [2] K. Sasaki, 64th Annual Gaseous Electronic Conference, 56, 15 CT3.00001(2011).

  4. Foreign Assistance: Implementing Disaster Recovery Assistance in Latin America

    DTIC Science & Technology

    2001-03-21

    over Honduras. The heavy rainfall produced flooding and landslides that killed thousands of people ; left tens of thousands homeless ; and devastated...of 1998, Hurricanes Mitch and Georges struck Central America and the Caribbean. The storms left thousands dead and many more homeless ; damages were... homeless ; damages were estimated at more than $10 billion. The international donor community pledged $9 billion to assist in the recovery and

  5. Why not Commercial Assistance for Suicide? On the Question of Argumentative Coherence of Endorsing Assisted Suicide.

    PubMed

    Kipke, Roland

    2015-09-01

    Most people who endorse physician-assisted suicide are against commercially assisted suicide - a suicide assisted by professional non-medical providers against payment. The article questions if this position - endorsement of physician-assisted suicide on the one hand and rejection of commercially assisted suicide on the other hand - is a coherent ethical position. To this end the article first discusses some obvious advantages of commercially assisted suicide and then scrutinizes six types of argument about whether they can justify the rejection of commercially assisted suicide while simultaneously endorsing physician-assisted suicide. The conclusion is that they cannot provide this justification and that the mentioned position is not coherent. People who endorse physician-assisted suicide have to endorse commercially assisted suicide as well, or they have to revise their endorsement of physician-assisted suicide. © 2014 John Wiley & Sons Ltd.

  6. Assisted living captures profitable market niche.

    PubMed

    Pallarito, K

    1995-05-08

    The $15 billion assisted-living industry has captured a profitable market niche and created a star on Wall Street. Sunrise Retirement Home of Falls Church (Va.), right, is a facility of the nation's largest assisted-living provider.

  7. 24 CFR 901.235 - Technical assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... DEVELOPMENT PUBLIC HOUSING MANAGEMENT ASSESSMENT PROGRAM § 901.235 Technical assistance. (a) The Department... achieve satisfactory performance on any PHMAP indicator. The Department may provide such assistance if a...

  8. Hypersonic Interplanetary Flight: Aero Gravity Assist

    NASA Technical Reports Server (NTRS)

    Bowers, Al; Banks, Dan; Randolph, Jim

    2006-01-01

    The use of aero-gravity assist during hypersonic interplanetary flights is highlighted. Specifically, the use of large versus small planet for gravity asssist maneuvers, aero-gravity assist trajectories, launch opportunities and planetary waverider performance are addressed.

  9. 7 CFR 1469.9 - Technical assistance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CONSERVATION SECURITY PROGRAM General... Technical Service Providers in performing its responsibilities for technical assistance. (b) Technical... technical assistance done by non-NRCS personnel. (d) NRCS retains approval authority of the conservation...

  10. 38 CFR 21.5141 - Tutorial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) VOCATIONAL REHABILITATION AND EDUCATION Post-Vietnam Era Veterans' Educational Assistance Under 38 U.S.C... otherwise eligible to receive benefits under the Post-Vietnam Era Veterans' Educational Assistance Program...

  11. 38 CFR 21.5141 - Tutorial assistance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) VOCATIONAL REHABILITATION AND EDUCATION Post-Vietnam Era Veterans' Educational Assistance Under 38 U.S.C... otherwise eligible to receive benefits under the Post-Vietnam Era Veterans' Educational Assistance Program...

  12. 38 CFR 21.5141 - Tutorial assistance.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) VOCATIONAL REHABILITATION AND EDUCATION Post-Vietnam Era Veterans' Educational Assistance Under 38 U.S.C... otherwise eligible to receive benefits under the Post-Vietnam Era Veterans' Educational Assistance Program...

  13. 38 CFR 21.5141 - Tutorial assistance.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) VOCATIONAL REHABILITATION AND EDUCATION Post-Vietnam Era Veterans' Educational Assistance Under 38 U.S.C... otherwise eligible to receive benefits under the Post-Vietnam Era Veterans' Educational Assistance Program...

  14. 38 CFR 21.5141 - Tutorial assistance.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) VOCATIONAL REHABILITATION AND EDUCATION Post-Vietnam Era Veterans' Educational Assistance Under 38 U.S.C... otherwise eligible to receive benefits under the Post-Vietnam Era Veterans' Educational Assistance Program...

  15. 1999 commuter assistance program evaluation manual

    DOT National Transportation Integrated Search

    2001-01-01

    This manual was developed to assist Florida's Commuter Assistance Programs (CAP) to measure and evaluate their performance. It provides information necessary for a CAP to create and implement its own evaluation program. It discusses performance measu...

  16. 45 CFR 618.430 - Financial assistance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION... or types of such assistance, limit eligibility for such assistance that is of any particular type or source, apply different criteria, or otherwise discriminate; (2) Through solicitation, listing, approval...

  17. An intelligent assistant for physicians.

    PubMed

    Gavrilis, Dimitris; Georgoulas, George; Vasiloglou, Nikolaos; Nikolakopoulos, George

    2016-08-01

    This paper presents a software tool developed for assisting physicians during an examination process. The tool consists of a number of modules with the aim to make the examination process not only quicker but also fault proof moving from a simple electronic medical records management system towards an intelligent assistant for the physician. The intelligent component exploits users' inputs as well as well established standards to line up possible suggestions for filling in the examination report. As the physician continues using it, the tool keeps extracting new knowledge. The architecture of the tool is presented in brief while the intelligent component which builds upon the notion of multilabel learning is presented in more detail. Our preliminary results from a real test case indicate that the performance of the intelligent module can reach quite high performance without a large amount of data.

  18. Should assisted dying be legalised?

    PubMed Central

    2014-01-01

    When an individual facing intractable pain is given an estimate of a few months to live, does hastening death become a viable and legitimate alternative for willing patients? Has the time come for physicians to do away with the traditional notion of healthcare as maintaining or improving physical and mental health, and instead accept their own limitations by facilitating death when requested? The Universities of Oxford and Cambridge held the 2013 Varsity Medical Debate on the motion “This House Would Legalise Assisted Dying”. This article summarises the key arguments developed over the course of the debate. We will explore how assisted dying can affect both the patient and doctor; the nature of consent and limits of autonomy; the effects on society; the viability of a proposed model; and, perhaps most importantly, the potential need for the practice within our current medico-legal framework. PMID:24423249

  19. Resonant torus-assisted tunneling.

    PubMed

    Yi, Chang-Hwan; Yu, Hyeon-Hye; Kim, Chil-Min

    2016-01-01

    We report a new type of dynamical tunneling, which is mediated by a resonant torus, i.e., a nonisolated periodic orbit. To elucidate the phenomenon, we take an open elliptic cavity and show that a pair of resonances localized on two classically disconnected tori tunnel through a resonant torus when they interact with each other. This so-called resonant torus-assisted tunneling is verified by using Husimi functions, corresponding actions, Husimi function distributions, and the standard deviations of the actions.

  20. Computer Assisted Virtual Environment - CAVE

    ScienceCinema

    Erickson, Phillip; Podgorney, Robert; Weingartner, Shawn; Whiting, Eric

    2018-01-16

    Research at the Center for Advanced Energy Studies is taking on another dimension with a 3-D device known as a Computer Assisted Virtual Environment. The CAVE uses projection to display high-end computer graphics on three walls and the floor. By wearing 3-D glasses to create depth perception and holding a wand to move and rotate images, users can delve into data.

  1. Foreign Assistance to North Korea

    DTIC Science & Technology

    2005-05-26

    development assistance in exchange for Pyongyang verifiably dismantling its nuclear program and cooperating on other security-related issues. Although the...action. Since the current North Korean nuclear crisis erupted in October 2002, when North Korea reportedly admitted that it has a secret uranium...enrichment nuclear program, the dollar amount of U.S. aid has fallen by an order of magnitude. No U.S. funds have been provided to KEDO since FY2003

  2. Computer Assisted Virtual Environment - CAVE

    SciTech Connect

    Erickson, Phillip; Podgorney, Robert; Weingartner, Shawn

    2014-01-14

    Research at the Center for Advanced Energy Studies is taking on another dimension with a 3-D device known as a Computer Assisted Virtual Environment. The CAVE uses projection to display high-end computer graphics on three walls and the floor. By wearing 3-D glasses to create depth perception and holding a wand to move and rotate images, users can delve into data.

  3. Vortex-assisted tryptic digestion.

    PubMed

    Yang, Hyo-Jik; Shin, Seongjae; Kim, Jinhee; Hong, Jangmi; Lee, Sunyoung; Kim, Jeongkwon

    2011-01-15

    The effect of vortex-induced vibration during tryptic digestion was investigated by applying different vibrational speeds (0, 600, 1200, or 2500 rpm) to digestion solutions for varying durations (10, 20, 30, 40, or 60 min) at two different incubation temperatures (25°C or 37°C). The most rapid digestion was observed with the highest vibrational speed and temperature. With the application of 2500 rpm at 37°C, the tryptic digestion of each of three standard proteins (cytochrome c, myoglobin, or bovine serum albumin) provided complete disappearance of the protein within 60 min, as determined by matrix-assisted laser desorption/ionization mass spectrometry. Compared to conventional overnight digestion, 60-min vortex-assisted tryptic digestion generated longer peptides, due primarily to the limited digestion time and provided better sequence coverages (89% vs. 78% for cytochrome c, 100% vs. 87% for myoglobin, and 38% vs. 26% for BSA). The longer peptides should be advantageous to analytical methods such as the middle-down approach that benefit from increased sequence coverage of proteins. Vortex-assisted tryptic digestion is expected to be a useful method for rapid tryptic digestion of proteins. Copyright © 2010 John Wiley & Sons, Ltd.

  4. Training medical assistants for surgery.

    PubMed Central

    Vaz, F.; Bergström, S.; Vaz, M. da l.; Langa, J.; Bugalho, A.

    1999-01-01

    A successful programme is reported from Mozambique for training middle-level health workers to perform fairly advanced surgical procedures in remote areas where the services of consultants are virtually unobtainable. Manpower and financial constraints obliged Mozambique to train medical assistants to perform surgical work in rural areas, where three broad priorities were identified: pregnancy-related complications, trauma-related complications, and emergency inflammatory conditions. Since 1984, 20 health workers have emerged from three-year courses to become técnicos de cirurgía (assistant medical officers), and it is expected that there will be 46 by 1999. The training comprises two years of lectures and practical sessions in the Maputo Central Hospital, and a practical internship lasting a year at a provincial hospital. Three workshops organized since 1989 suggest that the upgraded personnel are performing well. More detailed evaluation and follow-up are in progress. Throughout 1995 a follow-up was conducted on 14 assistant medical officers. They performed 10,258 surgical operations, some 70% of which were emergency interventions. Low rates of complication occurred and postoperative mortality amounted to 0.4% and 0.1% in emergency and elective interventions respectively. PMID:10516791

  5. Job satisfaction of nursing assistants.

    PubMed

    Lerner, Nancy; Resnick, Barbara; Galik, Elizabeth; Flynn, Linda

    2011-11-01

    This secondary data analysis explored factors influencing job satisfaction in a sample of nursing assistants employed in Maryland skilled nursing facilities. Multiple factors have been shown to affect job satisfaction and turnover in nursing assistants (NAs), but the problem of turnover persists in skilled nursing facility environments affecting quality of care. An existing data set of 556 nursing assistants from 12 Maryland skilled nursing facilities was used. To explore factors found to influence job satisfaction from other studies, a multiple regression analysis was performed. Nine dependent variables previously shown to affect job satisfaction were used. Of these variables, only years of experience (β = .230) and performance of restorative care (β = .095) were found to be positively associated with job satisfaction. Self-esteem (β = -.094) was found to be negatively associated with job satisfaction. Only length of experience and exemplary care as evidenced by the performance of restorative care were associated with job satisfaction. These results mirror results found in other studies. Self-esteem was negatively associated with job satisfaction in this population, a finding needing further study. Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins

  6. Development of Power Assisting Suit

    NASA Astrophysics Data System (ADS)

    Yamamoto, Keijiro; Ishii, Mineo; Hyodo, Kazuhito; Yoshimitsu, Toshihiro; Matsuo, Takashi

    In order to realize a wearable power assisting suit for assisting a nurse to carry a patient in her arms, the power supply and control systems of the suit have to be miniaturized, and it has to be wireless and pipeline-less. The new wearable suit consists of shoulders, arms, back, waist and legs units to be fitted on the nurse's body. The arms, waist and legs have new pneumatic rotary actuators driven directly by micro air pumps supplied by portable Ni-Cd batteries. The muscle forces are sensed by a new muscle hardness sensor utilizing a sensing tip mounted on a force sensing film device. An embedded microcomputer is used for the calculations of control signals. The new wearable suit was applied practically to a human body and a series of movement experiments that weights in the arms were held and taken up and down was performed. Each unit of the suit could transmit assisting torque directly to each joint verifying its practicability.

  7. Robotic- Assisted Laparoscopic Cervicovaginal Myomectomy.

    PubMed

    Javadian, Pouya; Juusela, Alexander; Nezhat, Farr

    2018-03-28

    To illustrate a robotic assisted laparoscopic resection for the cervicovaginal myomectomy. Step-wise instruction using video. Case report (Canadian Task Force classification III). A tertiary referral center in New York, NY, USA. A 39-year-old woman G0, (body mass index of 23.0 kg/m 2 ) with known cervicovaginal fibroid which in the past underwent uterine artery embolization, presented with recurrence of her severe abnormal vaginal bleeding. She was referred for surgical resection of the mass. Magnetic resonance imaging revealed a 5 cm posterior cervicovaginal leiomyoma. Patient desires to preserve reproductive organs. The patient underwent robotic-assisted laparoscopy resection of this leiomyoma. Total robotic procedure was 123 minutes and estimated blood loss was 100 cc. She was discharged uneventfully on the day 0 postoperatively. Pathology result showed 37 grams leiomyoma of uterus. Patient present to 2 weeks' post-operative visit with no more complaint of vaginal bleeding. Robot-assisted laparoscopic surgery is a feasible approach for cervicovaginal fibroid with minimal complications. Copyright © 2018. Published by Elsevier Inc.

  8. Training and Technical Assistance: A Consultant Manual.

    ERIC Educational Resources Information Center

    Sanders, Wendy Hinrichs

    This consultant's manual aims to assist those who conduct training and technical assistance sessions for early childhood programs and staff. Section 1 offers background theory about effective ways to teach or to guide adults through a learning experience. Section 2 introduces the assistance process as a cycle progressing from assessment through…

  9. Vocabulary Assistance before and during Reading

    ERIC Educational Resources Information Center

    Alessi, Stephen; Dwyer, Angelique

    2008-01-01

    Intermediate learners of Spanish read a Spanish newspaper article with vocabulary assistance either before reading, while reading, both, or without any such assistance. Reading performance was significantly better for students receiving vocabulary assistance during reading, but not for those receiving it before reading. Reading time of the…

  10. 45 CFR 618.430 - Financial assistance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 618.430 Financial assistance... assistance to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts...

  11. 18 CFR 740.6 - Financial assistance.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... MANAGEMENT PLANNING PROGRAM § 740.6 Financial assistance. (a) The Council shall provide financial assistance from funds available for each fiscal year to each State having an approved application pursuant to... 18 Conservation of Power and Water Resources 2 2013-04-01 2012-04-01 true Financial assistance...

  12. 18 CFR 740.6 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... MANAGEMENT PLANNING PROGRAM § 740.6 Financial assistance. (a) The Council shall provide financial assistance from funds available for each fiscal year to each State having an approved application pursuant to... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Financial assistance...

  13. 18 CFR 740.6 - Financial assistance.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... MANAGEMENT PLANNING PROGRAM § 740.6 Financial assistance. (a) The Council shall provide financial assistance from funds available for each fiscal year to each State having an approved application pursuant to... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Financial assistance...

  14. 18 CFR 740.6 - Financial assistance.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... MANAGEMENT PLANNING PROGRAM § 740.6 Financial assistance. (a) The Council shall provide financial assistance from funds available for each fiscal year to each State having an approved application pursuant to... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Financial assistance...

  15. 18 CFR 740.6 - Financial assistance.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... MANAGEMENT PLANNING PROGRAM § 740.6 Financial assistance. (a) The Council shall provide financial assistance from funds available for each fiscal year to each State having an approved application pursuant to... 18 Conservation of Power and Water Resources 2 2014-04-01 2014-04-01 false Financial assistance...

  16. 10 CFR 420.4 - Technical assistance.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 3 2014-01-01 2014-01-01 false Technical assistance. 420.4 Section 420.4 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION STATE ENERGY PROGRAM General Provisions for State Energy Program Financial Assistance § 420.4 Technical assistance. At the request of the Governor of any State to DOE and...

  17. 10 CFR 420.4 - Technical assistance.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 3 2013-01-01 2013-01-01 false Technical assistance. 420.4 Section 420.4 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION STATE ENERGY PROGRAM General Provisions for State Energy Program Financial Assistance § 420.4 Technical assistance. At the request of the Governor of any State to DOE and...

  18. 10 CFR 420.4 - Technical assistance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 3 2011-01-01 2011-01-01 false Technical assistance. 420.4 Section 420.4 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION STATE ENERGY PROGRAM General Provisions for State Energy Program Financial Assistance § 420.4 Technical assistance. At the request of the Governor of any State to DOE and...

  19. 10 CFR 420.4 - Technical assistance.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 3 2012-01-01 2012-01-01 false Technical assistance. 420.4 Section 420.4 Energy DEPARTMENT OF ENERGY ENERGY CONSERVATION STATE ENERGY PROGRAM General Provisions for State Energy Program Financial Assistance § 420.4 Technical assistance. At the request of the Governor of any State to DOE and...

  20. 10 CFR 603.1215 - Assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Assistance. 603.1215 Section 603.1215 Energy DEPARTMENT OF ENERGY (CONTINUED) ASSISTANCE REGULATIONS TECHNOLOGY INVESTMENT AGREEMENTS Definitions of Terms Used in this Part § 603.1215 Assistance. The transfer of a thing of value to a recipient to carry out a public...

  1. 75 FR 25103 - Tree Assistance Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... 1416 RIN 0560-AH96 Tree Assistance Program AGENCY: Farm Service Agency and Commodity Credit Corporation, USDA. ACTION: Final rule. SUMMARY: This rule implements specific requirements for the Tree Assistance... provides disaster assistance to eligible orchardists and nursery tree growers to replant or rehabilitate...

  2. Material Assistance: Who Is Helped by Nonprofits?

    ERIC Educational Resources Information Center

    Guo, Baorong

    2012-01-01

    Although a vast amount of literature on the characteristics of public assistance recipients exists, little is known about the characteristics of the clientele of nonprofits that provide material assistance. This study examines the question of who receives material assistance from nonprofits. Three panels of the Survey of Income and Program…

  3. 12 CFR 1807.900 - Assistance agreement.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 7 2011-01-01 2011-01-01 false Assistance agreement. 1807.900 Section 1807.900 Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY CAPITAL MAGNET FUND Terms and Conditions of Assistance § 1807.900 Assistance agreement. (a) Each Applicant that...

  4. 48 CFR 47.105 - Transportation assistance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Transportation assistance... MANAGEMENT TRANSPORTATION General 47.105 Transportation assistance. (a) Civilian Government activities that do not have transportation officers, or otherwise need assistance on transportation matters, shall...

  5. 29 CFR 4041A.26 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Financial assistance. 4041A.26 Section 4041A.26 Labor... OF MULTIEMPLOYER PLANS Plan Sponsor Duties § 4041A.26 Financial assistance. A plan sponsor that... insolvency year shall apply for financial assistance from the PBGC in accordance with § 4281.47. ...

  6. Grandparent Education for Assisted Living Facilities

    ERIC Educational Resources Information Center

    Strom, Robert D.; Strom, Paris S.

    2017-01-01

    The assisted living population is forecast to increase at a rapid rate. Quality of life for residents should be improved by giving greater attention to their cognitive, emotional, and social needs. A university lifespan development team provided a grandparent education course at a large assisted living facility with the assistance of 20 resident…

  7. 7 CFR 1469.9 - Technical assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Technical assistance. 1469.9 Section 1469.9... Provisions § 1469.9 Technical assistance. (a) NRCS may use the services of NRCS-approved or certified Technical Service Providers in performing its responsibilities for technical assistance. (b) Technical...

  8. 33 CFR 203.62 - Drought assistance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Drought assistance. 203.62... Supplies: Contaminated Water Sources and Drought Assistance § 203.62 Drought assistance. (a) Authority. The... political subdivisions, within areas determined to be drought-distressed. (b) General policy. (1) It is a...

  9. 33 CFR 203.62 - Drought assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Drought assistance. 203.62... Supplies: Contaminated Water Sources and Drought Assistance § 203.62 Drought assistance. (a) Authority. The... political subdivisions, within areas determined to be drought-distressed. (b) General policy. (1) It is a...

  10. The Promise of Dolphin-Assisted Therapy.

    ERIC Educational Resources Information Center

    McKinney, Alexis; Dustin, Dan; Wolff, Robert

    2001-01-01

    Describes how people with disabilities can benefit from working and playing in the water with dolphins, focusing on the many positive benefits of dolphin-assisted therapy and discussing several hypotheses about why dolphin-assisted therapy is so effective. The article describes two dolphin-assisted therapy programs and presents contact information…

  11. 12 CFR 1807.900 - Assistance agreement.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 9 2012-01-01 2012-01-01 false Assistance agreement. 1807.900 Section 1807.900 Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY CAPITAL MAGNET FUND Terms and Conditions of Assistance § 1807.900 Assistance agreement. (a) Each Applicant that...

  12. 12 CFR 1807.900 - Assistance agreement.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 9 2013-01-01 2013-01-01 false Assistance agreement. 1807.900 Section 1807.900 Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY CAPITAL MAGNET FUND Terms and Conditions of Assistance § 1807.900 Assistance agreement. (a) Each Applicant that...

  13. 12 CFR 1807.900 - Assistance agreement.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 10 2014-01-01 2014-01-01 false Assistance agreement. 1807.900 Section 1807.900 Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY CAPITAL MAGNET FUND Terms and Conditions of Assistance § 1807.900 Assistance agreement. (a) Each Applicant...

  14. 5 CFR 340.203 - Technical assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Technical assistance. 340.203 Section 340...-Time Employment § 340.203 Technical assistance. (a) The Office of Personnel Management shall provide, within available resources, consultation and technical advice and assistance to agencies to aid them in...

  15. 46 CFR 11.482 - Assistance towing.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... assistance towing. Except as noted in this paragraph, holders of MMC officer and OUPV endorsements must have... license or MMC for master, mate, or operator endorsed for assistance towing is authorized to engage in assistance towing on any vessel within the scope of the license or MMC. (d) The period of validity of the...

  16. 45 CFR 1321.71 - Legal assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Legal assistance. 1321.71 Section 1321.71 Public... AND COMMUNITY PROGRAMS ON AGING Service Requirements § 1321.71 Legal assistance. (a) The provisions and restrictions in this section apply only to legal assistance providers and only if they are...

  17. 20 CFR 725.422 - Legal assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Legal assistance. 725.422 Section 725.422... AND HEALTH ACT, AS AMENDED Adjudication of Claims by the District Director § 725.422 Legal assistance. The Secretary or his or her designee may, upon request, provide a claimant with legal assistance in...

  18. 34 CFR 106.37 - Financial assistance.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 106.37 Financial assistance... 34 Education 1 2012-07-01 2012-07-01 false Financial assistance. 106.37 Section 106.37 Education...

  19. Audit Guide: Student Financial Assistance Programs.

    ERIC Educational Resources Information Center

    Office of Inspector General (ED), Washington, DC.

    An audit guide to assist independent public accountants in performing audits of federal student financial assistance (SFA) programs is presented. The audit assists the Department of Education in determining whether a recipient has (1) provided financial data, including basic financial statements and other financial reports; (2) maintained a system…

  20. 25 CFR 700.43 - Assistance payment.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 2 2014-04-01 2014-04-01 false Assistance payment. 700.43 Section 700.43 Indians THE OFFICE OF NAVAJO AND HOPI INDIAN RELOCATION COMMISSION OPERATIONS AND RELOCATION PROCEDURES General Policies and Instructions Definitions § 700.43 Assistance payment. An assistance payment is the additional...

  1. 25 CFR 700.43 - Assistance payment.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 2 2013-04-01 2013-04-01 false Assistance payment. 700.43 Section 700.43 Indians THE OFFICE OF NAVAJO AND HOPI INDIAN RELOCATION COMMISSION OPERATIONS AND RELOCATION PROCEDURES General Policies and Instructions Definitions § 700.43 Assistance payment. An assistance payment is the additional...

  2. 13 CFR 113.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Nondiscrimination on the Basis of Sex in Education Programs or Activities Receiving Federal Financial Assistance Discrimination on the Basis of Sex in Education Programs Or Activities Prohibited § 113.430 Financial assistance... assistance to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts...

  3. 24 CFR 3.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Development NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 3... sex, provide different amounts or types of such assistance, limit eligibility for such assistance that...

  4. 36 CFR 1211.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... GENERAL RULES NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited... of sex, provide different amounts or types of such assistance, limit eligibility for such assistance...

  5. 38 CFR 23.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 23.430 Financial assistance... assistance to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts...

  6. 45 CFR 618.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 618.430 Financial assistance... assistance to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts...

  7. 45 CFR 2555.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SERVICE NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited... of sex, provide different amounts or types of such assistance, limit eligibility for such assistance...

  8. 10 CFR 5.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... REGULATORY COMMISSION NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities... of sex, provide different amounts or types of such assistance, limit eligibility for such assistance...

  9. 32 CFR 196.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) MISCELLANEOUS NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 196... sex, provide different amounts or types of such assistance, limit eligibility for such assistance that...

  10. 18 CFR 1317.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 1317.430 Financial assistance... assistance to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts...

  11. 34 CFR 106.37 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 106.37 Financial assistance... 34 Education 1 2010-07-01 2010-07-01 false Financial assistance. 106.37 Section 106.37 Education...

  12. A National Survey of Assisted Living Facilities

    ERIC Educational Resources Information Center

    Hawes, Catherine; Phillips, Charles D.; Rose, Miriam; Holan, Scott; Sherman, Michael

    2003-01-01

    Purpose: Throughout the 1990s, assisted living was the most rapidly growing form of senior housing. The purpose of this paper is to describe the existing supply of assisted living facilities (ALFs) and examine the extent to which they matched the philosophy of assisted living. Design and Methods: The study involved a multistage sample design to…

  13. 42 CFR 38.5 - Grant assistance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... ASSISTANCE FOR CRISIS COUNSELING AND TRAINING § 38.5 Grant assistance. (a) Eligibility. Public agencies and... providing the professional mental health crisis counseling services or mental health training of disaster... benefiting from Federal financial assistance 45 CFR part 86—Nondiscrimination on the basis of sex in...

  14. 42 CFR 38.5 - Grant assistance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... ASSISTANCE FOR CRISIS COUNSELING AND TRAINING § 38.5 Grant assistance. (a) Eligibility. Public agencies and... providing the professional mental health crisis counseling services or mental health training of disaster... benefiting from Federal financial assistance 45 CFR part 86—Nondiscrimination on the basis of sex in...

  15. 42 CFR 38.5 - Grant assistance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... ASSISTANCE FOR CRISIS COUNSELING AND TRAINING § 38.5 Grant assistance. (a) Eligibility. Public agencies and... providing the professional mental health crisis counseling services or mental health training of disaster... benefiting from Federal financial assistance 45 CFR part 86—Nondiscrimination on the basis of sex in...

  16. 42 CFR 38.5 - Grant assistance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... ASSISTANCE FOR CRISIS COUNSELING AND TRAINING § 38.5 Grant assistance. (a) Eligibility. Public agencies and... providing the professional mental health crisis counseling services or mental health training of disaster... benefiting from Federal financial assistance 45 CFR part 86—Nondiscrimination on the basis of sex in...

  17. Proportional assist versus assist control ventilation in premature infants.

    PubMed

    Shetty, Sandeep; Bhat, Prashanth; Hickey, Ann; Peacock, Janet L; Milner, Anthony D; Greenough, Anne

    2016-01-01

    During proportional assist ventilation (PAV), the applied pressure is servo-controlled based on continuous input from the infant's breathing. In addition, elastic and resistive unloading can be employed to compensate for the abnormalities in the infant's lung mechanics. The aim of this study was to test the hypothesis that in very prematurely born infants remaining ventilated beyond the first week, PAV compared to assist control ventilation (ACV) would be associated with superior oxygenation. A randomised crossover study was undertaken. Infants were studied for 4 hours each on PAV and ACV in random order; at the end of each 4-h period, the oxygenation index (OI) was calculated. Eight infants, median gestational age of 25 (range 24-33) weeks, were studied at a median of 19 (range 10-105) days. It had been intended to study 18 infants but as all the infants had superior oxygenation on PAV (p = 0.0039), the study was terminated after recruitment of eight infants. The median inspired oxygen concentration (p = 0.049), mean airway pressure (p = 0.012) and OI (p = 0.012) were all lower on PAV. These results suggest that PAV compared to ACV is advantageous in improving oxygenation for prematurely born infants with evolving or established BPD. During proportional assist ventilation (PAV), the applied pressure is servo controlled throughout each spontaneous breath. Elastic and resistive unloading can compensate for the infant's abnormalities in lung mechanics. In a randomised crossover study, infants with evolving/established BPD were studied on PAV and ACV each for 4 h. The oxygenation index was significantly lower on PAV in all infants studied.

  18. Task Analysis for Health Occupations. Cluster: Medical Assisting. Occupation: Medical Assistant. Education for Employment Task Lists.

    ERIC Educational Resources Information Center

    Lathrop, Janice

    Task analyses are provided for two duty areas for the occupation of medical assistant in the medical assisting cluster. Five tasks for the duty area "providing therapeutic measures" are as follows: assist with dressing change, apply clean dressing, apply elastic bandage, assist physician in therapeutic procedure, and apply topical…

  19. Parking Assistance Systems using Human Guidance

    NASA Astrophysics Data System (ADS)

    Wada, Massaki; Yoon, Kang Sup; Hashimoto, Hideki

    This paper dicusses the problem of parking assistance system development. Firstly, we propose the driver assistance systems general architecture based on path planning and human interface modules. A path generation method based on parking possibility area is developed for the parking assistance systems. The human interface designed for the parking assistance systems is then described. A prototype of the parking assistance systems based on the proposed architecture and approaches have been constructed. Proposed algorithms and implementation solutions in the prototype construction are described. The lane and row parking experimental results obtained with the prototype systems are also shown.

  20. Assisted reproduction and distributive justice.

    PubMed

    Panitch, Vida

    2015-02-01

    The Canadian province of Quebec recently amended its Health Insurance Act to cover the costs of In Vitro Fertilization (IVF). The province of Ontario recently de-insured IVF. Both provinces cited cost-effectiveness as their grounds, but the question as to whether a public health insurance system ought to cover IVF raises the deeper question of how we should understand reproduction at the social level, and whether its costs should be a matter of individual or collective responsibility. In this article I examine three strategies for justifying collective provisions in a liberal society and assess whether public reproductive assistance can be defended on any of these accounts. I begin by considering, and rejecting, rights-based and needs-based approaches. I go on to argue that instead we ought to address assisted reproduction from the perspective of the contractarian insurance-based model for public health coverage, according to which we select items for inclusion based on their unpredictability in nature and cost. I argue that infertility qualifies as an unpredictable incident against which rational agents would choose to insure under ideal conditions and that assisted reproduction is thereby a matter of collective responsibility, but only in cases of medical necessity or inability to pay. The policy I endorse by appeal to this approach is a means-tested system of coverage resembling neither Ontario nor Quebec's, and I conclude that it constitutes a promising alternative worthy of serious consideration by bioethicists, political philosophers, and policy-makers alike. © 2013 John Wiley & Sons Ltd.

  1. Japanese attitudes toward assisted procreation.

    PubMed

    Shirai, Yasuko

    1993-01-01

    Based on the present results, the following points are suggested: First, there are significant attitudinal differences [in Japan] on new reproductive technologies between infertile couples and married laypersons; laypersons' attitudes were not so affirmative as those of infertile couples. Second, among the group of infertile couples, male respondents showed more affirmative attitudes toward assisted procreation than female respondents. Third, the main reason for approving of new reproductive technologies was that "it is a treatment for infertility," while the main reasoning of those who disapproved of them was that "it conflicts with the way of nature."

  2. Nanotube-assisted protein deactivation

    NASA Astrophysics Data System (ADS)

    Joshi, Amit; Punyani, Supriya; Bale, Shyam Sundhar; Yang, Hoichang; Borca-Tasciuc, Theodorian; Kane, Ravi S.

    2008-01-01

    Conjugating proteins onto carbon nanotubes has numerous applications in biosensing, imaging and cellular delivery. However, remotely controlling the activity of proteins in these conjugates has never been demonstrated. Here we show that upon near-infrared irradiation, carbon nanotubes mediate the selective deactivation of proteins in situ by photochemical effects. We designed nanotube-peptide conjugates to selectively destroy the anthrax toxin, and also optically transparent coatings that can self-clean following either visible or near-infrared irradiation. Nanotube-assisted protein deactivation may be broadly applicable to the selective destruction of pathogens and cells, and will have applications ranging from antifouling coatings to functional proteomics.

  3. Measuring compassion in physician assistants.

    PubMed

    Skaff, Karen O; Toumey, Christopher P; Rapp, Doris; Fahringer, David

    2003-01-01

    While compassion is generally agreed to be one of the professional qualities required of physician assistants (PAs), the concept has been remarkably difficult to define and measure. The authors describe a series of studies that generated preliminary information about the compassionate qualities of PAs. In an initial survey, PAs rated their own compassionate qualities, after which their patients assessed the same qualities in them. The patients validated three elements of compassion having to do with communication between PA and patient but failed to validate seven other items. Subsequent research dealt with a halo effect related to the wording of the questions and a confounding effect associated with the intimacy of the medical setting.

  4. 20 CFR 625.7 - Disaster Unemployment Assistance: Duration.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Disaster Unemployment Assistance: Duration... DISASTER UNEMPLOYMENT ASSISTANCE § 625.7 Disaster Unemployment Assistance: Duration. DUA shall be payable... unemployment which begin during a Disaster Assistance Period. ...

  5. 20 CFR 625.7 - Disaster Unemployment Assistance: Duration.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 3 2014-04-01 2014-04-01 false Disaster Unemployment Assistance: Duration... DISASTER UNEMPLOYMENT ASSISTANCE § 625.7 Disaster Unemployment Assistance: Duration. DUA shall be payable... unemployment which begin during a Disaster Assistance Period. ...

  6. 20 CFR 625.7 - Disaster Unemployment Assistance: Duration.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 3 2013-04-01 2013-04-01 false Disaster Unemployment Assistance: Duration... DISASTER UNEMPLOYMENT ASSISTANCE § 625.7 Disaster Unemployment Assistance: Duration. DUA shall be payable... unemployment which begin during a Disaster Assistance Period. ...

  7. 20 CFR 625.7 - Disaster Unemployment Assistance: Duration.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Disaster Unemployment Assistance: Duration... DISASTER UNEMPLOYMENT ASSISTANCE § 625.7 Disaster Unemployment Assistance: Duration. DUA shall be payable... unemployment which begin during a Disaster Assistance Period. ...

  8. Water-jet dissector for endoscopic submucosal dissection in an animal study: outcomes of the continuous and pulsed modes.

    PubMed

    Lepilliez, Vincent; Robles-Medranda, Carlos; Ciocirlan, Mihai; Lukashok, Hannah; Chemali, Marwan; Langonnet, Stephan; Chesnais, Sabrina; Hervieu, Valerie; Ponchon, Thierry

    2013-08-01

    Endoscopic submucosal dissection (ESD) allows en bloc resection of early neoplastic lesions of gastrointestinal tract. Lesions are lifted by submucosal fluid injection before circumferential incision and dissection. High-pressure fluid injection using water jet (WJ) technology is already used for lifting and dissection in surgery. The study was designed to assess WJ for ESD submucosal lifting and dissection. An experimental, randomized comparative, "in vivo" nonsurvival animal study on 12 pigs was designed. Stomach mucosal areas were delineated and resected using three ESD techniques: technique A-syringe injection and IT knife dissection; technique B-WJ continuous injection and IT knife dissection; technique C-WJ injection and WJ pulsed dissection. Injection and dissection speeds and complications rates were assessed. Water jet continuous injection is faster than syringe injection (B faster than A, p = 0.001 and B nonsignificantly faster than C, p = 0.06). IT knife dissection is significantly faster after WJ continuous injection (B faster than A, p = 0.003). WJ pulsed dissection is significantly slower than IT knife dissection (C slower than A and B, both p < 0.001). The overall procedure speed was significantly higher and the immediate bleedings rate was significantly lower for technique B than A and C (overall procedure speed p = 0.001, immediate bleedings p = 0.032 and 0.038 respectively). There were no perforations with any technique. Water jet fluid continuous injection speeds up ESD, whereas pulsed WJ dissection does not.

  9. Ventricle wall dissection and vascular preservation with the pulsed water jet device: novel tissue dissector for flexible neuroendoscopic surgery.

    PubMed

    Kawaguchi, Tomohiro; Nakagawa, Atsuhiro; Endo, Toshiki; Fujimura, Miki; Sonoda, Yukihiko; Tominaga, Teiji

    2016-03-01

    Neuroendoscopic surgery allows minimally invasive surgery, but lacks effective methods to control bleeding. Water jet dissection with continuous flow has been used in liver and kidney surgery since the 1980s, and is effective for tissue manipulation with vascular preservation, but involves some potential risks, such as elevation of intracranial pressure during application in the ventricles. The authors previously reported the efficacy of the actuator-driven pulsed water jet device (ADPJ) to dissect soft tissue with vascular preservation in microscopic neurosurgery. This feasibility study investigated the use of the ADPJ to reduce the amount of water usage, leading to more safety with sustained efficacy. A small-diameter pulsed water jet device was developed for use with the flexible neuroendoscope. To identify the optimal conditions for the water jet, the flow rate, water pressure, and distance between the nozzle and target were analyzed in an in vitro study by using a gelatin brain phantom. A ventricle model was used to monitor the internal pressure and temperature. For ex vivo experiments the porcine brain was harvested and ventricle walls were exposed, and subsequently immersed into physiological saline. For in vivo experiments the cortex was microsurgically resected to make the small cortico-ventricle window, and then the endoscope was introduced to dissect ventricle walls. In the in vitro experiments, water pressure was approximately 6.5 bar at 0.5 mm from the ADPJ nozzle and was maintained at 1 mm, but dropped rapidly toward 50% at 2 mm, and became 10% at 3.5 mm. The ADPJ required less water to achieve the same dissection depth compared with the continuous-flow water jet. With the ventricle model, the internal pressure and temperature were well controlled at the baseline, with open water drainage. These results indicated that the ADPJ can be safely applied within the ventricles. The ADPJ was introduced into a flexible endoscope and the ventricle walls were dissected in both the ex vivo and in vivo conditions. The ventricle wall was dissected without obscuring the view, and the vascular structures were anatomically preserved under direct application. Histological examination revealed that both the vessels on the ventricle wall and the fine vessels in the parenchyma were preserved. The ADPJ can safely and effectively dissect the ventricle wall, with vascular preservation in immersed conditions. To achieve the optimal result of tissue dissection with minimal surgical risk, the ADPJ is a potential device for neuroendoscopic surgery of the ventricles.

  10. Corticotomy-assisted orthodontic treatment

    PubMed Central

    Hassan, Ali H.; Al-Saeed, Samar H.; Al-Maghlouth, Basma A.; Bahammam, Maha A.; Linjawi, Amal I.; El-Bialy, Tarek H.

    2015-01-01

    Objectives: To systematically review the literature to assess the quality of evidence related to corticotomy-assisted orthodontic treatment (CAOT) as adjunctive treatment in orthodontics. Methods: The study was conducted in the Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia between 2013 and 2014. Various electronic databases were searched and abstracts were retrieved. Defined inclusion criteria were then applied to the obtained original articles for further evaluation by 2 examiners independently. The criteria of selection included human, or animal studies, which assessed some aspects of CAOT and/or the biological principles behind it. Case reports and series were excluded. The quality of the studies was evaluated by the methodological score for clinical trials developed. Results: Fourteen articles were retrieved initially, but only 12 articles were finally selected for the study. The CAOT was found to accelerate tooth movement by 2-2.5 folds when compared with conventional orthodontic tooth movement. The CAOT was found safe on periodontal health and exhibits no or little risk of root resorption. A localized turnover of alveolar spongiosa and the absence of a hyalinized zone was the acceptable biological explanation of CAOT. There is no evidence to support that CAOT enhances the movement of ankylosed teeth, closing old extraction sites, post-orthodontic stability, or transverse expansion. Conclusions: Corticotomy-assisted orthodontic treatment should be considered with caution. Long term randomized clinical trials are still needed. PMID:26108582

  11. Vacuum-assisted cesarean section

    PubMed Central

    McQuivey, Ross W; Block, Jon E

    2017-01-01

    There has been a dramatic rise in the frequency of cesarean sections, surpassing 30% of all deliveries in the US. This upsurge, coupled with a decreasing willingness to allow vaginal birth after cesarean section, has resulted in an expansion of the use of vacuum assistance to safely extract the fetal head. By avoiding the use of a delivering hand or forceps blade, the volume being delivered through the uterine incision can be decreased when the vacuum is used properly. Reducing uterine extensions with their associated complications (eg, excessive blood loss) in difficult cases is also a theoretical advantage of vacuum delivery. Maternal discomfort related to excessive fundal pressure may also be lessened. To minimize the risk of neonatal morbidity, proper cup placement over the “flexion point” remains essential to maintain vacuum integrity and reduce the chance of inadvertent detachment and uterine extensions. Based on the published literature and pragmatic clinical experience, utilization of the vacuum device is a safe and effective technique to assist delivery during cesarean section. PMID:28331371

  12. Fetal habituation in assisted conception.

    PubMed

    Joy, Jolly; McClure, Neil; Hepper, Peter G; Cooke, Inez

    2012-06-01

    Neurodevelopment outcomes of children conceived by Assisted Reproductive Technology (ART)have been the subject of much recent attention. To date there are no reports of neurodevelopmental performance before birth in this group. To compare habituation (a measure of brain function) in fetuses conceived by assisted reproduction techniques (ART) with naturally conceived (NC) fetuses. Case control study. Women with singleton pregnancies matched for maternal age, parity and smoking were recruited in 2 groups: ART (n=20) and NC (n=20). Sound stimuli (250 Hz, 110 dB) at 10 second intervals lasting 2 s were administered to the fetus. The end point was habituation (cessation of movement for five consecutive stimuli) or a maximum of 30 stimuli. Responses of the fetus were observed with ultrasound at 28, 32 and 36 weeks' gestation, video-recorded and anonymised for analysis. At 28 weeks' gestation significantly more ART fetuses responded to sound of 250 Hz, 110 dB (p=0.02) but this difference did not persist at 32 and 36 weeks'. There was a significant increase in nonresponders as gestation advanced in the ART group. There was no difference in habituation or mean number of trials to habituate at all three gestations. ART fetuses demonstrated no differences in habituation suggesting that there is no neurodevelopment delay. However, a decrease in response to sound as gestation advances might be a harbinger for poor perinatal outcomes and needs exploration. Crown Copyright © 2011. Published by Elsevier Ireland Ltd. All rights reserved.

  13. Scientific Assistant Virtual Laboratory (SAVL)

    NASA Astrophysics Data System (ADS)

    Alaghband, Gita; Fardi, Hamid; Gnabasik, David

    2007-03-01

    The Scientific Assistant Virtual Laboratory (SAVL) is a scientific discovery environment, an interactive simulated virtual laboratory, for learning physics and mathematics. The purpose of this computer-assisted intervention is to improve middle and high school student interest, insight and scores in physics and mathematics. SAVL develops scientific and mathematical imagination in a visual, symbolic, and experimental simulation environment. It directly addresses the issues of scientific and technological competency by providing critical thinking training through integrated modules. This on-going research provides a virtual laboratory environment in which the student directs the building of the experiment rather than observing a packaged simulation. SAVL: * Engages the persistent interest of young minds in physics and math by visually linking simulation objects and events with mathematical relations. * Teaches integrated concepts by the hands-on exploration and focused visualization of classic physics experiments within software. * Systematically and uniformly assesses and scores students by their ability to answer their own questions within the context of a Master Question Network. We will demonstrate how the Master Question Network uses polymorphic interfaces and C# lambda expressions to manage simulation objects.

  14. Zika virus and assisted reproduction.

    PubMed

    Cordeiro, Christina N; Bano, Rashda; Washington Cross, Chantel I; Segars, James H

    2017-06-01

    Due to the fact that the Zika virus can be sexually transmitted, there is a potential risk for disease transmission at several stages of assisted reproduction. Such a possibility poses a serious challenge to couples pursing fertility with reproductive technologies. Here, we discuss what is known regarding Zika virus infection with respect to sexual transmission and correlate this knowledge with recent recommendations in the realm of infertility treatment. Zika virus can be transmitted from infected men and women through vaginal, oral or anal intercourse. Zika virus RNA has been detected in blood, semen, cervical mucus and vaginal fluid. Currently, the Centers for Disease Control recommends that infected men wait 6 months, and infected women 8 weeks, prior to attempting pregnancy. Reproductive tissue donors should wait 6 months before giving a specimen. Further study of Zika virus transmission in different reproductive tissues and establishment of validated testing methods for viral disease transmissibility are urgently needed. Reproductive technologists need to establish screening, testing and laboratory protocols aimed to reduce the risk of Zika virus transmission during assisted reproduction.

  15. Robot-Assisted Needle Steering

    PubMed Central

    Reed, Kyle B.; Majewicz, Ann; Kallem, Vinutha; Alterovitz, Ron; Goldberg, Ken; Cowan, Noah J.; Okamura, Allison M.

    2012-01-01

    Needle insertion is a critical aspect of many medical treatments, diagnostic methods, and scientific studies, and is considered to be one of the simplest and most minimally invasive medical procedures. Robot-assisted needle steering has the potential to improve the effectiveness of existing medical procedures and enable new ones by allowing increased accuracy through more dexterous control of the needle tip path and acquisition of targets not accessible by straight-line trajectories. In this article, we describe a robot-assisted needle steering system that uses three integrated controllers: a motion planner concerned with guiding the needle around obstacles to a target in a desired plane, a planar controller that maintains the needle in the desired plane, and a torsion compensator that controls the needle tip orientation about the axis of the needle shaft. Experimental results from steering an asymmetric-tip needle in artificial tissue demonstrate the effectiveness of the system and its sensitivity to various environmental and control parameters. In addition, we show an example of needle steering in ex vivo biological tissue to accomplish a clinically relevant task, and highlight challenges of practical needle steering implementation. PMID:23028210

  16. Robot-assisted mediastinal parathyroidectomy.

    PubMed

    Profanter, C; Schmid, T; Prommegger, R; Bale, R; Sauper, T; Bodner, J

    2004-05-01

    We report the first case of robot-assisted thoracoscopic resection of a mediastinal parathyroid adenoma in the aorto-pulmonary window. Intervention planning was based on preoperative CT-MIBI image fusion, a new imaging modality that enabled reliable and precise localization of the parathyroid. The technique consists of taking MIBI-SPECT and CT separately, using a fixation unit that provides reproducible positioning of the patients head and neck. The data sets are then superimposed upon each other using special software. After the localization process, a minimally invasive operation was performed using the DaVinci operating robot. The procedure proved not only to be feasible but also safe and not time-consuming. The postoperative course was uneventful, and the patient was discharged 4 days postoperatively. Compared to conventional thoracoscopic surgery, the robotic operating system provides better visualization of the operating field and facilitates the movement of the instruments. Precise preoperative imaging enables the careful planning of robot-assisted surgery for ectopic parathyroids located at relatively inaccessible regions such as the anterior mediastinum.

  17. 40 CFR 35.9070 - National program assistance agreements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 1 2013-07-01 2013-07-01 false National program assistance agreements... FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Financial Assistance for the National Estuary Program § 35.9070 National program assistance agreements. The Assistant Administrator for Water may approve the...

  18. 40 CFR 35.9070 - National program assistance agreements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 1 2011-07-01 2011-07-01 false National program assistance agreements... FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Financial Assistance for the National Estuary Program § 35.9070 National program assistance agreements. The Assistant Administrator for Water may approve the...

  19. 40 CFR 35.9070 - National program assistance agreements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 1 2012-07-01 2012-07-01 false National program assistance agreements... FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Financial Assistance for the National Estuary Program § 35.9070 National program assistance agreements. The Assistant Administrator for Water may approve the...

  20. 24 CFR 891.705 - Project assistance contract.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... family occupying an assisted unit in an independent living complex as an additional project assistance... PAC. The project assistance payments made under the PAC are: (1) Payments to the Borrower to assist eligible families leasing assisted units. The amount of the project assistance payment made to the Borrower...

  1. A cost effective expert system to assist physicians: epileptologists' assistant.

    PubMed Central

    Ruchelman, M.; Krishnamurthy, K.; Hostetler, W.; Peterson, L. L.; Jungmann, J.; Doller, H. J.

    1992-01-01

    While medical expert systems helped demonstrate that artificial intelligence was possible, few medical systems have been heralded as practical successes. We believe that expert systems will be practical successes if they cost effectively handle most of a physician's workload (i.e., routine care). To accomplish this goal, technology must appear invisible to the user; the system must be intuitive and anticipate users' needs. "Epileptologists' Assistant" is an example of our approach of combining a graphical user interface with an expert system and data base in a system to help in a routine specialty clinic. The goal is for two nurses and a physician to handle the workload of three physicians while increasing the quality of care. The current system reduces physician time by 66%. Our ultimate goal is to create a unified family of systems for medical specialties. PMID:1482997

  2. [Robotic-Assisted Oesophageal Surgery].

    PubMed

    Egberts, J-H; Aselmann, H; Hauser, C; Bernsmeier, A; Carstens, A; Hoecker, J; Becker, T

    2016-04-01

    Abdominothoracic oesophageal resections, also known as Ivor Lewis procedures, are complex visceral surgery procedures. In recent years, substeps have increasingly been performed using minimally invasive techniques. However, intrathoracic anastomosis is still a challenge given the instrumental and technological possibilities available to date. This article provides a detailed description of the use of the Da Vinci robotic system and our techniques in oesophageal surgery. In a prospective data collection, we analysed the robotic-assisted oesophageal surgeries performed at the University Hospital of Schleswig-Holstein, Campus Kiel, between November 2013 and November 2015. A total of 56 patients underwent robotic-assisted oesophageal surgery, with 43 patients undergoing the Ivor Lewis technique, 10 patients undergoing the McKeown procedure and 3 patients undergoing enucleation of a leiomyoma. A complete tumour resection (R0 margin) was achieved in 53 patients (93.4%); the mean number of resected lymph nodes was 23 (14-75). Forty-five (80.5%) patients received an induction therapy. Mean operative time was 412 min (120-610); mean hospital stay was 19 days (4-145). A conversion to open surgery was necessary in 19 (34.1%) cases, most notably in the thoracic part of the surgical procedure (17 patients). Forty-three patients received intrathoracic oesophagogastrostomy; 4 out of 5 patients with an initial side-to-side anastomosis developed a leakage, whereupon the technique was switched to a hand-sewn procedure (leakage in 3 out of 20 patients). Other major morbidities included leakage of the gastric conduit in 2 patients (3.6%), airway fistula in 2 patients (3.6%), mesenteric ischaemia in one patient (1.8%), and peritonitis due to a dislocated feeding tube in one other patient. Pulmonary complications occurred in 19 patients (34%). Four patients (7.1%) died of pulmonary embolism, heart attack, and septic organ failure. Robotic-assisted, minimally invasive oesophagectomy is

  3. Assistance Focus: Asia/Pacific Region (Brochure)

    SciTech Connect

    Not Available

    2015-01-01

    The Clean Energy Solutions Center Ask an Expert service connects governments seeking policy information and advice with one of more than 30 global policy experts who can provide reliable and unbiased quick-response advice and information. The service is available at no cost to government agency representatives from any country and the technical institutes assisting them. This publication presents summaries of assistance provided to governments in the Asia/Pacific region, including the benefits of that assistance.

  4. Assistance Focus: Latin America/Caribbean (Brochure)

    SciTech Connect

    Not Available

    2015-01-01

    The Clean Energy Solutions Center Ask an Expert service connects governments seeking policy information and advice with one of more than 30 global policy experts who can provide reliable and unbiased quick-response advice and information. The service is available at no cost to government agency representatives from any country and the technical institutes assisting them. This publication presents summaries of assistance provided to African governments, including the benefits of that assistance.

  5. Vacuum-Assisted Vaginal Delivery

    PubMed Central

    Ali, Unzila A; Norwitz, Errol R

    2009-01-01

    Approximately 5% (1 in 20) of all deliveries in the United States are operative vaginal deliveries. The past 20 years have seen a progressive shift away from the use of forceps in favor of the vacuum extractor as the instrument of choice. This article reviews in detail the indications, contraindications, patient selection criteria, choice of instrument, and technique for vacuum-assisted vaginal delivery. The use of vacuum extraction at the time of cesarean delivery will also be discussed. With vacuum extraction becoming increasingly popular, it is important that obstetric care providers are aware of the maternal and neonatal risks associated with such deliveries and of the options available to effect a safe and expedient delivery. PMID:19399290

  6. Parthenogenesis and Human Assisted Reproduction

    PubMed Central

    Bos-Mikich, Adriana; Bressan, Fabiana F.; Ruggeri, Rafael R.; Watanabe, Yeda; Meirelles, Flávio V.

    2016-01-01

    Parthenogenetic activation of human oocytes obtained from infertility treatments has gained new interest in recent years as an alternative approach to create embryos with no reproductive purpose for research in areas such as assisted reproduction technologies itself, somatic cell, and nuclear transfer experiments and for derivation of clinical grade pluripotent embryonic stem cells for regenerative medicine. Different activating methods have been tested on human and nonhuman oocytes, with varying degrees of success in terms of parthenote generation rates, embryo development stem cell derivation rates. Success in achieving a standardized artificial activation methodology for human oocytes and the subsequent potential therapeutic gain obtained from these embryos depends mainly on the availability of gametes donated from infertility treatments. This review will focus on the creation of parthenotes from clinically unusable oocytes for derivation and establishment of human parthenogenetic stem cell lines and their potential applications in regenerative medicine. PMID:26635881

  7. Robonaut: A Robotic Astronaut Assistant

    NASA Technical Reports Server (NTRS)

    Ambrose, Robert O.; Diftler, Myron A.

    2001-01-01

    NASA's latest anthropomorphic robot, Robonaut, has reached a milestone in its capability. This highly dexterous robot, designed to assist astronauts in space, is now performing complex tasks at the Johnson Space Center that could previously only be carried out by humans. With 43 degrees of freedom, Robonaut is the first humanoid built for space and incorporates technology advances in dexterous hands, modular manipulators, lightweight materials, and telepresence control systems. Robonaut is human size, has a three degree of freedom (DOF) articulated waist, and two, seven DOF arms, giving it an impressive work space for interacting with its environment. Its two, five fingered hands allow manipulation of a wide range of tools. A pan/tilt head with multiple stereo camera systems provides data for both teleoperators and computer vision systems.

  8. Electrohydraulic ventricular assist device development.

    PubMed

    Diegel, P D; Mussivand, T; Holfert, J W; Nahon, D; Miller, J; Maclean, G K; Santerre, J P; Bearnson, G B; Juretich, J; Hansen, A C

    1991-01-01

    A 64 ml (effective stroke volume) in vitro electrohydraulic ventricular assist device (VAD) prototype has been built. The energy converter is an axial flow pump driven by a brushless direct current (DC) motor. Systole begins as silicone oil is pumped from the volume displacement chamber (VDC) into the ventricle, displacing the flexing diaphragm separating the oil and the blood. In diastole, the motor reverses, providing active filling by pumping oil from the ventricle into the VDC. The surface mount electronic internal controller provides motor commutator, energy management, telemetry, and physiologic control functions. Energy is supplied externally by either a 12 V DC power supply or a 12 V DC rechargeable battery and is transmitted through the skin by a transcutaneous energy transformer (TET). Energy can also be supplied by a 12 V DC rechargeable internal battery. Bidirectional infrared telemetry is used to transmit information between the internal and external controllers.

  9. Robot-assisted laparoscopic nephroureterectomy.

    PubMed

    Nanigian, Dana K; Smith, William; Ellison, Lars M

    2006-07-01

    Laparoscopic nephroureterectomy for upper-tract urothelial tumors is a minimally invasive approach that parallels the open technique in oncologic efficacy. Multiple approaches to manage the distal ureter have been described. We developed a new technique using the daVinci robot system to perform a transvesical excision of the distal ureter and bladder cuff. Ten consecutive patients with upper-tract urothelial cancer underwent a laparoscopic nephroureterectomy. The daVinci robot was docked through the umbilical, ipsilateral lateral rectus, and an additional contralateral lateral rectus port. The bladder was clam-shelled in a coronal orientation at the dome and the distal ureterectomy performed. Our technique was successful in all ten patients. The mean operative time for the entire case was 4.4 hours. The average hospital stay was 3 days. Robot-assisted laparoscopic nephroureterectomy is a safe, minimally invasive approach to upper- tract urothelial cancer that reduces the technical challenge of excision of the distal ureter.

  10. The Integrated Radiation Mapper Assistant

    SciTech Connect

    Carlton, R.E.; Tripp, L.R.

    1995-03-01

    The Integrated Radiation Mapper Assistant (IRMA) system combines state-of-the-art radiation sensors and microprocessor based analysis techniques to perform radiation surveys. Control of the survey function is from a control station located outside the radiation thus reducing time spent in radiation areas performing radiation surveys. The system consists of a directional radiation sensor, a laser range finder, two area radiation sensors, and a video camera mounted on a pan and tilt platform. THis sensor package is deployable on a remotely operated vehicle. The outputs of the system are radiation intensity maps identifying both radiation source intensities and radiation levels throughout themore » room being surveyed. After completion of the survey, the data can be removed from the control station computer for further analysis or archiving.« less

  11. The mission operations planning assistant

    NASA Technical Reports Server (NTRS)

    Schuetzle, James G.

    1987-01-01

    The Mission Operations Planning Assistant (MOPA) is a knowledge-based system developed to support the planning and scheduling of instrument activities on the Upper Atmospheric Research Satellite (UARS). The MOPA system represents and maintains instrument plans at two levels of abstraction in order to keep plans comprehensible to both UARS Prinicpal Investigators and Command Management personnel. The hierarchical representation of plans also allows MOPA to automatically create detailed instrument activity plans from which spacecraft command loads may be generated. The MOPA system was developed on a Symbolics 3640 computer using the ZETALISP and ART languages. MOPA's features include a textual and graphical interface for plan inspection and modification, recognition of instrument operational constraint violations during the planning process, and consistency maintenance between the different planning levels. This paper describes the current MOPA system.

  12. Chemically assisted mechanical refrigeration process

    DOEpatents

    Vobach, Arnold R.

    1987-01-01

    There is provided a chemically assisted mechanical refrigeration process including the steps of: mechanically compressing a refrigerant stream which includes vaporized refrigerant; contacting the refrigerant with a solvent in a mixer (11) at a pressure sufficient to promote substantial dissolving of the refrigerant in the solvent in the mixer (11) to form a refrigerant-solvent solution while concurrently placing the solution in heat exchange relation with a working medium to transfer energy to the working medium, said refrigerant-solvent solution exhibiting a negative deviation from Raoult's Law; reducing the pressure over the refrigerant-solvent solution in an evaporator (10) to allow the refrigerant to vaporize and substantially separate from the solvent while concurrently placing the evolving refrigerant-solvent solution in heat exchange relation with a working medium to remove energy from the working medium to thereby form a refrigerant stream and a solvent stream; and passing the solvent and refrigerant stream from the evaporator.

  13. Chemically assisted mechanical refrigeration process

    DOEpatents

    Vobach, A.R.

    1987-06-23

    There is provided a chemically assisted mechanical refrigeration process including the steps of: mechanically compressing a refrigerant stream which includes vaporized refrigerant; contacting the refrigerant with a solvent in a mixer at a pressure sufficient to promote substantial dissolving of the refrigerant in the solvent in the mixer to form a refrigerant-solvent solution while concurrently placing the solution in heat exchange relation with a working medium to transfer energy to the working medium, said refrigerant-solvent solution exhibiting a negative deviation from Raoult's Law; reducing the pressure over the refrigerant-solvent solution in an evaporator to allow the refrigerant to vaporize and substantially separate from the solvent while concurrently placing the evolving refrigerant-solvent solution in heat exchange relation with a working medium to remove energy from the working medium to thereby form a refrigerant stream and a solvent stream; and passing the solvent and refrigerant stream from the evaporator. 5 figs.

  14. Chemically assisted mechanical refrigeration process

    DOEpatents

    Vobach, Arnold R.

    1987-01-01

    There is provided a chemically assisted mechanical refrigeration process including the steps of: mechanically compressing a refrigerant stream which includes vaporized refrigerant; contacting the refrigerant with a solvent in a mixer (11) at a pressure sufficient to promote substantial dissolving of the refrigerant in the solvent in the mixer (11) to form a refrigerant-solvent solution while concurrently placing the solution in heat exchange relation with a working medium to transfer energy to the working medium, said refrigerant-solvent solution exhibiting a negative deviation from Raoult's Law; reducing the pressure over the refrigerant-solvent solution in an evaporator (10) to allow the refrigerant to vaporize and substantially separate from the solvent while concurrently placing he evolving refrigerant-solvent solution in heat exchange relation with a working medium to remove energy from the working medium to thereby form a refrigerant stream and a solvent stream; and passing the solvent and refrigerant stream from the evaporator.

  15. Chemically assisted mechanical refrigeration process

    DOEpatents

    Vobach, A.R.

    1987-11-24

    There is provided a chemically assisted mechanical refrigeration process including the steps of: mechanically compressing a refrigerant stream which includes vaporized refrigerant; contacting the refrigerant with a solvent in a mixer at a pressure sufficient to promote substantial dissolving of the refrigerant in the solvent in the mixer to form a refrigerant-solvent solution while concurrently placing the solution in heat exchange relation with a working medium to transfer energy to the working medium, said refrigerant-solvent solution exhibiting a negative deviation from Raoult's Law; reducing the pressure over the refrigerant-solvent solution in an evaporator to allow the refrigerant to vaporize and substantially separate from the solvent while concurrently placing the evolving refrigerant-solvent solution in heat exchange relation with a working medium to remove energy from the working medium to thereby form a refrigerant stream and a solvent stream; and passing the solvent and refrigerant stream from the evaporator. 5 figs.

  16. Exploring the design space of haptic assistants: the assistance policy module.

    PubMed

    Passenberg, Carolina; Glaser, Antonia; Peer, Angelika

    2013-01-01

    Haptic assistants augment user commands to facilitate manipulation and to increase task performance. The strength of assistance, also referred to as assistance level, is one of the main design factors. While existing implementations mainly realize fixed assistance levels that are selected with respect to one design objective, we introduce an assistance policy module that dynamically changes assistance levels and can incorporate multiple performance measures. The design space of this assistance policy module is systematically analyzed and three design factors, 1) performance criteria, 2) performance reference, and 3) assistance policy, are identified. Different implementations of the assistance policy module are compared for a scenario involving guiding virtual fixtures. A single-user evaluation is used to illustrate the effect of the different implementations on the determined assistance levels, and a multi-user study allows for a statistical comparison of them. Results show that adaptive assistance policies can outperform constant assistance policies, switching assistance policies have advantages over continuously adapting policies, a multi-criteria performance measure should be favored if there is no single criterion that has an outstanding priority, and the selection of the performance reference is highly application dependent.

  17. EPA Program Offices that Provide Assistance Agreements

    EPA Pesticide Factsheets

    EPA's mission is to protect human health and to safeguard the natural environment. Through environmental statutes, EPA has nine program offices, that provide financial support through assistance agreements.

  18. Technical Assistance To Tribal Communities Addressing Brownfields

    EPA Pesticide Factsheets

    This notice announces the availability of funds and solicits proposals from eligible entities (including eligible nonprofit organizations) to provide technical assistance to tribal communities on brownfield related issues.

  19. Laser-assisted solar cell metallization processing

    NASA Technical Reports Server (NTRS)

    Rohatgi, A.; Gupta, S.; Mcmullin, P. G.; Palaschak, P. A.

    1985-01-01

    Laser-assisted processing techniques for producing high-quality solar cell metallization patterns are being investigated, developed, and characterized. The tasks comprising these investigations are outlined.

  20. Debates about assisted suicide in Switzerland.

    PubMed

    Burkhardt, Sandra; La Harpe, Romano

    2012-12-01

    Assisted suicide is allowed in 3 states of the United States (Oregon, Washington, Montana) but only if performed by a physician.On the opposite, in Switzerland, at the beginning of the 20th century, the Swiss Penal Code referred to assisted suicide in the context of honor or an unhappy love affair. It was only in 1985 that Exit Deutsche Schweiz (Exit for German-speaking Switzerland) "medically" assisted the first patient to end his life.Even if authorized by the Swiss law upon certain conditions, assisted suicide is subject to debates for ethical reasons. The Swiss Academy of Medical Sciences described directives to guide physicians on this difficult subject.Different studies showed an increase in the number of medical-assisted suicide in Switzerland since the 1990s. Now, this number seems to be quite stable. Assisted suicide is authorized in a few hospitals under strict conditions (especially when returning home is impossible).Thus, according to the Swiss law, any person could perform assisted suicide; this is essentially performed by 3 main associations, using pentobarbital on medical prescription as lethal substance.Generally speaking, the Swiss population is rather in favor of assisted suicide. Among politics, the debate has been tough until 2010, when the Federal Council decided not to modify the Swiss Penal Code concerning assisted suicide.

  1. [Neonatal consequences of vacuum-assisted delivery].

    PubMed

    Maagaard, Mathilde; Sørensen, Jette Led; Lando, Ane; Ottesen, Bent

    2010-08-30

    About 5000 babies annually, or 1/12 of all births, are the result of vacuum-assisted delivery in Denmark. Towards the end of the 1990'ies, the US FDA published a national warning concerning increasing complications and mortality after vacuum-assisted delivery, and other countries followed. One explanation is that training is no longer given the needed focus. Recent introduction of new requirements on Danish specialist training and the fact that vacuum-assisted delivery is an important procedure in obstetrics provides the basis for this article which systematically reviews the neonate consequences for the termed baby following vacuum-assisted delivery.

  2. [Evolution of assisted reproductive technologies].

    PubMed

    Jouannet, Pierre

    2009-03-01

    When natural conception is impossible and the underlying problem cannot be treated, medical intervention can reproduce the steps necessary for fertilization and early embryo development. The first known medical action in the field of human reproduction took place at the end of the 18th century, in the form of artificial insemination with the husband's semen, thus dissociating sexual intercourse from procreation. A further upheaval occurred at the end of the 19th century, with the use of donor sperm, separating the notions of genetic descent and parenthood. In the second half of the 20th century, medically assisted procreation saw two major technological advances, namely gamete freezing and in vitro fertilization (IVF). The first child conceived with frozen-thawed sperm was born in 1953, and the first IVF baby in 1978. Fertilization by intracytoplasmic sperm injection (ICSI), first developed in 1992, can overcome many causes of male infertility. The convergence of reproductive biology and genetics has now opened up the possibility of screening for chromosome and gene defects in the embryo, prior to implantation. Thus, assisted reproductive technologies (ART) not only serve as a substitute for natural conception but can also avoid the birth of a disabled child While new technologies continue to extend the available options for infertile couples, they also have the potential to help single women and homosexual couples to have children. These practices are currently only accepted in certain countries. Overall, these new medical technologies have contributed to changing our conception of human reproduction, opening up new paradigms of parenthood and raising new challenges for society.

  3. Physician assistant education: five countries.

    PubMed

    Hooker, Roderick S; Kuilman, Luppo

    2011-01-01

    Physician assistant (PA) education has undergone substantial change since the late 1960s. After four decades of development, other countries have taken a page from the American experience and launched their own instructional initiatives. The diversity in how different countries approach education and produce a PA for their nation's needs provides an opportunity to make comparisons. The intent of this study was to document and describe PA programs in Australia, Canada, the United Kingdom, The Netherlands, and the United States. We reviewed the literature and contacted a network of academics in various institutions to obtain primary information. Each contact was asked a set of basic questions about the country, the PA program, and the deployment of graduates. Information on US PA programs was obtained from the Physician Assistant Education Association. At year's end 2010, the following was known about PA development: Australia, one program; Canada, four programs; United Kingdom, four programs; The Netherlands, five programs; the United States, 154 programs. Trends in program per capita growth remain the largest in the United States, followed by The Netherlands and Canada. The shortest program length was 24 months and the longest, 36 months. Outside the United States, almost all programs are situated in an academic health center ([AHC] defined as a medical university, a teaching hospital, and a nursing or allied health school), whereas only one-third of US PA programs are in AHCs. All non-US programs receive public/government funding whereas American programs are predominately private and depend on tuition to fund their programs. The PA movement is a global phenomenon. How PAs are being educated, trained, and deployed is known only on the basic level. We identify common characteristics, unique aspects, and trends in PA education across five nations, and set the stage for collaboration and analysis of optimal educational strategies. Additional information is needed on

  4. Robotically assisted mitral valve replacement.

    PubMed

    Gao, Changqing; Yang, Ming; Xiao, Cangsong; Wang, Gang; Wu, Yang; Wang, Jiali; Li, Jiachun

    2012-04-01

    In the present study, we determined the safety and efficacy of robotic mitral valve replacement using robotic technology. From January 2007 through March 2011, more than 400 patients underwent various types of robotic cardiac surgery in our department. Of these, 22 consecutive patients underwent robotically assisted mitral valve replacement. Of the 22 patients with isolated rheumatic mitral valve stenosis (9 men and 13 women), the mean age was 44.7 ± 19.8 years (range, 32-65). Preoperatively, all patients underwent a complete workup, including coronary angiography and transthoracic echocardiography. Of the 22 patients, 15 had concomitant atrial fibrillation. The surgical approach was through 4 right-side chest ports with femoral perfusion. Aortic occlusion was performed with a Chitwood crossclamp, and antegrade cardioplegia was administered directly by way of the anterior chest. Using 3 port incisions in the right side of the chest and a 2.5- to 3.0-cm working port, all the procedures were completed with the da Vinci S robot. All patients underwent successful robotic surgery. Of the 22 patients, 16 received a mechanical valve and 6 a tissue valve. The mean cardiopulmonary bypass time and aortic crossclamp time was 137.1 ± 21.9 minutes (range, 105-168) and 99.3 ± 17.9 minutes (range, 80-133), respectively. No operative deaths, stroke, or other complications occurred, and no incisional conversions were required. After surgery, all the patients were followed up echocardiographically. Robotically assisted mitral valve replacement can be performed safely in patients with isolated mitral valve stenosis, and surgical results are excellent. Copyright © 2012 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

  5. [Robotic-Assisted Liver Surgery].

    PubMed

    Croner, R; Perrakis, A; Grützmann, R; Hohenberger, W; Brunner, M

    2016-04-01

    The advantages of minimally invasive liver resections for selected patients are evident. Robots provide new innovations that will influence minimally invasive liver surgery in the future. This article presents our initial experience with this technology in our patient population. Material und Methods: In 14 patients with benign or malignant liver tumours, robotic-assisted liver surgery was performed. Selection criteria were compensated liver function and resection of ≤ 3 liver segments. Chronic liver disease or previous abdominal surgery were no exclusion criteria. Malignant liver tumours were removed in 10 patients (71%) and benign symptomatic liver tumors in 3 patients (21%), respectively, with histopathologically negative margins (R0). One patient suffering from HCC underwent intraoperative ablation. In one case (7%) conversion was necessary. Mean operation time was 296 min (120-458 min); mean estimated blood loss was 319 ± 298 ml. The mean hospital stay of the patients was 8 days (3-17 days). Three patients (21%) suffered from postoperative complications, which were manageable by conservative treatment (Clavien-Dindo I) in 2 cases (14%). One patient (7%) needed endoscopic treatment for postoperative bile leak (Clavien-Dindo III a). No patient died intra- or perioperatively. Robotic-assisted liver surgery is a safe procedure, which provides patients with all benefits of minimally invasive surgery. This highly advanced technology requires surgeons to strive for an increasing level of specialisation, in addition to being well-trained in liver surgery. Hence, a clear definition of the procedures and standardised teaching programs are necessary. Georg Thieme Verlag KG Stuttgart · New York.

  6. Prehension with trunk assisted reaching.

    PubMed

    Saling, M; Stelmach, G E; Mescheriakov, S; Berger, M

    1996-10-01

    For prehensile tasks, where objects are located beyond the normal reaching space, the trunk is bent forward to assist in the transport of the wrist to the object. Such task behaviors raise complex motor control issues such as how is the trunk movement incorporated into the motor plan. In this experiment, seated subjects were asked to reach and grasp a small and a large object placed on a table located beyond their maximal reach. Forward trunk bending was required to extend the reach distance. For such reaching movements, the wrist velocity consisted of a bell shape profile similar to those seen when the arm is the sole transport agent. In most trials, the trunk was the first to initiate movement, although there was no strict pattern of initiation order. The transport data showed that trunk and arm movement components were decoupled at the end of the reach. While the object was being grasped and lifted, the trunk continued moving for approximately 180 ms after the grasp. Wrist deceleration time expressed in absolute and relative values was sensitive to object size. The time from maximum peak aperture to the end of wrist movement also was significantly longer for grasping the small compared to the large object. No such relationships were observed for the trunk. Temporal coupling was only observed between the grip and wrist transport component. Time to maximum aperture was significantly correlated with time to peak wrist deceleration and only rarely with time to trunk deceleration peak. When the trunk participates in the transport of the wrist to an object, these findings suggest that only the wrist component is directly related to the achievement of the grasp. While the trunk assisted the arm to reach the object, the kinematic parameter recorded did not reveal any evidence of direct coupling. The presented data suggests that the planning takes place at the level of the hand and that endpoint is the primary variable controlled.

  7. Experiences with assisted peritoneal dialysis in China.

    PubMed

    Xu, Rong; Zhuo, Min; Yang, Zhikai; Dong, Jie

    2012-01-01

    About half the patients on peritoneal dialysis (PD) in China need to be assisted by family members or home assistants. We explored whether these patients have a higher risk for peritonitis and death compared with self-care PD patients. We prospectively followed 313 incident PD patients until death or censoring. This cohort was divided into assisted and self-care PD groups according to the independence of bag exchange. Data on baseline demographics, Charlson comorbidity index, biochemistry, and residual renal function were recorded during the first 3 - 6 months. The outcome variables were first episode of peritonitis and all-cause mortality. Of the 313 patients in this cohort study, 122 needed assistance in performing bag exchanges (86 from a family member, 36 from a home assistant); the remaining 191 patients did not need assistance. During a follow-up period averaging 44.5 months, 122 patients developed a first episode of peritonitis, and 135 patients died. Compared with patients having a family assistant, those with a home assistant had similar peritonitis-free and survival times, but a higher risk of mortality after adjustments for variables such as age, sex, Charlson comorbidity score, hemoglobin, serum albumin, and residual renal function. Furthermore, compared with self-care patients, assisted patients overall had a similar peritonitis-free time, but a higher risk of mortality, even after adjusting for covariates. Based on our single-center experience in China, we conclude that assisted PD is a good option for patients with poor self-care ability. This result provides evidence for recruiting patients who need assistance to PD programs in China.

  8. Experiences with Assisted Peritoneal Dialysis in China

    PubMed Central

    Xu, Rong; Zhuo, Min; Yang, Zhikai; Dong, Jie

    2012-01-01

    ♦ Objective: About half the patients on peritoneal dialysis (PD) in China need to be assisted by family members or home assistants. We explored whether these patients have a higher risk for peritonitis and death compared with self-care PD patients. ♦ Methods: We prospectively followed 313 incident PD patients until death or censoring. This cohort was divided into assisted and self-care PD groups according to the independence of bag exchange. Data on baseline demographics, Charlson comorbidity index, biochemistry, and residual renal function were recorded during the first 3 – 6 months. The outcome variables were first episode of peritonitis and all-cause mortality. ♦ Results: Of the 313 patients in this cohort study, 122 needed assistance in performing bag exchanges (86 from a family member, 36 from a home assistant); the remaining 191 patients did not need assistance. During a follow-up period averaging 44.5 months, 122 patients developed a first episode of peritonitis, and 135 patients died. Compared with patients having a family assistant, those with a home assistant had similar peritonitis-free and survival times, but a higher risk of mortality after adjustments for variables such as age, sex, Charlson comorbidity score, hemoglobin, serum albumin, and residual renal function. Furthermore, compared with self-care patients, assisted patients overall had a similar peritonitis-free time, but a higher risk of mortality, even after adjusting for covariates. ♦ Conclusions: Based on our single-center experience in China, we conclude that assisted PD is a good option for patients with poor self-care ability. This result provides evidence for recruiting patients who need assistance to PD programs in China. PMID:21632447

  9. 78 FR 14740 - Disaster Assistance; Fire Management Assistance Grant (FMAG) Program-Deadline Extensions and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-07

    ... [Docket ID FEMA-2013-0004] RIN 1660-AA78 Disaster Assistance; Fire Management Assistance Grant (FMAG..., DHS. ACTION: Proposed rule. SUMMARY: FEMA proposes to revise its Fire Management Assistance Grant...-2340, or (email) [email protected] . SUPPLEMENTARY INFORMATION: I. Background The Fire Management...

  10. 45 CFR 233.53 - Support and maintenance assistance (including home energy assistance) in AFDC.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... excluded from income and resources. (b) Definitions. The following definitions are limited to the support... assistance. In kind assistance means assistance furnished in any form except direct cash payments to an applicant or recipient or direct payments to an applicant or recipient through other financial instruments...

  11. Discovering Hidden Resources: Assistive Technology Recycling, Refurbishing, and Redistribution. RESNA Technical Assistance Project.

    ERIC Educational Resources Information Center

    RESNA: Association for the Advancement of Rehabilitation Technology, Arlington, VA.

    This monograph discusses the benefits of recycling and reusing assistive technology for students with disabilities. It begins by discussing the benefits of recycled assistive technology for suppliers, students, and consumers, and then profiles programmatic models for assistive technology recycling programs. The advantages and disadvantages for…

  12. Assisted normality--a grounded theory of adolescent's experiences of living with personal assistance.

    PubMed

    Hultman, Lill; Forinder, Ulla; Pergert, Pernilla

    2016-01-01

    The purpose of the study was to explore how adolescents with disabilities experience everyday life with personal assistants. In this qualitative study, individual interviews were conducted at 35 occasions with 16 Swedish adolescents with disabilities, in the ages 16-21. Data were analyzed using grounded theory methodology. The adolescents' main concern was to achieve normality, which is about doing rather than being normal. They try to resolve this by assisted normality utilizing personal assistance. Assisted normality can be obtained by the existing relationship, the cooperation between the assistant and the adolescent and the situational placement of the assistant. Normality is obstructed by physical, social and psychological barriers. This study is from the adolescents' perspective and has implications for understanding the value of having access to personal assistance in order to achieve assisted normality and enable social interaction in everyday life. Access to personal assistance is important to enable social interaction in everyday life. A good and functional relationship is enabled through the existing relation, co-operation and situational placement of the assistant. If the assistant is not properly sensitized, young people risk turning into objects of care. Access to personal assistants cannot compensate for disabling barriers in the society as for example lack of acceptance.

  13. Graduate Assistants: Students or Staff, Policy or Practice? The Current Legal Employment Status of Graduate Assistants

    ERIC Educational Resources Information Center

    Flora, Bethany H.

    2007-01-01

    In the US, graduate assistants are an integral part of a university's educational and operational climate. Graduate assistants provide teaching, research or administrative services to the educational enterprise in exchange for professional experience and a financial stipend. Recent strikes of graduate teaching assistants at New York University…

  14. 45 CFR 86.37 - Financial assistance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Welfare Department of Health and Human Services GENERAL ADMINISTRATION NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 86.37 Financial assistance. (a) General...

  15. 45 CFR 86.37 - Financial assistance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 86.37 Financial assistance. (a) General...

  16. 45 CFR 86.37 - Financial assistance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 86.37 Financial assistance. (a) General...

  17. 10 CFR 420.4 - Technical assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... DEPARTMENT OF ENERGY ENERGY CONSERVATION STATE ENERGY PROGRAM General Provisions for State Energy Program Financial Assistance § 420.4 Technical assistance. At the request of the Governor of any State to DOE and... to the State in connection with effectuating the purposes of this part. ...

  18. MICROWAVE-ASSISTED SYNTHESIS OF NOBLE NANOSTRUCTURES

    EPA Science Inventory

    Microwave-assisted (MW) spontaneous reduction of noble metal salts, silver (Ag), gold (Au), platinum (Pt) and palladium (Pd) is reported using sugar solutions such as -D glucose, sucrose and maltose, etc. to generate nanomaterials. These MW-assisted reactions, conducted in aqueo...

  19. 12 CFR 1805.402 - Assistance limits.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS PROGRAM Investment Instruments § 1805.402 Assistance limits. (a..., more than $5 million, in the aggregate, in financial and technical assistance to an Awardee and its...

  20. Dogs as pets, visitors, therapists and assistants.

    PubMed

    Winkle, Melissa Y; Wilder, Anna; Jackson, Liberty Z

    2014-01-01

    Dogs can play an integral role in the recovery of patients through companionship, animal-assisted therapy, and as assistance dogs. This article will define and differentiate these 3 categories and provide resources for home healthcare and hospice clinicians who may want to include dogs in the plan of care for select patients.

  1. 43 CFR 41.430 - Financial assistance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 41.430 Financial assistance. (a) General... its students, a recipient shall not: (1) On the basis of sex, provide different amounts or types of...

  2. 40 CFR 5.430 - Financial assistance.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 5.430 Financial assistance. (a... to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts or...

  3. 10 CFR 1042.430 - Financial assistance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or...: (1) On the basis of sex, provide different amounts or types of such assistance, limit eligibility for...

  4. 29 CFR 36.430 - Financial assistance.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... the Secretary of Labor NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or...) On the basis of sex, provide different amounts or types of such assistance, limit eligibility for...

  5. 45 CFR 86.37 - Financial assistance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 86.37 Financial assistance. (a) General... its students, a recipient shall not: (1) On the basis of sex, provide different amount or types of...

  6. 29 CFR 36.430 - Financial assistance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... the Secretary of Labor NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or...) On the basis of sex, provide different amounts or types of such assistance, limit eligibility for...

  7. Final Analysis of Academic Assistance System.

    ERIC Educational Resources Information Center

    Maack, Stephen C.

    The Academic Assistance System (AAS) at Rio Hondo College in California is the early academic warning system that flags students in academic trouble. The AAS aims to assist these at-risk students through counseling, time management/study skills workshops, tutoring, and other programs. Students who received early warning letters and who responded…

  8. The Journey to Independence through Assistive Technology.

    ERIC Educational Resources Information Center

    North Carolina State Dept. of Human Resources, Raleigh. Div. of Vocational Rehabilitation.

    This booklet provides an introduction to assistive technology services for children and adults with disabilities in North Carolina. Key terms such as "self-advocacy" and "assistive technology" are explained, as are provisions of major state and federal legislation and Social Security Income for the families of children with…

  9. Science CAP: Curriculum Assistance Program. [Multimedia.

    ERIC Educational Resources Information Center

    DEMCO, Inc., Madison, WI.

    Science Curriculum Assistance Program (Science CAP(TM)) is a multimedia package developed to create a model for preserving classroom science activities that can be shared and customized by teachers. This program is designed to assist teachers in preparing classroom science activities for grades five through eight, and to foster an environment of…

  10. 25 CFR 23.42 - Technical assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... by the appropriate BIA agency or area office for purposes of program planning and design, assistance... and management, and for other appropriate assistance requested. (c) The area social services staff... performance. (5) Upon receiving an authorized request from the grantee, the area social services staff and/or...

  11. Veterans Educational Assistance Program (GI Bill).

    ERIC Educational Resources Information Center

    Stover, Francis W.

    Information on the Veterans Educational Assistance Program (GI Bill) and other veterans' educational programs, participation rates, eligibility for educational assistance, and training trends is presented. More persons have trained in college than in any other type of training under the GI Bills; this is followed very closely by noncollege school…

  12. Research Assistant Training Manual: Focus Groups

    ERIC Educational Resources Information Center

    Eaton, Sarah Elaine

    2017-01-01

    This manual is a practical training guide for graduate and undergraduate research assistants (RAs) working in the Werklund School of Education, University of Calgary. It may also be applicable to research assistants working in other fields or institutions. The purpose of this manual is to train RAs on how to plan and conduct focus groups for…

  13. Helping Schools Change: Ideas for Assistance Groups.

    ERIC Educational Resources Information Center

    Moore, Donald R.; Blair, Kathy A.

    Based on the experiences of six organizations, this manual aims to help assistance groups who work to change the way schools actually treat children. Assistance group members can include principal or teacher advisors, curriculum consultants, group process facilitators, dissemination or staff development specialists, parent trainers or organizers,…

  14. Food Assistance Programs and Child Health

    ERIC Educational Resources Information Center

    Gundersen, Craig

    2015-01-01

    Food assistance programs--including the Supplemental Nutrition Assistance Program (SNAP, or food stamps), the National School Lunch Program, and the School Breakfast Program--have been remarkably successful at their core mission: reducing food insecurity among low-income children. Moreover, writes Craig Gundersen, SNAP in particular has also been…

  15. Adaptable Learning Assistant for Item Bank Management

    ERIC Educational Resources Information Center

    Nuntiyagul, Atorn; Naruedomkul, Kanlaya; Cercone, Nick; Wongsawang, Damras

    2008-01-01

    We present PKIP, an adaptable learning assistant tool for managing question items in item banks. PKIP is not only able to automatically assist educational users to categorize the question items into predefined categories by their contents but also to correctly retrieve the items by specifying the category and/or the difficulty level. PKIP adapts…

  16. 38 CFR 21.9685 - Tutorial Assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) VOCATIONAL REHABILITATION AND EDUCATION Post-9/11 GI Bill Payments-Educational Assistance § 21.9685 Tutorial... tutorial assistance is necessary for the eligible individual to complete his or her program of education successfully, and the individual— (1) Is enrolled in and pursuing a postsecondary program of education at a...

  17. Administrative Assistants' Informal Learning and Related Factors

    ERIC Educational Resources Information Center

    Cho, Hyun Jung; Kim, Jin-Mo

    2016-01-01

    Purpose: The purpose of this study is to identify the causal relationship among informal learning, leader-member exchange (LMX), empowerment, job characteristics and job self-efficacy and the impact on administrative assistants in corporations. The study aims at providing information for administrative assistants who have worked with their current…

  18. Client-Centered Employee Assistance Services.

    ERIC Educational Resources Information Center

    Bayer, Darryl Lee

    This paper addresses delivery aspects and benefits of client-centered Employee Assistance Program (EAP) services through a review of the literature and research. EAP services are described as educational and mental health services utilized to assist employees and their families to respond constructively to job, personal, interpersonal or…

  19. 7 CFR 3570.88 - Management assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Management assistance. 3570.88 Section 3570.88 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, DEPARTMENT OF AGRICULTURE COMMUNITY PROGRAMS Community Facilities Grant Program § 3570.88 Management assistance. Grant...

  20. 75 FR 30113 - Rural Microentrepreneur Assistance Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-28

    ...This interim rule establishes the Rural Microentrepreneur Assistance Program. This interim rule provides technical and financial assistance in the form of loans and grants to qualified Microenterprise Development Organizations (MDOs) to support microentrepreneurs in the development and ongoing success of rural microenterprises.

  1. 1 CFR 15.3 - Staff assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 1 General Provisions 1 2010-01-01 2010-01-01 false Staff assistance. 15.3 Section 15.3 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER PREPARATION, TRANSMITTAL, AND PROCESSING OF DOCUMENTS SERVICES TO FEDERAL AGENCIES General § 15.3 Staff assistance. The staff of the Office of the...

  2. 12 CFR 1807.502 - Assistance limits.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 7 2011-01-01 2011-01-01 false Assistance limits. 1807.502 Section 1807.502 Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY CAPITAL MAGNET FUND Leveraging and Commitment Requirement § 1807.502 Assistance limits. An eligible Applicant and...

  3. 23 CFR 751.21 - Relocation assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Relocation assistance. 751.21 Section 751.21 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RIGHT-OF-WAY AND ENVIRONMENT JUNKYARD CONTROL... dwelling is found by FHWA to be necessary for the federally assisted junkyard control project. [40 FR 8551...

  4. 48 CFR 519.7012 - Developmental assistance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... guidance relating to— (1) Financial management; (2) Organizational management; (3) Overall business management/planning; and (4) Business development. (b) Engineering and other technical assistance. (c) Loans... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS GSA Mentor-Protégé Program 519.7012 Developmental assistance...

  5. 48 CFR 819.7110 - Developmental assistance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... to, the following: (a) Guidance relating to— (1) Financial management; (2) Organizational management; (3) Overall business management/planning; (4) Business development; and (5) Technical assistance. (b... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS VA Mentor-Protégé Program 819.7110 Developmental assistance...

  6. 48 CFR 519.7012 - Developmental assistance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... guidance relating to— (1) Financial management; (2) Organizational management; (3) Overall business management/planning; and (4) Business development. (b) Engineering and other technical assistance. (c) Loans... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS GSA Mentor-Protégé Program 519.7012 Developmental assistance...

  7. 48 CFR 519.7012 - Developmental assistance.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... guidance relating to— (1) Financial management; (2) Organizational management; (3) Overall business management/planning; and (4) Business development. (b) Engineering and other technical assistance. (c) Loans... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS GSA Mentor-Protégé Program 519.7012 Developmental assistance...

  8. 48 CFR 819.7110 - Developmental assistance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... to, the following: (a) Guidance relating to— (1) Financial management; (2) Organizational management; (3) Overall business management/planning; (4) Business development; and (5) Technical assistance. (b... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS VA Mentor-Protégé Program 819.7110 Developmental assistance...

  9. 48 CFR 819.7110 - Developmental assistance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... to, the following: (a) Guidance relating to— (1) Financial management; (2) Organizational management; (3) Overall business management/planning; (4) Business development; and (5) Technical assistance. (b... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS VA Mentor-Protégé Program 819.7110 Developmental assistance...

  10. 48 CFR 519.7012 - Developmental assistance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... guidance relating to— (1) Financial management; (2) Organizational management; (3) Overall business management/planning; and (4) Business development. (b) Engineering and other technical assistance. (c) Loans... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS GSA Mentor-Protégé Program 519.7012 Developmental assistance...

  11. 48 CFR 819.7110 - Developmental assistance.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... to, the following: (a) Guidance relating to— (1) Financial management; (2) Organizational management; (3) Overall business management/planning; (4) Business development; and (5) Technical assistance. (b... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS VA Mentor-Protégé Program 819.7110 Developmental assistance...

  12. 24 CFR 115.209 - Technical assistance.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 1 2011-04-01 2011-04-01 false Technical assistance. 115.209 Section 115.209 Housing and Urban Development Regulations Relating to Housing and Urban Development OFFICE OF ASSISTANT SECRETARY FOR EQUAL OPPORTUNITY, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FAIR...

  13. 24 CFR 115.209 - Technical assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Technical assistance. 115.209 Section 115.209 Housing and Urban Development Regulations Relating to Housing and Urban Development OFFICE OF ASSISTANT SECRETARY FOR EQUAL OPPORTUNITY, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT FAIR...

  14. A Taxonomy of Technical Assistance Skills.

    ERIC Educational Resources Information Center

    Ogden, Evelyn; Musumeci, Marilyn

    To operationalize the Technical Assistance Brokerage System, the first major task called for the development of a taxonomy of training and technical assistance services specifying requisite skills and skill clusters by the dimensions of client type, stages of dissemination, and levels of experience. From a literature search approximately 400…

  15. Performance Evaluation Methods for Assistive Robotic Technology

    NASA Astrophysics Data System (ADS)

    Tsui, Katherine M.; Feil-Seifer, David J.; Matarić, Maja J.; Yanco, Holly A.

    Robots have been developed for several assistive technology domains, including intervention for Autism Spectrum Disorders, eldercare, and post-stroke rehabilitation. Assistive robots have also been used to promote independent living through the use of devices such as intelligent wheelchairs, assistive robotic arms, and external limb prostheses. Work in the broad field of assistive robotic technology can be divided into two major research phases: technology development, in which new devices, software, and interfaces are created; and clinical, in which assistive technology is applied to a given end-user population. Moving from technology development towards clinical applications is a significant challenge. Developing performance metrics for assistive robots poses a related set of challenges. In this paper, we survey several areas of assistive robotic technology in order to derive and demonstrate domain-specific means for evaluating the performance of such systems. We also present two case studies of applied performance measures and a discussion regarding the ubiquity of functional performance measures across the sampled domains. Finally, we present guidelines for incorporating human performance metrics into end-user evaluations of assistive robotic technologies.

  16. Advancements in robotic-assisted thoracic surgery.

    PubMed

    Steenwyk, Brad; Lyerly, Ralph

    2012-12-01

    Advancements in robotic-assisted thoracic surgery present potential advantages for patients as well as new challenges for the anesthesia and surgery teams. This article describes the major aspects of the surgical approach for the most commonly performed robotic-assisted thoracic surgical procedures as well as the pertinent preoperative, intraoperative, and postoperative anesthetic concerns. Copyright © 2012. Published by Elsevier Inc.

  17. 15 CFR 8a.430 - Financial assistance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 15 Commerce and Foreign Trade 1 2011-01-01 2011-01-01 false Financial assistance. 8a.430 Section 8a.430 Commerce and Foreign Trade Office of the Secretary of Commerce NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on...

  18. 28 CFR 540.49 - Transportation assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Transportation assistance. 540.49 Section... CONTACT WITH PERSONS IN THE COMMUNITY Visiting Regulations § 540.49 Transportation assistance. The Warden shall ensure that directions for transportation to and from the institution are provided for the...

  19. 28 CFR 540.49 - Transportation assistance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Transportation assistance. 540.49 Section... CONTACT WITH PERSONS IN THE COMMUNITY Visiting Regulations § 540.49 Transportation assistance. The Warden shall ensure that directions for transportation to and from the institution are provided for the...

  20. 7 CFR 3570.88 - Management assistance.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 15 2013-01-01 2013-01-01 false Management assistance. 3570.88 Section 3570.88 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, DEPARTMENT OF AGRICULTURE COMMUNITY PROGRAMS Community Facilities Grant Program § 3570.88 Management assistance. Grant...

  1. 7 CFR 3570.88 - Management assistance.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 15 2014-01-01 2014-01-01 false Management assistance. 3570.88 Section 3570.88 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, DEPARTMENT OF AGRICULTURE COMMUNITY PROGRAMS Community Facilities Grant Program § 3570.88 Management assistance. Grant...

  2. 7 CFR 3570.88 - Management assistance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 15 2011-01-01 2011-01-01 false Management assistance. 3570.88 Section 3570.88 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, DEPARTMENT OF AGRICULTURE COMMUNITY PROGRAMS Community Facilities Grant Program § 3570.88 Management assistance. Grant...

  3. 7 CFR 3570.88 - Management assistance.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 15 2012-01-01 2012-01-01 false Management assistance. 3570.88 Section 3570.88 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, DEPARTMENT OF AGRICULTURE COMMUNITY PROGRAMS Community Facilities Grant Program § 3570.88 Management assistance. Grant...

  4. 34 CFR 300.702 - Technical assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Technical assistance. 300.702 Section 300.702 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH...

  5. A Computer-Assisted Method of Counseling.

    ERIC Educational Resources Information Center

    Parente, Frederick J.; And Others

    1981-01-01

    A computer-assisted method of counseling was applied to cases of stuttering and hypertension. Although both symptom complexes had previously resisted therapy, results indicated that computer-assisted counseling eliminated the stuttering and reduced diastolic blood pressure to normal levels. (Author)

  6. 38 CFR 21.9685 - Tutorial Assistance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) VOCATIONAL REHABILITATION AND EDUCATION Post-9/11 GI Bill Payments-Educational Assistance § 21.9685 Tutorial... tutorial assistance is necessary for the eligible individual to complete his or her program of education successfully, and the individual— (1) Is enrolled in and pursuing a postsecondary program of education at a...

  7. My Virtual Assistant Saves the Day

    ERIC Educational Resources Information Center

    Weldon, Lorette S. J.

    2007-01-01

    The author is a library director whose job is to develop, organize, manage, and operate a repository for research and scholarship in the area of higher education governance. She works on both the physical and online collections. It was a big job for her even when she had an assistant. But when her assistant left, it was nearly impossible for her…

  8. 12 CFR 1807.502 - Assistance limits.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 12 Banks and Banking 10 2014-01-01 2014-01-01 false Assistance limits. 1807.502 Section 1807.502 Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY CAPITAL MAGNET FUND Leveraging and Commitment Requirement § 1807.502 Assistance limits. An eligible Applicant and...

  9. 12 CFR 1807.502 - Assistance limits.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 9 2012-01-01 2012-01-01 false Assistance limits. 1807.502 Section 1807.502 Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY CAPITAL MAGNET FUND Leveraging and Commitment Requirement § 1807.502 Assistance limits. An eligible Applicant and...

  10. 12 CFR 1807.502 - Assistance limits.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 9 2013-01-01 2013-01-01 false Assistance limits. 1807.502 Section 1807.502 Banks and Banking COMMUNITY DEVELOPMENT FINANCIAL INSTITUTIONS FUND, DEPARTMENT OF THE TREASURY CAPITAL MAGNET FUND Leveraging and Commitment Requirement § 1807.502 Assistance limits. An eligible Applicant and...

  11. Renewable Energy Project Development Assistance (Fact Sheet)

    SciTech Connect

    Not Available

    2013-07-01

    This fact sheet provides information on the Tribes selected to receive assistance from the U.S. Department of Energy Office of Indian Energy 2013 Strategic Technical Assistance Response Team (START) Program, which provides technical expertise to support the development of next-generation energy projects on tribal lands.

  12. Young Germans Assist the Third World.

    ERIC Educational Resources Information Center

    Hofmeier, Claus

    Participation by West German youth in international assistance to developing nations is examined. International assistance is interpreted to include public, private, and religious programs and projects involved in technical advancement, food distribution, agricultural development, health improvement, and natural resource development in other…

  13. 25 CFR 41.10 - Technical assistance.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION GRANTS TO TRIBALLY CONTROLLED COMMUNITY COLLEGES AND NAVAJO COMMUNITY COLLEGE Tribally Controlled Community Colleges § 41.10 Technical assistance. The Director of Education shall furnish technical assistance either directly or through contract to...

  14. 25 CFR 41.10 - Technical assistance.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION GRANTS TO TRIBALLY CONTROLLED COMMUNITY COLLEGES AND NAVAJO COMMUNITY COLLEGE Tribally Controlled Community Colleges § 41.10 Technical assistance. The Director of Education shall furnish technical assistance either directly or through contract to...

  15. 25 CFR 41.10 - Technical assistance.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION GRANTS TO TRIBALLY CONTROLLED COMMUNITY COLLEGES AND NAVAJO COMMUNITY COLLEGE Tribally Controlled Community Colleges § 41.10 Technical assistance. The Director of Education shall furnish technical assistance either directly or through contract to...

  16. 25 CFR 41.10 - Technical assistance.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION GRANTS TO TRIBALLY CONTROLLED COMMUNITY COLLEGES AND NAVAJO COMMUNITY COLLEGE Tribally Controlled Community Colleges § 41.10 Technical assistance. The Director of Education shall furnish technical assistance either directly or through contract to...

  17. 46 CFR 11.482 - Assistance towing.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... may engage in assistance towing within the scope of their MMC or license. (b) An applicant for an... assistance towing safety, equipment, and procedures. (c) The holder of a license or MMC for master, mate, or... the scope of the license or MMC. (d) The period of validity of the endorsement is the same as the...

  18. 46 CFR 11.482 - Assistance towing.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... may engage in assistance towing within the scope of their MMC or license. (b) An applicant for an... assistance towing safety, equipment, and procedures. (c) The holder of a license or MMC for master, mate, or... the scope of the license or MMC. (d) The period of validity of the endorsement is the same as the...

  19. 46 CFR 11.482 - Assistance towing.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... may engage in assistance towing within the scope of their MMC or license. (b) An applicant for an... assistance towing safety, equipment, and procedures. (c) The holder of a license or MMC for master, mate, or... the scope of the license or MMC. (d) The period of validity of the endorsement is the same as the...

  20. The Importance of the Assistant Principal.

    ERIC Educational Resources Information Center

    Landmeier, Ralph W.

    Because of the difficulty of current and emerging school problems, the assistant principal needs to be knowledgeable in such diverse areas as accounting, school finance, school law, student rights, book censorship, and women's equity. In addition, it is necessary that the assistant principal be involved in curriculum improvement, evaluations,…

  1. 29 CFR 18.35 - Legal assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Legal assistance. 18.35 Section 18.35 Labor Office of the Secretary of Labor RULES OF PRACTICE AND PROCEDURE FOR ADMINISTRATIVE HEARINGS BEFORE THE OFFICE OF ADMINISTRATIVE LAW JUDGES General § 18.35 Legal assistance. The Office of Administrative Law Judges does not have...

  2. 28 CFR 76.33 - Legal assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Legal assistance. 76.33 Section 76.33 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) RULES OF PROCEDURE FOR ASSESSMENT OF CIVIL PENALTIES FOR POSSESSION OF CERTAIN CONTROLLED SUBSTANCES § 76.33 Legal assistance. The Judge does not have...

  3. 10 CFR 2.904 - Classification assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Classification assistance. 2.904 Section 2.904 Energy... Security Information § 2.904 Classification assistance. On request of any party to a proceeding or of the... and the parties with respect to security classification of information and the safeguards to be...

  4. 10 CFR 110.122 - Classification assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Classification assistance. 110.122 Section 110.122 Energy... Procedures for Classified Information in Hearings § 110.122 Classification assistance. On the request of any... security classification of information and the protective requirements to be observed. ...

  5. Lindsay Light Assistance Amendment, November 2012

    EPA Pesticide Factsheets

    2012 Lindsay Light Assistance Amendment. EPA has defined a specific area in the Streeterville part of Chicago as the Streeterville Thorium Investigation Area. These funds will assist the City of Chicago in addressing thorium contamination found in the City of Chicago's right-of-way (sidewalks, streets, parkways, etc.) in that specific area.

  6. What Your Administrative Assistant's Role Can Be.

    ERIC Educational Resources Information Center

    Smiling, Jody

    1995-01-01

    The role of administrative assistant to a manager has changed radically in the past two decades. The skills needed for an administrative assistant today are time management and the abilities to juggle multiple tasks and to prioritize effectively. School business managers should support professional development training for administrative…

  7. 29 CFR 36.430 - Financial assistance.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... the Secretary of Labor NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or...) On the basis of sex, provide different amounts or types of such assistance, limit eligibility for...

  8. 10 CFR 1042.430 - Financial assistance.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or...: (1) On the basis of sex, provide different amounts or types of such assistance, limit eligibility for...

  9. 40 CFR 5.430 - Financial assistance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 5.430 Financial assistance. (a... to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts or...

  10. 22 CFR 146.430 - Financial assistance.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Foreign Relations DEPARTMENT OF STATE CIVIL RIGHTS NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 146.430 Financial assistance. (a) General. Except as provided...

  11. 10 CFR 1042.430 - Financial assistance.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or...: (1) On the basis of sex, provide different amounts or types of such assistance, limit eligibility for...

  12. 29 CFR 36.430 - Financial assistance.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... the Secretary of Labor NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or...) On the basis of sex, provide different amounts or types of such assistance, limit eligibility for...

  13. Assistive Technology at Cabrillo College Library.

    ERIC Educational Resources Information Center

    Bowen, Johanna E.

    1999-01-01

    Asserts that there is a need for immediate attention to be given by librarians to assistive and enabling devices that may be acquired and installed on computer and other high-tech devices that will ensure full use of technology by disabled users. Suggestions for assistive technologies are recommended from examples at Cabrillo College. Appended is…

  14. Leadership Qualities of Assistant/Associate Directors.

    ERIC Educational Resources Information Center

    Bailey, Martha J.

    1992-01-01

    Describes job responsibilities of assistant/associate library directors. Changes affecting libraries as a result of automation and their impact on management are discussed, and two studies of public and academic libraries that examined ratings of managerial skills and competencies by directors and assistant directors are reviewed. (nine…

  15. Dissemination Model Assistance Project (DMAP): Final Report.

    ERIC Educational Resources Information Center

    Hoffman, Marie T.

    The report describes the Dissemination Model Assistance Project (DMAP), designed to assist state education agencies to comply with requirements of P.L. 94-142 (The Education For All Handicapped Children Act) for a comprehensive system of Personnel Development, specifically the dissemination and adoption of proven practices. The project drew on…

  16. Medical Office Assistants' Handbook. Second Edition.

    ERIC Educational Resources Information Center

    British Columbia Dept. of Education, Victoria.

    This handbook is intended both as a text for use in medical office assistant (MOA) training programs in colleges and as a handbook for people working in medical offices. Addressed in the individual sections of the manual are the following topics: responsibilities of the medical office assistant, office organization, appointments and the waiting…

  17. 25 CFR 41.26 - Technical assistance.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false Technical assistance. 41.26 Section 41.26 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION GRANTS TO TRIBALLY CONTROLLED COMMUNITY COLLEGES AND NAVAJO COMMUNITY COLLEGE Navajo Community College § 41.26 Technical assistance. The Director...

  18. 25 CFR 41.26 - Technical assistance.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false Technical assistance. 41.26 Section 41.26 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION GRANTS TO TRIBALLY CONTROLLED COMMUNITY COLLEGES AND NAVAJO COMMUNITY COLLEGE Navajo Community College § 41.26 Technical assistance. The Director...

  19. 25 CFR 41.26 - Technical assistance.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false Technical assistance. 41.26 Section 41.26 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION GRANTS TO TRIBALLY CONTROLLED COMMUNITY COLLEGES AND NAVAJO COMMUNITY COLLEGE Navajo Community College § 41.26 Technical assistance. The Director...

  20. 25 CFR 41.26 - Technical assistance.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true Technical assistance. 41.26 Section 41.26 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION GRANTS TO TRIBALLY CONTROLLED COMMUNITY COLLEGES AND NAVAJO COMMUNITY COLLEGE Navajo Community College § 41.26 Technical assistance. The Director...

  1. 29 CFR 36.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the Secretary of Labor NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or...) On the basis of sex, provide different amounts or types of such assistance, limit eligibility for...

  2. 43 CFR 41.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 41.430 Financial assistance. (a) General... its students, a recipient shall not: (1) On the basis of sex, provide different amounts or types of...

  3. 22 CFR 229.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 229.430 Financial assistance. (a) General. Except as provided...

  4. 15 CFR 8a.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 8a.430 Financial assistance. (a... to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts or...

  5. 49 CFR 25.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Transportation Office of the Secretary of Transportation NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 25.430 Financial assistance. (a) General. Except as provided...

  6. 6 CFR 17.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 17.430 Financial assistance. (a... to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts or...

  7. 40 CFR 5.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 5.430 Financial assistance. (a... to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts or...

  8. 14 CFR 1253.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 1253.430 Financial assistance. (a... to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts or...

  9. 44 CFR 19.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... HOMELAND SECURITY GENERAL NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or...) On the basis of sex, provide different amounts or types of such assistance, limit eligibility for...

  10. 31 CFR 28.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 28.430 Financial assistance. (a... to any of its students, a recipient shall not: (1) On the basis of sex, provide different amounts or...

  11. 10 CFR 1042.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... DEPARTMENT OF ENERGY (GENERAL PROVISIONS) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or...: (1) On the basis of sex, provide different amounts or types of such assistance, limit eligibility for...

  12. 22 CFR 146.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Foreign Relations DEPARTMENT OF STATE CIVIL RIGHTS NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 146.430 Financial assistance. (a) General. Except as provided...

  13. 45 CFR 86.37 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 86.37 Financial assistance. (a) General... its students, a recipient shall not: (1) On the basis of sex, provide different amount or types of...

  14. 7 CFR 15a.37 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Agriculture Office of the Secretary of Agriculture EDUCATION PROGRAMS OR ACTIVITIES RECEIVING OR BENEFITTING FROM FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs and...) On the basis of sex, provide different amounts or types of such assistance, limit eligibility for...

  15. 28 CFR 54.430 - Financial assistance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ....430 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 54.430 Financial assistance. (a) General. Except as...

  16. 45 CFR 618.430 - Financial assistance.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 618.430 Financial assistance...

  17. 45 CFR 618.430 - Financial assistance.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NONDISCRIMINATION ON THE BASIS OF SEX IN EDUCATION PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Discrimination on the Basis of Sex in Education Programs or Activities Prohibited § 618.430 Financial assistance...

  18. 33 CFR 203.13 - Available assistance.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... assistance for, and inspections of, flood control works, and related flood fight preparedness and training... emergency operations assistance. (c) Rehabilitation. The Corps may rehabilitate flood control works damaged... to inspect flood control works; a status determination, i.e., an inspection-based determination of...

  19. 33 CFR 203.13 - Available assistance.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... assistance for, and inspections of, flood control works, and related flood fight preparedness and training... emergency operations assistance. (c) Rehabilitation. The Corps may rehabilitate flood control works damaged... to inspect flood control works; a status determination, i.e., an inspection-based determination of...

  20. 33 CFR 203.13 - Available assistance.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... assistance for, and inspections of, flood control works, and related flood fight preparedness and training... emergency operations assistance. (c) Rehabilitation. The Corps may rehabilitate flood control works damaged... to inspect flood control works; a status determination, i.e., an inspection-based determination of...

  1. ASSISTments Dataset from Multiple Randomized Controlled Experiments

    ERIC Educational Resources Information Center

    Selent, Douglas; Patikorn, Thanaporn; Heffernan, Neil

    2016-01-01

    In this paper, we present a dataset consisting of data generated from 22 previously and currently running randomized controlled experiments inside the ASSISTments online learning platform. This dataset provides data mining opportunities for researchers to analyze ASSISTments data in a convenient format across multiple experiments at the same time.…

  2. 44 CFR 206.117 - Housing assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... terminate direct assistance for reasons that include, but are not limited to, the following: (1) The period.... This notice will specify the reasons for termination of assistance and occupancy, the date of... individuals or households may receive up to $5,000 under this paragraph, adjusted annually to reflect changes...

  3. Guidelines for Physician's Assistant Programs in Illinois.

    ERIC Educational Resources Information Center

    Illinois State Inter-Agency Task Force on Health Manpower, Chicago.

    Developed by a 25-member committee representing health service institutions, educational institutions, manpower organizations, and professional groups, this publication contains guidelines for use in developing programs for physician's assistants. Suggestions are made for: (1) determining the role of the physician's assistant in relation to other…

  4. Army Physicians' Attitudes Towards Physicians' Assistants.

    ERIC Educational Resources Information Center

    Stuart, Richard B.; Bair, Jeffrey H.

    In February 1972 the U. S. Army Medical Field Service School will commence training a new category of health personnel, to be known as the physicians' assistant. This type of allied health personnel will be an assistant to the physician, trained to do many of the traditional tasks usually performed by a physician, but requiring less education.…

  5. 7 CFR 3560.574 - Operating assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... all other sources of project income; and (iii) Estimated rental income from tenants, based on a tenant... of operating assistance requested by the owner must be based on the project's actual income and... assistance must be based on the portion of actual income and expenses that are attributable to the units that...

  6. 49 CFR 1.30 - Assistant Secretaries.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 1 2013-10-01 2013-10-01 false Assistant Secretaries. 1.30 Section 1.30 Transportation Office of the Secretary of Transportation ORGANIZATION AND DELEGATION OF POWERS AND DUTIES Office of the Secretary Ost Officials § 1.30 Assistant Secretaries. (a) In performing their functions, the...

  7. 49 CFR 1.30 - Assistant Secretaries.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 1 2014-10-01 2014-10-01 false Assistant Secretaries. 1.30 Section 1.30 Transportation Office of the Secretary of Transportation ORGANIZATION AND DELEGATION OF POWERS AND DUTIES Office of the Secretary Ost Officials § 1.30 Assistant Secretaries. (a) In performing their functions, the...

  8. 49 CFR 1.30 - Assistant Secretaries.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 false Assistant Secretaries. 1.30 Section 1.30 Transportation Office of the Secretary of Transportation ORGANIZATION AND DELEGATION OF POWERS AND DUTIES Office of the Secretary Ost Officials § 1.30 Assistant Secretaries. (a) In performing their functions, the...

  9. Assistant Principals: Their Readiness as Instructional Leaders

    ERIC Educational Resources Information Center

    Searby, Linda; Browne-Ferrigno, Tricia; Wang, Chih-hsuan

    2017-01-01

    This article reports findings from a study investigating the capacity of assistant principals to be instructional leaders. Analyses of survey responses yielded four interesting findings: (a) years of experience as a teacher and age had no significance on assistant principals' perceived readiness as an instructional leader; (b) those completing…

  10. 7 CFR 1980.390 - Interest assistance.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... will be used to reduce the amount of the loan, and household goods and personal automobiles and the...) PROGRAM REGULATIONS (CONTINUED) GENERAL Rural Housing Loans § 1980.390 Interest assistance. In order to assist low-income borrowers in the repayment of the loan, RHS is authorized to provide interest...

  11. 7 CFR 1980.390 - Interest assistance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... will be used to reduce the amount of the loan, and household goods and personal automobiles and the...) PROGRAM REGULATIONS (CONTINUED) GENERAL Rural Housing Loans § 1980.390 Interest assistance. In order to assist low-income borrowers in the repayment of the loan, RHS is authorized to provide interest...

  12. 7 CFR 1980.390 - Interest assistance.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... will be used to reduce the amount of the loan, and household goods and personal automobiles and the...) PROGRAM REGULATIONS (CONTINUED) GENERAL Rural Housing Loans § 1980.390 Interest assistance. In order to assist low-income borrowers in the repayment of the loan, RHS is authorized to provide interest...

  13. 7 CFR 1980.390 - Interest assistance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... will be used to reduce the amount of the loan, and household goods and personal automobiles and the...) PROGRAM REGULATIONS (CONTINUED) GENERAL Rural Housing Loans § 1980.390 Interest assistance. In order to assist low-income borrowers in the repayment of the loan, RHS is authorized to provide interest...

  14. 7 CFR 1980.390 - Interest assistance.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... will be used to reduce the amount of the loan, and household goods and personal automobiles and the...) PROGRAM REGULATIONS (CONTINUED) GENERAL Rural Housing Loans § 1980.390 Interest assistance. In order to assist low-income borrowers in the repayment of the loan, RHS is authorized to provide interest...

  15. Who Is Using Assistive Technology in Schools?

    ERIC Educational Resources Information Center

    Quinn, Brianna Stegall; Behrmann, Michael; Mastropieri, Margo; Bausch, Margaret E.; Ault, Melinda Jones; Chung, Yoosun

    2009-01-01

    All students receiving special education services are entitled to the consideration of assistive technology (AT) devices and services; however, little research is available on who uses AT in schools. This study analyzed data from the National Assistive Technology Research Institute's (NATRI) Status of AT Use Survey to provide descriptive…

  16. 25 CFR 41.10 - Technical assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION GRANTS TO TRIBALLY CONTROLLED COMMUNITY COLLEGES AND NAVAJO COMMUNITY COLLEGE Tribally Controlled Community Colleges § 41.10 Technical assistance. The Director of Education shall furnish technical assistance either directly or through contract to...

  17. 25 CFR 41.26 - Technical assistance.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION GRANTS TO TRIBALLY CONTROLLED COMMUNITY COLLEGES AND NAVAJO COMMUNITY COLLEGE Navajo Community College § 41.26 Technical assistance. The Director of Education shall furnish technical assistance, either directly or through contract, to the College...

  18. Designing and Creating Computer-Assisted Instruction.

    ERIC Educational Resources Information Center

    McMeen, George R.

    Designed to encourage the use of a defined methodology and careful planning in creating computer-assisted instructional programs, this paper describes the instructional design process, compares computer-assisted instruction (CAI) and programmed instruction (PI), and discusses pragmatic concerns in computer programming. Topics addressed include:…

  19. 48 CFR 819.7110 - Developmental assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... to, the following: (a) Guidance relating to— (1) Financial management; (2) Organizational management; (3) Overall business management/planning; (4) Business development; and (5) Technical assistance. (b... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS VA Mentor-Protégé Program 819.7110 Developmental assistance...

  20. 48 CFR 519.7012 - Developmental assistance.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... guidance relating to— (1) Financial management; (2) Organizational management; (3) Overall business management/planning; and (4) Business development. (b) Engineering and other technical assistance. (c) Loans... SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS GSA Mentor-Protégé Program 519.7012 Developmental assistance...