Psychology and Rural America: Current Status and Future Directions.

ERIC Educational Resources Information Center

Murray, J. Dennis; Keller, Peter A.

1991-01-01

Rural people constitute about one-fourth of the U.S. population; their special mental health needs have largely been neglected. Psychologists are needed to practice in rural areas, to develop rural service models, and to support the development of state and federal policies that address rural needs. (DM)

Airport Development Needs: Estimating Future Costs

DOT National Transportation Integrated Search

1997-04-01

As part of the FAA Reauthorization Act of 1996 (P.L. 104-264, section 274(e)), : the Congress directed the General Accounting Office (GAO) to provide an : independent assessment of airport development needs to it and to the National : Civil Aviation ...

No food for thought: Food insecurity is related to poor mental health and lower academic performance among students in California's public university system.

PubMed

Martinez, Suzanna M; Frongillo, Edward A; Leung, Cindy; Ritchie, Lorrene

2018-06-01

This study examined the relationships between food insecurity, mental health, and academic performance among college students in a California public university system ( N = 8705). Structural equation modeling was performed to examine a direct path from food insecurity to student grade point average and an indirect path through mental health, controlling for demographic characteristics. Food insecurity was related to lower student grade point average directly and indirectly through poor mental health. These findings support the need for future interventions and policy on the importance of providing students with the basic needs to succeed both academically and in the future.

ICASE/LaRC Workshop on Adaptive Grid Methods

NASA Technical Reports Server (NTRS)

South, Jerry C., Jr. (Editor); Thomas, James L. (Editor); Vanrosendale, John (Editor)

1995-01-01

Solution-adaptive grid techniques are essential to the attainment of practical, user friendly, computational fluid dynamics (CFD) applications. In this three-day workshop, experts gathered together to describe state-of-the-art methods in solution-adaptive grid refinement, analysis, and implementation; to assess the current practice; and to discuss future needs and directions for research. This was accomplished through a series of invited and contributed papers. The workshop focused on a set of two-dimensional test cases designed by the organizers to aid in assessing the current state of development of adaptive grid technology. In addition, a panel of experts from universities, industry, and government research laboratories discussed their views of needs and future directions in this field.

The future of dentistry: new challenges, new directions.

PubMed Central

Sinkford, J. C.

1990-01-01

The challenge to our profession today is to improve the quality of oral health while overcoming both extrinsic and intrinsic factors which may adversely affect our progress toward this goal. The combined efforts of dental education, dental research, and dental practice will be needed to enable us to maintain the quality of our present system and to meet the myriad changes that will chart our new directions in the future. Our unified efforts can make a difference and, thereby, ensure a meaningful and productive future for dentistry in our country and throughout the world. Let us show the world that the future of dentistry matters to us and that we look to the future with great anticipation and optimism. PMID:2352286

Maslow's Implied Matrix: A Clarification of the Need Hierarchy Theory.

ERIC Educational Resources Information Center

Marsh, Edward

1978-01-01

Maslow's need hierarchy theory is restated by means of a matrix arrangement of the constructs within the theory. After consideration of the consequences of this restatement, some significant research is discussed and directions for future research suggested. (Author)

Australian Apprenticeships: Trends, Challenges and Future Opportunities for Dealing with Industry 4.0. Conference Paper

ERIC Educational Resources Information Center

Loveder, Phil

2017-01-01

The Australian economy is in transition. Its future prosperity will depend on greater economic diversification and on innovation and entrepreneurship, hallmarks of Industry 4.0. This has implications for skills development for future workers and for those needing to move into new jobs or roles. It also has a direct impact on apprenticeships--an…

The application of micromachined sensors to manned space systems

NASA Technical Reports Server (NTRS)

Bordano, Aldo; Havey, Gary; Wald, Jerry; Nasr, Hatem

1993-01-01

Micromachined sensors promise significant system advantages to manned space vehicles. Vehicle Health Monitoring (VHM) is a critical need for most future space systems. Micromachined sensors play a significant role in advancing the application of VHM in future space vehicles. This paper addresses the requirements that future VHM systems place on micromachined sensors such as: system integration, performance, size, weight, power, redundancy, reliability and fault tolerance. Current uses of micromachined sensors in commercial, military and space systems are used to document advantages that are gained and lessons learned. Based on these successes, the future use of micromachined sensors in space programs is discussed in terms of future directions and issues that need to be addressed such as how commercial and military sensors can meet future space system requirements.

The Future of Educational Technology Is Past.

ERIC Educational Resources Information Center

Mitchell, P. David

1989-01-01

Discusses the field of educational technology and the need for new perspectives on the processes of learning, teaching, and doing research. Topics discussed include the scope of education; goal-directed feedback; control system theory; cybernetics and general system research; self-instruction; and suggestions for future planning for educational…

Polymer-drug conjugates: origins, progress to date and future directions.

PubMed

Kopeček, Jindřich

2013-01-01

This overview focuses on bioconjugates of water-soluble polymers with low molecular weight drugs and proteins. After a short discussion of the origins of the field, the state-of-the-art is reviewed. Then research directions needed for the acceleration of the translation of nanomedicines into the clinic are outlined. Two most important directions, synthesis of backbone degradable polymer carriers and drug-free macromolecular therapeutics, a new paradigm in drug delivery, are discussed in detail. Finally, the future perspectives of the field are briefly discussed. Copyright © 2012 Elsevier B.V. All rights reserved.

Regulating Professional Services in ICFs/MR: Remembering the Past and Looking to the Future.

ERIC Educational Resources Information Center

Sparr, Margaret P.; Smith, Wayne

1990-01-01

This article reviews regulations governing Intermediate Care Facilities for the Mentally Retarded (ICF/MR), including 1971 ICF/MR Medicaid funding legislation, standards development by professional consensus, development of federal regulations, intergovernmental roles, and possible directions for the future. A need is seen for professionals to…

Future Directions for Professional Educational Psychology

ERIC Educational Resources Information Center

Norwich, Brahm

2005-01-01

This article considers the future of professional educational psychology by addressing challenges and tensions, while presenting a positive view tempered by realism. It starts by considering recent definitions of the role but asks whether one needs to be a professional psychologist to use psychological knowledge and understanding. It is argued…

Youth tobacco prevention mass media campaigns: past, present, and future directions.

PubMed

Farrelly, M C; Niederdeppe, J; Yarsevich, J

2003-06-01

This paper focuses on countermarketing efforts aimed at curbing youth smoking. We review the literature on the effectiveness of tobacco countermarketing campaigns, characterise current state and national campaign approaches, present findings from qualitative approaches and laboratory experiments that explore a variety of messages (for example, health consequences, industry manipulation), and discuss newer, non-traditional approaches to countermarketing. In conclusion, we outline research needed to fill gaps in our existing knowledge and discuss future directions in tobacco countermarketing aimed at youth.

Future Mission Trends and their Implications for the Deep Space Network

NASA Technical Reports Server (NTRS)

Abraham, Douglas S.

2006-01-01

This viewgraph presentation discusses the direction of future missions and it's significance to the Deep Space Network. The topics include: 1) The Deep Space Network (DSN); 2) Past Missions Driving DSN Evolution; 3) The Changing Mission Paradigm; 4) Assessing Future Mission Needs; 5) Link Support Trends; 6) Downlink Rate Trends; 7) Uplink Rate Trends; 8) End-to-End Link Difficulty Trends; 9) Summary: Future Mission Trend Drivers; and 10) Conclusion: Implications for the DSN.

Materials Requirements for Advanced Propulsion Systems

NASA Technical Reports Server (NTRS)

Whitaker, Ann F.; Cook, Mary Beth; Clinton, R. G., Jr.

2005-01-01

NASA's mission to "reach the Moon and Mars" will be obtained only if research begins now to develop materials with expanded capabilities to reduce mass, cost and risk to the program. Current materials cannot function satisfactorily in the deep space environments and do not meet the requirements of long term space propulsion concepts for manned missions. Directed research is needed to better understand materials behavior for optimizing their processing. This research, generating a deeper understanding of material behavior, can lead to enhanced implementation of materials for future exploration vehicles. materials providing new approaches for manufacture and new options for In response to this need for more robust materials, NASA's Exploration Systems Mission Directorate (ESMD) has established a strategic research initiative dedicated to materials development supporting NASA's space propulsion needs. The Advanced Materials for Exploration (AME) element directs basic and applied research to understand material behavior and develop improved materials allowing propulsion systems to operate beyond their current limitations. This paper will discuss the approach used to direct the path of strategic research for advanced materials to ensure that the research is indeed supportive of NASA's future missions to the moon, Mars, and beyond.

Regional analysis of drought and heat impacts on forests: current and future science directions.

PubMed

Law, Beverly E

2014-12-01

Accurate assessments of forest response to current and future climate and human actions are needed at regional scales. Predicting future impacts on forests will require improved analysis of species-level adaptation, resilience, and vulnerability to mortality. Land system models can be enhanced by creating trait-based groupings of species that better represent climate sensitivity, such as risk of hydraulic failure from drought. This emphasizes the need for more coordinated in situ and remote sensing observations to track changes in ecosystem function, and to improve model inputs, spatio-temporal diagnosis, and predictions of future conditions, including implications of actions to mitigate climate change. © 2014 The Authors. Global Change Biology Published by John Wiley & Sons Ltd.

Space batteries for mobile battlefield power applications

NASA Technical Reports Server (NTRS)

O'Donnell, Patricia M.

1991-01-01

A review of space power systems was undertaken to identify advanced space batteries for mobile applications. State-of-the-art systems are described. The technology issues that need to be addressed in order to bring these systems along and meet the needs of the user are discussed. Future research directions are examined.

Payload Technologies for Remotely Piloted Aircraft

NASA Technical Reports Server (NTRS)

Wegener, Steve

2000-01-01

Matching the capabilities of Remotely Piloted Aircraft (RPA) to the needs of users defines the direction of future investment. These user needs and advances in payload capabilities are driving the evolution of a commercially viable RPA aerospace industry. New perspectives are needed to realize the potential of RPAs. Advances in payload technologies and the impact on RPA design and operations will be explored.

Payload Technologies For Remotely Piloted Aircraft

NASA Technical Reports Server (NTRS)

Wegener, Steve; Condon, Estelle (Technical Monitor)

2001-01-01

Matching the capabilities of Remotely Piloted Aircraft (RPA) to the needs of users defines the direction of future investment. These user needs and advances in payload capabilities are driving the evolution of a commercially viable RPA aerospace industry. New perspectives are needed to realize the potential of RPAs. Advances in payload technologies and the impact on RPA design and operations will be explored.

University Research Program in Robotics - "Technologies for Micro-Electrical-Mechanical Systems in directed Stockpile Work (DSW) Radiation and Campaigns", Final Technical Annual Report, Project Period 9/1/06 - 8/31/07

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

James S. Tulenko; Carl D. Crane

The University Research Program in Robotics (URPR) is an integrated group of universities performing fundamental research that addresses broad-based robotics and automation needs of the NNSA Directed Stockpile Work (DSW) and Campaigns. The URPR mission is to provide improved capabilities in robotics science and engineering to meet the future needs of all weapon systems and other associated NNSA/DOE activities.

Improving social impact assessment of protected areas: A review of the literature and directions for future research

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

Jones, Nikoleta, E-mail: nikoleta.jones@anglia.ac.uk; McGinlay, James, E-mail: jimmcginlay@hotmail.com; Dimitrakopoulos, Panayiotis G., E-mail: pdimi@env.aegean.gr

Protected areas are the most widely applied policy tool for biodiversity conservation. However, effective management of protected areas is often obstructed by conflicts mainly associated with the social impacts imposed on local communities and other users by their establishment. Despite the importance of these social impacts they remain significantly under-researched. There is now an increasing need to incorporate social impacts in decision making processes by providing accurate estimations and develop ways to forecast their change in the future. Considering the increase of studies identifying this need, the present paper aims to indicate three main directions that will assist in designingmore » effective tools for measuring and most importantly understanding social impacts: a) perceptions on social impacts of individuals who are directly affected by protected areas need to be incorporated in management evaluation techniques in a meaningful and accurate way and be combined with objective measurements of impact; b) understanding the factors determining the actual and perceived levels of social impacts is a key step for the design of effective management frameworks of protected areas and c) social impacts should not be seen as static concepts but should be seen as a dynamic and long-term factor which needs to be incorporated in decision-making processes.« less

77 FR 66959 - Request for Information on the Future Direction of the Rehabilitation Training Program

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-08

... current and future economic trends, reflects the needs of vocational rehabilitation (VR) consumers and ensures that VR counselors are equipped with new and emerging skills. The goal of these training and TA...) to VR professionals, State agencies, and other grantees. (4) Use of the set-aside under section 21 of...

Building from In Vivo Research to the Future of Research on Relational Thinking and Learning

ERIC Educational Resources Information Center

Schunn, Christian D.

2017-01-01

This concluding commentary takes the perspective of research on practicing scientists and engineers to consider what open areas and future directions on relational thinking and learning should be considered beyond the impressive research presented in the special issue. Areas for more work include (a) a need to examine educational applications of…

Health Communication: A Future Direction for Instructional Communication Research. Forum: The Future of Instructional Communication

ERIC Educational Resources Information Center

Donovan, Erin; Love, Brad; Mackert, Michael; Vangelisti, Anita; Ring, David

2017-01-01

As ways that communication scholars can prepare students to meet challenges and transform society are considered, for the greater good, the authors argue that it is essential to consider the realm of health communication (Morreale, Valenzano, & Bauer, 2016). The authors focus on a growing need for rigorous research as a cornerstone of…

42 CFR 438.700 - Basis for imposition of sanctions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... medical condition or history indicates probable need for substantial future medical services. (4... directly, or indirectly through any agent or independent contractor, marketing materials that have not been...

Overview and future direction for blackbody solar-pumped lasers

NASA Technical Reports Server (NTRS)

Deyoung, R. J.

1988-01-01

A review of solar-pumped blackbody lasers is given which addresses their present status and suggests future research directions. The blackbody laser concept is one system proposed to scale to multimegawatt power levels for space-to-space power transmissions for such applications as onboard spacecraft electrical or propulsion needs. Among the critical technical issues are the scalability to high powers and the laser wavelength which impacts the transmission optics size as well as the laser-to-electric converter at the receiver. Because present blackbody solar-pumped lasers will have laser wavelengths longer than 4 microns, simple photovoltaic converters cannot be used, and transmission optics will be large. Thus, future blackbody laser systems should emphasize near visible laser wavelengths.

"Roadblocks" Revisited: Neural Change, Stuttering Treatment, and Recovery from Stuttering

ERIC Educational Resources Information Center

Ingham, Roger J.; Finn, Patrick; Bothe, Anne K.

2005-01-01

In light of emerging findings concerning untreated recovery and neural plasticity, this paper re-examines the viability of an NIH conference recommendation [Cooper, J. A. (1990). Research directions in stuttering: Consensus and conflict. In Cooper, J. A. (Ed.), "Research needs in stuttering: Roadblocks and future directions" (pp. 98-100).…

Screening for Intensive Intervention Needs in Secondary Schools: Directions for the Future

ERIC Educational Resources Information Center

Lane, Kathleen Lynne; Oakes, Wendy Peia; Lusk, Mandy E.; Cantwell, Emily Dawn; Schatschneider, Christopher

2016-01-01

In this article, we provided descriptive and methodological illustrations of how to conduct systematic behavior screenings at the middle and high school levels to detect students with intensive intervention needs using one systematic screening tool: the Student Risk Screening Scale. We discussed the importance of systematic screening and presented…

Intimate Partner Violence, Parental Divorce, and Child Custody: Directions for Intervention and Future Research

ERIC Educational Resources Information Center

Hardesty, Jennifer L.; Chung, Grace H.

2006-01-01

Joint custody and cooperative coparenting are often unsafe for women who leave violent partners. Although certain legal protections are available, more work is needed to understand and address abused women's needs in this context. This study provides divorce scholars and practitioners with information on the interface between separation/divorce…

Assessment of Training Needs for Arizona Student Financial Aid Practitioners. Final Report.

ERIC Educational Resources Information Center

Fenske, Robert H.

The present and future training needs of financial aid practitioners (financial aid officers, counselors, and support staff personnel) at Arizona colleges and government agencies were assessed. Attention was directed to the literature on training and programs for financial aid practitioners, as well as the possibilities of developing a…

Educating Professional Accountants for the Twenty-First Century: A Point of View.

ERIC Educational Resources Information Center

Bloom, Robert; Debessay, Araya

1984-01-01

Points out the need to change the direction of accounting education. Indicates that students need to learn to think and be critical and be prepared to cope with future issues and controversies. Accountancy must be viewed as a dynamic profession that changes as the socioeconomic and political climate changes. (JOW)

Impact of European Union Legislation On The Wash Catchment, U.k.

NASA Astrophysics Data System (ADS)

Daldorph, P.; Wheater, H.; Saunders, A.

A case study is presented which shows the impact of existing European Legislation (Urban Waste Water Directive, Nitrate Directive, Bathing Waters Directive, Habitats Directive) on aquatic nutrient concentrations in the 16112 km2 catchment area of The Wash in eastern England , including both the inland and coastal zones. Information is provided on the implementation process (administrative and economic) and the observed impacts of measures to reduce environmental nutrient levels. Impacts are compared with simulations of nutrients in the inland and coastal zones, and the modeling tools are further used to predict impacts of future management change, e.g. to meet possible requirements of the Water Framework Directive. The issues in setting future environmental targets and research needs to underpin this process are discussed in the context of developing river basin management plans to support the Common Implementation Strategy for the Water Framework Directive.

Shame among people living with HIV: a literature review

PubMed Central

Bennett, David S.; Traub, Kerry; Mace, Lauren; Juarascio, Adrienne; O’Hayer, C. Virginia

2016-01-01

Shame is consistently associated with poor adjustment (e.g., depressive symptoms) among community samples but, surprisingly, has rarely been directly examined among people living with HIV/AIDS (PLWH). This limited research on shame is likely due, in part, to shame’s having been subsumed within measures of internalized stigma, an imprecise construct with varied definitions in the HIV literature. The current review summarizes research directly examining the correlates of shame among PLWH. Findings indicate that shame is associated with greater depressive symptoms, less healthcare utilization, and poorer physical health among PLWH. Directions for future research examining shame among PLWH are highlighted, including the need for more prospective research examining shame as a predictor of future adjustment. PMID:26296135

The European Market for Animal-Friendly Products in a Societal Context

PubMed Central

Ingenbleek, Paul T. M.; Harvey, David; Ilieski, Vlatko; Immink, Victor M.; de Roest, Kees; Schmid, Otto

2013-01-01

Simple Summary This article takes a future focus on the direction in which social forces develop the market for animal-friendly products in Europe. Although many stakeholders believe that the market is the most viable direction to improve farm animal welfare, economic productivity of the chain remains an issue that on a fundamental level conflicts with the objective to improve animal welfare. The European market for animal-friendly products is still largely fragmented and the differences between European countries are considerable. A more animal-friendly future that is achieved through the market will therefore need substantial policy attention from stakeholders in society. Abstract This article takes a future focus on the direction in which social forces develop the market for animal-friendly products in Europe. On the basis of qualitative data gathered in the context of the European EconWelfare project, the differences across eight European countries are studied. The findings suggest that, given international trade barriers that prevent an improvement of animal welfare through legislation, many stakeholders believe that the market is the most viable direction to improve farm animal welfare. Economic productivity of the chain remains, however, an issue that on a fundamental level conflicts with the objective to improve animal welfare. With the help of a deeper conceptual understanding of willingness to pay for animal welfare, the paper finds that the European market for animal-friendly products is still largely fragmented and that the differences between European countries are considerable. A more animal-friendly future that is achieved through the market will therefore need substantial policy attention from stakeholders in society. PMID:26479535

Transitional Care for Older Adults with Chronic Illnesses as a Vulnerable Population: Theoretical Framework and Future Directions in Nursing.

PubMed

Son, Youn Jung; You, Mi Ae

2015-12-01

Effective transitional care is needed to improve the quality of life in older adult patients with chronic illness and avoid discontinuity of care and adverse events. The aim of this article is to provide an overview of the key features, broader implications, and the utility of Meleis' transition theory intended for the transitional care of older adults with chronic illnesses. We present the role of nurse in the context of transitional care and propose future directions to increase the quality of nursing care. The online databases Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Science Direct were searched for relevant literature published since 1970 along with textbooks regarding nursing theory. An evaluation of the usefulness of transition theory based on transitional care in older adult patients with chronic illnesses is provided. Healthy transition should be the expected standard of nursing care for older adults across all healthcare settings. Nurses need to contribute to the development of transitional care for vulnerable populations; however, transition theory needs to be enhanced through additional theoretical work and repeated evaluations of the applicability in areas of transitional care.

Technology Needs to Support Future Mars Exploration

NASA Technical Reports Server (NTRS)

Nilsen, Erik N.; Baker, John; Lillard, Randolph P.

2013-01-01

The Mars Program Planning Group (MPPG) under the direction of Dr. Orlando Figueroa, was chartered to develop options for a program-level architecture for robotic exploration of Mars consistent with the objective to send humans to Mars in the 2030's. Scientific pathways were defined for future exploration, and multiple architectural options were developed that meet current science goals and support the future human exploration objectives. Integral to the process was the identification of critical technologies which enable the future scientific and human exploration goals. This paper describes the process for technology capabilities identification and examines the critical capability needs identified in the MPPG process. Several critical enabling technologies that have been identified to support the robotic exploration goals and with potential feedforward application to human exploration goals. Potential roadmaps for the development and validation of these technologies are discussed, including options for subscale technology demonstrations of future human exploration technologies on robotic missions.

Rangelands of Central Asia: Proceedings of the Conference on Transformations, Issues, and Future Challenges

Treesearch

Donald J. Bedunah; E. Durant McArthur; Maria Fernandez-Gimenez

2006-01-01

The 11 papers in this document address issues and needs in the development and stewardship of Central Asia rangelands, and identify directions for future work. With its vast rangelands and numerous pastoral populations, Central Asia is a region of increasing importance to rangeland scientists, managers, and pastoral development specialists. Five of the papers address...

Conclusions and Future Directions

ERIC Educational Resources Information Center

Lillibridge, Fred

2012-01-01

Benchmarking, when done properly, offers a lot of promise for higher education units that want to improve how they do business. It is clear that much is known, but still more needs to be learned before it reaches its full potential as a useful tool. Readers of this issue of "New Directions for Institutional Research" have been treated to useful…

Vital Directions for Health and Health Care: Priorities From a National Academy of Medicine Initiative.

PubMed

Dzau, Victor J; McClellan, Mark B; McGinnis, J Michael; Burke, Sheila P; Coye, Molly J; Diaz, Angela; Daschle, Thomas A; Frist, William H; Gaines, Martha; Hamburg, Margaret A; Henney, Jane E; Kumanyika, Shiriki; Leavitt, Michael O; Parker, Ruth M; Sandy, Lewis G; Schaeffer, Leonard D; Steele, Glenn D; Thompson, Pamela; Zerhouni, Elias

2017-04-11

Recent discussion has focused on questions related to the repeal and replacement of portions of the Affordable Care Act (ACA). However, issues central to the future of health and health care in the United States transcend the ACA provisions receiving the greatest attention. Initiatives directed to certain strategic and infrastructure priorities are vital to achieve better health at lower cost. To review the most salient health challenges and opportunities facing the United States, to identify practical and achievable priorities essential to health progress, and to present policy initiatives critical to the nation's health and fiscal integrity. Qualitative synthesis of 19 National Academy of Medicine-commissioned white papers, with supplemental review and analysis of publicly available data and published research findings. The US health system faces major challenges. Health care costs remain high at $3.2 trillion spent annually, of which an estimated 30% is related to waste, inefficiencies, and excessive prices; health disparities are persistent and worsening; and the health and financial burdens of chronic illness and disability are straining families and communities. Concurrently, promising opportunities and knowledge to achieve change exist. Across the 19 discussion papers examined, 8 crosscutting policy directions were identified as vital to the nation's health and fiscal future, including 4 action priorities and 4 essential infrastructure needs. The action priorities-pay for value, empower people, activate communities, and connect care-recurred across the articles as direct and strategic opportunities to advance a more efficient, equitable, and patient- and community-focused health system. The essential infrastructure needs-measure what matters most, modernize skills, accelerate real-world evidence, and advance science-were the most commonly cited foundational elements to ensure progress. The action priorities and essential infrastructure needs represent major opportunities to improve health outcomes and increase efficiency and value in the health system. As the new US administration and Congress chart the future of health and health care for the United States, and as health leaders across the country contemplate future directions for their programs and initiatives, their leadership and strategic investment in these priorities will be essential for achieving significant progress.

Template for a recommended curriculum in "Veterinary Professional Development and Career Success".

PubMed

Lloyd, James W; Walsh, Donal A

2002-01-01

Recent studies of the veterinary profession have established a need for training in various areas beyond those directed toward building competence and proficiency as a clinician. To address this need, a workshop was designed whose objective was to develop a detailed outline of a model curriculum that would encompass the skills, knowledge, aptitudes, and attitudes deemed essential for economic success in the veterinary profession. The model curriculum was created from comprehensive input provided by consultants and educators. Constraints for implementation of this curriculum are identified, and future directions are discussed.

Future directions for postdoctoral training in cancer prevention: insights from a panel of experts.

PubMed

Nelson, David E; Faupel-Badger, Jessica; Phillips, Siobhan; Belcher, Britni; Chang, Shine; Abrams, David B; Kramer, Barnett S; White, Mary C; O'Malley, Michael; Varanasi, Arti P; Fabian, Carol J; Wiest, Jonathan S; Colditz, Graham A; Hall, Kara; Shields, Peter G; Weitzel, Jeffrey N

2014-04-01

Cancer prevention postdoctoral fellowships have existed since the 1970s. The National Cancer Institute facilitated a meeting by a panel of experts in April 2013 to consider four important topics for future directions for cancer prevention postdoctoral training programs: (i) future research needs; (ii) underrepresented disciplines; (iii) curriculum; and (iv) career preparation. Panelists proffered several areas needing more research or emphasis, ranging from computational science to culture. Health care providers, along with persons from nontraditional disciplines in scientific training programs such as engineers and lawyers, were among those recognized as being underrepresented in training programs. Curriculum suggestions were that fellows receive training in topics such as leadership and human relations, in addition to learning the principles of epidemiology, cancer biologic mechanisms, and behavioral science. For career preparation, there was a clear recognition of the diversity of employment options available besides academic positions, and that program leaders should do more to help fellows identify and prepare for different career paths. The major topics and strategies covered at this meeting can help form the basis for cancer prevention training program leaders to consider modifications or new directions, and keep them updated with the changing scientific and employment climate for doctoral degree recipients and postdoctoral fellows.

Future Directions for Postdoctoral Training in Cancer Prevention: Insights from a Panel of Experts

PubMed Central

Nelson, David E.; Faupel-Badger, Jessica; Phillips, Siobhan; Belcher, Britni; Chang, Shine; Abrams, David B.; Kramer, Barnett S.; White, Mary C.; O’Malley, Michael; Varanasi, Arti P.; Fabian, Carol J.; Wiest, Jonathan S.; Colditz, Graham A.; Hall, Kara; Shields, Peter G.; Weitzel, Jeffrey N.

2014-01-01

Cancer prevention postdoctoral fellowships have existed since the 1970s. The National Cancer Institute facilitated a meeting by a panel of experts in April 2013 to consider four important topics for future directions for cancer prevention postdoctoral training programs: 1) future research needs; 2) underrepresented disciplines; 3) curriculum; and 4) career preparation. Panelists proffered several areas needing more research or emphasis, ranging from computational science to culture. Health care providers, along with persons from non-traditional disciplines such as engineers and lawyers, were among disciplines recognized as being underrepresented in training programs. Curriculum suggestions were that fellows receive training in topics such as leadership and human relations, in addition to learning the principles of epidemiology, cancer biological mechanisms, and behavioral science. For career preparation, there was a clear recognition of the diversity of employment options available besides academic positions, and that program leaders should do more to help fellows identify and prepare for different career paths. The major topics and strategies covered at this meeting can help form the basis for cancer prevention training program leaders to consider modifications or new directions, and keep them current with the changing scientific and employment climate for doctoral degree recipients and postdoctoral fellows. PMID:24604827

Biomedical wellness challenges and opportunities

NASA Astrophysics Data System (ADS)

Tangney, John F.

2012-06-01

The mission of ONR's Human and Bioengineered Systems Division is to direct, plan, foster, and encourage Science and Technology in cognitive science, computational neuroscience, bioscience and bio-mimetic technology, social/organizational science, training, human factors, and decision making as related to future Naval needs. This paper highlights current programs that contribute to future biomedical wellness needs in context of humanitarian assistance and disaster relief. ONR supports fundamental research and related technology demonstrations in several related areas, including biometrics and human activity recognition; cognitive sciences; computational neurosciences and bio-robotics; human factors, organizational design and decision research; social, cultural and behavioral modeling; and training, education and human performance. In context of a possible future with automated casualty evacuation, elements of current science and technology programs are illustrated.

Family support for the elderly in Korea: continuity, change, future directions, and cross-cultural concerns.

PubMed

Sung, K T

2001-01-01

This article discusses major issues and concerns regarding family support for parents and elderly people in industrialized and urbanized Korea. It summarizes new trends in family support for elderly members, continuing influences of the traditional value of family support (filial piety), growing needs for public services for elderly people and their families, urgent calls for the state to assume greater responsibilities for providing social security and services for the elderly, needs for cross-cultural studies of family support, and certain cultural similarities and differences to be considered. The article concludes with some suggestions for future research.

Needs and Requirements for Future Research Reactors (ORNL Perspectives)

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

Ilas, Germina; Bryan, Chris; Gehin, Jess C.

2016-02-10

The High Flux Isotope Reactor (HFIR) is a vital national and international resource for neutron science research, production of radioisotopes, and materials irradiation. While HFIR is expected to continue operation for the foreseeable future, interest is growing in understanding future research reactors features, needs, and requirements. To clarify, discuss, and compile these needs from the perspective of Oak Ridge National Laboratory (ORNL) research and development (R&D) missions, a workshop, titled “Needs and Requirements for Future Research Reactors”, was held at ORNL on May 12, 2015. The workshop engaged ORNL staff that is directly involved in research using HFIR to collectmore » valuable input on the reactor’s current and future missions. The workshop provided an interactive forum for a fruitful exchange of opinions, and included a mix of short presentations and open discussions. ORNL staff members made 15 technical presentations based on their experience and areas of expertise, and discussed those capabilities of the HFIR and future research reactors that are essential for their current and future R&D needs. The workshop was attended by approximately 60 participants from three ORNL directorates. The agenda is included in Appendix A. This document summarizes the feedback provided by workshop contributors and participants. It also includes information and insights addressing key points that originated from the dialogue started at the workshop. A general overview is provided on the design features and capabilities of high performance research reactors currently in use or under construction worldwide. Recent and ongoing design efforts in the US and internationally are briefly summarized, followed by conclusions and recommendations.« less

Urban Extension. A Look to the Future. Report on Focus Group Sessions (St. Paul, Minnesota, January 22-February 6, 1987).

ERIC Educational Resources Information Center

Copeland, Harlan G.; Barber, Shirley L.

Eight focus groups were interviewed to determine the current strengths and weaknesses of the Ramsey County Extension Service as well as the directions that the service should take in the future so as to meet the county's needs for extension education in urban and suburban settings. The focus groups included extension professionals and support…

A comprehensive review of the SLMTA literature part 1: Content analysis and future priorities

PubMed Central

Yao, Katy; Nkengasong, John N.

2014-01-01

Background Since its introduction in 2009, the Strengthening Laboratory Management Toward Accreditation (SLMTA) programme has been implemented widely throughout Africa, as well as in the Caribbean, Central and South America, and Southeast Asia. Objective We compiled results from local, national and global studies to provide a broad view of the programme and identify directions for the future. The review consists of two companion papers; this paper focuses on content analysis, examining various thematic components of the SLMTA programme and future priorities. Methods A systematic literature search identified 28 published articles about implementing the SLMTA programme. Results for various components of the SLMTA programme were reviewed and summarised. Results Local and national studies provide substantial information on previous experiences with quality management systems; variations on SLMTA implementation; building human resource capacity for trainers, mentors and auditors; the benefits and effectiveness of various types of mentorship; the importance of management buy-in to ensure country ownership; the need to instill a culture of quality in the laboratory; success factors and challenges; and future directions for the programme. Conclusions Local, national and global results suggest that the SLMTA programme has been overwhelmingly successful in transforming laboratory quality management. There is an urgent need to move forward in four strategic directions: progression (continued improvement in SLMTA laboratories), saturation (additional laboratories within countries that have implemented SLMTA), expansion (implementation in additional countries), and extension (adapting SLMTA for implementation beyond the laboratory), to lead to transformation of overall health systems and patient care. PMID:29043200

Status of Cardiovascular Issues Related to Space Flight: implications for Future Research Directions

DTIC Science & Technology

2009-01-01

identified in the 2007 NASA Human Integrated Research Program. An evidence-based approach to identify the research priorities needed to resolve those...radiation needs to be defined. In contrast, data from the literature support the notion that the highest probability of occurrence and operational impact...identify and prioritize the most important ques- tions or problems needed to be resolved in order to assure the successful completion of extended

The Cloudy Crystal Ball: A Projection of the Nature of the University Counseling Center in the Year 2000.

ERIC Educational Resources Information Center

Maes, John L.

The nature of counseling in the year 2000 will be determined more by developing social needs than by existing programs. Since the direction of social development is toward increasingly dynamic, complex, and potentially stressful times, counseling services must be responsive to such conditions. The university counselor of the future will need to be…

Whose Job Is It? Key Challenges and Future Directions for Online Accessibility in US Institutions of Higher Education

ERIC Educational Resources Information Center

Linder, Kathryn E.; Fontaine-Rainen, Danielle L.; Behling, Kirsten

2015-01-01

This article reports on a national study conducted in the United States on the current institutional practices, structures, resources and policies that are needed to ensure online accessibility for all students at colleges and universities. Key findings include the need to better articulate who is responsible for online accessibility initiatives…

A transdisciplinary approach to the initial validation of a single cell protein as an alternative protein source for use in aquafeeds

USDA-ARS?s Scientific Manuscript database

The human population is growing and, globally, we must meet the challenge of increased protein needs required to feed this population. Single cell proteins (SCP), when coupled to aquaculture production, offers a means to ensure future protein needs can be met without direct competition with food for...

The NASA Space Power Technology Program

NASA Technical Reports Server (NTRS)

Mullin, J. P.; Hudson, W. R.; Randolph, L. P.

1979-01-01

This paper discusses the National Aeronautics and Space Administration's (NASA) Space Power Technology Program which is aimed at providing the needed technology for NASA's future missions. The technology program is subdivided into five areas: (1) photovoltaic energy conversion; (2) chemical energy conversion and storage; (3) thermal to electric conversion; (4) power system management and distribution, and (5) advanced energetics. Recent accomplishments, current status, and future directions are presented for each area.

Review of numerical methods for simulation of the aortic root: Present and future directions

NASA Astrophysics Data System (ADS)

Mohammadi, Hossein; Cartier, Raymond; Mongrain, Rosaire

2016-05-01

Heart valvular disease is still one of the main causes of mortality and morbidity in develop countries. Numerical modeling has gained considerable attention in studying hemodynamic conditions associated with valve abnormalities. Simulating the large displacement of the valve in the course of the cardiac cycle needs a well-suited numerical method to capture the natural biomechanical phenomena which happens in the valve. The paper aims to review the principal progress of the numerical approaches for studying the hemodynamic of the aortic valve. In addition, the future directions of the current approaches as well as their potential clinical applications are discussed.

Folic Acid Food Fortification—Its History, Effect, Concerns, and Future Directions

PubMed Central

Crider, Krista S.; Bailey, Lynn B.; Berry, Robert J.

2011-01-01

Periconceptional intake of folic acid is known to reduce a woman’s risk of having an infant affected by a neural tube birth defect (NTD). National programs to mandate fortification of food with folic acid have reduced the prevalence of NTDs worldwide. Uncertainty surrounding possible unintended consequences has led to concerns about higher folic acid intake and food fortification programs. This uncertainty emphasizes the need to continually monitor fortification programs for accurate measures of their effect and the ability to address concerns as they arise. This review highlights the history, effect, concerns, and future directions of folic acid food fortification programs. PMID:22254102

The social function of technology assessment

NASA Technical Reports Server (NTRS)

Huddle, F. P.

1972-01-01

The problem of preserving the uneasy balance between a dynamic society and the equilibrium of man-environment society is discussed. Four sets of activities involved in technology assessment are considered: (1) Technology forecasting is necessary to warn of future dangers and opportunities, for effective timing, and to identify tradeoffs and alternatives. But forecasting is also chancy at best. (2) Social indicators need to be developed for the characterization of social status and measurement of social progress, as well as a better understanding of social needs. (3) With respect to technology assessment, the conflict between profitable directions of innovations and socially desirable directions is described, and a systematic way is needed to determine in advance what is technologically feasible to meet social needs. (4) National goals with respect to scientific and technological developments are also required.

New directions for feminist therapy based on social constructionism.

PubMed

Finfgeld, D L

2001-06-01

Feminist therapy has made significant contributions in the area of women's mental health care. Of late, however, critics have argued that feminist therapists are neglecting the needs of many women. The unique perspectives of women of color, lower and upper class women, lesbians, and other persons have been ignored. As such, it is proposed that social constructionism offers a metaframework for reinterpreting feminist therapy tenets to better address the needs of a broad range of individuals. Clinical implications are offered along with future directions for research and education. Copyright 2001 by W.B. Saunders Company

Planning for a Nondriving Future: Behaviors and Beliefs Among Middle-Aged and Older Drivers.

PubMed

Harmon, Annie C; Babulal, Ganesh; Vivoda, Jonathon M; Zikmund-Fisher, Brian J; Carr, David B

2018-01-01

Despite the reality of older adults living many years after driving cessation, few prepare for the eventuality; empirically, planning for a nondriving future has not been directly quantified or explored. The following study quantifies 1) the extent of current drivers' planning, 2) specific planning behaviors, 3) beliefs about benefits of planning, 4) drivers' intention to plan more for future transportation needs, and 5) group differences associated with planning. In a predominantly female, black, urban sample of current drivers ages 53-92, fewer than half (42.1%) had planned at all for a nondriving future, with correspondingly low levels of planning behaviors reported. However, over 80% believed planning would help them meet their needs post-cessation and transition emotionally to being a nondriver. Most (85%) intended to plan more in the future as well, indicating further potential openness to the topic. Drivers who planned were older, drove less frequently, limited their driving to nearby places, reported less difficulty believing they would become a nondriver, and expected to continue driving three years less than non-planners. These findings suggest that drivers' perceived nearness to driving cessation impacts planning for future transportation needs, and existing perceived benefits of planning may provide leverage to motivate action.

Current status and future directions for in situ transmission electron microscopy

PubMed Central

Taheri, Mitra L.; Stach, Eric A.; Arslan, Ilke; Crozier, P.A.; Kabius, Bernd C.; LaGrange, Thomas; Minor, Andrew M.; Takeda, Seiji; Tanase, Mihaela; Wagner, Jakob B.; Sharma, Renu

2016-01-01

This review article discusses the current and future possibilities for the application of in situ transmission electron microscopy to reveal synthesis pathways and functional mechanisms in complex and nanoscale materials. The findings of a group of scientists, representing academia, government labs and private sector entities (predominantly commercial vendors) during a workshop, held at the Center for Nanoscale Science and Technology- National Institute of Science and Technology (CNST-NIST), are discussed. We provide a comprehensive review of the scientific needs and future instrument and technique developments required to meet them. PMID:27566048

Information and Communication Technology to Facilitate Learning for Students in the Health Professions: Current Uses, Gaps, and Future Directions

ERIC Educational Resources Information Center

Costello, Ellen; Corcoran, Mary; Barnett, Jacqueline S.; Birkmeier, Marisa; Cohn, Rhea; Ekmekci, Ozgur; Falk, Nancy L.; Harrod, Thomas; Herrmann, Debra; Robinson, Sean; Walker, Bryan

2014-01-01

Changes in the U.S. Healthcare System along with the need for institutions of higher education to prepare a work force ready to address the challenges of today and tomorrow have highlighted the need to incorporate technology in its broadest sense as part of the student learning experience. In health professional education, this becomes challenging…

Technology Assessment for Future MILSATCOM Systems; An Update of the EHF Bands

DTIC Science & Technology

1980-10-01

converging these efforts, the MSO has prepared a "Technology Development Program Plan" ( TDPP ). The TOPP defines a coordinated approach to the R&D...required to insure the availability of the technology necessary to support future systems. Some of the objectives of the TDPP are: to minimize...and TDPP have illuminated the need for technology development efforts directed toward minimizing the cost- risk and schedule-risk, and insuring the

AIR QUALITY MODELING OF HAZARDOUS POLLUTANTS: CURRENT STATUS AND FUTURE DIRECTIONS

EPA Science Inventory

The paper presents a review of current air toxics modeling applications and discusses possible advanced approaches. Many applications require the ability to predict hot spots from industrial sources or large roadways that are needed for community health and Environmental Justice...

Review of Radio Frequency Photonics Basics

DTIC Science & Technology

2017-09-06

essentially from “Direct Current to Daylight,” allowing use for high frequency applications. This report covers some needs and advantages of radio...operate essentially from “Direct Current (DC) to Daylight,” allowing use for high frequency applications. The following sections of this report cover...spectrum leaving higher frequencies open for new uses. Frequency bands from 600 MHz to 5 GHz are used for commercial communications in the US. The future

High-voltage Array Ground Test for Direct-drive Solar Electric Propulsion

NASA Technical Reports Server (NTRS)

Howell, Joe T.; Mankins, John C.; O'Neill, Mark J.

2005-01-01

Development is underway on a unique high-power solar concentrator array called Stretched Lens Array (SLA) for direct drive electric propulsion. These SLA performance attributes closely match the critical needs of solar electric propulsion (SEP) systems, which may be used for "space tugs" to fuel-efficiently transport cargo from low earth orbit (LEO) to low lunar orbit (LLO), in support of NASA s robotic and human exploration missions. Later SEP systems may similarly transport cargo from the earth-moon neighborhood to the Mars neighborhood. This paper will describe the SLA SEP technology, discuss ground tests already completed, and present plans for future ground tests and future flight tests of SLA SEP systems.

The future role of the family physician in the United States: a rigorous exercise in definition.

PubMed

Phillips, Robert L; Brundgardt, Stacy; Lesko, Sarah E; Kittle, Nathan; Marker, Jason E; Tuggy, Michael L; Lefevre, Michael L; Borkan, Jeffrey M; Degruy, Frank V; Loomis, Glenn A; Krug, Nathan

2014-01-01

As the U.S. health care delivery system undergoes rapid transformation, there is an urgent need to define a comprehensive, evidence-based role for the family physician. A Role Definition Group made up of members of seven family medicine organizations developed a statement defining the family physician's role in meeting the needs of individuals, the health care system, and the country. The Role Definition Group surveyed more than 50 years of foundational manuscripts including published works from the Future of Family Medicine project and Keystone III conference, external reviews, and a recent Accreditation Council on Graduate Medical Education Family Medicine Milestones definition. They developed candidate definitions and a "foil" definition of what family medicine could become without change. The following definition was selected: "Family physicians are personal doctors for people of all ages and health conditions. They are a reliable first contact for health concerns and directly address most health care needs. Through enduring partnerships, family physicians help patients prevent, understand, and manage illness, navigate the health system and set health goals. Family physicians and their staff adapt their care to the unique needs of their patients and communities. They use data to monitor and manage their patient population, and use best science to prioritize services most likely to benefit health. They are ideal leaders of health care systems and partners for public health." This definition will guide the second Future of Family Medicine project and provide direction as family physicians, academicians, clinical networks, and policy-makers negotiate roles in the evolving health system.

The Future Role of the Family Physician in the United States: A Rigorous Exercise in Definition

PubMed Central

Phillips, Robert L.; Brundgardt, Stacy; Lesko, Sarah E.; Kittle, Nathan; Marker, Jason E.; Tuggy, Michael L.; LeFevre, Michael L.; Borkan, Jeffrey M.; DeGruy, Frank V.; Loomis, Glenn A.; Krug, Nathan

2014-01-01

As the US health care delivery system undergoes rapid transformation, there is an urgent need to define a comprehensive, evidence-based role for the family physician. A Role Definition Group made up of members of seven family medicine organizations developed a statement defining the family physician’s role in meeting the needs of individuals, the health care system, and the country. The Role Definition Group surveyed more than 50 years of foundational manuscripts including published works from the Future of Family Medicine project and Keystone III conference, external reviews, and a recent Accreditation Council on Graduate Medical Education Family Medicine Milestones definition. They developed candidate definitions and a “foil” definition of what family medicine could become without change. The following definition was selected: “Family physicians are personal doctors for people of all ages and health conditions. They are a reliable first contact for health concerns and directly address most health care needs. Through enduring partnerships, family physicians help patients prevent, understand, and manage illness, navigate the health system and set health goals. Family physicians and their staff adapt their care to the unique needs of their patients and communities. They use data to monitor and manage their patient population, and use best science to prioritize services most likely to benefit health. They are ideal leaders of health care systems and partners for public health.” This definition will guide the second Future of Family Medicine project and provide direction as family physicians, academicians, clinical networks, and policy-makers negotiate roles in the evolving health system. PMID:24821896

The Public Health Nutrition workforce and its future challenges: the US experience.

PubMed

Haughton, Betsy; George, Alexa

2008-08-01

To describe the US public health nutrition workforce and its future social, biological and fiscal challenges. Literature review primarily for the four workforce surveys conducted since 1985 by the Association of State and Territorial Public Health Nutrition Directors. The United States. Nutrition personnel working in governmental health agencies. The 1985 and 1987 subjects were personnel in full-time budgeted positions employed in governmental health agencies providing predominantly population-based services. In 1994 and 1999 subjects were both full-time and part-time, employed in or funded by governmental health agencies, and provided both direct-care and population-based services. The workforce primarily focuses on direct-care services for pregnant and breast-feeding women, infants and children. The US Department of Agriculture funds 81.7 % of full-time equivalent positions, primarily through the WIC Program (Special Supplemental Nutrition Program for Women, Infants, and Children). Of those personnel working in WIC, 45 % have at least 10 years of experience compared to over 65 % of the non-WIC workforce. Continuing education needs of the WIC and non-WIC workforces differ. The workforce is increasingly more racially/ethnically diverse and with 18.2 % speaking Spanish as a second language. The future workforce will need to focus on increasing its diversity and cultural competence, and likely will need to address retirement within leadership positions. Little is known about the workforce's capacity to address the needs of the elderly, emergency preparedness and behavioural interventions. Fiscal challenges will require evidence-based practice demonstrating both costs and impact. Little is known about the broader public health nutrition workforce beyond governmental health agencies.

EXPOSURE ASSESSMENT AND FUTURE DIRECTIONS IN EXPOSURE SCIENCE

EPA Science Inventory

Exposure is the contact between a stressor and a human or ecological receptor. Risk analysis step in which receptor interaction with the exposure stressor of concern is evaluated. To assess exposure to a particular stressor we need to know - Properties of the stressor; Sources, p...

USEPA BIOMONITORING AND BIOINDICATORS CONCEPTS NEEDED TO EVALUATE THE BIOLOGICAL INTEGRITY OF AQUATIC SYSTEMS

EPA Science Inventory

This chapter presents the current uses, concepts and anticipated future directions of biomonitoring and bioindicators in the regulatory and research programs of the United States Environmental Protection Agency (USEPA). The chapter provides a historical look on how biomonitoring ...

US EPA BIOMONITORING AND BIOINDICATOR CONCEPTS NEEDED TO EVALUATE THE BIOLOGICAL INTEGRITY OF AQUATIC SYSTEMS

EPA Science Inventory

This chapter presents the current uses, concepts and anticipated future directions of biomonitoring and bioindicators in the regulatory and research programs of the United States Environmental Protection Agency (USEPA). The chapter provides a historical look on how biomonitoring ...

Multiple Attribute Evaluation of Auditory Warning Signals for In-Vehicle Crash Avoidance Warning Systems

DOT National Transportation Integrated Search

1995-11-01

This research was directed at optimizing the auditory warnings that may be used in future crash avoidance warning applications. There is a need to standardize such warnings, so that they retain immediacy of meaning across various vehicles, situations...

USEPA BIOMONITORING AND BIOINDICATOR CONCEPTS NEEDED TO EVALUATE THE BIOLOGICAL INTEGRITY OF AQUATIC SYSTEMS

EPA Science Inventory

This chapter presents the current uses, concepts and anticipated future directions of biomonitoring and bioindicators in the regulatory and research programs of the United States Environmental Protection Agency (USEPA). The chapter provides a historical look on how biomonitoring...

Certification of Physical Education Teachers.

ERIC Educational Resources Information Center

Bentz, Susan K.

The author discusses various trends in the preparation of physical education teachers, including emphasis on Title IX requirements and handicapped child needs. Future directions in teacher certification are surveyed, and it is urged that certification be based upon sequential training programs rather than course accumulation-credit hour…

Summaries of FY 1996 geosciences research

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

NONE

1996-12-01

The Geosciences Research Program is directed by the Department of Energy`s (DOE`s) Office of Energy Research (OER) through its Office of Basic Energy Sciences (OBES). Activities in the Geosciences Research Program are directed toward building the long-term fundamental knowledge base necessary to provide for energy technologies of the future. Future energy technologies and their individual roles in satisfying the nations energy needs cannot be easily predicted. It is clear, however, that these future energy technologies will involve consumption of energy and mineral resources and generation of technological wastes. The earth is a source for energy and mineral resources and ismore » also the host for wastes generated by technological enterprise. Viable energy technologies for the future must contribute to a national energy enterprise that is efficient, economical, and environmentally sound. The Geosciences Research Program emphasizes research leading to fundamental knowledge of the processes that transport, modify, concentrate, and emplace (1) the energy and mineral resources of the earth and (2) the energy by-products of man.« less

Electricity from biomass: A development strategy

NASA Astrophysics Data System (ADS)

1992-04-01

The purpose of this document is to review the current status of biomass power technology and to evaluate the future directions for development that could significantly enhance the contribution of biomass power to U.S. production of electricity. This document reviews the basic principles of biomass electric systems, the previous contributions of industry and the National Biomass Energy Programs to technology development, and the options for future technology development. It discusses the market for biomass electric technology and future needs for electric power production to help establish a market-oriented development strategy. It projects trends in the performance and cost of the technology and examines the changing dynamics of the power generation market place to evaluate specific opportunities for biomass power development. In a separate document, the Biomass Power Program Five Year R&D Plan, the details of schedules, funding, and roles of participating R&D organizations within the R&D program funded by the U.S. Department of Energy (DOE) are presented. In evaluating the future directions for research and development, two cases are examined.

Informatics and Nursing in a Post-Nursing Informatics World: Future Directions for Nurses in an Automated, Artificially Intelligent, Social-Networked Healthcare Environment.

PubMed

Booth, Richard G

2016-01-01

The increased adoption and use of technology within healthcare and society has influenced the nursing informatics specialty in a multitude of fashions. Namely, the nursing informatics specialty currently faces a range of important decisions related to its knowledge base, established values and future directions - all of which are in need of development and future-proofing. In light of the increased use of automation, artificial intelligence and big data in healthcare, the specialty must also reconceptualize the roles of both nurses and informaticians to ensure that the nursing profession is ready to operate within future digitalized healthcare ecosystems. To explore these goals, the author of this manuscript outlines an examination of technological advancements currently taking place within healthcare, and also proposes implications for the nursing role and the nursing informatics specialty. Finally, recommendations and insights towards how the roles of nurses and informaticians might evolve or be shaped in the growing post-nursing informatics era are presented. Copyright © 2016 Longwoods Publishing.

Readout technologies for directional WIMP Dark Matter detection

NASA Astrophysics Data System (ADS)

Battat, J. B. R.; Irastorza, I. G.; Aleksandrov, A.; Asada, T.; Baracchini, E.; Billard, J.; Bosson, G.; Bourrion, O.; Bouvier, J.; Buonaura, A.; Burdge, K.; Cebrián, S.; Colas, P.; Consiglio, L.; Dafni, T.; D'Ambrosio, N.; Deaconu, C.; De Lellis, G.; Descombes, T.; Di Crescenzo, A.; Di Marco, N.; Druitt, G.; Eggleston, R.; Ferrer-Ribas, E.; Fusayasu, T.; Galán, J.; Galati, G.; García, J. A.; Garza, J. G.; Gentile, V.; Garcia-Sciveres, M.; Giomataris, Y.; Guerrero, N.; Guillaudin, O.; Guler, A. M.; Harton, J.; Hashimoto, T.; Hedges, M. T.; Iguaz, F. J.; Ikeda, T.; Jaegle, I.; Kadyk, J. A.; Katsuragawa, T.; Komura, S.; Kubo, H.; Kuge, K.; Lamblin, J.; Lauria, A.; Lee, E. R.; Lewis, P.; Leyton, M.; Loomba, D.; Lopez, J. P.; Luzón, G.; Mayet, F.; Mirallas, H.; Miuchi, K.; Mizumoto, T.; Mizumura, Y.; Monacelli, P.; Monroe, J.; Montesi, M. C.; Naka, T.; Nakamura, K.; Nishimura, H.; Ochi, A.; Papevangelou, T.; Parker, J. D.; Phan, N. S.; Pupilli, F.; Richer, J. P.; Riffard, Q.; Rosa, G.; Santos, D.; Sawano, T.; Sekiya, H.; Seong, I. S.; Snowden-Ifft, D. P.; Spooner, N. J. C.; Sugiyama, A.; Taishaku, R.; Takada, A.; Takeda, A.; Tanaka, M.; Tanimori, T.; Thorpe, T. N.; Tioukov, V.; Tomita, H.; Umemoto, A.; Vahsen, S. E.; Yamaguchi, Y.; Yoshimoto, M.; Zayas, E.

2016-11-01

The measurement of the direction of WIMP-induced nuclear recoils is a compelling but technologically challenging strategy to provide an unambiguous signature of the detection of Galactic dark matter. Most directional detectors aim to reconstruct the dark-matter-induced nuclear recoil tracks, either in gas or solid targets. The main challenge with directional detection is the need for high spatial resolution over large volumes, which puts strong requirements on the readout technologies. In this paper we review the various detector readout technologies used by directional detectors. In particular, we summarize the challenges, advantages and drawbacks of each approach, and discuss future prospects for these technologies.

Transcranial electric stimulation for the investigation of speech perception and comprehension

PubMed Central

Zoefel, Benedikt; Davis, Matthew H.

2017-01-01

ABSTRACT Transcranial electric stimulation (tES), comprising transcranial direct current stimulation (tDCS) and transcranial alternating current stimulation (tACS), involves applying weak electrical current to the scalp, which can be used to modulate membrane potentials and thereby modify neural activity. Critically, behavioural or perceptual consequences of this modulation provide evidence for a causal role of neural activity in the stimulated brain region for the observed outcome. We present tES as a tool for the investigation of which neural responses are necessary for successful speech perception and comprehension. We summarise existing studies, along with challenges that need to be overcome, potential solutions, and future directions. We conclude that, although standardised stimulation parameters still need to be established, tES is a promising tool for revealing the neural basis of speech processing. Future research can use this method to explore the causal role of brain regions and neural processes for the perception and comprehension of speech. PMID:28670598

Eudaimonic well-being, inequality, and health: Recent findings and future directions

PubMed Central

Ryff, Carol D.

2017-01-01

The theoretical and philosophical underpinnings of a eudaimonic model of well-being are examined and its empirical translation into distinct dimensions of well-being is described. Empirical findings have documented aging declines in eudaimonic well-being, but there is considerable variability within age groups. Among older adults who remain purposefully engaged, health benefits (reduced morbidity, extended longevity) have been documented. Eudaimonic well-being also appears to offer a protective buffer against increased health risk among the educationally disadvantaged. Neural and genetic mechanisms that may underlie eudaimonic influences on health are briefly noted, and interventions designed to promote eudaimonic well-being are sketched. Needed future research directions include addressing problems of unjust societies wherein greed among privileged elites may be a force compromising the eudaimonic well-being of those less privileged. Alternatively, and more positive in focus, is the need to better understand the role of the arts, broadly defined, in promoting eudaimonic well-being across all segments of society. PMID:29057014

Eudaimonic well-being, inequality, and health: Recent findings and future directions.

PubMed

Ryff, Carol D

2017-06-01

The theoretical and philosophical underpinnings of a eudaimonic model of well-being are examined and its empirical translation into distinct dimensions of well-being is described. Empirical findings have documented aging declines in eudaimonic well-being, but there is considerable variability within age groups. Among older adults who remain purposefully engaged, health benefits (reduced morbidity, extended longevity) have been documented. Eudaimonic well-being also appears to offer a protective buffer against increased health risk among the educationally disadvantaged. Neural and genetic mechanisms that may underlie eudaimonic influences on health are briefly noted, and interventions designed to promote eudaimonic well-being are sketched. Needed future research directions include addressing problems of unjust societies wherein greed among privileged elites may be a force compromising the eudaimonic well-being of those less privileged. Alternatively, and more positive in focus, is the need to better understand the role of the arts, broadly defined, in promoting eudaimonic well-being across all segments of society.

The Dynamic General Vegetation Model MC1 over the United States and Canada at a 5-arcminute resolution: model inputs and outputs

Treesearch

Ray Drapek; John B. Kim; Ronald P. Neilson

2015-01-01

Land managers need to include climate change in their decisionmaking, but the climate models that project future climates operate at spatial scales that are too coarse to be of direct use. To create a dataset more useful to managers, soil and historical climate were assembled for the United States and Canada at a 5-arcminute grid resolution. Nine CMIP3 future climate...

Advance care planning in 21st century Australia: a systematic review and appraisal of online advance care directive templates against national framework criteria.

PubMed

Luckett, Tim; Bhattarai, Priyanka; Phillips, Jane; Agar, Meera; Currow, David; Krastev, Yordanka; Davidson, Patricia M

2015-11-01

A drive to promote advance care planning at a population level has led to a proliferation of online advance care directive (ACD) templates but little information to guide consumer choice. The current study aimed to appraise the quality of online ACD templates promoted for use in Australia. A systematic review of online Australian ACD templates was conducted in February 2014. ACD templates were identified via Google searches, and quality was independently appraised by two reviewers against criteria from the 2011 report A National Frameworkfor Advance Care Directives. Bias either towards or against future medical treatment was assessed using criteria designed to limit subjectivity. Fourteen online ACD templates were included, all of which were available only in English. Templates developed by Southern Cross University best met the framework criteria. One ACD template was found to be biased against medical treatment--the Dying with Dignity Victoria Advance Healthcare Directive. More research is needed to understand how online resources can optimally elicit and record consumers' individual preferences for future care. Future iterations of the framework should address online availability and provide a simple rating system to inform choice and drive quality improvement.

Multiple Attribute Evaluation Of Auditory Warning Signals For In-Vehicle Crash Avoidance Warning Systems, Technical Report

DOT National Transportation Integrated Search

1995-11-01

THIS RESEARCH WAS DIRECTED AT OPTIMIZING THE AUDITORY WARNINGS THAT MAY BE USED IN FUTURE CRASH AVOIDANCE WARNING APPLICATIONS. THERE IS A NEED TO STANDARDIZE SUCH WARNINGS, SO THAT THEY RETAIN IMMEDIACY OF MEANING ACROSS VARIOUS VEHICLES, SITUATIONS...

Opportunities and Challenges with Digital Open Badges

ERIC Educational Resources Information Center

Farmer, Tadd; West, Richard E.

2016-01-01

With increasing interest in competency and outcome-based education, and the blending of formal and informal learning, there is increasing need for credentials to match these learning paradigms. In this article, the authors discuss the benefits, challenges, and potential future directions for open digital badges--one potential alternative…

Succession Planning: Does it Matter in the Context of Corporate Leadership?

ERIC Educational Resources Information Center

Richards, Patricia

2008-01-01

Corporations invest heavily in human resource management infrastructures intended amongst other things to provide for the future leadership needs of the corporation. Adopting well-known succession planning techniques, human resource managers routinely engage in corporate leadership identification and development processes, often directly involving…

Temple University Libraries in the Mid-Seventies: A Status Report.

ERIC Educational Resources Information Center

Nitecki, Joseph Z.

Present central library operations are discussed in terms of emerging needs and possible direction for future development. Library objectives include acquiring and organizing relevant records of knowledge, and providing satisfactory information service standards. Issues relating to objectives include the library's involvement in planning and…

UNIVERSITY RESEARCH PROGRAM IN ROBOTICS, Final Technical Annual Report, Project Period: 9/1/04 - 8/31/05

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

James S. Tulenko; Carl D. Crane III

The University Research Program in Robotics (URPR) Implementation Plan is an integrated group of universities performing fundamental research that addresses broad-based robotics and automation needs of the NNSA Directed Stockpile Work (DSW) and Campaigns. The URPR mission is to provide improved capabilities of robotics science and engineering to meet the future needs of all weapon systems and other associated NNSA/DOE activities.

Integrated information management and hospital libraries.

PubMed Central

Buchanan, H S; Fazzone, N

1985-01-01

It is demonstrated that hospitals are information-dependent and that there is need for integration of information generated and gathered through their subsystems. This paper discusses recommendations of the Matheson Report for an integrated information management system which would link these subsystems. The library's statement of mission, means for self-assessment, and analysis of information needs and uses are explored. Future directions with examples of new roles for the library are outlined. PMID:3978295

Les connaissances linguistiques des cadres: Le point de vue de la direction des entreprises. Les besoins langagiers des futurs cadres d'entreprise. (Language Skills of Trained Personnel: The Viewpoint of Business Management. The Language Needs of Future Business Managers).

ERIC Educational Resources Information Center

Hatry, Paul

The first part of this paper outlines the factors that appear to influence the language attitudes or language behavior of business directors and managerial staff in Belgium. Age and the economic and political surroundings appear to be the principal factors. The younger individuals are, the more positive are their attitudes about the language…

Mapping photopolarimeter spectrometer instrument feasibility study for future planetary flight missions

NASA Technical Reports Server (NTRS)

1990-01-01

Evaluations are summarized directed towards defining optimal instrumentation for performing planetary polarization measurements from a spacecraft platform. An overview of the science rationale for polarimetric measurements is given to point out the importance of such measurements for future studies and exploration of the outer planets. The key instrument features required to perform the needed measurements are discussed and applied to the requirements for the Cassini mission to Saturn. The resultant conceptual design of a spectro-polarimeter photometer for Cassini is described in detail.

Modeling reactive nitrogen in North America: recent developments, observational needs and future directions

EPA Science Inventory

Nitrogen is an essential building block of all proteins and thus an essential nutrient for all life. The bulk of nitrogen in the environment is tightly bound as non-reactive N₂. Reactive nitrogen, which is naturally produced via enzymatic reactions, forest ...

75 FR 60089 - Final Environmental Impact Statement (EIS) Addressing Campus Development at Fort Meade

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-29

... Intelligence Community's continually evolving requirements. The purpose of the Proposed Action is to provide facilities that fully support the Intelligence Community's mission. The need for the action is to consolidate multiple agencies' efforts to ensure capabilities for current and future missions as directed by Congress...

Discovery of the Depths

ERIC Educational Resources Information Center

Katsioloudis, Petros J.

2009-01-01

Throughout history the oceans have directly or indirectly influenced humans. The importance of knowing how to protect this valuable resource and insure it for future generations is vital. Underwater Vehicles are tools essential for this process, and therefore research and development to perfect these devices is needed. However, the main goal of…

Education and Training in New and Renewable Sources of Energy.

ERIC Educational Resources Information Center

Beresovski, T.; And Others

1981-01-01

Identifies past and present efforts and future directions for UNESCO activities related to energy but focusing on alternative energy sources. Reports results of an international survey and analysis of programs, facilities, and needs in alternative energy education and training. Outlines curricula for policymakers, specialists, and technicians. (DC)

ISOLATED WETLANDS: STATE-OF-THE-SCIENCE AND FUTURE DIRECTIONS

EPA Science Inventory

The U.S. Supreme Court case of Solid Waste Agency of Northern Cook County v. U.S. Army Corps of Engineers (SWANCC) has had profound implications on the legal status of isolated wetlands. As a result of this decision, policymakers and regulators need information on the ecological...

Immunization in Texas: Progress and Challenges [and] Teacher's Guide.

ERIC Educational Resources Information Center

Smith, David R.

Two documents are presented here. One is a report of the Texas state health department concerning the immunization needs of the state's population, the extent of federal, state, and private financial support for public vaccination programs, legislation and current efforts to extend immunization to all children, and future directions for…

The Corporate University's Role in Managing an Epoch in Learning Organisation Innovation

ERIC Educational Resources Information Center

Dealtry, Richard

2006-01-01

Purpose: The purpose of this paper is to set the scene for some radical epochal thinking about the approach and future strategic directions in the management of organisational learning, following the author's earlier editorial theme concerning the need for exploration and innovation in organisational learning management.…

Work and Family Programs in Texas State Agencies.

ERIC Educational Resources Information Center

Texas Work and Family Clearinghouse, Austin.

A survey of work and family policies in state-supported organizations in Texas was conducted for the Texas Workforce Commission's Work and Family Clearinghouse. Survey questions addressed the prevalence, perceived need, and future direction of dependent care programs and flexible work arrangements (FWA). Key findings in dependent care include: (1)…

Future Directions in ADHD Etiology Research

ERIC Educational Resources Information Center

Nigg, Joel T.

2012-01-01

Reviews salient emerging themes in the scientific literature related to identifying etiology and pathophysiology of ADHD. While bypassing the need for new treatment research, the review highlights three themes. First, recognition of the epigenetic effects is expected to revitalize the search for and mapping of early environmental influences on the…

Computer hardware description languages - A tutorial

NASA Technical Reports Server (NTRS)

Shiva, S. G.

1979-01-01

The paper introduces hardware description languages (HDL) as useful tools for hardware design and documentation. The capabilities and limitations of HDLs are discussed along with the guidelines needed in selecting an appropriate HDL. The directions for future work are provided and attention is given to the implementation of HDLs in microcomputers.

Modeling human-environmental systems

Treesearch

Morgan Grove; Charlie Schweik; Tom Evans; Glen Green

2002-01-01

This chapter focuses on the integration and development of environmental models that include human decision making. While many methodological and technical issues are common to all types of environmental models, our goal is to highlight the unique characteristics that need to be considered when modeling human-environmental dynamics and to identify future directions for...

The Communications Scene in India (2001 A.D.): Prospects and Policy.

ERIC Educational Resources Information Center

Seth, Satish C.

1984-01-01

The special communications needs of India by the year 2000 must include mechanisms for dealing with a remarkably diverse community of languages and values. Some possible directions for future change in communications technologies as they affect education, entertainment, and social reform are examined. (Author/RM)

Computer Competence for the Applied Gerontologist.

ERIC Educational Resources Information Center

Dickel, C. Timothy; Young, W. Wayne

This paper shares some ideas regarding the use of computers by persons who use their gerontology training in direct service to older persons and their families. It proposes that, as professionals serving older persons and their families look toward the future, they need to conscientiously incorporate computer competence into their practice. The…

Changing Directions: The Future of Associate Degree Nursing.

ERIC Educational Resources Information Center

Dillon, Patricia

1997-01-01

The majority of current nursing graduates are associate degree nurses (ADNs). However, recent trends, such as the shift to a worldwide health care market and community/primary care, suggest that a bachelor's degree is better preparation. Ways to increase the mobility of ADNs into bachelor's degree programs are needed. (SK)

Neural Plasticity following Abacus Training in Humans: A Review and Future Directions

PubMed Central

Li, Yongxin; Chen, Feiyan; Huang, Wenhua

2016-01-01

The human brain has an enormous capacity to adapt to a broad variety of environmental demands. Previous studies in the field of abacus training have shown that this training can induce specific changes in the brain. However, the neural mechanism underlying these changes remains elusive. Here, we reviewed the behavioral and imaging findings of comparisons between abacus experts and average control subjects and focused on changes in activation patterns and changes in brain structure. Finally, we noted the limitations and the future directions of this field. We concluded that although current studies have provided us with information about the mechanisms of abacus training, more research on abacus training is needed to understand its neural impact. PMID:26881089

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

PubMed

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

2015-03-01

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

Dietary biomarkers: advances, limitations and future directions

PubMed Central

2012-01-01

The subjective nature of self-reported dietary intake assessment methods presents numerous challenges to obtaining accurate dietary intake and nutritional status. This limitation can be overcome by the use of dietary biomarkers, which are able to objectively assess dietary consumption (or exposure) without the bias of self-reported dietary intake errors. The need for dietary biomarkers was addressed by the Institute of Medicine, who recognized the lack of nutritional biomarkers as a knowledge gap requiring future research. The purpose of this article is to review existing literature on currently available dietary biomarkers, including novel biomarkers of specific foods and dietary components, and assess the validity, reliability and sensitivity of the markers. This review revealed several biomarkers in need of additional validation research; research is also needed to produce sensitive, specific, cost-effective and noninvasive dietary biomarkers. The emerging field of metabolomics may help to advance the development of food/nutrient biomarkers, yet advances in food metabolome databases are needed. The availability of biomarkers that estimate intake of specific foods and dietary components could greatly enhance nutritional research targeting compliance to national recommendations as well as direct associations with disease outcomes. More research is necessary to refine existing biomarkers by accounting for confounding factors, to establish new indicators of specific food intake, and to develop techniques that are cost-effective, noninvasive, rapid and accurate measures of nutritional status. PMID:23237668

Space facilities: Meeting future needs for research, development, and operations

NASA Technical Reports Server (NTRS)

1994-01-01

The National Facilities Study (NFS) represents an interagency effort to develop a comprehensive and integrated long-term plan for world-class aeronautical and space facilities that meet current and projected needs for commercial and government aerospace research and development and space operations. At the request of NASA and the DOD, the National Research Council's Committee on Space Facilities has reviewed the space related findings of the NFS. The inventory of more than 2800 facilities will be an important resource, especially if it continues to be updated and maintained as the NFS report recommends. The data in the inventory provide the basis for a much better understanding of the resources available in the national facilities infrastructure, as well as extensive information on which to base rational decisions about current and future facilities needs. The working groups have used the inventory data and other information to make a set of recommendations that include estimates of cast savings and steps for implementation. While it is natural that the NFS focused on cost reduction and consolidations, such a study is most useful to future planning if it gives equal weight to guiding the direction of future facilities needed to satisfy legitimate national aspirations. Even in the context of cost reduction through facilities closures and consolidations, the study is timid about recognizing and proposing program changes and realignments of roles and missions to capture what could be significant savings and increased effectiveness. The recommendations of the Committee on Space Facilities are driven by the clear need to be more realistic and precise both in recognizing current incentives and disincentives in the aerospace industry and in forecasting future conditions for U.S. space activities.

Space facilities: Meeting future needs for research, development, and operations

NASA Astrophysics Data System (ADS)

The National Facilities Study (NFS) represents an interagency effort to develop a comprehensive and integrated long-term plan for world-class aeronautical and space facilities that meet current and projected needs for commercial and government aerospace research and development and space operations. At the request of NASA and the DOD, the National Research Council's Committee on Space Facilities has reviewed the space related findings of the NFS. The inventory of more than 2800 facilities will be an important resource, especially if it continues to be updated and maintained as the NFS report recommends. The data in the inventory provide the basis for a much better understanding of the resources available in the national facilities infrastructure, as well as extensive information on which to base rational decisions about current and future facilities needs. The working groups have used the inventory data and other information to make a set of recommendations that include estimates of cast savings and steps for implementation. While it is natural that the NFS focused on cost reduction and consolidations, such a study is most useful to future planning if it gives equal weight to guiding the direction of future facilities needed to satisfy legitimate national aspirations. Even in the context of cost reduction through facilities closures and consolidations, the study is timid about recognizing and proposing program changes and realignments of roles and missions to capture what could be significant savings and increased effectiveness. The recommendations of the Committee on Space Facilities are driven by the clear need to be more realistic and precise both in recognizing current incentives and disincentives in the aerospace industry and in forecasting future conditions for U.S. space activities.

Developing our leaders in the future.

PubMed

Hackett, M; Spurgeon, P

1998-01-01

The role of the chief executive in a transformed organisation is an extremely challenging one. The development of vision, building a commitment to it and communicating it constantly are key skills for a chief executive. However, the need to build and empower the stakeholders within and outside the organisation to support the changes required to deliver the vision requires leaders who can connect with a wide range of people and build alliances and partnerships to secure organisational success. A passion for understanding human intervention and behaviour is needed to encourage, cajole and drive teams and individuals to own and commit to change and a new direction. This requires leaders who have imagination and creativity--who seek connections and thread them together to create order out of incoherence. These skills are not taught in schools or textbooks, but are probably innate. They are what separate leaders from the rest. These skills need to be developed. A movement towards encouraging experimentation, career transfers and more individuality is needed if capable leaders of the future are to appear.

Systematic inquiry for design of health care information systems: an example of elicitation of the patient stakeholder perspective

PubMed Central

Eschler, Jordan; O’Leary, Katie; Kendall, Logan; Ralston, James D.; Pratt, Wanda

2017-01-01

The electronic health record (EHR) has evolved as a tool primarily dictated by the needs of health care clinicians and organizations, providing important functions supporting day to day work in health care. However, the EHR and supporting information systems contain the potential to incorporate patient workflows and tasks as well. Integrating patient needs into existing EHR and health management systems will require understanding of patients as direct stakeholders, necessitating observation and exploration of in situ EHR use by patients to envision new opportunities for future systems. In this paper, we describe the application of a theoretical framework (Vicente, 1999) to organize qualitative data during a multi-stage research study into patient engagement with EHRs. By using this method of systematic inquiry, we have more effectively elicited patient stakeholder needs and goals to inform the design of future health care information systems. PMID:29056874

Outlook for space

NASA Technical Reports Server (NTRS)

1976-01-01

Future space activities within the context of national needs were examined, and directions that the United States should take in the civilian use and exploration of space for the time period from 1980 to 2000 were identified. It was decided that the following activities should be pursued: (1) those related to the continuing struggle to improve the quality of life (food production and distribution, new energy sources, etc., (2) those meeting the need for intellectual challenge, for exploration, and for the knowledge by which man can better understand the universe and his relationship to it, (3) those related to research and development in areas applicable to future space systems and missions. A continuing emphasis should be placed on orienting the space program to the physical needs of mankind, to the quest of the mind and spirit, to the vitality of the nation and to the relationship between this nation and other nations of the world.

Hydrogen energy systems technology study

NASA Technical Reports Server (NTRS)

Kelley, J. H.

1975-01-01

The paper discusses the objectives of a hydrogen energy systems technology study directed toward determining future demand for hydrogen based on current trends and anticipated new uses and identifying the critical research and technology advancements required to meet this need with allowance for raw material limitations, economics, and environmental effects. Attention is focused on historic production and use of hydrogen, scenarios used as a basis for projections, projections of energy sources and uses, supply options, and technology requirements and needs. The study found more than a billion dollar annual usage of hydrogen, dominated by chemical-industry needs, supplied mostly from natural gas and petroleum feedstocks. Evaluation of the progress in developing nuclear fusion and solar energy sources relative to hydrogen production will be necessary to direct the pace and character of research and technology work in the advanced water-splitting areas.

Future directions for LDEF ionizing radiation modeling and assessments

NASA Technical Reports Server (NTRS)

Armstrong, T. W.; Colborn, B. L.

1992-01-01

Data from the ionizing radiation dosimetry aboard LDEF provide a unique opportunity for assessing the accuracy of current space radiation models and in identifying needed improvements for future mission applications. Details are given of the LDEF data available for radiation model evaluations. The status is given of model comparisons with LDEF data, along with future directions of planned modeling efforts and data comparison assessments. The methodology is outlined which is related to modeling being used to help insure that the LDEF ionizing radiation results can be used to address ionizing radiation issues for future missions. In general, the LDEF radiation modeling has emphasized quick-look predictions using simplified methods to make comparisons with absorbed dose measurements and induced radioactivity measurements of emissions. Modeling and LDEF data comparisons related to linear energy transfer spectra are of importance for several reasons which are outlined. The planned modeling and LDEF data comparisons for LET spectra is discussed, including components of the LET spectra due to different environment sources, contribution from different production mechanisms, and spectra in plastic detectors vs silicon.

The Sturcture & Governance of Higher Education. SRHE Monograph 52.

ERIC Educational Resources Information Center

Shattock, Michael, Ed.

The future relationship between the government and higher education institutions in England is addressed in 10 papers from a Leverhulme seminar of the Society for Research into Higher Education. Major seminar themes included the role of the state in directing higher education, the need for institutional autonomy, the balance of powers between…

Strategic Future Directions for Developing STEM Education in Higher Education in Egypt as a Driver of Innovation Economy

ERIC Educational Resources Information Center

Ahmed, Hanaa Ouda Khadri

2016-01-01

STEM (Science, Technology, Engineering and Mathematics) education has been achieving growing international attention. As the world economy is becoming more diversified and dependent on innovation, Science, Technology, Engineering, and Math (STEM) skills and expertise are progressively more needed for competition and development. Egyptian students…

Future directions for simulation of recreation use

Treesearch

David N. Cole

2005-01-01

As the case studies in Chapter 4 illustrate, simulation modeling can be a valuable tool for recreation planning and management. Although simulation modeling is already well developed for business applications, its adaptation to recreation management is less developed. Relatively few resources have been devoted to realizing its potential. Further progress is needed in...

Group of Eight Response to DIISR Consultation Paper: "Meeting Australia's Research Workforce Needs"

ERIC Educational Resources Information Center

Group of Eight (NJ1), 2010

2010-01-01

The Group of Eight (Go8) welcomes the Government's commitment to developing a comprehensive research workforce strategy. Australia's research capacity and the continuing translation of research into policy, products and services is directly linked to the future productivity of the economy, social wellbeing, environmental outcomes and the nation's…

Current Trends and Future Directions in Data Curation Research and Education

ERIC Educational Resources Information Center

Weber, Nicholas M.; Palmer, Carole L.; Chao, Tiffany C.

2012-01-01

Digital research data have introduced a new set of collection, preservation, and service demands into the tradition of digital librarianship. Consequently, the role of an information professional has evolved to include the activities of data curation. This new field more specifically addresses the needs of stewarding and preserving digital…

Future Directions for Research on Online Technical Education

ERIC Educational Resources Information Center

Horvitz, Brian S.

2017-01-01

Most research on online learning in higher education has been focused on general education at four-year institutions. There is a need for more research that focuses on online and hybrid education at community colleges in technical education fields. This issue includes articles from eight National Science Foundation funded projects doing innovative…

Current Juvenile Corrections Professional Development Practices and Future Directions

ERIC Educational Resources Information Center

Gagnon, Joseph C.; Houchins, David E.; Murphy, Kristin M.

2012-01-01

Personnel in juvenile corrections (JC) work with students who have challenging academic, behavioral, and mental health needs. The complexity of the JC setting requires personnel to be highly skilled in effective practices to meet the demands of their job. Unfortunately, juvenile correctional personnel are neglected as an important link in the…

University of Nevada System Planning Report: 1987-1991. Future Directions for Nevada's Colleges and Universities.

ERIC Educational Resources Information Center

Nevada Univ. System, Reno.

Goals and priorities of the University of Nevada System for 1987-1991 are presented, with attention to growth projections, campus academic and budget priorities, capital construction needs, economic development, strengthening higher education in the state, and data collection. In addition to the System's goals, academic priorities are described…

Faculty Workload Studies: Perspectives, Needs, and Future Directions. ERIC Digest.

ERIC Educational Resources Information Center

Meyer, Katrina A.

This digest reviews the literature and discusses issues concerning college faculty workload. Trends in the United States which have created interest in faculty workload issues are identified including faltering state economies in the late 1980s and rising costs of higher education especially of personnel. Criticism of higher education by the…

The Emergence of an Amplified Mindset of Design: Implications for Postgraduate Design Education

ERIC Educational Resources Information Center

Moreira, Mafalda; Murphy, Emma; McAra-McWilliam, Irene

2016-01-01

In a global scenario of complexity, research shows that emerging design practices are changing and expanding, creating a complex and ambiguous disciplinary landscape. This directly impacts on the field of design education, calling for new, flexible models able to tackle future practitioners' needs, unknown markets and emergent societal cultures.…

Representing System Behaviors and Expert Behaviors for Intelligent Tutoring

DTIC Science & Technology

1987-02-09

Learned .................................. 44 . Future Directions ................................... 47 Sum m ary...and training environments to assist the instructor in meeting the students’ learning needs. The first application of the IMTS will be in training...identifies and resolves learning deficiencies and minimizes unproductive practice time. Another decision made early in the planning phase was to place

Diagnostic Classification Models: Thoughts and Future Directions

ERIC Educational Resources Information Center

Henson, Robert A.

2009-01-01

The paper by Drs. Rupp and Templin provides a much needed step toward the general application of diagnostic classification modeling (DCMs). The authors have provided a summary of many of the concepts that one must consider to properly apply a DCM (which ranges from model selection and estimation, to assessing the appropriateness of the model using…

Dimensions of Play: Reflections and Directions.

ERIC Educational Resources Information Center

Jambor, Tom

For many children, societal changes have restricted the opportunities for and the right to play. Adults deal with these violations of children's right to play by trying to correct problems, preventing future problems, or by denying that problems can or could exist. In order to meet the challenge of preserving children's play rights, we need to be…

Guide to Education: Senior High School Handbook.

ERIC Educational Resources Information Center

Alberta Dept. of Education, Edmonton. Curriculum Standards Branch.

Noting that Alberta's education system must focus on what all students need to learn in order for them to participate in an economy and a society undergoing fundamental changes, this handbook reflects the initiatives and directions outlined in the business plan for the future of education in Alberta. All changes to Alberta Education requirements…

Communication Proficiency and Future Training Needs of the Female Professional: Self-Assessment versus Supervisors' Evaluation.

ERIC Educational Resources Information Center

Staley, Constance Courtney; Shockley-Zalabak, Pamela

A self-administered communication proficiency and training survey was completed by 122 female professionals and 80 of their direct supervisors in a study that investigated the perceptions supervisors have of their female employees' communication proficiency. The questionnaire for the female professionals asked for assessment of their present level…

Water management: Current and future challenges and research directions

NASA Astrophysics Data System (ADS)

Cosgrove, William J.; Loucks, Daniel P.

2015-06-01

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

Considerations and Future Research Directions for E-Cigarette Warnings-Findings from Expert Interviews.

PubMed

Wackowski, Olivia A; Hammond, David; O'Connor, Richard J; Strasser, Andrew A; Delnevo, Cristine D

2017-07-14

Tobacco warning labels are important sources of risk information but research historically has been cigarette-centric. This qualitative study aimed to inform future direction and research on warnings for e-cigarettes. Between June and August 2016, we conducted interviews with 10 researchers with expertise in tobacco warning label research. Interviewees were registrants of a 2016 National Cancer Institute grantee meeting on tobacco warnings. Several participants agreed that the Food and Drug Administration's new nicotine addiction warning for e-cigarettes could be informative but that it might not resonate with young people. Many agreed that more than one warning would be important as e-cigarette science evolves and that research on additional warning themes (e.g., nicotine exposure, harmful constituents) and execution styles (including use of pictorials) was important. Participants were somewhat mixed about the use of reduced-risk messages within e-cigarette warnings, but agreed that research on how to communicate about cigarette/e-cigarette relative risks was needed. Overall, more research is needed on tobacco warnings for non-cigarette products, including on the message content, placement, execution and potential impact on audiences' product knowledge, risk perceptions and use intentions. This is particularly needed for products such as e-cigarettes which may have harm-reduction potential relative to cigarettes and require unique considerations.

Considerations and Future Research Directions for E-Cigarette Warnings—Findings from Expert Interviews

PubMed Central

Wackowski, Olivia A.; Hammond, David; O’Connor, Richard J.; Strasser, Andrew A.; Delnevo, Cristine D.

2017-01-01

Tobacco warning labels are important sources of risk information but research historically has been cigarette-centric. This qualitative study aimed to inform future direction and research on warnings for e-cigarettes. Between June and August 2016, we conducted interviews with 10 researchers with expertise in tobacco warning label research. Interviewees were registrants of a 2016 National Cancer Institute grantee meeting on tobacco warnings. Several participants agreed that the Food and Drug Administration’s new nicotine addiction warning for e-cigarettes could be informative but that it might not resonate with young people. Many agreed that more than one warning would be important as e-cigarette science evolves and that research on additional warning themes (e.g., nicotine exposure, harmful constituents) and execution styles (including use of pictorials) was important. Participants were somewhat mixed about the use of reduced-risk messages within e-cigarette warnings, but agreed that research on how to communicate about cigarette/e-cigarette relative risks was needed. Overall, more research is needed on tobacco warnings for non-cigarette products, including on the message content, placement, execution and potential impact on audiences’ product knowledge, risk perceptions and use intentions. This is particularly needed for products such as e-cigarettes which may have harm-reduction potential relative to cigarettes and require unique considerations. PMID:28708124

National Civil Applications Program: strategic plan vision for 2005

USGS Publications Warehouse

,

2004-01-01

The National Mapping Division (NMD) has developed this comprehensive strategic plan to chart the course of the National Civil Applications Program (NCAP) over the next 5 years. To meet the challenges of the future, the NCAP is changing its program emphases, methods of responding to customer needs, and business practices. The NCAP Strategic Plan identifies the new direction for the program through a series of strategic thrusts and goals for managers to use in formulating plans, establishing program emphases, and determining resource needs and allocations.

Tobacco cessation intervention during pregnancy among Alaska Native women.

PubMed

Patten, Christi A

2012-04-01

This paper describes a community-based participatory research program with Alaska Native people addressing a community need to reduce tobacco use among pregnant women and children. Tobacco use during pregnancy among Alaska Native women is described along with development of a community partnership, findings from a pilot tobacco cessation intervention, current work, and future directions. Among Alaska Native women residing in the Yukon Kuskokwim Delta region of western Alaska, the prevalence of tobacco use (cigarette smoking and/or use of smokeless tobacco) during pregnancy is 79%. Results from a pilot intervention study targeting pregnant women indicated low rates of participation and less than optimal tobacco abstinence outcomes. Developing alternative strategies to reach pregnant women and to enhance the efficacy of interventions is a community priority, and future directions are offered.

Tobacco Cessation Intervention During Pregnancy Among Alaska Native Women

PubMed Central

2014-01-01

This paper describes a community-based participatory research program with Alaska Native people addressing a community need to reduce tobacco use among pregnant women and children. Tobacco use during pregnancy among Alaska Native women is described along with development of a community partnership, findings from a pilot tobacco cessation intervention, current work, and future directions. Among Alaska Native women residing in the Yukon Kuskokwim Delta region of western Alaska, the prevalence of tobacco use (cigarette smoking and/or use of smokeless tobacco) during pregnancy is 79%. Results from a pilot intervention study targeting pregnant women indicated low rates of participation and less than optimal tobacco abstinence outcomes. Developing alternative strategies to reach pregnant women and to enhance the efficacy of interventions is a community priority, and future directions are offered. PMID:22311690

Identifying therapeutic targets in gastric cancer: the current status and future direction

PubMed Central

Yu, Beiqin; Xie, Jingwu

2016-01-01

Gastric cancer is the third leading cause of cancer-related death worldwide. Our basic understanding of gastric cancer biology falls behind that of many other cancer types. Current standard treatment options for gastric cancer have not changed for the last 20 years. Thus, there is an urgent need to establish novel strategies to treat this deadly cancer. Successful clinical trials with Gleevec in CML and gastrointestinal stromal tumors have set up an example for targeted therapy of cancer. In this review, we will summarize major progress in classification, therapeutic options of gastric cancer. We will also discuss molecular mechanisms for drug resistance in gastric cancer. In addition, we will attempt to propose potential future directions in gastric cancer biology and drug targets. PMID:26373844

Direct Polishing of Full-Shell, High-Resolution X-Ray Optics

NASA Technical Reports Server (NTRS)

Roche, Jacqueline M.; Gubarev, Mikhail V.; Smith, W. Scott; O'Dell, Stephen L.; Kolodziejczak, Jeffrey J.; Weisskopf, Martin C.; Ramsey, Brian D.; Elsner, Ronald F.

2014-01-01

Future x-ray telescopes will likely require lightweight mirrors to attain the large collecting areas needed to accomplish the science objectives. Understanding and demonstrating processes now is critical to achieving sub-arcsecond performance in the future. Consequently, designs not only of the mirrors but of fixtures for supporting them during fabrication, metrology, handling, assembly, and testing must be adequately modeled and verified. To this end, MSFC is using finite-element modeling to study the effects of mounting on thin, full-shell grazing-incidence mirrors, during all processes leading to a flight.

Reflectance spectroscopy in planetary science: Review and strategy for the future

NASA Technical Reports Server (NTRS)

Mccord, Thomas B. (Editor)

1987-01-01

Reflectance spectroscopy is a remote sensing technique used to study the surfaces and atmospheres of solar system bodies. It provides first-order information on the presence and amounts of certain ions, molecules, and minerals on a surface or in an atmosphere. Reflectance spectroscopy has become one of the most important investigations conducted on most current and planned NASA Solar System Exploration Program space missions. This book reviews the field of reflectance spectroscopy, including information on the scientific technique, contributions, present conditions, and future directions and needs.

Mapping Health Needs to Support Health System Management in Poland

PubMed Central

Holecki, Tomasz; Romaniuk, Piotr; Woźniak-Holecka, Joanna; Szromek, Adam R.; Syrkiewicz-Świtała, Magdalena

2018-01-01

In Poland, following the example of other EU countries, the first maps of health needs prepared by the Ministry of Health were presented in 2016. The maps constitute a foundation for rational decision-making in the management of health care resources, being potentially useful for all actors in health system. This refers in particular to the institutions responsible for distribution of funds and contracting health service, but also for decision-makers, who determine the scope of funds to be utilized in the health system, or the structure of benefits provided to patients. Service providers are also addressees of the maps, to give them a basis for planning future activities. The article presents a structured assessment of the current state of affairs, based on recent experience and sets out likely directions for the development of health needs in mapping in Poland in the future. We discuss the criticism addressed toward maps by representatives of various groups acting in health care. It includes the lack of recognition of some of the key health needs, or wrong emphases, where much more attention is paid to the recognition of current resources in the health system, instead of making prognoses regarding the future developments of health needs. Nonetheless, we find that this instrument is potentially of high usability, in case of elimination of the existing weaknesses. PMID:29662876

Future directions in the use of dental implants.

PubMed

Bloem, T J

1989-10-01

Future development in implant prosthodontics should be based on the fundamentals of sound research and reliable clinical implementation. The goals should be to research the safety and efficacy of implants with regard to materials, host receptor site and interfacial zone; to develop acceptable uniform standards of evaluation; and to submit findings to scientific methods of analysis in determining benefit-to-risk factors. This presentation will offer a glimpse at some current developments in basic and clinical research focusing on studies in biocompatability and host acceptance; the implant-tissue interface; processes in osteogenesis related to vascularization of host sites; and bioengineering studies related to stress analysis and dimensional accuracy of impression systems for implants. The presentation will further describe future direction in research, training and implementation of services through development of an interdisciplinary team. A center is proposed to address the need for combined efforts in clinical and basic science research, the broad scope of implant utilization, and the teaching of implant procedures within an academic setting and to our colleagues.

Research progress from the SCI Model Systems (SCIMS): An interactive discussion on future directions.

PubMed

Boninger, Michael L; Field-Fote, Edelle C; Kirshblum, Steven C; Lammertse, Daniel P; Dyson-Hudson, Trevor A; Hudson, Lesley; Heinemann, Allen W

2018-03-01

To describe current and future directions in spinal cord injury (SCI) research. The SCI Model Systems (SCIMS) programs funded by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) during the 2011 to 2016 cycle provided abstracts describing findings from current research projects. Discussion among session participants generated ideas for research opportunities. Pre-conference workshop before the 2016 American Spinal Injury Association (ASIA) annual meeting. A steering committee selected by the SCIMS directors that included the moderators of the sessions at the ASIA pre-conference workshop, researchers presenting abstracts during the session, and the audience of over 100 attending participants in the pre-conference workshop. Group discussion followed presentations in 5 thematic areas of (1) Demographics and Measurement; (2) Functional Training; (3) Psychosocial Considerations; (4) Assistive Technology; and (5) Secondary Conditions. The steering committee reviewed and summarized discussion points on future directions for research and made recommendations for research based on the discussion in each of the five areas. Significant areas in need of research in SCI remain, the goal of which is continued improvement in the quality of life of individuals with SCI.

Community-level climate change vulnerability research: trends, progress, and future directions

NASA Astrophysics Data System (ADS)

McDowell, Graham; Ford, James; Jones, Julie

2016-03-01

This study systematically identifies, characterizes, and critically evaluates community-level climate change vulnerability assessments published over the last 25 years (n = 274). We find that while the field has advanced considerably in terms of conceptual framing and methodological approaches, key shortcomings remain in how vulnerability is being studied at the community-level. We argue that vulnerability research needs to more critically engage with the following: methods for evaluating future vulnerability, the relevance of vulnerability research for decision-making, interdependencies between social and ecological systems, attention to researcher / subject power dynamics, critical interpretation of key terms, and consideration of the potentially positive opportunities presented by a changing climate. Addressing these research needs is necessary for generating knowledge that supports climate-affected communities in navigating the challenges and opportunities ahead.

Fontan Surgical Planning: Previous Accomplishments, Current Challenges, and Future Directions.

PubMed

Trusty, Phillip M; Slesnick, Timothy C; Wei, Zhenglun Alan; Rossignac, Jarek; Kanter, Kirk R; Fogel, Mark A; Yoganathan, Ajit P

2018-04-01

The ultimate goal of Fontan surgical planning is to provide additional insights into the clinical decision-making process. In its current state, surgical planning offers an accurate hemodynamic assessment of the pre-operative condition, provides anatomical constraints for potential surgical options, and produces decent post-operative predictions if boundary conditions are similar enough between the pre-operative and post-operative states. Moving forward, validation with post-operative data is a necessary step in order to assess the accuracy of surgical planning and determine which methodological improvements are needed. Future efforts to automate the surgical planning process will reduce the individual expertise needed and encourage use in the clinic by clinicians. As post-operative physiologic predictions improve, Fontan surgical planning will become an more effective tool to accurately model patient-specific hemodynamics.

Rapid Modeling and Analysis Tools: Evolution, Status, Needs and Directions

NASA Technical Reports Server (NTRS)

Knight, Norman F., Jr.; Stone, Thomas J.; Ransom, Jonathan B. (Technical Monitor)

2002-01-01

Advanced aerospace systems are becoming increasingly more complex, and customers are demanding lower cost, higher performance, and high reliability. Increased demands are placed on the design engineers to collaborate and integrate design needs and objectives early in the design process to minimize risks that may occur later in the design development stage. High performance systems require better understanding of system sensitivities much earlier in the design process to meet these goals. The knowledge, skills, intuition, and experience of an individual design engineer will need to be extended significantly for the next generation of aerospace system designs. Then a collaborative effort involving the designer, rapid and reliable analysis tools and virtual experts will result in advanced aerospace systems that are safe, reliable, and efficient. This paper discusses the evolution, status, needs and directions for rapid modeling and analysis tools for structural analysis. First, the evolution of computerized design and analysis tools is briefly described. Next, the status of representative design and analysis tools is described along with a brief statement on their functionality. Then technology advancements to achieve rapid modeling and analysis are identified. Finally, potential future directions including possible prototype configurations are proposed.

Health literacy knowledge among direct-to-consumer pharmaceutical advertising professionals.

PubMed

Mackert, Michael

2011-09-01

While direct-to-consumer (DTC) prescription drug advertising has been the subject of ongoing debate, to this point the perspective of the advertising professionals engaged in creating these ads has been absent from the discussion. This study, consisting of in-depth interviews with advertising professionals (N = 22), was an initial investigation focused on these individuals. The primary purpose of this study was to explore advertising professionals' understanding of health literacy-consumers' ability to obtain, process, and act on health information; with that context in place, participants' views on the role of DTC advertising, industry regulations, and the future of the industry were also investigated. While some participants knew nothing about health literacy or had a relatively simple conceptualization (e.g., grade level of written materials), others exhibited more nuanced understanding of health literacy (e.g., the need to pair relevant images with text to enhance understanding). Participants spoke of the potential public health benefit of DTC advertising in educating consumers about health issues, but were realistic that such efforts on the part of pharmaceutical companies were driven primarily by business concerns-educational messages need to be tied directly to an advertised medication and its benefits. These professionals spoke of industry regulations as presenting additional barriers to effective communication and suggested that industry trends toward more niche products will necessitate more patient education about less well-known health issues. Directions for future research are considered, as more investigation of this understudied group is necessary to enrich the DTC prescription drug advertising debate.

Exploring Machine Learning Techniques For Dynamic Modeling on Future Exascale Systems

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

Song, Shuaiwen; Tallent, Nathan R.; Vishnu, Abhinav

2013-09-23

Future exascale systems must be optimized for both power and performance at scale in order to achieve DOE’s goal of a sustained petaflop within 20 Megawatts by 2022 [1]. Massive parallelism of the future systems combined with complex memory hierarchies will form a barrier to efficient application and architecture design. These challenges are exacerbated with emerging complex architectures such as GPGPUs and Intel Xeon Phi as parallelism increases orders of magnitude and system power consumption can easily triple or quadruple. Therefore, we need techniques that can reduce the search space for optimization, isolate power-performance bottlenecks, identify root causes for software/hardwaremore » inefficiency, and effectively direct runtime scheduling.« less

Future Directions for Dissemination and Implementation Science: Aligning Ecological Theory and Public Health to Close the Research to Practice Gap

PubMed Central

Rusch, Dana; Mehta, Tara G.; Lakind, Davielle

2015-01-01

Dissemination and implementation science (DI) has evolved as a major research model for children’s mental health in response to a longstanding call to integrate science and practice and bridge the elusive research to practice gap. However, to address the complex and urgent needs of the most vulnerable children and families, future directions for DI require a new alignment of ecological theory and public health to provide effective, sustainable, and accessible mental health services. We present core principles of ecological theory to emphasize how contextual factors impact behavior and allow for the reciprocal impact individuals have on the settings they occupy, and an alignment of these principles with a public health model to ensure that services span the prevention to intervention continuum. We provide exemplars from our ongoing work in urban schools, and a new direction for research to address the mental health needs of immigrant Latino families. Through these examples we illustrate how DI can expand its reach by embedding within natural settings to build on local capacity and indigenous resources, incorporating the local knowledge necessary to more substantively address long-standing mental health disparities. This paradigm shift for DI, away from an over-emphasis on promoting program adoption, calls for fitting interventions within settings that matter most to children’s healthy development, and utilizing and strengthening available community resources. In this way, we can meet the challenge of addressing our nation’s mental health burden by supporting the needs and values of families and communities within their own unique social ecologies. PMID:26155972

Future Directions for Dissemination and Implementation Science: Aligning Ecological Theory and Public Health to Close the Research to Practice Gap.

PubMed

Atkins, Marc S; Rusch, Dana; Mehta, Tara G; Lakind, Davielle

2016-01-01

Dissemination and implementation science (DI) has evolved as a major research model for children's mental health in response to a long-standing call to integrate science and practice and bridge the elusive research to practice gap. However, to address the complex and urgent needs of the most vulnerable children and families, future directions for DI require a new alignment of ecological theory and public health to provide effective, sustainable, and accessible mental health services. We present core principles of ecological theory to emphasize how contextual factors impact behavior and allow for the reciprocal impact individuals have on the settings they occupy, and an alignment of these principles with a public health model to ensure that services span the prevention to intervention continuum. We provide exemplars from our ongoing work in urban schools and a new direction for research to address the mental health needs of immigrant Latino families. Through these examples we illustrate how DI can expand its reach by embedding within natural settings to build on local capacity and indigenous resources, incorporating the local knowledge necessary to more substantively address long-standing mental health disparities. This paradigm shift for DI, away from an overemphasis on promoting program adoption, calls for fitting interventions within settings that matter most to children's healthy development and for utilizing and strengthening available community resources. In this way, we can meet the challenge of addressing our nation's mental health burden by supporting the needs and values of families and communities within their own unique social ecologies.

Science, Technology and the Quality of Life.

ERIC Educational Resources Information Center

King, Alexander

In view of the changing relationship between science, technology, and the quality of life, future efforts need to be devoted to the use of new knowledge for social objectives rather than for economics and defense. The mass of problems facing society today, which to some extent are direct side effects of technological growth, appear to have three…

Drug Education: An Emphasis on Chemical Dependency.

ERIC Educational Resources Information Center

Violette, Ronald W.

Efforts in the area of drug education have been less than successful over the years. The time has come to step back and reevaluate and reassess what it is we are trying to accomplish. Emphases in the past have certainly been well intentioned, but a new direction needs to be charted for the future. Health Educators and other professionals have…

Perspectives and Future Directions Concerning Fresh, Whole Foods in Montana School Nutrition Programs

ERIC Educational Resources Information Center

Stephens, Lacy; Byker Shanks, Carmen J.; Roth, Aubree; Bark, Katie

2015-01-01

Purpose/Objectives: To meet new USDA school meal standards, school nutrition programs may need to transition from a "heat and serve" meal preparation approach to increased scratch cooking and use of fresh, whole foods. This study aims to assess the attitudes, motivations, and barriers for Montana school nutrition professionals and key…

Strategic Planning Process Exercise: A Semester-Long Experiential Approach to Engage Students

ERIC Educational Resources Information Center

Singh, Jitendra

2018-01-01

Strategic planning provides a sense of direction and can have a significant impact on the future of an organization. Students wanting to serve in leadership positions need to demonstrate a firm understanding of the concepts necessary to work on this complex process. Careful planning also ensures students' survival in a competitive business…

Circuit Sense for Elementary Teachers and Students: Understanding and Building Simple Logic Circuits.

ERIC Educational Resources Information Center

Houghton, Janaye Matteson; Houghton, Robert S.

Today and in the future, critical toolmaking advances will need to be made in the area of circuit design, construction, and implementation. Traditional school curriculum has sidestepped the area of tool design, especially at the elementary level. This publication addresses a calling for a new curriculum direction, based not only on the study of…

Faculty Workload Studies: Perspectives, Needs, and Future Directions. ASHE-ERIC Higher Education Report, Vol. 26, No. 1.

ERIC Educational Resources Information Center

Meyer, Katrina A.

This report reviews the literature and discusses issues concerning college faculty workload and productivity. Section 1 reviews the situation in the United States, noting increased interest in faculty workload issues as a result of population pressures, faltering economies, and the rising costs of higher education, especially of personnel. Section…

The Effect of Implementing Instructional Coaching with Digital Learning on High School Math and Science

ERIC Educational Resources Information Center

McKaveney, Edward W.

2017-01-01

A number of national directives and successful case studies, focus on the need for change in teaching and learning, particularly emphasizing increasingly rigorous STEM learning tied to the use of ICT and digital tools for technological literacy and future workforce development. This action research study investigated the role of instructional…

Using Alumni Input as a Reality Check of Agronomy Teaching and Advising

ERIC Educational Resources Information Center

Graveel, John G.; Vorst, James J.

2007-01-01

As part of a systematic review of the undergraduate curricula and courses, the perceptions of Purdue agronomy alumni who graduated between 1960 and 2003 were obtained. A survey was administered to assess outcomes, identify gaps in the curriculum, measure how well the program addresses current and future needs, and provide a direction for change.…

Quality Development in Higher Education to Meet the Future Needs of Arkansas. Report of the Quality Higher Education Study Committee.

ERIC Educational Resources Information Center

Arkansas State Dept. of Higher Education, Little Rock.

A report of the Quality Higher Education Study Committee on state-supported institutions in Arkansas is presented, including 43 recommendations. Attention is directed to: economic characteristics in the state (business indicators, population and growth, personal and family income); social characteristics in the state (education levels, illiteracy,…

Developing Initiatives for Home-Based Child Care: Current Research and Future Directions

ERIC Educational Resources Information Center

Porter, Toni; Paulsell, Diane

2011-01-01

Home-based child care accounts for a significant share of the child care supply in the United States, especially for infants and toddlers. A synthesis of the home-based care research literature and information about recent home-based care quality initiatives points to a critical need for more systematic efforts to develop and test quality…

DARPA Emerging Technologies

DTIC Science & Technology

2016-01-01

development requires wind tunnels and ranges that do not currently exist. Furthermore, continued technology matura- tion is needed for thermal management...designed with conceptual design engine model (at existing technology level), or existing propul- sion system, or modified propulsion system (e.g...internal cameras reading gauges and dials and switch positions , directly tapping into current or future avion- ics service buses and integrating

Educational Technology as a Video Cases in Teaching Psychology for Future Teachers

ERIC Educational Resources Information Center

Shen, Pingxia; Gromova, Chulpan R.; Zakirova, Venera G.; Yalalov, Farit G.

2017-01-01

Relevance of the article is caused by need to form the teacher's psychological competences on the basis of life and professional situations. This article is directed to detection of the main difficulties, which students have in the course of studying psychology and efficiency of use of video cases at classes of psychology. The leading research…

Thermoelectric Energy Conversion: Future Directions and Technology Development Needs

NASA Technical Reports Server (NTRS)

Fleurial, Jean-Pierre

2007-01-01

This viewgraph presentation reviews the process of thermoelectric energy conversion along with key technology needs and challenges. The topics include: 1) The Case for Thermoelectrics; 2) Advances in Thermoelectrics: Investment Needed; 3) Current U.S. Investment (FY07); 4) Increasing Thermoelectric Materials Conversion Efficiency Key Science Needs and Challenges; 5) Developing Advanced TE Components & Systems Key Technology Needs and Challenges; 6) Thermoelectrics; 7) 200W Class Lightweight Portable Thermoelectric Generator; 8) Hybrid Absorption Cooling/TE Power Cogeneration System; 9) Major Opportunities in Energy Industry; 10) Automobile Waste Heat Recovery; 11) Thermoelectrics at JPL; 12) Recent Advances at JPL in Thermoelectric Converter Component Technologies; 13) Thermoelectrics Background on Power Generation and Cooling Operational Modes; 14) Thermoelectric Power Generation; and 15) Thermoelectric Cooling.

Children's sleep needs: is there sufficient evidence to recommend optimal sleep for children?

PubMed

Matricciani, Lisa; Blunden, Sarah; Rigney, Gabrielle; Williams, Marie T; Olds, Tim S

2013-04-01

It is widely recognized that sleep is important for children's health and well-being and that short sleep duration is associated with a wide range of negative health outcomes. Recently, there has been much interest in whether or not there are sufficient data to support the specific recommendations made for how much sleep children need. In this article we explore concepts related to children's sleep need, discuss the theory, rationale, and empirical evidence for contemporary sleep recommendations, and outline future research directions for sleep recommendations. If sleep is to be treated as a therapeutic intervention, then consensus guidelines, statements, and evidence-based best-practice documents are needed to underpin sleep recommendations for children.

Assessment of the mutagenic potential of ethanol auto engine exhaust gases by the Salmonella typhimurium microsomal mutagenesis assay, using a direct exposure method.

PubMed

Lotfi, C F; Brentani, M M; Böhm, G M

1990-08-01

The mutagenic activity of the new Brazilian fuel, ethanol, was determined by employing the Salmonella typhimurium microsomal mutagenesis assay (TA97, TA98, TA100, TA102, and TA104) and a direct exposure method. This methodology was first used to determine the mutagenic activity of gasoline, revealing mutagenic activity of base-pair substitution without any need for metabolic activation, indicating the presence of direct-action mutagens. Experiments with ethanol suggest an indirect mutagenic activity of the oxidant type. The exposure system was considered suitable for future studies of gaseous mixtures.

The Valued People Project: users' views on learning disability nursing.

PubMed

Gates, Bob

A well-educated and trained workforce is undoubtedly crucial to the development of quality care for people with learning disabilities. Notwithstanding this, and unsure as to the need to continue to commission educational programmes for one part of this workforce-pre-registration learning disability nursing-South Central Strategic Health Authority commissioned the Valued People Project to undertake a detailed strategic review of educational commissioning, along with a review of the specialist learning disability health workforce more generally. This project has recently been completed, and provides a unique evidence-based expert evaluation of the future strategic direction of education commissioning and leadership for workforce issues in specialist learning disability services, as well as the wider NHS workforce. This is the first in a series of articles that reports on one aspect of the project: the focus group work undertaken with parents and relatives of people with learning disabilities, and people with learning disabilities themselves, as to the need and type of health workforce needed to support them in the future. The article concludes by identifying the key messages of importance from parents and people with learning disabilities concerning the future specialist and wider NHS workforce.

Effects on electron scattering and resist characteristics using assisting underlayers for e-beam direct write lithography

NASA Astrophysics Data System (ADS)

Thrun, Xaver; Choi, Kang-Hoon; Hanisch, Norbert; Hohle, Christoph; Steidel, Katja; Guerrero, Douglas; Figueiro, Thiago; Bartha, Johann W.

2013-03-01

Resist processing for future technology nodes becomes more and more complex. The resist film thickness is getting thinner and hardmask concepts (trilayer) are needed for reproducible etch transfer into the stack. Additional layers between resist and substrate are influencing the electron scattering in e-beam lithography and may also improve sensitivity and resolution. In this study, bare silicon wafers with different assisting underlayers were processed in a 300 mm CMOS manufacturing environment and were exposed on a 50 keV VISTEC SB3050DW variable-shaped electron beam direct writer at Fraunhofer CNT. The underlayers are organic-inorganic hybrid coatings with different metal additives. The negative-tone resist was evaluated in terms of contrast, sensitivity, resolution and LWR/LER as a function of the stack. The interactions between resist and different assisting underlayers on e-beam direct writing will be investigated. These layers could be used to optimize the trade-off among resolution, LWR and sensitivity in future applications.

Basic Blue Skies Research in the UK: Are we losing out?

PubMed Central

Linden, Belinda

2008-01-01

Background The term blue skies research implies a freedom to carry out flexible, curiosity-driven research that leads to outcomes not envisaged at the outset. This research often challenges accepted thinking and introduces new fields of study. Science policy in the UK has given growing support for short-term goal-oriented scientific research projects, with pressure being applied on researchers to demonstrate the future application of their work. These policies carry the risk of restricting freedom, curbing research direction, and stifling rather than stimulating the creativity needed for scientific discovery. Methods This study tracks the tortuous routes that led to three major discoveries in cardiology. It then investigates the constraints in current research, and opportunities that may be lost with existing funding processes, by interviewing selected scientists and fund providers for their views on curiosity-driven research and the freedom needed to allow science to flourish. The transcripts were analysed using a grounded theory approach to gather recurrent themes from the interviews. Results The results from these interviews suggest that scientists often cannot predict the future applications of research. Constraints such as lack of scientific freedom, and a narrow focus on relevance and accountability were believed to stifle the discovery process. Although it was acknowledged that some research projects do need a clear and measurable framework, the interviewees saw a need for inquisitive, blue skies research to be managed in a different way. They provided examples of situations where money allocated to 'safe' funding was used for more innovative research. Conclusion This sample of key UK scientists and grant providers acknowledge the importance of basic blue skies research. Yet the current evaluation process often requires that scientists predict their likely findings and estimate short-term impact, which does not permit freedom of research direction. There is a vital need for prominent scientists and for universities to help the media, the public, and policy makers to understand the importance of innovative thought along with the need for scientists to have the freedom to challenge accepted thinking. Encouraging an avenue for blue skies research could have immense influence over future scientific discoveries. PMID:18312612

Basic Blue Skies Research in the UK: Are we losing out?

PubMed

Linden, Belinda

2008-02-29

The term blue skies research implies a freedom to carry out flexible, curiosity-driven research that leads to outcomes not envisaged at the outset. This research often challenges accepted thinking and introduces new fields of study. Science policy in the UK has given growing support for short-term goal-oriented scientific research projects, with pressure being applied on researchers to demonstrate the future application of their work. These policies carry the risk of restricting freedom, curbing research direction, and stifling rather than stimulating the creativity needed for scientific discovery. This study tracks the tortuous routes that led to three major discoveries in cardiology. It then investigates the constraints in current research, and opportunities that may be lost with existing funding processes, by interviewing selected scientists and fund providers for their views on curiosity-driven research and the freedom needed to allow science to flourish. The transcripts were analysed using a grounded theory approach to gather recurrent themes from the interviews. The results from these interviews suggest that scientists often cannot predict the future applications of research. Constraints such as lack of scientific freedom, and a narrow focus on relevance and accountability were believed to stifle the discovery process. Although it was acknowledged that some research projects do need a clear and measurable framework, the interviewees saw a need for inquisitive, blue skies research to be managed in a different way. They provided examples of situations where money allocated to 'safe' funding was used for more innovative research. This sample of key UK scientists and grant providers acknowledge the importance of basic blue skies research. Yet the current evaluation process often requires that scientists predict their likely findings and estimate short-term impact, which does not permit freedom of research direction. There is a vital need for prominent scientists and for universities to help the media, the public, and policy makers to understand the importance of innovative thought along with the need for scientists to have the freedom to challenge accepted thinking. Encouraging an avenue for blue skies research could have immense influence over future scientific discoveries.

Developing a vision and strategic action plan for future community-based residency training.

PubMed

Skelton, Jann B; Owen, James A

2016-01-01

The Community Pharmacy Residency Program (CPRP) Planning Committee convened to develop a vision and a strategic action plan for the advancement of community pharmacy residency training. Aligned with the profession's efforts to achieve provider status and expand access to care, the Future Vision and Action Plan for Community-based Residency Training will provide guidance, direction, and a strategic action plan for community-based residency training to ensure that the future needs of community-based pharmacist practitioners are met. National thought leaders, selected because of their leadership in pharmacy practice, academia, and residency training, served on the planning committee. The committee conducted a series of conference calls and an in-person strategic planning meeting held on January 13-14, 2015. Outcomes from the discussions were supplemented with related information from the literature. Results of a survey of CPRP directors and preceptors also informed the planning process. The vision and strategic action plan for community-based residency training is intended to advance training to meet the emerging needs of patients in communities that are served by the pharmacy profession. The group anticipated the advanced skills required of pharmacists serving as community-based pharmacist practitioners and the likely education, training and competencies required by future residency graduates in order to deliver these services. The vision reflects a transformation of community residency training, from CPRPs to community-based residency training, and embodies the concept that residency training should be primarily focused on training the individual pharmacist practitioner based on the needs of patients served within the community, and not on the physical location where pharmacy services are provided. The development of a vision statement, core values statements, and strategic action plan will provide support, guidance, and direction to the profession of pharmacy to continue the advancement and expansion of community-based residency training. Published by Elsevier Inc.

The impact of biotechnological advances on the future of US bioenergy

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

Davison, Brian H.; Brandt, Craig C.; Guss, Adam M.

Modern biotechnology has the potential to substantially advance the feasibility, structure, and efficiency of future biofuel supply chains. Advances might be direct or indirect. A direct advance would be improving the efficiency of biochemical conversion processes and feedstock production. Direct advances in processing may involve developing improved enzymes and bacteria to convert lignocellulosic feedstocks to ethanol. Progress in feedstock production could include enhancing crop yields via genetic modification or the selection of specific natural variants and breeds. Other direct results of biotechnology might increase the production of fungible biofuels and bioproducts, which would impact the supply chain. Indirect advances mightmore » include modifications to dedicated bioenergy crops that enable them to grow on marginal lands rather than land needed for food production. This study assesses the feasibility and advantages of near-future (10-year) biotechnological developments for a US biomass-based supply chain for bioenergy production. We assume a simplified supply chain of feedstock, logistics and land use, conversion, and products and utilization. The primary focus is how likely developments in feedstock production and conversion technologies will impact bioenergy and biofuels in the USA; a secondary focus is other innovative uses of biotechnologies in the energy arenas. The assessment addresses near-term biofuels based on starch, sugar, and cellulosic feedstocks and considers some longer-term options, such as oil-crop and algal technologies.« less

The impact of biotechnological advances on the future of US bioenergy

DOE PAGES

Davison, Brian H.; Brandt, Craig C.; Guss, Adam M.; ...

2015-05-14

Modern biotechnology has the potential to substantially advance the feasibility, structure, and efficiency of future biofuel supply chains. Advances might be direct or indirect. A direct advance would be improving the efficiency of biochemical conversion processes and feedstock production. Direct advances in processing may involve developing improved enzymes and bacteria to convert lignocellulosic feedstocks to ethanol. Progress in feedstock production could include enhancing crop yields via genetic modification or the selection of specific natural variants and breeds. Other direct results of biotechnology might increase the production of fungible biofuels and bioproducts, which would impact the supply chain. Indirect advances mightmore » include modifications to dedicated bioenergy crops that enable them to grow on marginal lands rather than land needed for food production. This study assesses the feasibility and advantages of near-future (10-year) biotechnological developments for a US biomass-based supply chain for bioenergy production. We assume a simplified supply chain of feedstock, logistics and land use, conversion, and products and utilization. The primary focus is how likely developments in feedstock production and conversion technologies will impact bioenergy and biofuels in the USA; a secondary focus is other innovative uses of biotechnologies in the energy arenas. The assessment addresses near-term biofuels based on starch, sugar, and cellulosic feedstocks and considers some longer-term options, such as oil-crop and algal technologies.« less

Estimating direct fatality impacts at wind farms: how far we’ve come, where we have yet to go

USGS Publications Warehouse

Huso, Manuela M.; Schwartz, Susan Savitt

2013-01-01

Measuring the potential impacts of wind farms on wildlife can be difficult and may require development of new statistical tools and models to accurately reflect the measurement process. This presentation reviews the recent history of approaches to estimating wildlife fatality under the unique conditions encountered at wind farms, their unifying themes and their potential shortcomings. Avenues of future research are suggested to continue to address the needs of resource managers and industry in understanding direct impacts of wind turbine-caused wildlife fatality.

Developing technology-enhanced active learning for medical education: challenges, solutions, and future directions.

PubMed

McCoy, Lise; Pettit, Robin K; Lewis, Joy H; Bennett, Thomas; Carrasco, Noel; Brysacz, Stanley; Makin, Inder Raj S; Hutman, Ryan; Schwartz, Frederic N

2015-04-01

Growing up in an era of video games and Web-based applications has primed current medical students to expect rapid, interactive feedback. To address this need, the A.T. Still University-School of Osteopathic Medicine in Arizona (Mesa) has developed and integrated a variety of approaches using technology-enhanced active learning for medical education (TEAL-MEd) into its curriculum. Over the course of 3 years (2010-2013), the authors facilitated more than 80 implementations of games and virtual patient simulations into the education of 550 osteopathic medical students. The authors report on 4 key aspects of the TEAL-MEd initiative, including purpose, portfolio of tools, progress to date regarding challenges and solutions, and future directions. Lessons learned may be of benefit to medical educators at academic and clinical training sites who wish to implement TEAL-MEd activities.

Future Directions in Sleep and Developmental Psychopathology.

PubMed

Meltzer, Lisa J

2017-01-01

It is critical for psychologists to gain a better understanding about the intersection between sleep and developmental psychopathology. However, while many strive to answer the question of whether sleep causes developmental psychopathology, or vice versa, ultimately the relationship between sleep and developmental psychopathology is complex and dynamic. This article considers future directions in the field of clinical child and adolescent psychology that go beyond this mechanistic question, highlighting areas important to address for clinicians and researchers who strive to better understand how best to serve children and adolescents with developmental psychopathology. Questions are presented about what is normal in terms of sleep across development, the role of individual variability in terms of sleep needs and vulnerability to sleep loss, and how sleep may serve as a risk or resilience factor for developmental psychopathology, concluding with considerations for interventions.

Shaping NASA's Earth Science Enterprise Workforce Development Initiative to Address Industry Needs

NASA Technical Reports Server (NTRS)

Rosage, David; Meeson, Blanche W. (Technical Monitor)

2001-01-01

It has been well recognized that the commercial remote sensing industry will expand in new directions, resulting in new applications, thus requiring a larger, more skilled workforce to fill the new positions. In preparation for this change, NASA has initiated a Remote Sensing Professional Development Program to address the workforce needs of this emerging industry by partnering with the private sector, academia, relevant professional societies, and other R&D organizations. Workforce needs will in part include understanding current industry concerns, personnel competencies, current and future skills, growth rates, geographical distributions, certifications, and sources of pre-service and in-service personnel. Dave Rosage of the NASA Goddard Space Flight Center and a panel of MAPPS members will lead a discussion to help NASA specifically address private firms' near and long-term personnel needs to be included in NASA's Remote Sensing Professional Development Program. In addition, Dave Rosage will present perspectives on how remote sensing technologies are evolving, new NASA instruments being developed, and what future workforce skills are expected to support these new developments.

Perspectives on the future of the electric utility industry

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

Tonn, B.; Schaffhauser, A.

1994-04-01

This report offers perspectives on the future of the electric utility industry. These perspectives will be used in further research to assess the prospects for Integrated Resource Planning (IRP). The perspectives are developed first by examining economic, political and regulatory, societal, technological, and environmental trends that are (1) national and global in scope and (2) directly related to the electric utility industry. Major national and global trends include increasing global economic competition, increasing political and ethnic strife, rapidly changing technologies, and increasing worldwide concern about the environment. Major trends in the utility industry include increasing competition in generation; changing patternsmore » of electricity demand; increasing use of information technology to control power systems; and increasing implementation of environmental controls. Ways in which the national and global trends may directly affect the utility industry are also explored. The trends are used to construct three global and national scenarios- ``business as usual,`` ``technotopia future,`` and ``fortress state`` -and three electric utility scenarios- ``frozen in headlights,`` ``megaelectric,`` and ``discomania.`` The scenarios are designed to be thought provoking descriptions of potential futures, not predictions of the future, although three key variables are identified that will have significant impacts on which future evolves-global climate change, utility technologies, and competition. While emphasis needs to be placed on understanding the electric utility scenarios, the interactions between the two sets of scenarios is also of interest.« less

Comprehensive facilities plan

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

NONE

1997-09-01

The Ernest Orlando Lawrence Berkeley National Laboratory`s Comprehensive Facilities Plan (CFP) document provides analysis and policy guidance for the effective use and orderly future development of land and capital assets at the Berkeley Lab site. The CFP directly supports Berkeley Lab`s role as a multiprogram national laboratory operated by the University of California (UC) for the Department of Energy (DOE). The CFP is revised annually on Berkeley Lab`s Facilities Planning Website. Major revisions are consistent with DOE policy and review guidance. Facilities planing is motivated by the need to develop facilities for DOE programmatic needs; to maintain, replace and rehabilitatemore » existing obsolete facilities; to identify sites for anticipated programmatic growth; and to establish a planning framework in recognition of site amenities and the surrounding community. The CFP presents a concise expression of the policy for the future physical development of the Laboratory, based upon anticipated operational needs of research programs and the environmental setting. It is a product of the ongoing planning processes and is a dynamic information source.« less

Engineering challenges for detectors at the ILC

DOE PAGES

Oriunno, Marco

2016-05-31

Over the last years two proposals for experiments at the ILC have been developed, ILD and SID. Extensive R&D has been carried out around the world to develop the needed technologies. Furthermore a first round of engineering studies was made as part of the ILC TDR to understand the integration of these different sub-systems into coherent and integrated detector concepts. Among the key challenges for the sub detectors are the extreme low mass/low power requirements or the extreme channel densities needed in particle flow based detectors. Throughout these studies special care was taken to ensure that the engineering models andmore » the simulation models, used in studies of the physics capabilities of the detectors, stay synchronized. In the near future, the models will need to be evolved to take the special requirements of the potential ILC site in Japan into account. Furthermore, the state of the integration of the detectors, and the future directions, will be discussed.« less

Terra, Aqua, and Aura Direct Broadcast - Providing Earth Science Data for Realtime Applications

NASA Technical Reports Server (NTRS)

Kelly, Angelita C.; Coronado, Patrick L.; Case, Warren F.; Franklin, Ameilia

2010-01-01

The need for realtime data to aid in disaster management and monitoring has been clearly demonstrated for the past several years, e.g., during the tsunami in Indonesia in 2004, the hurricane Katrina in 2005, fires, etc. Users want (and often require) the means to get earth observation data for operational regional use as soon as they are generated by satellites. This is especially true for events that can cause loss of human life and/or property. To meet this need, NASA's Earth Observing System (EOS) satellites, Terra and Aqua, provide realtime data useful to disaster management teams. This paper describes the satellites, their Direct Broadcast (DB) capabilities, the data uses, what it takes to deploy a DB ground station, and the future of the DB.

Prevention in developing countries.

PubMed

Black, R E

1990-01-01

Developing countries have implemented primary health care programs directed primarily at prevention and management of important infectious and nutritional problems of children. Successful programs have emphasized the need for individual and community involvement and have been characterized by responsible government policies for equitable implementation of efficacious and cost-effective health interventions. Unfortunately, developing countries must also face increases in the chronic disease and social problems commonly associated with industrialized countries. Prevention efforts, for example, to reduce tobacco smoking, to modify the diet, to reduce injuries, or to avert environmental contamination, are needed to contain future morbidity and rapidly increasing medical care costs. Developing countries can build on their successful approaches to program implementation and add other measures directed at preservation of health and prevention of disease in adult as well as child populations.

Methodological Characteristics and Future Directions for Plyometric Jump Training Research: A Scoping Review.

PubMed

Ramirez-Campillo, Rodrigo; Álvarez, Cristian; García-Hermoso, Antonio; Ramírez-Vélez, Robinson; Gentil, Paulo; Asadi, Abbas; Chaabene, Helmi; Moran, Jason; Meylan, Cesar; García-de-Alcaraz, Antonio; Sanchez-Sanchez, Javier; Nakamura, Fabio Y; Granacher, Urs; Kraemer, William; Izquierdo, Mikel

2018-05-01

Recently, there has been a proliferation of published articles on the effect of plyometric jump training, including several review articles and meta-analyses. However, these types of research articles are generally of narrow scope. Furthermore, methodological limitations among studies (e.g., a lack of active/passive control groups) prevent the generalization of results, and these factors need to be addressed by researchers. On that basis, the aims of this scoping review were to (1) characterize the main elements of plyometric jump training studies (e.g., training protocols) and (2) provide future directions for research. From 648 potentially relevant articles, 242 were eligible for inclusion in this review. The main issues identified related to an insufficient number of studies conducted in females, youths, and individual sports (~ 24.0, ~ 37.0, and ~ 12.0% of overall studies, respectively); insufficient reporting of effect size values and training prescription (~ 34.0 and ~ 55.0% of overall studies, respectively); and studies missing an active/passive control group and randomization (~ 40.0 and ~ 20.0% of overall studies, respectively). Furthermore, plyometric jump training was often combined with other training methods and added to participants' daily training routines (~ 47.0 and ~ 39.0% of overall studies, respectively), thus distorting conclusions on its independent effects. Additionally, most studies lasted no longer than 7 weeks. In future, researchers are advised to conduct plyometric training studies of high methodological quality (e.g., randomized controlled trials). More research is needed in females, youth, and individual sports. Finally, the identification of specific dose-response relationships following plyometric training is needed to specifically tailor intervention programs, particularly in the long term.

The way forward for learning disability nursing.

PubMed

Camus, Heather

This article looks at a possible future or direction for learning disability nursing. Taking into account the physical, emotional, spiritual, social, medical, dental and mental health needs of people with learning disabilities, and reports from Mencap, this article outlines the need for flexibility and innovation from within the nursing profession. One forward-thinking residential home is identified who employ their own learning disability nurse to to support the residents in achieving good health and encourage communication skills between staff and residents and to promote individual rights, choice, privacy and dignity.

Cyberbullying Prevention and Intervention Efforts: Current Knowledge and Future Directions.

PubMed

Espelage, Dorothy L; Hong, Jun Sung

2017-06-01

Bullying is a serious public health concern that is associated with significant negative mental, social, and physical outcomes. Technological advances have increased adolescents' use of social media, and online communication platforms have exposed adolescents to another mode of bullying- cyberbullying. Prevention and intervention materials, from websites and tip sheets to classroom curriculum, have been developed to help youth, parents, and teachers address cyberbullying. While youth and parents are willing to disclose their experiences with bullying to their health care providers, these disclosures need to be taken seriously and handled in a caring manner. Health care providers need to include questions about bullying on intake forms to encourage these disclosures. The aim of this article is to examine the current status of cyberbullying prevention and intervention. Research support for several school-based intervention programs is summarised. Recommendations for future research are provided.

Recent trends and future of pharmaceutical packaging technology

PubMed Central

Zadbuke, Nityanand; Shahi, Sadhana; Gulecha, Bhushan; Padalkar, Abhay; Thube, Mahesh

2013-01-01

The pharmaceutical packaging market is constantly advancing and has experienced annual growth of at least five percent per annum in the past few years. The market is now reckoned to be worth over $20 billion a year. As with most other packaged goods, pharmaceuticals need reliable and speedy packaging solutions that deliver a combination of product protection, quality, tamper evidence, patient comfort and security needs. Constant innovations in the pharmaceuticals themselves such as, blow fill seal (BFS) vials, anti-counterfeit measures, plasma impulse chemical vapor deposition (PICVD) coating technology, snap off ampoules, unit dose vials, two-in-one prefilled vial design, prefilled syringes and child-resistant packs have a direct impact on the packaging. The review details several of the recent pharmaceutical packaging trends that are impacting packaging industry, and offers some predictions for the future. PMID:23833515

Attention bias modification for anxiety and phobias: current status and future directions.

PubMed

Kuckertz, Jennie M; Amir, Nader

2015-02-01

Attention bias modification (ABM) was introduced over a decade ago as a computerized method of manipulating attentional bias and has been followed by intense interest in applying ABM for clinical purposes. While meta-analyses support ABM as a method of modifying attentional biases and reducing anxiety symptoms, there have been notable discrepancies in findings published within the last several years. In this review, we comment on recent research that may help explain some of the inconsistencies across ABM studies. More relevant to the future of ABM research, we highlight areas in which continuing research is needed. We suggest that ABM appears to be a promising treatment for anxiety disorders, but relative to other interventions, ABM is in its infancy. Thus, research is needed in order to improve ABM as a clinical treatment and advance the psychological science of ABM.

Present Challenges, Critical Needs, and Future Technological Directions for NASA's GN and C Engineering Discipline

NASA Technical Reports Server (NTRS)

Dennehy, Cornelius J.

2010-01-01

The National Aeronautics and Space Administration (NASA) is currently undergoing a substantial redirection. Notable among the changes occurring within NASA is the stated emphasis on technology development, integration, and demonstration. These new changes within the Agency should have a positive impact on the GN&C discipline given the potential for sizeable investments for technology development and in-space demonstrations of both Autonomous Rendezvous & Docking (AR&D) systems and Autonomous Precision Landing (APL) systems. In this paper the NASA Technical Fellow for Guidance, Navigation and Control (GN&C) provides a summary of the present technical challenges, critical needs, and future technological directions for NASA s GN&C engineering discipline. A brief overview of the changes occurring within NASA that are driving a renewed emphasis on technology development will be presented as background. The potential benefits of the planned GN&C technology developments will be highlighted. This paper will provide a GN&C State-of-the-Discipline assessment. The discipline s readiness to support the goals & objectives of each of the four NASA Mission Directorates is evaluated and the technical challenges and barriers currently faced by the discipline are summarized. This paper will also discuss the need for sustained investments to sufficiently mature the several classes of GN&C technologies required to implement NASA crewed exploration and robotic science missions.

Spousal autonomy support, need satisfaction, and well-being in individuals with chronic pain: A longitudinal study.

PubMed

Uysal, Ahmet; Ascigil, Esra; Turunc, Gamze

2017-04-01

The present research examined the effect of spousal autonomy support on the need satisfaction and well-being of individuals with chronic pain. Married individuals with a diagnosed musculoskeletal chronic pain condition (N = 109) completed a baseline questionnaire and a follow-up questionnaire after a 6-month time period. Cross-lagged analyses indicated that spousal autonomy support predicted increases in basic need satisfaction, and need satisfaction predicted increases in well-being. Moreover, the analyses in the opposite direction were not significant. Similarly, cross-lagged analyses were more supportive of the direction from pain intensity to lower well-being, rather than well-being to pain intensity. Finally, we tested a longitudinal structural model using pain intensity and spousal autonomy support as the predictors, basic needs as the mediator, and well-being as the outcome. The model provided a good fit to the data. Results showed that spousal autonomy support had a positive effect on the need satisfaction and well-being of individuals with chronic pain, independent of pain intensity. These findings extend self-determination theory to the chronic pain context and lay the groundwork for future chronic pain studies using the self-determination theory framework.

What LDEF means for development and testing of materials

NASA Technical Reports Server (NTRS)

Whitaker, Ann F.; Stuckey, Wayne K.; Stein, Bland A.

1993-01-01

The Long Duration Exposure Facility (LDEF) served as the ultimate laboratory to provide combined space environmental effects on materials. The LDEF structure and its 57 experiments contained an estimated 12,000 to 14,000 specimens of materials and materials processes. It not only provided information about the resistance of these materials to the space environment but gives us direction into future needs for spacecraft materials development and testing. This paper provides an overview of the materials effects observed on the satellite and suggests recommendations for the future work in space-qualified materials development and space environmental simulation.

Nuclear physics from Lattice QCD

NASA Astrophysics Data System (ADS)

Shanahan, Phiala

2017-09-01

I will discuss the current state and future scope of numerical Lattice Quantum Chromodynamics (LQCD) calculations of nuclear matrix elements. The goal of the program is to provide direct QCD calculations of nuclear observables relevant to experimental programs, including double-beta decay matrix elements, nuclear corrections to axial matrix elements relevant to long-baseline neutrino experiments and nuclear sigma terms needed for theory predictions of dark matter cross-sections at underground detectors. I will discuss the progress and challenges on these fronts, and also address recent work constraining a gluonic analogue of the EMC effect, which will be measurable at a future electron-ion collider.

Computational mechanics - Advances and trends; Proceedings of the Session - Future directions of Computational Mechanics of the ASME Winter Annual Meeting, Anaheim, CA, Dec. 7-12, 1986

NASA Technical Reports Server (NTRS)

Noor, Ahmed K. (Editor)

1986-01-01

The papers contained in this volume provide an overview of the advances made in a number of aspects of computational mechanics, identify some of the anticipated industry needs in this area, discuss the opportunities provided by new hardware and parallel algorithms, and outline some of the current government programs in computational mechanics. Papers are included on advances and trends in parallel algorithms, supercomputers for engineering analysis, material modeling in nonlinear finite-element analysis, the Navier-Stokes computer, and future finite-element software systems.

[Natural orifice translumenal endoscopic surgery: historical and future perspectives].

PubMed

Yasuda, Kazuhiro; Shiroshita, Hidefumi; Inomata, Masafumi; Kitano, Seigo

2013-11-01

Natural orifice translumenal endoscopic surgery (NOTES) has gained much attention worldwide since the first report of transgastric peritoneoscopy in a porcine model in 2004. In this review, we summarize and highlight the current status and future directions of NOTES. Thousands of human NOTES procedures have been performed. The most common procedures are cholecystectomy and appendectomy, mainly performed through transvaginal access in a hybrid fashion with laparoscopic assistance, and the general complication rate is acceptable. Although much work is still needed to refine the techniques for NOTES, the development of NOTES has the potential to create a paradigm shift in minimally invasive surgery.

State of mental healthcare systems in Eastern Europe: do we really understand what is going on?

PubMed Central

Winkler, Petr

2016-01-01

The article examines the current state of mental healthcare systems in countries of Eastern Europe and derives implications for future research and service development. Analysis of available statistics from the World Health Organization’s Mental Health Atlas suggests the need for better-quality data collection. Nonetheless, there appear to be insufficient resources allocated to mental health, lack of involvement of service users in policy-making and, to a large extent, systems continue to rely on mental hospitals. Based on the data presented, a set of directions for future reforms was drafted. PMID:29093919

Uni-directional optical pulses, temporal propagation, and spatial and temporal dispersion

NASA Astrophysics Data System (ADS)

Kinsler, P.

2018-02-01

I derive a temporally propagated uni-directional optical pulse equation valid in the few cycle limit. Temporal propagation is advantageous because it naturally preserves causality, unlike the competing spatially propagated models. The exact coupled bi-directional equations that this approach generates can be efficiently approximated down to a uni-directional form in cases where an optical pulse changes little over one optical cycle. They also permit a direct term-to-term comparison of the exact bi-directional theory with its corresponding approximate uni-directional theory. Notably, temporal propagation handles dispersion in a different way, and this difference serves to highlight existing approximations inherent in spatially propagated treatments of dispersion. Accordingly, I emphasise the need for future work in clarifying the limitations of the dispersion conversion required by these types of approaches; since the only alternative in the few cycle limit may be to resort to the much more computationally intensive full Maxwell equation solvers.

Financial management services in consumer-directed programs.

PubMed

Scherzer, Teresa; Wong, Alice; Newcomer, Robert

2007-01-01

Shifting from an agency-based model of personal assistance services to consumer direction has important consequences for both recipients and workers. In consumer direction, recipients assume the responsibilities of employing their attendants--for both self-directing their supportive services and being responsible for numerous fiscal responsibilities. Many states have eased these fiscal responsibilities among recipients in publicly financed personal care programs by using Financial Management Services (also known as fiscal intermediaries). This article introduces the major types of Financial Management Services organizations used by Medicaid consumer-directed personal care programs, and examines the extent to which the varied approaches can and do serve the needs of both recipients and workers. Despite the expansion of consumer-directed programs and the accompanying emergence of Financial Management Services, these organizations have not been extensively studied or evaluated. The paper concludes with a discussion of the challenges, opportunities, and policy implications of the current practice; and suggests directions for future research.

Future perspectives of resin-based dental materials.

PubMed

Jandt, Klaus D; Sigusch, Bernd W

2009-08-01

This concise review and outlook paper gives a view of selected potential future developments in the area of resin-based biomaterials with an emphasis on dental composites. A selection of key publications (1 book, 35 scientific original publications and 1 website source) covering the areas nanotechnology, antimicrobial materials, stimuli responsive materials, self-repairing materials and materials for tissue engineering with direct or indirect relations and/or implications to resin-based dental materials is critically reviewed and discussed. Connections between these fields and their potential for resin-based dental materials are highlighted and put in perspective. The need to improve shrinkage properties and wear resistance is obvious for dental composites, and a vast number of attempts have been made to accomplish these aims. Future resin-based materials may be further improved in this respect if, for example nanotechnology is applied. Dental composites may, however, reach a completely new quality by utilizing new trends from materials science, such as introducing nanostructures, antimicrobial properties, stimuli responsive capabilities, the ability to promote tissue regeneration or repair of dental tissues if the composites were able to repair themselves. This paper shows selected potential future developments in the area of resin-based dental materials, gives basic and industrial researchers in dental materials science, and dental practitioners a glance into the potential future of these materials, and should stimulate discussion about needs and future developments in the area.

Future Research Directions for the Field of E/BD: Standing on the Shoulders of Giants

ERIC Educational Resources Information Center

Lane, Kathleen Lynne; Jolivette, Kristine; Conroy, Maureen; Nelson, C. Michael; Benner, Gregory J.

2011-01-01

The origins and evolution of the field of emotional/behavioral disorders (E/BD) provide a context for offering suggestions for advancing the field. Building from this historical past and the research of others in the field, four broad recommendations which focus on academic and social needs of students with E/BD are offered: (a) ensuring high…

A Composite Self-Report: Reasons for Taking Science Courses as Given by Cocoa High School Science Students.

ERIC Educational Resources Information Center

Louwerse, Frances H.

A self-report instrument (questionnaire/reaction scale) was developed and administered to students in grades 9-12 to: (1) determine the number of science courses taken by each grade level; (2) estimate the number of science courses requested for future years and indicate where recruitment efforts would be needed; (3) examine other-directed reasons…

21st Century Readers' Aids: Past History and Future Directions

ERIC Educational Resources Information Center

Smith, Michael M.

2008-01-01

This article provides a brief history of the development of library subject guides (often referred to as pathfinders) from the late 1800s to the present. During this period, subject guides have changed both their focus and format. The needs of academic institutions at the turn of the 20th century were very different than they are today, and…

Value Orientation among Tribal Future Teachers of B.Ed. Programme: Need for Curricular Interventions

ERIC Educational Resources Information Center

Dasari, Rajendra Prasad

2016-01-01

Schools play a vital role in inculcation of values and development of values. It has become, of late, the central concern of teacher education. Teacher education programmes are the effective modes of transmission of values having a direct impact on the school education. A College of Teacher Education was established at Badrachalam exclusively for…

Disability in U. S. Medical Education: Disparities, Programmes and Future Directions

ERIC Educational Resources Information Center

Santoro, Jonathan D.; Yedla, Manisha; Lazzareschi, Daniel V.; Whitgob, Emily E.

2017-01-01

As of 2010, 19% of the US population lives with a disability, and with the average lifespan of persons with disability increasing, this number is expected to rise. This has prompted the identification of a need for disability-based education by the US Institute of Medicine, the Surgeon General of the United States, the Association of American…

Training the Next Generation of School Psychologists to Deliver Evidence Based Mental Health Practices: Current Challenges and Future Directions

ERIC Educational Resources Information Center

Shernoff, Elisa S.; Bearman, Sarah Kate; Kratochwill, Thomas R.

2017-01-01

School psychologists are uniquely positioned to support the delivery of evidence-based mental health practices (EBMHPs) to address the overwhelming mental health needs of children and youth. Graduate training programs can promote EBMHPs in schools by ensuring school psychologists enter the workplace prepared to deliver and support high-quality,…

Nutritional Needs of the Handicapped/Chronically Ill Child. Manual I: Nutrition Program Planning. Presentations from a National Interdisciplinary Symposium.

ERIC Educational Resources Information Center

Ekvall, Shirley M., Ed.; And Others

The following papers were delivered at a symposium on improving the nutritional status of a child who is chronically ill or handicapped: (1) "Planning Comprehensive Health Services for the Chronically Ill/Handicapped Child; (2) "Future National Directions in Maternal and Child Health"; (3) "Nutrition Services in a State Crippled Children's…

Services and Resources to Engineers: A Case Study of Outreach and Marketing, Assessment, and Future Directions in a Research Library

ERIC Educational Resources Information Center

Torrence, Matt

2015-01-01

The literature, activities, and resource needs of engineering students and faculty provide insight into a demographic that is often among the early-adopters of new technologies, tools, and methods of sharing information. Despite the often non-bibliographic nature of their research efforts, there are numerous elements of the traditional service…

Evaluation of Automated Natural Language Processing in the Further Development of Science Information Retrieval. String Program Reports No. 10.

ERIC Educational Resources Information Center

Sager, Naomi

This investigation matches the emerging techniques in computerized natural language processing against emerging needs for such techniques in the information field to evaluate and extend such techniques for future applications and to establish a basis and direction for further research toward these goals. An overview describes developments in the…

Social Science of Physical Education and Sport: Reflections and Future Directions. 1986 Alliance Scholar Lecture.

ERIC Educational Resources Information Center

Sage, George H.

The form and content of preservice programs for physical education teachers are in the hands of those individuals who develop curricula. Courses in sports studies--such as the sociology of sports and sport psychology--need to be an integral part of such programs. Preservice preparation programs can be reorganized to contain this important element.…

Meeting Review: Airborne Aerosol Inlet Workshop

NASA Technical Reports Server (NTRS)

Baumgardner, Darrel; Huebert, Barry; Wilson, Chuck

1991-01-01

Proceedings from the Airborne Aerosol Inlet Workshop are presented. The two central topics of discussion were the role of aerosols in atmospheric processes and the difficulties in characterizing aerosols. The following topics were discussed during the working sessions: airborne observations to date; identification of inlet design issues; inlet modeling needs and directions; objectives for aircraft experiments; and future laboratory and wind tunnel studies.

Columbia River Coordinated Information System (CIS), 1992-1993 Annual Report.

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

Rowe, Mike; Roger, Phillip B.; O'Connor, Dick

1993-11-01

The purposes of this report are to: (1) describe the project to date; (2) to document the work and accomplishments of the (CIS) project for Fiscal Year 1993; and (3) to provide a glimpse of future project direction. The concept of a Coordinated Information System (CIS) as an approach to meeting the growing needs for regionally standardized anadromous fish information.

Future Directions for Research in Autism Spectrum Disorders

PubMed Central

Damiano, Cara R.; Mazefsky, Carla A.; White, Susan W.; Dichter, Gabriel S.

2014-01-01

This article suggests future directions for research aimed at improved understanding of the etiology and pathophysiology of autism spectrum disorder (ASD) as well as pharmacologic and psychosocial interventions for ASD across the lifespan. The past few years have witnessed unprecedented transformations in the understanding of ASD neurobiology, genetics, early identification, and early intervention. However, recent increases in ASD prevalence estimates highlight the urgent need for continued efforts to translate novel ASD discoveries into effective interventions for all individuals with ASD. In this article we highlight promising areas for ongoing and new research expected to quicken the pace of scientific discovery and ultimately the translation of research findings into accessible and empirically supported interventions for those with ASD. We highlight emerging research in the following domains as particularly promising and pressing: (1) preclinical models; (2) experimental therapeutics; (3) early identification and intervention; (4) psychiatric comorbidities and the Research Domain Criteria (RDoC) initiative; (5) ecological momentary assessment; (6) neurotechnologies; and (7) the needs of adults with ASD. Increased research emphasis in these areas has the potential to hasten the translation of knowledge on the etiological mechanisms of ASD to psychosocial and biological interventions to reduce the burden of ASD on affected individuals and their families. PMID:25216048

Direct disposal of spent fuel: developing solutions tailored to Japan

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

Kawamura, Hideki; McKinley, Ian G

2013-07-01

With the past Government policy of 100% reprocessing in Japan now open to discussion, options for direct disposal of spent fuel (SF) are now being considered in Japan. The need to move rapidly ahead in developing spent fuel management concepts is closely related to the ongoing debate on the future of nuclear power in Japan and the desire to understand the true costs of the entire life cycle of different options. Different scenarios for future nuclear power - and associated decisions on extent of reprocessing - will give rise to quite different inventories of SF with different disposal challenges. Althoughmore » much work has been carried out spent fuel disposal within other national programmes, the potential for mining the international knowledge base is limited by the boundary conditions for disposal in Japan. Indeed, with a volunteer approach to siting, no major salt deposits and few undisturbed sediments, high tectonic activity, relatively corrosive groundwater and no deserts, it is evident that a tailored solution is needed. Nevertheless, valuable lessons can be learned from projects carried out worldwide, if focus is placed on basic principles rather than implementation details. (authors)« less

Sarcoidosis: an update on current pharmacotherapy options and future directions.

PubMed

Brito-Zerón, Pilar; Pérez-Alvarez, Roberto; Pallarés, Lucio; Retamozo, Soledad; Baughman, Robert P; Ramos-Casals, Manuel

2016-12-01

Sarcoidosis is a systemic disease of unknown etiology characterized by the development of non-caseating epitheloid granulomas. The lungs are the most commonly involved organ (>90% of cases), followed by the lymph nodes, the skin, and the eyes. Areas covered: This review summarizes current pharmacotherapy options and future directions for the development of new therapies. Glucocorticoids are the first-line therapy for sarcoidosis. For patients with the most severe forms of sarcoidosis (who will need glucocorticoids for long periods) and for those intolerant or refractory, immunosuppressive drugs are used as sparing agents. The management of extrathoracic sarcoidosis must be tailored to the specific organ or organs involved; however, there is limited data from controlled trials to guide the treatment of these patients. The emergence of biological therapies has increased the therapeutic armamentarium available to treat sarcoidosis, with monoclonal anti-TNF agents being the most promising, but their use is still limited by a lack of licensing and costs. Expert commentary: The treatment of sarcoidosis is still not totally standardized. New effective therapies are urgently needed to enable the reduction or replacement of long-term therapy with glucocorticoids in patients with sarcoidosis.

Childhood leukaemia risks: from unexplained findings near nuclear installations to recommendations for future research.

PubMed

Laurier, D; Grosche, B; Auvinen, A; Clavel, J; Cobaleda, C; Dehos, A; Hornhardt, S; Jacob, S; Kaatsch, P; Kosti, O; Kuehni, C; Lightfoot, T; Spycher, B; Van Nieuwenhuyse, A; Wakeford, R; Ziegelberger, G

2014-09-01

Recent findings related to childhood leukaemia incidence near nuclear installations have raised questions which can be answered neither by current knowledge on radiation risk nor by other established risk factors. In 2012, a workshop was organised on this topic with two objectives: (a) review of results and discussion of methodological limitations of studies near nuclear installations; (b) identification of directions for future research into the causes and pathogenesis of childhood leukaemia. The workshop gathered 42 participants from different disciplines, extending widely outside of the radiation protection field. Regarding the proximity of nuclear installations, the need for continuous surveillance of childhood leukaemia incidence was highlighted, including a better characterisation of the local population. The creation of collaborative working groups was recommended for consistency in methodologies and the possibility of combining data for future analyses. Regarding the causes of childhood leukaemia, major fields of research were discussed (environmental risk factors, genetics, infections, immunity, stem cells, experimental research). The need for multidisciplinary collaboration in developing research activities was underlined, including the prevalence of potential predisposition markers and investigating further the infectious aetiology hypothesis. Animal studies and genetic/epigenetic approaches appear of great interest. Routes for future research were pointed out.

Diatoms: a fossil fuel of the future.

PubMed

Levitan, Orly; Dinamarca, Jorge; Hochman, Gal; Falkowski, Paul G

2014-03-01

Long-term global climate change, caused by burning petroleum and other fossil fuels, has motivated an urgent need to develop renewable, carbon-neutral, economically viable alternatives to displace petroleum using existing infrastructure. Algal feedstocks are promising candidate replacements as a 'drop-in' fuel. Here, we focus on a specific algal taxon, diatoms, to become the fossil fuel of the future. We summarize past attempts to obtain suitable diatom strains, propose future directions for their genetic manipulation, and offer biotechnological pathways to improve yield. We calculate that the yields obtained by using diatoms as a production platform are theoretically sufficient to satisfy the total oil consumption of the US, using between 3 and 5% of its land area. Copyright © 2014 Elsevier Ltd. All rights reserved.

Facing the future: a call for higher education in sleep technology.

PubMed

Linley, Laura A

2017-12-01

The American Association of Sleep Technologists (AAST) is the national membership organization representing sleep technologists. The Board of Directors of the AAST recognizes that changes in the workforce will result in an increased need for technologists with a higher level of education. In order to meet the needs of members, the AAST has: (1) convened a summit of stakeholders to discuss the changing landscape for sleep technologists; (2) hosted an educational task force to provide ongoing communication and support; and (3) commissioned a survey of members, educators and employers to better define educational gaps and opportunities for sleep technologists. This report summarizes the results of the survey and provides a roadmap for future educational development. Demographic information highlights the diversity of those in the field of sleep technology. The majority of respondents agree that new technical skills will be needed to achieve competence in sleep technology in the near future, but also that clinical and communication skills will be critical in expanding the role of the sleep technologist in the sleep center. These findings led the AAST leadership to propose new directions for the AAST in serving the needs of its members and the field of sleep technology. This will include a continued focus on education, both basic and advanced, and development of diverse pathways for senior sleep technologists as well as those just entering the field. Copyright © 2017 Elsevier B.V. All rights reserved.

Babies Need Healthy Moms: an innovative postpartum screening and education class for women who had gestational diabetes mellitus.

PubMed

Frazzitta, Marie A; Anderson, Michele; Egan, Elizabeth

2013-01-01

Healthy Babies Need Healthy Moms (HBNHM) is an innovative education program that combines the recommended 2-hour postpartum oral glucose tolerance test (OGTT) with diabetes prevention education for women who had gestational diabetes mellitus. During the class, the 2-hour OGTT is performed, and in the time between venipunctures, the women participate in group education focused on evidence-based diabetes prevention strategies that promote healthy family nutrition and lifestyle behavior, importance of preconception care for subsequent pregnancies, and the need for follow-up care for women who screen positive for abnormal glucose levels. The purpose of this article is to describe this model to encourage replication in other diabetes programs. The HBNHM program is a low-budget education program that provides postpartum OGTT screening for women who had gestational diabetes mellitus during their pregnancies while simultaneously offering education designed to improve future outcomes. For those women whose screening is positive for overt diabetes or prediabetes, the educational strategies are directed at encouraging follow-up care. For those patients who have normal screening results, the program is designed to help the patient prevent the future development of type 2 diabetes. Preconception counseling is included in an effort to improve outcomes in future pregnancies and provide patients with the tools needed to help enhance the health of their families.

The future of e-learning in healthcare professional education: some possible directions. Commentary.

PubMed

Walsh, Kieran

2014-01-01

E-learning in healthcare professional education still seems like it is a new innovation but the reality is that e-learning has been around for as long as the internet has been around. This is approximately twenty years and so it is probably appropriate to now take stock and consider what the future of e-learning in healthcare professional education might be. One likely occurrence is that there will be more formats, more interactive technology, and sometimes game-based learning. Another future of healthcare professional education will likely be in simulation. Like other forms of technology outside of medicine, the cost of e-learning in healthcare professional education will fall rapidly. E-learning will also become more adaptive in the future and so will deliver educational content based on learners' exact needs. The future of e-learning will also be mobile. Increasingly in the future e-learning will be blended with face to face education.

Preparing the Direct Broadcast Community for GOES-R

NASA Astrophysics Data System (ADS)

Dubey, K. F.; Baptiste, E.; Prasad, K.; Shin, H.

2012-12-01

The first satellite in the United States next generation weather satellite program, GOES-R, will be launched in 2015. SeaSpace Corporation is using our recent experience and lessons learned from bringing Suomi NPP-capable direct reception systems online, to similarly bring direct reception solutions to future GOES-R users. This includes earlier outreach to customers, due to the advance budgeting deadline for procurement in many agencies. With the cancellation of eGRB, all current GOES gvar customer will need a new direct readout system, with a new receiver, high powered processing subsystem, and a larger antenna in some locations. SeaSpace's preparations have also included communicating with program leaders in NOAA and NASA regarding direct readout specifications and the development of the borrowing process for the government-procured GRB emulator. At the request of NASA, SeaSpace has offered input towards the emulator check-out process, which is expected to begin in spring 2013. After the launch of Suomi NPP, SeaSpace found a need by non-traditional customers (such as customers with non-SeaSpace ground stations or those getting data via the NOAA archive), for a processing-only subsystem. In response to this need, SeaSpace developed such a solution for Suomi NPP users, and plans to do similar for GOES-R. This presentation will cover the steps that SeaSpace is undertaking to prepare the members of the direct reception community for reception and processing of GOES-R satellite data, and detail the solutions offered.

Discovery and progress of direct cardiac reprogramming.

PubMed

Kojima, Hidenori; Ieda, Masaki

2017-06-01

Cardiac disease remains a major cause of death worldwide. Direct cardiac reprogramming has emerged as a promising approach for cardiac regenerative therapy. After the discovery of MyoD, a master regulator for skeletal muscle, other single cardiac reprogramming factors (master regulators) have been sought. Discovery of cardiac reprogramming factors was inspired by the finding that multiple, but not single, transcription factors were needed to generate induced pluripotent stem cells (iPSCs) from fibroblasts. We first reported a combination of cardiac-specific transcription factors, Gata4, Mef2c, and Tbx5 (GMT), that could convert mouse fibroblasts into cardiomyocyte-like cells, which were designated as induced cardiomyocyte-like cells (iCMs). Following our first report of cardiac reprogramming, many researchers, including ourselves, demonstrated an improvement in cardiac reprogramming efficiency, in vivo direct cardiac reprogramming for heart regeneration, and cardiac reprogramming in human cells. However, cardiac reprogramming in human cells and adult fibroblasts remains inefficient, and further efforts are needed. We believe that future research elucidating epigenetic barriers and molecular mechanisms of direct cardiac reprogramming will improve the reprogramming efficiency, and that this new technology has great potential for clinical applications.

Co-Operative Advances in Behavioral Health and Performance Research and Operations

NASA Technical Reports Server (NTRS)

VanderArk, Stephen T.; Leveton, Lauren B.

2011-01-01

In organizations that engage in both operations and applied research, with operational needs guiding research questions and research informing improved operations, the ideal goal is a synergy of ideas and information. In reality, this ideal synergy is often lacking. Real-time operational needs driving day-to-day decisions, lack of communication, lag time in getting research advances plugged into operations can cause both areas to suffer from this gap between operations and research. At Johnson Space Center, the Behavior Health and Performance group (BHP) strives to bridge this gap by following a Human Research Program framework: Expectations of future operational needs identify the knowledge gaps; the gaps in turn guide research leading to a product that is transitioned into operations. Thus, the direction those of us in research take is in direct response to current and future needs of operations. Likewise, those of us in operations actively seek knowledge that is supported by evidence-based research. We make an ongoing effort to communicate across the research and operations gap by working closely with each other and making a conscious effort to keep each other informed. The objective of the proposed panel discussion is to demonstrate through the following presentations the results of a successful collaboration between research and operations and to provide ASMA members with more practical knowledge and strategies for building these bridges to serve our field of practice well. The panel will consist of six presenters from BHP operations, internal BHP research, and external research instigated by BHP who together represent the entire BHP Research Transition to Operations Framework

Reducing hospital readmission rates: current strategies and future directions.

PubMed

Kripalani, Sunil; Theobald, Cecelia N; Anctil, Beth; Vasilevskis, Eduard E

2014-01-01

New financial penalties for institutions with high readmission rates have intensified efforts to reduce rehospitalization. Several interventions that involve multiple components (e.g., patient needs assessment, medication reconciliation, patient education, arranging timely outpatient appointments, and providing telephone follow-up) have successfully reduced readmission rates for patients discharged to home. The effect of interventions on readmission rates is related to the number of components implemented; single-component interventions are unlikely to reduce readmissions significantly. For patients discharged to postacute care facilities, multicomponent interventions have reduced readmissions through enhanced communication, medication safety, advanced care planning, and enhanced training to manage medical conditions that commonly precipitate readmission. To help hospitals direct resources and services to patients with greater likelihood of readmission, risk-stratification methods are available. Future work should better define the roles of home-based services, information technology, mental health care, caregiver support, community partnerships, and new transitional care personnel.

Agent-Based Modeling of Chronic Diseases: A Narrative Review and Future Research Directions

PubMed Central

Lawley, Mark A.; Siscovick, David S.; Zhang, Donglan; Pagán, José A.

2016-01-01

The United States is experiencing an epidemic of chronic disease. As the US population ages, health care providers and policy makers urgently need decision models that provide systematic, credible prediction regarding the prevention and treatment of chronic diseases to improve population health management and medical decision-making. Agent-based modeling is a promising systems science approach that can model complex interactions and processes related to chronic health conditions, such as adaptive behaviors, feedback loops, and contextual effects. This article introduces agent-based modeling by providing a narrative review of agent-based models of chronic disease and identifying the characteristics of various chronic health conditions that must be taken into account to build effective clinical- and policy-relevant models. We also identify barriers to adopting agent-based models to study chronic diseases. Finally, we discuss future research directions of agent-based modeling applied to problems related to specific chronic health conditions. PMID:27236380

Agent-Based Modeling of Chronic Diseases: A Narrative Review and Future Research Directions.

PubMed

Li, Yan; Lawley, Mark A; Siscovick, David S; Zhang, Donglan; Pagán, José A

2016-05-26

The United States is experiencing an epidemic of chronic disease. As the US population ages, health care providers and policy makers urgently need decision models that provide systematic, credible prediction regarding the prevention and treatment of chronic diseases to improve population health management and medical decision-making. Agent-based modeling is a promising systems science approach that can model complex interactions and processes related to chronic health conditions, such as adaptive behaviors, feedback loops, and contextual effects. This article introduces agent-based modeling by providing a narrative review of agent-based models of chronic disease and identifying the characteristics of various chronic health conditions that must be taken into account to build effective clinical- and policy-relevant models. We also identify barriers to adopting agent-based models to study chronic diseases. Finally, we discuss future research directions of agent-based modeling applied to problems related to specific chronic health conditions.

Cardiovascular Disease Prevention: Training Opportunities, the Challenges, and Future Directions.

PubMed

Saeed, Anum; Dabhadkar, Kaustubh; Virani, Salim S; Jones, Peter H; Ballantyne, Christie M; Nambi, Vijay

2018-05-21

Cardiovascular diseases (CVDs) are a leading cause of morbidity and mortality worldwide, necessitating major efforts in prevention. This review summarizes the currently available training opportunities in CVD prevention for fellows-in-training (FITs) and residents. We also highlight the challenges and future directions for CVD prevention as a field and propose a structure for an inclusive CVD prevention training program. At present, there is a lack of centralized training resources for FITs and residents interested in pursuing a career in CVD prevention. Training in CVD prevention is not an accredited subspecialty fellowship by the American Council of Graduate Medical Education (ACGME). Although there are several independent training programs under the broad umbrella of CVD prevention focusing on different aspects of prevention, there is no unified curriculum or training. More collaborative efforts are needed to identify CVD prevention as an ACGME-accredited subspecialty fellowship. Providing more resources can encourage and produce more leaders in this essential field.

California's transition from conventional snowpack measurements to a developing remote sensing capability for water supply forecasting

NASA Technical Reports Server (NTRS)

Brown, A. J.; Peterson, N.

1980-01-01

California's Snow Survey Program and water supply forecasting procedures are described. A review is made of current activities and program direction on such matters as: the growing statewide network of automatic snow sensors; restrictions on the gathering hydrometeorological data in areas designated as wilderness; the use of satellite communications, which both provides a flexible network without mountaintop repeaters and satisfies the need for unobtrusiveness in wilderness areas; and the increasing operational use of snow covered area (SCA) obtained from satellite imagery, which, combined with water equivalent from snow sensors, provides a high correlation to the volumes and rates of snowmelt runoff. Also examined are the advantages of remote sensing; the anticipated effects of a new input of basin wide index of water equivalent, such as the obtained through microwave techniques, on future forecasting opportunities; and the future direction and goals of the California Snow Surveys Program.

Discrimination, Subjective Wellbeing, and the Role of Gender: A Mediation Model of LGB Minority Stress.

PubMed

Conlin, Sarah E; Douglass, Richard P; Ouch, Staci

2017-10-26

The present study examined the link between discrimination and the three components of subjective wellbeing (positive and negative affect and life satisfaction) among a cisgender sample of lesbian, gay, and bisexual (LGB) adults. Specifically, we investigated internalized homonegativity and expectations of rejection as potential mediators of the links between discrimination and subjective wellbeing among a sample of 215 participants. Results from our structural equation model demonstrated a strong, positive direct link between discrimination and negative affect. Discrimination also had small, negative indirect effects on life satisfaction through our two mediators. Interestingly, neither discrimination nor our two mediators were related with positive affect, demonstrating the need for future research to uncover potential buffers of this link. Finally, our model evidenced configural, metric, and scalar invariance, suggesting that our model applies well for both women and men. Practical implications and future directions for research are discussed.

Intervention among Suicidal Men: Future Directions for Telephone Crisis Support Research.

PubMed

Hunt, Tara; Wilson, Coralie J; Woodward, Alan; Caputi, Peter; Wilson, Ian

2018-01-01

Telephone crisis support is a confidential, accessible, and immediate service that is uniquely set up to reduce male suicide deaths through crisis intervention. However, research focusing on telephone crisis support with suicidal men is currently limited. To highlight the need to address service delivery for men experiencing suicidal crisis, this perspective article identifies key challenges facing current telephone crisis support research and proposes that understanding of the role of telephone crisis helplines in supporting suicidal men may be strengthened by careful examination of the context of telephone crisis support, together with the impact this has on help-provision for male suicidal callers. In particular, the impact of the time- and information-poor context of telephone crisis support on crisis-line staff's identification of, and response to, male callers with thoughts of suicide is examined. Future directions for research in the provision of telephone crisis support for suicidal men are discussed.

Intervention among Suicidal Men: Future Directions for Telephone Crisis Support Research

PubMed Central

Hunt, Tara; Wilson, Coralie J.; Woodward, Alan; Caputi, Peter; Wilson, Ian

2018-01-01

Telephone crisis support is a confidential, accessible, and immediate service that is uniquely set up to reduce male suicide deaths through crisis intervention. However, research focusing on telephone crisis support with suicidal men is currently limited. To highlight the need to address service delivery for men experiencing suicidal crisis, this perspective article identifies key challenges facing current telephone crisis support research and proposes that understanding of the role of telephone crisis helplines in supporting suicidal men may be strengthened by careful examination of the context of telephone crisis support, together with the impact this has on help-provision for male suicidal callers. In particular, the impact of the time- and information-poor context of telephone crisis support on crisis-line staff’s identification of, and response to, male callers with thoughts of suicide is examined. Future directions for research in the provision of telephone crisis support for suicidal men are discussed. PMID:29404319

End-of-Life Care and Psychiatry: Current Trends and Future Directions in India

PubMed Central

Deodhar, Jayita K.

2016-01-01

Although 80% of the deaths worldwide occur in middle- and low-income countries such as India, there is less awareness of end-of-life care (EOLC) for people with chronic, serious, progressive, or advanced life-limiting illnesses, including dementia. EOLC involves good communication, clinical decision-making, liaison with medical teams and families, comprehensive assessment of and specialized interventions for physical, psychological, spiritual, and social needs of patients and their caregivers. The psychiatrist can play a significant role in each of the above domains in EOLC. The current trends in India are examined, including ambiguities between EOLC and euthanasia. Future directions include formulating a national EOLC policy, providing appropriate services and training. The psychiatrist should get involved in this process, with major responsibilities in providing good quality EOLC for patients with both life-limiting physical illnesses and severe mental disorders, supporting their caregivers, and ensuring dignity in death. PMID:28031629

Social Media Technology and Public Health in Ontario: Findings from a Planning Meeting Exploring Current Practices and Future Research Directions.

PubMed

Booth, Richard; McMurray, Josephine; Regan, Sandra; Kothari, Anita; Donelle, Lorie; McBride, Susan; Sobel, Annette; Hall, Jodi; Fraser, Robert; Foisey, Lyndsay

2017-01-01

In the province of Ontario, many of the public health units (PHUs) now possess and use social media as part of their daily health promotion and communication operations. To explore this topic, a planning meeting was held to generate deeper insights toward the use of these forms of technology for preventative services delivery. The planning meeting was held with 50 participants, comprising representatives from 20 of the 36 PHUs in Ontario, interested academics, students and government representatives. A nominal group technique (NGT) was used to build consensus related to future research needs, as related to public health and social media. Participants generated a range of insights around the use of social media, including the need for: leadership buy-in and resource allocation; social media policy and governance structure; performance measurement and evaluation; practices related to engagement with program recipients and addressing the lack of resources faced by many health units. Future research priorities were also generated, related to evaluating the cost-benefit of social media activities and understanding behaviour change implications. Further research is needed to evaluate the functionality, leadership and competency requirements and impact(s) of these new forms of health communication technology within public health service delivery. Copyright © 2017 Longwoods Publishing.

Pretense and Possibility--A Theoretical Proposal about the Effects of Pretend Play on Development: Comment on Lillard et al. (2013)

ERIC Educational Resources Information Center

Walker, Caren M.; Gopnik, Alison

2013-01-01

The review by Lillard et al. (2013) highlighted the need for additional research to better clarify the nature of the relationship between pretend play and development. However, the authors did not provide a proposal for how to structure the direction of this future work. Here, we provide a possible framework for generating additional research.…

Theory of Gas Adsorption in Carbon Nanostructures

DTIC Science & Technology

2003-05-20

Johnson, "Histogram reweighting and finite size Scaling study of the Lennard - Jones fluids", Fluid Phase Equilibria, 187-188, 171-191 (2001). 19.Wei...nature of matter, with enormous potential for applications. The research continues, undiminished in intensity, in our laboratories and many others...pair potential is needed than the usually assumed free space interaction. These calculations suggest a few possible directions for future research

Building a collaborative network to understand regional forest dynamics and advance forestry initiatives in the Caribbean

Treesearch

Grizelle Gonzalez; Tamara Heartsill Scalley

2016-01-01

Herein we provide concluding remarks drawn from and inspired by the discussions of the 5 working groups of the 16th Caribbean Foresters Meeting (CFM) about the needs, challenges, and recommendations to advance forestry in the Caribbean region. We also list key considerations and potential future research directions as presented in the various manuscripts contained in...

Why Invest in Rural America--And How? A Critical Public Policy Question for the 21st Century.

ERIC Educational Resources Information Center

Stauber, Karl N.

Current rural policies at both the federal and state levels do not meet the needs of rural people and communities; they are designed for the past, not the future. Agricultural subsidies absorb most federal resources directed to rural areas, with no evidence of benefits for rural communities. The continuing state-level pursuit of low-wage,…

Teaching Students with Disabilities: A Review of Music Education Research as It Relates to the Individuals with Disabilities Education Act

ERIC Educational Resources Information Center

Jones, Sara K.

2015-01-01

This article explores trends in research since the 1975 passage of the Education for All Handicapped Children Act (now known as the Individuals with Disabilities Education Act), notes gaps in the literature, and offers suggestions for future directions music education researchers could take in exploring the needs and experiences of music teachers…

Forecasting the future of cardiovascular disease in the United States: a policy statement from the American Heart Association.

PubMed

Heidenreich, Paul A; Trogdon, Justin G; Khavjou, Olga A; Butler, Javed; Dracup, Kathleen; Ezekowitz, Michael D; Finkelstein, Eric Andrew; Hong, Yuling; Johnston, S Claiborne; Khera, Amit; Lloyd-Jones, Donald M; Nelson, Sue A; Nichol, Graham; Orenstein, Diane; Wilson, Peter W F; Woo, Y Joseph

2011-03-01

Cardiovascular disease (CVD) is the leading cause of death in the United States and is responsible for 17% of national health expenditures. As the population ages, these costs are expected to increase substantially. To prepare for future cardiovascular care needs, the American Heart Association developed methodology to project future costs of care for hypertension, coronary heart disease, heart failure, stroke, and all other CVD from 2010 to 2030. This methodology avoided double counting of costs for patients with multiple cardiovascular conditions. By 2030, 40.5% of the US population is projected to have some form of CVD. Between 2010 and 2030, real (2008$) total direct medical costs of CVD are projected to triple, from $273 billion to $818 billion. Real indirect costs (due to lost productivity) for all CVD are estimated to increase from $172 billion in 2010 to $276 billion in 2030, an increase of 61%. These findings indicate CVD prevalence and costs are projected to increase substantially. Effective prevention strategies are needed if we are to limit the growing burden of CVD.

Mechanisms of sibling socialization in normative family development.

PubMed

Whiteman, Shawn D; Becerra, Julia M; Killoren, Sarah E

2009-01-01

Siblings are important sources of social influence throughout childhood and adolescence. Nevertheless, the processes by which siblings influence one another remain relatively unexplored. We highlight two theories of sibling influence-sibling deidentification and social learning-that offer insights as to how and why siblings develop similar and different attributes, attitudes, and behaviors. Recognizing the need to move past post hoc explanations, we suggest several directions for how these two influence processes can be measured directly in future work. Research on sibling influence also can be improved by integrating these theories and attending to their domains of influence.

Cognitive Systems Engineering: The Next 30 Years

NASA Technical Reports Server (NTRS)

Feary, Michael

2012-01-01

This presentation is part of panel discussion on Cognitive Systems Engineering. The purpose of this panel is to discuss the challenges and future directions of Cognitive Systems Engineering for the next 30 years. I intended to present the work we have been doing with the Aviation Safety program and Space Human Factors Engineering project on Work Domain Analysis and some areas of Research Focus. Specifically, I intend to focus on the shift on the need to understand and model attention in mixed-initiative systems, the need for methods which can generate results to be used in trade-off decisions, and the need to account for a range of human behavior in the design.

The NASA Scientific and Technical Information Program: Prologue to the Future

NASA Technical Reports Server (NTRS)

1991-01-01

The NASA STI Program offers researchers an infrastructure of people and systems that facilitates access to STI; worldwide. The Program is also NASA's institutional mechanism for disseminating the results of its research and developing activities. Through discussions in 1991, the STI Program formulated its Strategic Plan. The plan gives the Program a renewed sense of direction by focusing on future opportunities, customer requirements and Program goals, along with the changes needed to achieve those goals. The Program provides users access to a massive flow of STI which, in fact, represents the largest collection of aeronautical and space science information in the world. The STI Program products and services are outlined, along with the NASA centers, international operations, and the fact that total quality management drives NASA wide program developments. As is detailed, the NASA STI Program is using its resources as effectively as possible to meet the missing needs of NASA.

Cyberbullying Prevention and Intervention Efforts: Current Knowledge and Future Directions

PubMed Central

Hong, Jun Sung

2016-01-01

Bullying is a serious public health concern that is associated with significant negative mental, social, and physical outcomes. Technological advances have increased adolescents’ use of social media, and online communication platforms have exposed adolescents to another mode of bullying—cyberbullying. Prevention and intervention materials, from websites and tip sheets to classroom curriculum, have been developed to help youth, parents, and teachers address cyberbullying. While youth and parents are willing to disclose their experiences with bullying to their health care providers, these disclosures need to be taken seriously and handled in a caring manner. Health care providers need to include questions about bullying on intake forms to encourage these disclosures. The aim of this article is to examine the current status of cyberbullying prevention and intervention. Research support for several school-based intervention programs is summarised. Recommendations for future research are provided. PMID:28562094

Lunar lander stage requirements based on the Civil Needs Data Base

NASA Technical Reports Server (NTRS)

Mulqueen, John A.

1992-01-01

This paper examines the lunar lander stages that will be necessary for the future exploration and development of the Moon. Lunar lander stage sizing is discussed based on the projected lunar payloads listed in the Civil Needs Data Base. Factors that will influence the lander stage design are identified and discussed. Some of these factors are (1) lunar orbiting and lunar surface lander bases; (2) implications of direct landing trajectories and landing from a parking orbit; (3) implications of landing site and parking orbit; (4) implications of landing site and parking orbit selection; (5) the use of expendable and reusable lander stages; and (6) the descent/ascent trajectories. Data relating the lunar lander stage design requirements to each of the above factors and others are presented in parametric form. These data will provide useful design data that will be applicable to future mission model modifications and design studies.

Presidential Address National Academy of Neuropsychology Conference Boston 2017.

PubMed

Meyers, John E

2018-05-05

This presidential address attempts to predict the future directions of neuropsychology. Predicting the future is always a difficult thing. By examining population trends such as aging and demographics, a clearer picture becomes visible. The population is getting older and more ethnically diverse. Also, examination of the spending trends in health care indicates that neuropsychology needs to be able to adapt to working with larger population-based patient care as well as individual patient care. Shifts in the demographics of neuropsychology, in that the profession previously was 70% male dominate and now is >70% female dominant are also discussed. Trends in NAN's speaker and leader demographics are examined as well as the need to stay current in the trends and latest neuropsychological research lest we become dinosaurs in the next 5-10 years. Recommendations for new neuropsychologists and post-doctoral fellows are also presented.

Different models to mobilize peer support to improve diabetes self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research.

PubMed

Heisler, Michele

2010-06-01

Much of diabetes care needs to be carried out by patients between office visits with their health care providers. Yet, many patients face difficulties carrying out these tasks. In addition, many adults with diabetes cannot count on effective support from their families and friends to help them with their self-management. Peer support programmes are a promising approach to enhance social and emotional support, assist patients in daily management and living with diabetes and promote linkages to clinical care. This background paper provides a brief overview of different approaches to mobilize peer support for diabetes self-management support, discusses evidence to date on the effectiveness of each of these models, highlights logistical and evaluation issues for each model and concludes with a discussion of directions for future research in this area.

Different models to mobilize peer support to improve diabetes self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research

PubMed Central

2010-01-01

Much of diabetes care needs to be carried out by patients between office visits with their health care providers. Yet, many patients face difficulties carrying out these tasks. In addition, many adults with diabetes cannot count on effective support from their families and friends to help them with their self-management. Peer support programmes are a promising approach to enhance social and emotional support, assist patients in daily management and living with diabetes and promote linkages to clinical care. This background paper provides a brief overview of different approaches to mobilize peer support for diabetes self-management support, discusses evidence to date on the effectiveness of each of these models, highlights logistical and evaluation issues for each model and concludes with a discussion of directions for future research in this area. PMID:19293400

Technology Candidates for Air-to-Air and Air-to-Ground Data Exchange

NASA Technical Reports Server (NTRS)

Haynes, Brian D.

2015-01-01

Technology Candidates for Air-to-Air and Air-to-Ground Data Exchange is a two-year research effort to visualize the U. S. aviation industry at a point 50 years in the future, and to define potential communication solutions to meet those future data exchange needs. The research team, led by XCELAR, was tasked with identifying future National Airspace System (NAS) scenarios, determining requirements and functions (including gaps), investigating technical and business issues for air, ground, & air-to-ground interactions, and reporting on the results. The project was conducted under technical direction from NASA and in collaboration with XCELAR's partner, National Institute of Aerospace, and NASA technical representatives. Parallel efforts were initiated to define the information exchange functional needs of the future NAS, and specific communication link technologies to potentially serve those needs. Those efforts converged with the mapping of each identified future NAS function to potential enabling communication solutions; those solutions were then compared with, and ranked relative to, each other on a technical basis in a structured analysis process. The technical solutions emerging from that process were then assessed from a business case perspective to determine their viability from a real-world adoption and deployment standpoint. The results of that analysis produced a proposed set of future solutions and most promising candidate technologies. Gap analyses were conducted at two points in the process, the first examining technical factors, and the second as part of the business case analysis. In each case, no gaps or unmet needs were identified in applying the solutions evaluated to the requirements identified. The future communication solutions identified in the research comprise both specific link technologies and two enabling technologies that apply to most or all specific links. As a result, the research resulted in a new analysis approach, viewing the underlying architecture of ground-air and air-air communications as a whole, rather than as simple "link to function" paired solutions. For the business case analysis, a number of "reference architectures" were developed for both the future technologies and the current systems, based on three typical configurations of current aircraft. Current and future costs were assigned, and various comparisons made between the current and future architectures. In general, it was assumed that if a future architecture offers lower cost than the current typical architecture, while delivering equivalent or better performance, it is likely that the future solution will gain industry acceptance. Conversely, future architectures presenting higher costs than their current counterparts must present a compelling benefit case in other areas or risk a lack of industry acceptance. The business case analysis consistently indicated lower costs for the proposed future architectures, and in most cases, significantly so. The proposed future solutions were found to offer significantly greater functionality, flexibility, and growth potential over time, at lower cost, than current systems. This was true for overall, fleet-wide equipage for domestic and oceanic air carriers, as well as for single, General Aviation (GA) aircraft. The overall research results indicate that all identified requirements can be met by the proposed solutions with significant capacity for future growth. Results also illustrate that the majority of the future communication needs can be met using currently allocated aviation RF spectrum, if used in more effective ways than it is today. A combination of such optimized aviation-specific links and commercial communication systems meets all identified needs for the 50-year future and beyond, with the caveat that a new, overall function will be needed to manage all information exchange, individual links, security, cost, and other factors. This function was labeled "Delivery Manager" (DM) within this research. DM employs a distributed client/server architecture, for both airborne and ground communications architectures. Final research results included identifying the most promising candidate technologies for the future system, conclusions and recommendations, and identifying areas where further research should be considered.

Prevalence and determinants of direct and generative modes of production of episodic future thoughts in the word cueing paradigm.

PubMed

Jeunehomme, Olivier; D'Argembeau, Arnaud

2016-01-01

Recent research suggests that episodic future thoughts can be formed through the same dual mechanisms, direct and generative, as autobiographical memories. However, the prevalence and determinants of the direct production of future event representations remain unclear. Here, we addressed this issue by collecting self-reports of production modes, response times (RTs), and verbal protocols for the production past and future events in the word cueing paradigm. Across three experiments, we found that both past and future events were frequently reported to come directly to mind in response to the cue, and RTs confirmed that events were produced faster for direct than for generative responses. When looking at the determinants of direct responses, we found that most past and future events that were directly produced had already been thought of on a previous occasion, and the frequency of previous thoughts predicted the occurrence of direct access. The direct production of autobiographical thoughts was also more frequent for past and future events that were judged important and emotionally intense. Collectively, these findings provide novel evidence that the direct production of episodic future thoughts is frequent in the word cueing paradigm and often involves the activation of personally significant "memories of the future."

Final Design for a Comprehensive Orbital Debris Management Program

NASA Technical Reports Server (NTRS)

1990-01-01

The rationale and specifics for the design of a comprehensive program for the control of orbital debris, as well as details of the various components of the overall plan, are described. The problem of orbital debris has been steadily worsening since the first successful launch in 1957. The hazards posed by orbital debris suggest the need for a progressive plan for the prevention of future debris, as well as the reduction of the current debris level. The proposed debris management plan includes debris removal systems and preventative techniques and policies. The debris removal is directed at improving the current debris environment. Because of the variance in sizes of debris, a single system cannot reasonably remove all kinds of debris. An active removal system, which deliberately retrieves targeted debris from known orbits, was determined to be effective in the disposal of debris tracked directly from earth. However, no effective system is currently available to remove the untrackable debris. The debris program is intended to protect the orbital environment from future abuses. This portion of the plan involves various environment from future abuses. This portion of the plan involves various methods and rules for future prevention of debris. The preventative techniques are protective methods that can be used in future design of payloads. The prevention policies are rules which should be employed to force the prevention of orbital debris.

Climate change and future fire regimes: Examples from California

USGS Publications Warehouse

Keeley, Jon E.; Syphard, Alexandra D.

2016-01-01

Climate and weather have long been noted as playing key roles in wildfire activity, and global warming is expected to exacerbate fire impacts on natural and urban ecosystems. Predicting future fire regimes requires an understanding of how temperature and precipitation interact to control fire activity. Inevitably this requires historical analyses that relate annual burning to climate variation. Fuel structure plays a critical role in determining which climatic parameters are most influential on fire activity, and here, by focusing on the diversity of ecosystems in California, we illustrate some principles that need to be recognized in predicting future fire regimes. Spatial scale of analysis is important in that large heterogeneous landscapes may not fully capture accurate relationships between climate and fires. Within climatically homogeneous subregions, montane forested landscapes show strong relationships between annual fluctuations in temperature and precipitation with area burned; however, this is strongly seasonal dependent; e.g., winter temperatures have very little or no effect but spring and summer temperatures are critical. Climate models that predict future seasonal temperature changes are needed to improve fire regime projections. Climate does not appear to be a major determinant of fire activity on all landscapes. Lower elevations and lower latitudes show little or no increase in fire activity with hotter and drier conditions. On these landscapes climate is not usually limiting to fires but these vegetation types are ignition-limited. Moreover, because they are closely juxtaposed with human habitations, fire regimes are more strongly controlled by other direct anthropogenic impacts. Predicting future fire regimes is not rocket science; it is far more complicated than that. Climate change is not relevant to some landscapes, but where climate is relevant, the relationship will change due to direct climate effects on vegetation trajectories, as well as by feedback processes of fire effects on vegetation distribution, plus policy changes in how we manage ecosystems.

Foundational Tests of the Need-Support Model: A Framework for Bridging Regulatory Focus Theory and Self-Determination Theory.

PubMed

Vaughn, Leigh Ann

2017-03-01

This article introduces the need-support model, which proposes that regulatory focus can affect subjective support for the needs proposed by self-determination theory (autonomy, competence, and relatedness), and support of these needs can affect subjective labeling of experiences as promotion-focused and prevention-focused. Three studies tested these hypotheses ( N = 2,114). Study 1 found that people recall more need support in promotion-focused experiences than in prevention-focused experiences, and need support in their day yesterday (with no particular regulatory focus) fell in between. Study 2 found that experiences of higher need support were more likely to be labeled as promotion-focused rather than prevention-focused, and that each need accounted for distinct variance in the labeling of experiences. Study 3 varied regulatory focus within a performance task and found that participants in the promotion condition engaged in need-support inflation, whereas participants in the prevention condition engaged in need-support deflation. Directions for future research are discussed.

[Directions for future development of preventive medicine in Korea].

PubMed

Kim, Joon Youn

2006-05-01

It is the actual state of the medical society in our country that many graduates of medical schools want to be clinicians, and accordingly Korea's medical situation is relatively too focused on curative medicine. However, this situation is changing due to several factors including a growing number of doctors, inappropriate regulations for medical fees, changes in social status of doctors themselves, and excessive competition between doctors. Furthermore, we expect more advances in medical field of Korea since Korean government started to attach great importance to sciences and produced policies to support sciences, and as a result, more and more interest and effort in the fields of basic research including preventive medicine is being attached especially by young doctors as compared against the past. However, decline of clinical medicine fields doesn't always mean bright future for the field of preventive medicine. True future is possible and meaningful only when we prepare for it by ourselves. In other words, as the promising future is closed to one who spares no effort, we shouldn't fear to oppose unknown challenges and simultaneously need to support colleagues who bear such a positive mind. It is the most important thing for our preventive medicine doctors to evaluate the past and the present of preventive medicine and to foster a prospective mind to prepare for the future of preventive medicine. I set forth my several views according to directions for the development of preventive medicine which we already discussed and publicized in the academic circle of preventive medicine. Those directions are recommen dation of clinical preventive medicine, promotion of preventive medicine specialty, fostering the next generations, improving the quality of genetic epidemiologic study, participation in control of environmental pollution and food safety, contribution to chronic disease control, and preparation to role in medical services for unified Korea.

Temporal orientation.

PubMed

Maglio, Sam J; Trope, Yaacov

2018-05-18

Time in the mind orients people in one of two directions. An inward orientation points to the present, contracting the scope of thought to immediate concerns. An outward orientation, in contrast, points away from the present to the past or the future, expanding the scope of thought to a wider consideration set. These oriented arrows need not solely be used for mental time travel, as a similar inward/outward orientation can apply to social distance, spatial distance, and probability. We review recent findings illuminated by this broad form distancing, as illustrated in how people learn from and compare themselves to others, before concluding with a discussion of how change necessarily transpires over time, providing opportunities for future research at the intersection of future thought and present behavior. Copyright © 2018 Elsevier Ltd. All rights reserved.

Caring for juveniles with mental disorders in adult corrections facilities.

PubMed

Wills, Cheryl D

2017-02-01

Although juveniles have developmental, educational, healthcare, and rehabilitation needs that differ from adults, thousands of them have been confined in adult corrections facilities in the past 30 years. This manuscript will review how and why juveniles end up in adult corrections facilities, who they are, their rehabilitative needs, and how they differ from adults in corrections facilities and youths in the juvenile justice system. The importance of providing developmentally-informed mental health services to youths in adult corrections facilities is examined, along with barriers to traditional adolescent psychiatric practice. Recommendations for future directions in adolescent psychiatric care are presented.

Individualizing a capstone project: a cruise ship nurse creates a brochure about the Norwalk virus.

PubMed

Campbell, William T; Benn, Sonja

2011-01-01

An MS capstone is a summative academic project where the student is expected to combine personal experience, previous nursing knowledge, and newly acquired graduate nursing skills and integrate them into practice. The authors discuss the challenges of a capstone project from the committee chair and student perspectives. This family nurse practitioner student was a cruise ship nurse who identified a need related to the Norwalk virus. The committee chair needed to direct the student through the capstone formal process while helping her to create a professional brochure to educate future travelers.

Resident health advocates in public housing family developments.

PubMed

Bowen, Deborah J; Bhosrekar, Sarah Gees; Rorie, Jo-Anna; Goodman, Rachel; Thomas, Gerry; Maxwell, Nancy Irwin; Smith, Eugenia

2015-01-01

Translation of research to practice often needs intermediaries to help the process occur. Our Prevention Research Center has identified a total of 89 residents of public housing in the last 11 years who have been working in the Resident Health Advocate (RHA) program to engage residents in improving their own and other residents' health status by becoming trained in skills needed by community health workers. Future directions include training for teens to become Teen RHAs and further integration of our RHA program with changes in the health care system and in the roles of community health workers in general.

Practical problems which women encounter with available contraception in Australia.

PubMed

Weisberg, E

1994-06-01

Australian women face major difficulties with contraception because of the limited range of choices, the need for meticulous attention to compliance with most available methods and because of cost limitations for a significant minority of the population. The most commonly used methods are oral contraceptive pills and barrier methods, and each has substantial compliance problems which can be minimized with care and counselling. There is an urgent need for a wider range of options in Australia and for good information and publicity about them. Present progress in this direction gives some hope for the near future.

Resident Health Advocates in Public Housing Family Developments

PubMed Central

Bowen, Deborah J; Bhosrekar, Sarah Gees; Rorie, Jo-Anna; Goodman, Rachel; Thomas, Gerry; Maxwell, Nancy Irwin; Smith, Eugenia

2015-01-01

Translation of research to practice often needs intermediaries to help the process occur. Our Prevention Research Center has identified a total of 89 residents of public housing in the last 11 years who have been working in the Resident Health Advocate (RHA) program to engage residents in improving their own and other residents’ health status, by becoming trained in skills needed by Community Health Workers. Future directions include training for teens to become Teen RHAs and further integration of our RHA program with changes in the health care system and in the roles of community health workers in general. PMID:25739061

Social Competence in Pediatric Brain Tumor Survivors: Application of a Model from Social Neuroscience and Developmental Psychology

PubMed Central

Hocking, Matthew C.; McCurdy, Mark; Turner, Elise; Kazak, Anne E.; Noll, Robert B.; Phillips, Peter; Barakat, Lamia P.

2014-01-01

Pediatric brain tumor (BT) survivors are at risk for psychosocial late effects across many domains of functioning, including neurocognitive and social. The literature on the social competence of pediatric BT survivors is still developing and future research is needed that integrates developmental and cognitive neuroscience research methodologies to identify predictors of survivor social adjustment and interventions to ameliorate problems. This review discusses the current literature on survivor social functioning through a model of social competence in childhood brain disorder and suggests future directions based on this model. Interventions pursuing change in survivor social adjustment should consider targeting social ecological factors. PMID:25382825

Helicobacter pylori research: historical insights and future directions

PubMed Central

Fock, Kwong Ming; Graham, David Y.; Malfertheiner, Peter

2014-01-01

Helicobacter pylori leads to chronic gastritis, peptic ulcer disease and gastric cancer. With increasing issues of antibiotic resistance and changing epidemiology of this pathogen, new approaches are needed for effective management. In 1984, Dr Barry Marshall and Dr Robin Warren reported the association of Helicobacter pylori with peptic ulcers in The Lancet—a discovery that earned them the Nobel prize in Physiology or Medicine in 2005—but what progress have we made since then? Here, we have invited three international experts to give their insights into the advances in H. pylori research over the past 30 years and where research should be focused in the future. PMID:23752823

An overview of current approaches and future challenges in physiological monitoring

NASA Technical Reports Server (NTRS)

Horst, Richard L.

1988-01-01

Sufficient evidence exists from laboratory studies to suggest that physiological measures can be useful as an adjunct to behavioral and subjective measures of human performance and capabilities. Thus it is reasonable to address the conceptual and engineering challenges that arise in applying this technology in operational settings. Issues reviewed include the advantages and disadvantages of constructs such as mental states, the need for physiological measures of performance, areas of application for physiological measures in operational settings, which measures appear to be most useful, problem areas that arise in the use of these measures in operational settings, and directions for future development.

Biomimetic Cross-Reactive Sensor Arrays: Prospects in Biodiagnostics

PubMed Central

Fitzgerald, J. E.

2016-01-01

Biomimetic cross-reactive sensor arrays have been used to detect and analyze a wide variety of vapour and liquid components in applications such as food science, public health and safety, and diagnostics. As technology has advanced over the past three decades, these systems have become selective, sensitive, and affordable. Currently, the need for non-invasive and accurate devices for early disease diagnosis remains a challenge. This review provides an overview of the various types of Biomimetic cross-reactive sensor arrays (also referred to as electronic noses and tongues in the literature), their current use and future directions, and an outlook for future technological development. PMID:28217300

Gloom and doom? The future of marine capture fisheries

PubMed Central

Garcia, Serge M.; Grainger, Richard J. R.

2005-01-01

Predicting global fisheries is a high-order challenge but predictions have been made and updates are needed. Past forecasts, present trends and perspectives of key parameters of the fisheries—including potential harvest, state of stocks, supply and demand, trade, fishing technology and governance—are reviewed in detail, as the basis for new forecasts and forecasting performance assessment. The future of marine capture fisheries will be conditioned by the political, social and economic evolution of the world within which they operate. Consequently, recent global scenarios for the future world are reviewed, with the emphasis on fisheries. The main driving forces (e.g. global economic development, demography, environment, public awareness, information technology, energy, ethics) including aquaculture are described. Outlooks are provided for each aspect of the fishery sector. The conclusion puts these elements in perspective and offers the authors’ personal interpretation of the possible future pathway of fisheries, the uncertainty about it and the still unanswered questions of direct relevance in shaping that future. PMID:15713587

HVDC power transmission technology assessment

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

Hauth, R.L.; Tatro, P.J.; Railing, B.D.

1997-04-01

The purpose of this study was to develop an assessment of the national utility system`s needs for electric transmission during the period 1995-2020 that could be met by future reduced-cost HVDC systems. The assessment was to include an economic evaluation of HVDC as a means for meeting those needs as well as a comparison with competing technologies such as ac transmission with and without Flexible AC Transmission System (FACTS) controllers. The role of force commutated dc converters was to be assumed where appropriate. The assessment begins by identifying the general needs for transmission in the U.S. in the context ofmore » a future deregulated power industry. The possible roles for direct current transmission are then postulated in terms of representative scenarios. A few of the scenarios are illustrated with the help of actual U.S. system examples. non-traditional applications as well as traditional applications such as long lines and asynchronous interconnections are discussed. The classical ``break-even distance`` concept for comparing HVDC and ac lines is used to assess the selected scenarios. The impact of reduced-cost converters is reflected in terms of the break-even distance. This report presents a comprehensive review of the functional benefits of HVDC transmission and updated cost data for both ac and dc system components. It also provides some provocative thoughts on how direct current transmission might be applied to better utilize and expand our nation`s increasingly stressed transmission assets.« less

Pharmacists need recognition as providers to enhance patient care.

PubMed

White, C Michael

2014-02-01

To demonstrate that pharmacists are vital but currently underutilized direct care providers and that full provider status and inclusion into advanced multidisciplinary team models is needed. Literature was accessed through Ovid MEDLINE from 1990 to the present using the terms pharmacy care, pharmacist care, medication therapy management, and pharmaceutical care. Web-based searching and backward citation tracking was conducted for context and additional citations. There is strong data showing that pharmacists in patient care roles contribute to intermediate and final health outcomes improvements and cost-effectiveness. The general perception of pharmacists from prominent people in the Federal Government, some medical societies, and from physicians and nurses who work with pharmacists most closely is overwhelmingly positive. However, the penetration of pharmacists into complementary patient care roles is minimized by an antiquated reimbursement structure that needs to change. There are critical future primary care provider shortages that will be exacerbated under health care reform, and pharmacists can be a part of the solution if the reimbursement environment was altered. For all the data and support for expanded direct patient care pharmacist services, pharmacists are marginalized by an antiquated reimbursement structure. Pharmacists need to be granted Medicare provider status, and new models of primary care need to include pharmacists in patient care roles in order to more fully meet the needs of patients.

A cross-cultural investigation into the relationships among parental support for basic psychological needs, sense of uniqueness, and happiness.

PubMed

Simşek, Omer Faruk; Demir, Melikşah

2014-01-01

A significant number of empirical studies have reported that parental support for basic psychological needs is a robust correlate of adolescent happiness. Yet, less is known about the mechanisms responsible for this link. The present study proposed a model suggesting that personal sense of uniqueness explains why satisfaction of basic psychological needs in parent-child relationships is related to happiness. This mediational model was tested among late adolescents in Turkey and the United States. Analyses relying on structural equation modeling and bootstrapping supported the model in both cultures. Implications of the findings for theory and cross-cultural research are discussed. Directions for future research that could improve our understanding of the dynamic interplay between basic needs, sense of uniqueness and well-being are provided.

Self-rated competency and education/programming needs for Care of the Older Adult with Cardiovascular Disease: a survey of the members of the Council of Cardiovascular Nursing.

PubMed

Holm, Karyn; Chyun, Deborah; Lanuza, Dorothy M

2006-01-01

An online survey, Care of the Older Adult with Cardiovascular Disease (COA-CVD), was used to describe self-rated competency in the care of the aging adult with cardiovascular disease and subsequently determine the future education and programming needs of the Council of Cardiovascular Nursing. Respondents indicated that developing relationships, patient teaching, and assessment were areas where they felt most competent. The areas of highest priority for future programming included assessment of the older adult, diagnosis of health status, deriving a plan of care, implementing a treatment plan, patient teaching, and ensuring quality care. Most stated that content relative to the care of the older adult should be available at the annual meeting, Scientific Sessions of the American Heart Association, followed by self-study modules (65%), local and regional conferences (64%), and stand-alone national conferences (53%). The conclusions are that the Council of Cardiovascular Nursing and its membership need to address the importance of care of aging adults with cardiovascular disease and stroke in future programming. Although the Scientific Sessions of the American Heart Association is an appropriate venue, efforts can be directed toward developing self-study modules and local and regional conferences. As always, there is a need to work collaboratively with the other councils of the American Heart Association and other nursing organizations who view the care of the older adult as a high priority.

Do gender and directness of trauma exposure moderate PTSD's latent structure?

PubMed

Frankfurt, Sheila B; Armour, Cherie; Contractor, Ateka A; Elhai, Jon D

2016-11-30

The PTSD diagnosis and latent structure were substantially revised in the transition from DSM-IV to DSM-5. However, three alternative models (i.e., anhedonia model, externalizing behavior model, and hybrid model) of PTSD fit the DSM-5 symptom criteria better than the DSM-5 factor model. Thus, the psychometric performance of the DSM-5 and alternative models' PTSD factor structure needs to be critically evaluated. The current study examined whether gender or trauma directness (i.e., direct or indirect trauma exposure) moderates the PTSD latent structure when using the DSM-5 or alternative models. Model performance was evaluated with measurement invariance testing procedures on a large undergraduate sample (n=455). Gender and trauma directness moderated the DSM-5 PTSD and externalizing behavior model and did not moderate the anhedonia and hybrid models' latent structure. Clinical implications and directions for future research are discussed. Published by Elsevier Ireland Ltd.

The large satellite program of ESA and its relevance for broadcast missions

NASA Astrophysics Data System (ADS)

Fromm, H.-H.; Herdan, B. L.

1981-03-01

In an investigation of the market prospects and payload requirements of future communications satellites, it was concluded that during the next 15 years many space missions will demand larger satellite platforms than those currently available. These platforms will be needed in connection with direct-broadcasting satellites, satellites required to enhance capacities in the case of traditional services, and satellites employed to introduce new types of satellite-based communications operating with small terminals. Most of the larger satellites would require the Ariane III capability, corresponding to about 1400 kg satellite mass in geostationary orbit. Attention is given to L-SAT platform capabilities and broadcast payload requirements, taking into account a European direct-broadcast satellite and Canadian direct-broadcast missions.

Communications: A Literature Review for Future Communications Mitigations

NASA Technical Reports Server (NTRS)

Wilder, Anderson

2015-01-01

There are many concerns with humans living and working in space. These are only compounded by the length of time and distance from Earth that the humans are travelling. For NASA to figure out countermeasures to these problems, they need to be looked at from different directions from a variety of domains. Psychological concerns will be one of the determining factors to whether or not humans will be able to successfully make a journey to Mars or beyond. Communications will be one of the pivotal factors that will affect a crew from a psychological standpoint. During this summer internship, this intern was tasked with looking into delving into this problem. The intern was tasked with performing a literature review on the topic of comparing communications from how they are conducted now to how they will be carried out in the future. These communications have many methods and functions for when and where they happen. A matrix was created to illustrate how these specific communications methods and functions currently are and could be carried out in the future from a time/location perspective. This research will used to help determine what future research will need to focus on in a psychological and technological aspect to better help the crew of a long duration mission.

Projecting Future Heat-Related Mortality under Climate Change Scenarios: A Systematic Review

PubMed Central

Barnett, Adrian Gerard; Wang, Xiaoming; Vaneckova, Pavla; FitzGerald, Gerard; Tong, Shilu

2011-01-01

Background: Heat-related mortality is a matter of great public health concern, especially in the light of climate change. Although many studies have found associations between high temperatures and mortality, more research is needed to project the future impacts of climate change on heat-related mortality. Objectives: We conducted a systematic review of research and methods for projecting future heat-related mortality under climate change scenarios. Data sources and extraction: A literature search was conducted in August 2010, using the electronic databases PubMed, Scopus, ScienceDirect, ProQuest, and Web of Science. The search was limited to peer-reviewed journal articles published in English from January 1980 through July 2010. Data synthesis: Fourteen studies fulfilled the inclusion criteria. Most projections showed that climate change would result in a substantial increase in heat-related mortality. Projecting heat-related mortality requires understanding historical temperature–mortality relationships and considering the future changes in climate, population, and acclimatization. Further research is needed to provide a stronger theoretical framework for projections, including a better understanding of socioeconomic development, adaptation strategies, land-use patterns, air pollution, and mortality displacement. Conclusions: Scenario-based projection research will meaningfully contribute to assessing and managing the potential impacts of climate change on heat-related mortality. PMID:21816703

2012 Anthropometric Survey of U.S. Army Personnel: Methods and Summary Statistics

DTIC Science & Technology

2014-12-05

s to complete. The software for participant scanning, CyScan for the whole-body and head scanners and INFOOT for the foot scanner...information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and ...design and engineering needs, as well as those anticipated well into the future . Ninety-four directly measured dimensions, 39 derived

Interactive effects of ozone and climate on water use, soil moisture content and streamflow in a southern Appalachian forest in the USA

Treesearch

S.B. McLaughlin; S.D. Wullschleger; G. Sun; M. Nosal

2007-01-01

Documentation of the degree and direction of effects of ozone on transpiration of canopies of mature forest trees is critically needed to model ozone effects on forest water use and growth in a warmer future climate.Patterns of sap flow in stems and soil moisture in the rooting zones of mature trees, coupled with late-season...

A Stochastic Model of Plausibility in Live Virtual Constructive Environments

DTIC Science & Technology

2017-09-14

objective in virtual environment research and design is the maintenance of adequate consistency levels in the face of limited system resources such as...provides some commentary with regard to system design considerations and future research directions. II. SYSTEM MODEL DVEs are often designed as a...exceed the system’s requirements. Research into predictive models of virtual environment consistency is needed to provide designers the tools to

Protecting retinal ganglion cells.

PubMed

Khatib, T Z; Martin, K R

2017-02-01

Retinal ganglion cell degeneration underlies several conditions which give rise to significant visual compromise, including glaucoma, hereditary optic neuropathies, ischaemic optic neuropathies, and demyelinating disease. In this review, we discuss the emerging strategies for neuroprotection specifically in the context of glaucoma, including pharmacological neuroprotection, mesenchymal stem cells, and gene therapy approaches. We highlight potential pitfalls that need to be considered when developing these strategies and outline future directions, including the prospects for clinical trials.

Study of electrical and chemical propulsion systems for auxiliary propulsion of large space systems. Volume 1: Executive summary

NASA Technical Reports Server (NTRS)

Smith, W. W.; Clark, J. P.

1981-01-01

The objective was to determine the direction auxiliary propulsion research and development should take to best meet upcoming needs. The approach used was to define the important electrical and chemical propulsion characteristics in terms of the demands that will be imposed by future spacecraft. Comparison of these desired characteristics and capabilities with those presently available was then used to identify deficiencies.

A historical overview of flight flutter testing

NASA Technical Reports Server (NTRS)

Kehoe, Michael W.

1995-01-01

This paper reviews the test techniques developed over the last several decades for flight flutter testing of aircraft. Structural excitation systems, instrumentation systems, digital data preprocessing, and parameter identification algorithms (for frequency and damping estimates from the response data) are described. Practical experiences and example test programs illustrate the combined, integrated effectiveness of the various approaches used. Finally, comments regarding the direction of future developments and needs are presented.

Assessment approaches in massive open online courses: Possibilities, challenges and future directions

NASA Astrophysics Data System (ADS)

Xiong, Yao; Suen, Hoi K.

2018-03-01

The development of massive open online courses (MOOCs) has launched an era of large-scale interactive participation in education. While massive open enrolment and the advances of learning technology are creating exciting potentials for lifelong learning in formal and informal ways, the implementation of efficient and effective assessment is still problematic. To ensure that genuine learning occurs, both assessments for learning (formative assessments), which evaluate students' current progress, and assessments of learning (summative assessments), which record students' cumulative progress, are needed. Providers' more recent shift towards the granting of certificates and digital badges for course accomplishments also indicates the need for proper, secure and accurate assessment results to ensure accountability. This article examines possible assessment approaches that fit open online education from formative and summative assessment perspectives. The authors discuss the importance of, and challenges to, implementing assessments of MOOC learners' progress for both purposes. Various formative and summative assessment approaches are then identified. The authors examine and analyse their respective advantages and disadvantages. They conclude that peer assessment is quite possibly the only universally applicable approach in massive open online education. They discuss the promises, practical and technical challenges, current developments in and recommendations for implementing peer assessment. They also suggest some possible future research directions.

Bringing Back the Social History

PubMed Central

Pierce, Mary Clyde; Kaczor, Kim; Thompson, Richard

2014-01-01

The social environment of the child is a key determinant of the child’s current and future health. Factors in the child’s family environment, both protective and harmful, have profound impact on the child’s long-term health, brain development, and mortality. Adverse childhood experiences, and specifically, child maltreatment, are directly linked to increased risk for harm, poor outcomes, ill-health as adults, and even death during childhood or early adulthood. Therefore, it is important to obtain a detailed social history from the first medical visit with the dual goals of identifying strengths to reinforce and weaknesses to address. Screening is paramount in order to foster healthy parenting and help identify areas needing intervention. Occasionally, serious problems are uncovered indicating the child is at significant risk for maltreatment. By addressing these risks openly and directly before serious or permanent harm occurs, child maltreatment and its potentially life-altering consequences (for all) may be prevented. The social history may very well be the best all-around tool available for promoting the child’s future health and well-being. It is a key first step in identifying social needs of the child and family so that they may benefit from intervention. This article focuses on key social history elements known to increase a child’s risk of maltreatment and provides case examples. PMID:25242704

Future of diagnostic microbiology.

PubMed

Khardori, N

2014-01-01

Diagnostic Microbiology is the tool that makes it possible to identify the exact etiology of infectious diseases and the most optimal therapy at the level of individual patients as well as communities. Conventional methods require time to grow the microbes in vitro under specific conditions and not all microbes are easily cultivable. This is followed by biochemical methods for identification which also require hours and sometimes days. Transport of the specimens under less than ideal conditions, prior use of antibiotics and small number of organisms are among the factors that render culture-based methods less reliable. Newer methods depend on amplification of nucleic acids followed by use of probes for identification. This mitigates the need for higher microbial load, presence of metabolically active viable organisms and shortens the time to reporting. These methods can be used to detect antibiotic resistance genes directly from the specimen and help direct targeted therapy. Since these methods will not fulfill all the diagnostic needs, a second approach is being used to shorten the time to identification after the organism has already grown. Mass spectrometry and bioinformatics are the tools making this possible. This review gives a historical perspective on diagnostic microbiology, discusses the pitfalls of current methodology and provides an overview of newer and future methods.

Prediction of future urban growth using CA-Markov for urban sustainability planning of Banda Aceh, Indonesia

NASA Astrophysics Data System (ADS)

Achmad, A.; Irwansyah, M.; Ramli, I.

2018-03-01

Banda Aceh experienced rapid growth, both physically, socially, and economically, after the Tsunami that devastated it the end of December in 2004. Hence policy controls are needed to direct the pattern of urban growth to achieve sustainable development for the future. The purpose of this paper is to generate a growth model for Banda Aceh using the CA-Markov process. By knowing the changes in land use between 2005 and 2009 from the results of previous research, simulations for 2013, 2019 and 2029 using the application of Idrisi@Selva. CA-Markov models were prepared to determine the quantity of changes. The simulation results showed that, after the Tsunami, the City of Banda Aceh tended to grow towards the coast. For the control of the LUC, the Banda Aceh City government needs to prepare comprehensive and detailed maps and inventory of LUC for the city to provide basic data and information needed for monitoring and evaluation that can be done effectively and efficiently. An institution for monitoring and evaluation of the urban landscape and the LUC should be formed immediately. This institution could consist of representatives from government, academia, community leaders, the private sector and other experts. The findings from this study can be used to start the monitoring and evaluation of future urban growth. Especially for the coastal areas, the local government should immediately prepare special spatial coastal area plans to control growth in those areas and to ensure that the economic benefits from disaster mitigation and coastal protection are preserved. For the development of the city in the future, it is necessary to achieve a balance between economic development, and social welfare with environmental protection and disaster mitigation. iIt will become a big challenge to achieve sustainable development for the future.

Challenging Futures Studies To Enhance Participatory River Basin Management

NASA Astrophysics Data System (ADS)

van der Helm, R.

Can the field of futures research help advance participatory management of river basins? This question is supposed to be answered by the present study of which this paper will mainly address the theoretical and conceptual point of view. The 2000 EU Framework directive on water emphasises at least two aspects that will mark the future management of river basins: the need for long-term planning, and a demand for participation. Neither the former nor the latter are new concepts as such, but its combination is in some sense revolutionary. Can long-term plans be made (and implemented) in a participative way, what tools could be useful in this respect, and does this lead to a satisfactory situation in terms of both reaching physical targets and enhancing social-institutional manageability? A possibly rich way to enter the discussion is to challenge futures research as a concept and a practice for enabling multiple stakeholders to design appropriate policies. Futures research is the overall field in which several methods and techniques (like scenario analysis) are mobilised to systematically think through and/or design the future. As such they have proven to be rich exercises to trigger ideas, stimulate debate and design desirable futures (and how to get there). More importantly these exercises have the capability to reconstitute actor relations, and by nature go beyond the institutional boundaries. Arguably the relation between futures research and the planning process is rather distant. Understandably commitments on the direct implementation of the results are hardly ever made, but its impact on changes in the capabilities of the network of actors involved may be large. As a hypothesis we consider that the distant link between an image of the future and the implementation in policy creates sufficient distance for actors to participate (in terms of responsibilities, legal constraints, etc.) and generate potentials, and enough degrees of freedom needed for a successful implementation. However, critical conceptual and design requirements have to be met in order to realise futures research potentials. Since the beginning of the 1990s futures studies are becoming (again) more and more widespread in many different domains (technology, education, urban development, agriculture, environment, etc.). Recently, experiences have been launched and are currently being launched in the water sector (of which the World Water Vision is a well -known - but not necessarily the most representative - example). Although futures studies on a river basin level are still scarce, they will offer already sufficient material for empirical analysis. The research, effectuated within a larger framework study on the implications of futures studies for environmental research, offers at this stage initially a conceptual understanding.

Bulk Data Dissemination in Low Power Sensor Networks: Present and Future Directions

PubMed Central

Xu, Zhirong; Hu, Tianlei; Song, Qianshu

2017-01-01

Wireless sensor network-based (WSN-based) applications need an efficient and reliable data dissemination service to facilitate maintenance, management and data distribution tasks. As WSNs nowadays are becoming pervasive and data intensive, bulk data dissemination protocols have been extensively studied recently. This paper provides a comprehensive survey of the state-of-the-art bulk data dissemination protocols. The large number of papers available in the literature propose various techniques to optimize the dissemination protocols. Different from the existing survey works which separately explores the building blocks of dissemination, our work categorizes the literature according to the optimization purposes: Reliability, Scalability and Transmission/Energy efficiency. By summarizing and reviewing the key insights and techniques, we further discuss on the future directions for each category. Our survey helps unveil three key findings for future direction: (1) The recent advances in wireless communications (e.g., study on cross-technology interference, error estimating codes, constructive interference, capture effect) can be potentially exploited to support further optimization on the reliability and energy efficiency of dissemination protocols; (2) Dissemination in multi-channel, multi-task and opportunistic networks requires more efforts to fully exploit the spatial-temporal network resources to enhance the data propagation; (3) Since many designs incur changes on MAC layer protocols, the co-existence of dissemination with other network protocols is another problem left to be addressed. PMID:28098830

The business of healing: focus group discussions of readjustment to the post-9/11 work environment among employees of affected agencies.

PubMed

North, Carol S; Pfefferbaum, Betty; Hong, Barry A; Gordon, Mollie R; Kim, You-Seung; Lind, Lisa; Pollio, David E

2010-07-01

Understanding postdisaster workplace adjustment may help guide interventions for postdisaster emotional functioning and recovery. One to two years after the September 11, 2001, terrorist attacks, 12 focus groups were conducted with 85 employees of companies directly affected by the 9/11 attacks on New York City, to discuss mental health issues surrounding return to the workplace after the disaster. Risk communication, tension between workplace productivity and employees' emotional needs, and postdisaster work space were topics discussed in the focus groups. Employees identified many effective responses by their companies after 9/11 relating to these areas of concern as well as gaps in response. Recommended risk communication procedures were applied but not systematically. Little direction was available for balancing workplace productivity and employees' emotional needs or for strategic management of postdisaster workspace, suggesting areas for future disaster workplace research.

Reducing Extra-Terrestrial Excavation Forces with Percussion

NASA Technical Reports Server (NTRS)

Mueller, Robert; Schuler, Jason M.; Smith, Jonathan Drew; Nick, Andrew J.; Lippitt, Thomas

2012-01-01

High launch costs and mission requirements drive the need for low mass excavators with mobility platforms, which in turn have little traction and excavation reaction capacity in low gravity environments. This presents the need for precursor and long term future missions with low mass robotic mining technology to perform In-Situ Resource Utilization (ISRU) tasks. This paper discusses a series of experiments that investigate the effectiveness of a percussive digging device to reduce excavation loads and thereby the mass of the excavator itself. A percussive mechanism and 30" wide pivoting bucket were attached at the end of the arm simulating a basic backhoe with a percussion direction tangent to the direction of movement. Impact energies from 13.6J to 30.5J and frequencies from 0 BPM to 700 BPM were investigated. A reduction in excavation force of as much as 50% was achieved in this experimental investigation.

Genetic Toxicology in the 21st Century: Reflections and Future Directions

PubMed Central

Mahadevan, Brinda; Snyder, Ronald D.; Waters, Michael D.; Benz, R. Daniel; Kemper, Raymond A.; Tice, Raymond R.; Richard, Ann M.

2011-01-01

A symposium at the 40th anniversary of the Environmental Mutagen Society, held from October 24–28, 2009 in St. Louis, MO, surveyed the current status and future directions of genetic toxicology. This article summarizes the presentations and provides a perspective on the future. An abbreviated history is presented, highlighting the current standard battery of genotoxicity assays and persistent challenges. Application of computational toxicology to safety testing within a regulatory setting is discussed as a means for reducing the need for animal testing and human clinical trials, and current approaches and applications of in silico genotoxicity screening approaches across the pharmaceutical industry were surveyed and are reported here. The expanded use of toxicogenomics to illuminate mechanisms and bridge genotoxicity and carcinogenicity, and new public efforts to use high-throughput screening technologies to address lack of toxicity evaluation for the backlog of thousands of industrial chemicals in the environment are detailed. The Tox21 project involves coordinated efforts of four U.S. Government regulatory/research entities to use new and innovative assays to characterize key steps in toxicity pathways, including genotoxic and nongenotoxic mechanisms for carcinogenesis. Progress to date, highlighting preliminary test results from the National Toxicology Program is summarized. Finally, an overview is presented of ToxCast™, a related research program of the U.S. Environmental Protection Agency, using a broad array of high throughput and high content technologies for toxicity profiling of environmental chemicals, and computational toxicology modeling. Progress and challenges, including the pressing need to incorporate metabolic activation capability, are summarized. PMID:21538556

Synthesis Study on Transitions in Signal Infrastructure and Control Algorithms for Connected and Automated Transportation

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

Aziz, H. M. Abdul; Wang, Hong; Young, Stan

Documenting existing state of practice is an initial step in developing future control infrastructure to be co-deployed for heterogeneous mix of connected and automated vehicles with human drivers while leveraging benefits to safety, congestion, and energy. With advances in information technology and extensive deployment of connected and automated vehicle technology anticipated over the coming decades, cities globally are making efforts to plan and prepare for these transitions. CAVs not only offer opportunities to improve transportation systems through enhanced safety and efficient operations of vehicles. There are also significant needs in terms of exploring how best to leverage vehicle-to-vehicle (V2V) technology,more » vehicle-to-infrastructure (V2I) technology and vehicle-to-everything (V2X) technology. Both Connected Vehicle (CV) and Connected and Automated Vehicle (CAV) paradigms feature bi-directional connectivity and share similar applications in terms of signal control algorithm and infrastructure implementation. The discussion in our synthesis study assumes the CAV/CV context where connectivity exists with or without automated vehicles. Our synthesis study explores the current state of signal control algorithms and infrastructure, reports the completed and newly proposed CV/CAV deployment studies regarding signal control schemes, reviews the deployment costs for CAV/AV signal infrastructure, and concludes with a discussion on the opportunities such as detector free signal control schemes and dynamic performance management for intersections, and challenges such as dependency on market adaptation and the need to build a fault-tolerant signal system deployment in a CAV/CV environment. The study will serve as an initial critical assessment of existing signal control infrastructure (devices, control instruments, and firmware) and control schemes (actuated, adaptive, and coordinated-green wave). Also, the report will help to identify the future needs for the signal infrastructure to act as the nervous system for urban transportation networks, providing not only signaling, but also observability, surveillance, and measurement capacity. The discussion of the opportunities space includes network optimization and control theory perspectives, and the current states of observability for key system parameters (what can be detected, how frequently can it be reported) as well as controllability of dynamic parameters (this includes adjusting not only the signal phase and timing, but also the ability to alter vehicle trajectories through information or direct control). The perspective of observability and controllability of the dynamic systems provides an appropriate lens to discuss future directions as CAV/CV become more prevalent in the future.« less

Current research on parenting styles, dimensions, and beliefs.

PubMed

Smetana, Judith G

2017-06-01

For decades, parenting has been characterized in terms of broad global styles, with authoritative parenting seen as most beneficial for children's development. Concerns with greater sensitivity to cultural and contextual variations have led to greater specificity in defining parenting in terms of different parenting dimensions and greater consideration of the role of parenting beliefs in moderating links between parenting and adjustment. New research includes 'domain-specific' models that describe parents as flexibly deploying different practices depending on their goals, children's needs, and the types of behaviors towards which parenting is directed. These trends are described, and directions for future research are discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

Caries: Review of Human Genetics Research

PubMed Central

Vieira, Alexandre R.; Modesto, Adriana; Marazita, Mary L.

2014-01-01

The NIH Consensus Development Program released a statement in 2001 (NIH Consensus Statement, 2001) and listed six major clinical caries research directions. One of these directions was the need for genetic studies to identify genes and genetic markers of diagnostic, prognostic, and therapeutic value. This last decade has seen a steep increase in studies investigating the presence of genetic factors influencing individual susceptibility to caries. This review revisits recent caries human genetic studies and provides a perspective for future studies in order to fulfill their promise of revolutionizing our understanding of and the standard of care for the most prevalent bacteria-mediated non-contagious disease in the world. PMID:24853115

Earth Science System of the Future: Observing, Processing, and Delivering Data Products Directly to Users

NASA Technical Reports Server (NTRS)

Crisp, David; Komar, George (Technical Monitor)

2001-01-01

Advancement of our predictive capabilities will require new scientific knowledge, improvement of our modeling capabilities, and new observation strategies to generate the complex data sets needed by coupled modeling networks. New observation strategies must support remote sensing from a variety of vantage points and will include "sensorwebs" of small satellites in low Earth orbit, large aperture sensors in Geostationary orbits, and sentinel satellites at L1 and L2 to provide day/night views of the entire globe. Onboard data processing and high speed computing and communications will enable near real-time tailoring and delivery of information products (i.e., predictions) directly to users.

Strategies for fostering basic psychological needs support in high quality youth leadership programs.

PubMed

Bean, Corliss; Harlow, Meghan; Kendellen, Kelsey

2017-04-01

Youth leadership programming has become an increasingly common context to foster basic psychological needs and promote youth development. The purpose of this qualitative study was to explore strategies involved in fostering youth needs support within six leadership programs. Two leaders and 30 youth participated in semi-structured interviews to better understand the strategies used to foster needs support. Findings revealed that leaders were able to foster a sense of relatedness among youth through building trusting adult-youth relationships and nurturing an inclusive environment. Maximizing choice and negotiating youth voice helped to foster youth's autonomy. Finally, creating a task-oriented climate and providing intentional opportunities for skill-building helped to foster youth's competence. Findings suggest that training for leaders is critical in understanding what, and how strategies should be employed to help foster youth needs support in leadership programming. Limitations and future directions are outlined. Copyright © 2016 Elsevier Ltd. All rights reserved.

Security in the Cache and Forward Architecture for the Next Generation Internet

NASA Astrophysics Data System (ADS)

Hadjichristofi, G. C.; Hadjicostis, C. N.; Raychaudhuri, D.

The future Internet architecture will be comprised predominately of wireless devices. It is evident at this stage that the TCP/IP protocol that was developed decades ago will not properly support the required network functionalities since contemporary communication profiles tend to be data-driven rather than host-based. To address this paradigm shift in data propagation, a next generation architecture has been proposed, the Cache and Forward (CNF) architecture. This research investigates security aspects of this new Internet architecture. More specifically, we discuss content privacy, secure routing, key management and trust management. We identify security weaknesses of this architecture that need to be addressed and we derive security requirements that should guide future research directions. Aspects of the research can be adopted as a step-stone as we build the future Internet.

Behavioral medicine: a voyage to the future.

PubMed

Keefe, Francis J

2011-04-01

This paper discusses trends and future directions in behavioral medicine. It is divided into three sections. The first briefly reviews key developments in the history of behavioral medicine. The second section highlights trends and future directions in pain research and practice as a way of illustrating future directions for behavioral medicine. Consistent with the biopsychosocial model of pain, this section focuses on trends and future directions in three key areas: biological, psychological, and social. The third section describes recent Society of Behavioral Medicine initiatives designed to address some of the key challenges facing our field as we prepare for the future.

Global Change Impacts on Future Fire Regimes: Distinguishing Between Climate-limited vs Ignition-Limited Landscapes

NASA Astrophysics Data System (ADS)

Keeley, J. E.; Syphard, A. D.

2016-12-01

Global warming is expected to exacerbate fire impacts. Predicting how climates will impact future fire regimes requires an understanding of how temperature and precipitation interact to control fire activity. Inevitably this requires historical analyses that relate annual burning to climate variation. Within climatically homogeneous subregions, montane forested landscapes show strong relationships between annual fluctuations in temperature and precipitation with area burned, however, this is strongly seasonal dependent; e.g., winter temperatures have very little or no effect but spring and summer temperatures are critical. Climate models are needed that predict future seasonal temperature changes if we are to forecast future fire regimes in these forests. Climate does not appear to be a major determinant of fire activity on all landscapes. Lower elevations and lower latitudes show little or no increase in fire activity with hotter and drier conditions. On these landscapes climate is not usually limiting to fires but these vegetation types are ignition-limited, and because they are closely juxtaposed with human habitations fire regimes are more strongly controlled by other direct anthropogenic impacts. Predicting future fire regimes is not rocket science, it is far more complicated than that. Climate change is not relevant on some landscapes, but where climate is relevant the relationship will change due to direct climate effects on vegetation trajectories, as well as by feedback processes of fire effects on vegetation distribution, plus policy changes in how we manage ecosystems.

Databases, data integration, and expert systems: new directions in mineral resource assessment and mineral exploration

USGS Publications Warehouse

McCammon, Richard B.; Ramani, Raja V.; Mozumdar, Bijoy K.; Samaddar, Arun B.

1994-01-01

Overcoming future difficulties in searching for ore deposits deeper in the earth's crust will require closer attention to the collection and analysis of more diverse types of data and to more efficient use of current computer technologies. Computer technologies of greatest interest include methods of storage and retrieval of resource information, methods for integrating geologic, geochemical, and geophysical data, and the introduction of advanced computer technologies such as expert systems, multivariate techniques, and neural networks. Much experience has been gained in the past few years in applying these technologies. More experience is needed if they are to be implemented for everyday use in future assessments and exploration.

A strategic endeavor in business planning--an oncology perspective.

PubMed

Eck, C

2000-06-01

Planning is imperative to provide direction for future growth. The purpose of writing a business plan is to cultivate, analyze, and refine ideas. Planning for academic health centers has become increasingly important because of the changes in financing and delivery of health care. Gathering data related to the current patients population as well as the projected future trends is necessary to establish a framework. Identifying the market and financial data and formulating the strategies needed to move forward are key elements of a business plan. The ultimate outcome of the process is to convince others that the vision is achievable and to ensure allocation of resources to carry out the plan.

Bioprinting toward organ fabrication: challenges and future trends.

PubMed

Ozbolat, Ibrahim T; Yu, Yin

2013-03-01

Tissue engineering has been a promising field of research, offering hope for bridging the gap between organ shortage and transplantation needs. However, building three-dimensional (3-D) vascularized organs remains the main technological barrier to be overcome. Organ printing, which is defined as computer-aided additive biofabrication of 3-D cellular tissue constructs, has shed light on advancing this field into a new era. Organ printing takes advantage of rapid prototyping (RP) technology to print cells, biomaterials, and cell-laden biomaterials individually or in tandem, layer by layer, directly creating 3-D tissue-like structures. Here, we overview RP-based bioprinting approaches and discuss the current challenges and trends toward fabricating living organs for transplant in the near future.

Novel biomarkers for cardiovascular risk assessment: current status and future directions.

PubMed

MacNamara, James; Eapen, Danny J; Quyyumi, Arshed; Sperling, Laurence

2015-09-01

Cardiovascular disease (CVD) is the leading cause of mortality in the modern world. Traditional risk algorithms may miss up to 20% of CVD events. Therefore, there is a need for new cardiac biomarkers. Many fields of research are dedicated to improving cardiac risk prediction, including genomics, transcriptomics and proteomics. To date, even the most promising biomarkers have only demonstrated modest associations and predictive ability. Few have undergone randomized control trials. A number of biomarkers are targets to new therapies aimed to reduce cardiovascular risk. Currently, some of the most promising risk prediction has been demonstrated with panels of multiple biomarkers. This article reviews the current state and future of proteomic biomarkers and aggregate biomarker panels.

The development of a diversity mentoring program for faculty and trainees: A program at the Brown Clinical Psychology Training Consortium

PubMed Central

de Dios, Marcel A.; Kuo, Caroline; Hernandez, Lynn; Clark, Uraina S.; Wenze, Susan J.; Boisseau, Christina L.; Hunter, Heather L.; Reddy, Madhavi K.; Tolou-Shams, Marina; Zlotnick, Caron

2013-01-01

There is a critical need for increasing the diversity representation among clinicians and researchers in academic medicine, including departments of psychiatry and psychology. Mentorship of under-represented groups has been identified as an important way to remediate diversity-related barriers in the field. This paper outlines the early development and pilot implementation of a diversity mentorship program at Brown University. In an effort to inform and guide future diversity programs, we discuss the challenges faced in creating the program, the successes experienced during the first year, and the future directions undertaken as a means for improving the program. PMID:25346563

Future Research Directions in the Positive Valence Systems: Measurement, Development, and Implications for Youth Unipolar Depression.

PubMed

Olino, Thomas M

2016-01-01

The Positive Valence Systems (PVS) have been introduced by the National Institute of Mental Health as a domain to help organize multiple constructs focusing on reward-seeking behaviors. However, the initial working model for this domain is strongly influenced by adult constructs and measures. Thus, the present review focuses on extending the PVS into a developmental context. Specifically, the review provides some hypotheses about the structure of the PVS, how PVS components may change throughout development, how family history of depression may influence PVS development, and potential means of intervening on PVS function to reduce onsets of depression. Future research needs in each of these areas are highlighted.

Charting a Course: Social Studies for the 21st Century. A Report of the Curriculum Task Force of the National Commission on Social Studies in the Schools.

ERIC Educational Resources Information Center

American Historical Association, Washington, DC.

This report by the Curriculum Task Force represents its considered conclusion about general reform (K-12) of the social studies curriculum in the United States. It presents a balanced and comprehensive curriculum program adapted to the needs of present day society and suggests direction for the future. Part 1 discusses the recommended social…

Protecting retinal ganglion cells

PubMed Central

Khatib, T Z; Martin, K R

2017-01-01

Retinal ganglion cell degeneration underlies several conditions which give rise to significant visual compromise, including glaucoma, hereditary optic neuropathies, ischaemic optic neuropathies, and demyelinating disease. In this review, we discuss the emerging strategies for neuroprotection specifically in the context of glaucoma, including pharmacological neuroprotection, mesenchymal stem cells, and gene therapy approaches. We highlight potential pitfalls that need to be considered when developing these strategies and outline future directions, including the prospects for clinical trials. PMID:28085136

Economics of health in South Africa: past, present and future.

PubMed

Benatar, S R

1989-01-01

Some of the background to the present structure of medicine in South Africa, an outline of some economic aspects of our current (inadequate) health care service and tentative suggestions regarding the directions in which our health services should be moving to facilitate the legitimization (political) and accumulation (economic) processes required to meet the needs and demands of all the people of an internationally recognized, just and free South Africa are presented.

Mobile robotics research at Sandia National Laboratories

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

Morse, W.D.

Sandia is a National Security Laboratory providing scientific and engineering solutions to meet national needs for both government and industry. As part of this mission, the Intelligent Systems and Robotics Center conducts research and development in robotics and intelligent machine technologies. An overview of Sandia`s mobile robotics research is provided. Recent achievements and future directions in the areas of coordinated mobile manipulation, small smart machines, world modeling, and special application robots are presented.

Maritime Anomaly Detection: Domain Introduction and Review of Selected Literature

DTIC Science & Technology

2011-10-01

This “side” information can be used to justify the behaviour of an entity. This is one more reason why good situational awareness is needed to...the probability density function is updated using the expected maximization and the Kullback - Leibler information metric. The last step tries to...on this assessment, recommendations about future directions are made. To prevent confusion, the use of the terms “data” and “ information ” must be

Technology and the civil future in space; Proceedings of the Twenty-sixth Goddard Memorial Symposium, Greenbelt, MD, Mar. 16-18, 1988

NASA Technical Reports Server (NTRS)

Harris, Leonard A. (Editor)

1989-01-01

Reviews, reports, lectures, and panel discussions on technological aspects of current and planned NASA space missions are presented. Included are the viewpoints of NASA, the U.S. aerospace industry, potential commercial users of the civil space infrastructure, and university scientists and engineers. Sections are devoted to technology policy and plans, technology needs, technology directions, and the Astronautical Society student program.

Metallic ions as therapeutic agents in tissue engineering scaffolds: an overview of their biological applications and strategies for new developments

PubMed Central

Mouriño, Viviana; Cattalini, Juan Pablo; Boccaccini, Aldo R.

2012-01-01

This article provides an overview on the application of metallic ions in the fields of regenerative medicine and tissue engineering, focusing on their therapeutic applications and the need to design strategies for controlling the release of loaded ions from biomaterial scaffolds. A detailed summary of relevant metallic ions with potential use in tissue engineering approaches is presented. Remaining challenges in the field and directions for future research efforts with focus on the key variables needed to be taken into account when considering the controlled release of metallic ions in tissue engineering therapeutics are also highlighted. PMID:22158843

Implementation of the Risk-Need-Responsivity Framework across the Juvenile Justice Agencies in Singapore.

PubMed

Chua, Jonathan Raphacis; Chu, Chi Meng; Yim, Grace; Chong, Dominic; Teoh, Jennifer

2014-11-02

The Risk-Need-Responsivity (RNR) framework is regarded as the forefront of offender rehabilitation in guiding youth offender risk assessment and interventions. This article discusses the juvenile justice system in Singapore and the local research that has been conducted in relation to the RNR framework and the associated Youth Level of Service (YLS) measures. It describes a journey that saw the implementation of the RNR framework across the juvenile justice agencies and highlights the challenges that were faced during the implementation process on the ground. Finally, the article concludes by providing future directions for the implementation of the RNR framework in Singapore.

The International Dermatology Outcome Measures Group: formation of patient-centered outcome measures in dermatology.

PubMed

Gottlieb, Alice B; Levin, Adriane A; Armstrong, April W; Abernethy, April; Duffin, Kristina Callis; Bhushan, Reva; Garg, Amit; Merola, Joseph F; Maccarone, Mara; Christensen, Robin

2015-02-01

As quality standards are increasingly in demand throughout medicine, dermatology needs to establish outcome measures to quantify the effectiveness of treatments and providers. The International Dermatology Outcome Measures Group was established to address this need. Beginning with psoriasis, the group aims to create a tool considerate of patients and providers using the input of all relevant stakeholders in assessment of disease severity and response to treatment. Herein, we delineate the procedures through which consensus is being reached and the future directions of the project. Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Human Research Program Human Health Countermeasures Element Nutrition Risk Standing Review Panel

NASA Technical Reports Server (NTRS)

Bistrian, Bruce

2009-01-01

The Nutrition Risk Standing Review Panel (SRP) reviewed and discussed the specific gaps and tasks for the Human Health Countermeasures (HHC) Element related to nutrition identified in the Human Research Program (HRP) Integrated Research Plan. There was general consensus that the described gaps and proposed tasks were critical to future NASA mission success. The SRP acknowledged the high scientific quality of the work currently being undertaken by the Nutritional Biochemistry group under the direction of Dr. Scott Smith. In review of the entire HRP, four new gaps were identified that complement the Element's existing research activities. Given the limitations of ground-based analogs for many of the unique physiological and metabolic alterations in space, future studies are needed to quantify nutritional factors that change during actual space flight. In addition, future tasks should seek to better evaluate the time course of physiological and metabolic alterations during flight to better predict alterations during longer duration missions. Finally, given the recent data suggesting a potential role for increased inflammatory responses during space flight, the role of inflammation needs to be explored in detail, including the development of potential countermeasures and new ground based analogs, if this possibility is confirmed.

Review and Future Research Directions about Major Monitoring Method of Soil Erosion

NASA Astrophysics Data System (ADS)

LI, Yue; Bai, Xiaoyong; Tian, Yichao; Luo, Guangjie

2017-05-01

Soil erosion is a highly serious ecological problem that occurs worldwide. Hence,scientific methods for accurate monitoring are needed to obtain soil erosion data. At present,numerous methods on soil erosion monitoring are being used internationally. In this paper, wepresent a systematic classification of these methods based on the date of establishment andtype of approach. This classification comprises five categories: runoff plot method, erosion pinmethod, radionuclide tracer method, model estimation, and 3S technology combined method.The backgrounds of their establishment are briefly introduced, the history of their developmentis reviewed, and the conditions for their application are enumerated. Their respectiveadvantages and disadvantages are compared and analysed, and future prospects regarding theirdevelopment are discussed. We conclude that the methods of soil erosion monitoring in the past 100 years of their development constantly considered the needs of the time. According to the progress of soil erosion monitoring technology throughout its history, we predict that the future trend in this field would move toward the development of quantitative, precise, and composite methods. This report serves as a valuable reference for scientific and technological workers globally, especially those engaged in soil erosion research.

Cell transformation assays for prediction of carcinogenic potential: state of the science and future research needs

PubMed Central

Creton, Stuart; Aardema, Marilyn J.; Carmichael, Paul L.; Harvey, James S.; Martin, Francis L.; Newbold, Robert F.; O’Donovan, Michael R.; Pant, Kamala; Poth, Albrecht; Sakai, Ayako; Sasaki, Kiyoshi; Scott, Andrew D.; Schechtman, Leonard M.; Shen, Rhine R.; Tanaka, Noriho; Yasaei, Hemad

2012-01-01

Cell transformation assays (CTAs) have long been proposed as in vitro methods for the identification of potential chemical carcinogens. Despite showing good correlation with rodent bioassay data, concerns over the subjective nature of using morphological criteria for identifying transformed cells and a lack of understanding of the mechanistic basis of the assays has limited their acceptance for regulatory purposes. However, recent drivers to find alternative carcinogenicity assessment methodologies, such as the Seventh Amendment to the EU Cosmetics Directive, have fuelled renewed interest in CTAs. Research is currently ongoing to improve the objectivity of the assays, reveal the underlying molecular changes leading to transformation and explore the use of novel cell types. The UK NC3Rs held an international workshop in November 2010 to review the current state of the art in this field and provide directions for future research. This paper outlines the key points highlighted at this meeting. PMID:21852270

NASA Technology Investments in Electric Propulsion: New Directions in the New Millennium

NASA Technical Reports Server (NTRS)

Sankovic, John M.

2002-01-01

The last decade was a period of unprecedented acceptance of NASA developed electric propulsion by the user community. The benefits of high performance electric propulsion systems are now widely recognized, and new technologies have been accepted across the commonly. NASA clearly recognizes the need for new, high performance, electric propulsion technologies for future solar system missions and is sponsoring aggressive efforts in this area. These efforts are mainly conducted under the Office of Aerospace Technology. Plans over the next six years include the development of next generation ion thrusters for end of decade missions. Additional efforts are planned for the development of very high power thrusters, including magnetoplasmadynamic, pulsed inductive, and VASIMR, and clusters of Hall thrusters. In addition to the in-house technology efforts, NASA continues to work closely with both supplier and user communities to maximize the acceptance of new technology in a timely and cost-effective manner. This paper provides an overview of NASA's activities in the area of electric propulsion with an emphasis on future program directions.

Capturing the genetic makeup of the active microbiome in situ.

PubMed

Singer, Esther; Wagner, Michael; Woyke, Tanja

2017-09-01

More than any other technology, nucleic acid sequencing has enabled microbial ecology studies to be complemented with the data volumes necessary to capture the extent of microbial diversity and dynamics in a wide range of environments. In order to truly understand and predict environmental processes, however, the distinction between active, inactive and dead microbial cells is critical. Also, experimental designs need to be sensitive toward varying population complexity and activity, and temporal as well as spatial scales of process rates. There are a number of approaches, including single-cell techniques, which were designed to study in situ microbial activity and that have been successively coupled to nucleic acid sequencing. The exciting new discoveries regarding in situ microbial activity provide evidence that future microbial ecology studies will indispensably rely on techniques that specifically capture members of the microbiome active in the environment. Herein, we review those currently used activity-based approaches that can be directly linked to shotgun nucleic acid sequencing, evaluate their relevance to ecology studies, and discuss future directions.

Direct reimbursement. The future for organized dentistry.

PubMed

Paul, D P

2001-10-01

Direct reimbursement, or DR, has been a popular topic in organized dentistry for much of the last decade, and the concept is beginning to be more widely known. This article explores the underpinnings of and future for DR. TYPES OF LITERATURE REVIEWED: This article is based on an online review of the dental, medical and business literature. The author explores the advantages of DR for patients, employers and dentists. He also presents purported disadvantages of DR, and refutes them. Organized dentistry's marketing efforts and the importance of third-party administrators also are examined. During the next several years, DR has the potential to become the vehicle of choice for financing much of the dental care provided in the United States. Dentists need to become more aware of what DR is and what it can offer the public. They then will be better able to promote DR, which is a significantly better payment system for dental care than any other available today.

Capturing the genetic makeup of the active microbiome in situ

PubMed Central

Singer, Esther; Wagner, Michael; Woyke, Tanja

2017-01-01

More than any other technology, nucleic acid sequencing has enabled microbial ecology studies to be complemented with the data volumes necessary to capture the extent of microbial diversity and dynamics in a wide range of environments. In order to truly understand and predict environmental processes, however, the distinction between active, inactive and dead microbial cells is critical. Also, experimental designs need to be sensitive toward varying population complexity and activity, and temporal as well as spatial scales of process rates. There are a number of approaches, including single-cell techniques, which were designed to study in situ microbial activity and that have been successively coupled to nucleic acid sequencing. The exciting new discoveries regarding in situ microbial activity provide evidence that future microbial ecology studies will indispensably rely on techniques that specifically capture members of the microbiome active in the environment. Herein, we review those currently used activity-based approaches that can be directly linked to shotgun nucleic acid sequencing, evaluate their relevance to ecology studies, and discuss future directions. PMID:28574490

Telemedicine.

PubMed

Dorman, T

2000-09-01

Telemedicine began from the humble beginnings of the first telephone call from Alexander Graham Bell to his associate, Watson. These systems already have been used for educational programs, consultative care, image transfer, second opinions, and direct acute patient care. Most of the original programs failed because of several reasons, primarily because of lack of funding when a grant ended. The major lesson of these programs is that a solid business plan is needed initially for long-term survival. The reliability of telemedical examinations has been demonstrated superficially, but more conclusive work in this area is needed. Studies that evaluate clinical, financial, and satisfaction outcomes are required simultaneously. Further integration of medical informatics into telemedicine systems is needed before these systems can achieve more acceptance. Twenty years ago, few people predicted this technologic revolution. Innovations arise almost daily. The future seems promising for telemedical systems, but much work is required. Partnerships with industry must move beyond niche projects, and regulatory and medicolegal issues must be resolved. Anesthesiologists can expect their practice to be affected directly by technology, and should embrace it, evaluate it, and help lead its use in this millennium.

Architecture for Cognitive Networking within NASA's Future Space Communications Infrastructure

NASA Technical Reports Server (NTRS)

Clark, Gilbert; Eddy, Wesley M.; Johnson, Sandra K.; Barnes, James; Brooks, David

2016-01-01

Future space mission concepts and designs pose many networking challenges for command, telemetry, and science data applications with diverse end-to-end data delivery needs. For future end-to-end architecture designs, a key challenge is meeting expected application quality of service requirements for multiple simultaneous mission data flows with options to use diverse onboard local data buses, commercial ground networks, and multiple satellite relay constellations in LEO, GEO, MEO, or even deep space relay links. Effectively utilizing a complex network topology requires orchestration and direction that spans the many discrete, individually addressable computer systems, which cause them to act in concert to achieve the overall network goals. The system must be intelligent enough to not only function under nominal conditions, but also adapt to unexpected situations, and reorganize or adapt to perform roles not originally intended for the system or explicitly programmed. This paper describes an architecture enabling the development and deployment of cognitive networking capabilities into the envisioned future NASA space communications infrastructure. We begin by discussing the need for increased automation, including inter-system discovery and collaboration. This discussion frames the requirements for an architecture supporting cognitive networking for future missions and relays, including both existing endpoint-based networking models and emerging information-centric models. From this basis, we discuss progress on a proof-of-concept implementation of this architecture, and results of implementation and initial testing of a cognitive networking on-orbit application on the SCaN Testbed attached to the International Space Station.

Architecture for Cognitive Networking within NASAs Future Space Communications Infrastructure

NASA Technical Reports Server (NTRS)

Clark, Gilbert J., III; Eddy, Wesley M.; Johnson, Sandra K.; Barnes, James; Brooks, David

2016-01-01

Future space mission concepts and designs pose many networking challenges for command, telemetry, and science data applications with diverse end-to-end data delivery needs. For future end-to-end architecture designs, a key challenge is meeting expected application quality of service requirements for multiple simultaneous mission data flows with options to use diverse onboard local data buses, commercial ground networks, and multiple satellite relay constellations in LEO, MEO, GEO, or even deep space relay links. Effectively utilizing a complex network topology requires orchestration and direction that spans the many discrete, individually addressable computer systems, which cause them to act in concert to achieve the overall network goals. The system must be intelligent enough to not only function under nominal conditions, but also adapt to unexpected situations, and reorganize or adapt to perform roles not originally intended for the system or explicitly programmed. This paper describes architecture features of cognitive networking within the future NASA space communications infrastructure, and interacting with the legacy systems and infrastructure in the meantime. The paper begins by discussing the need for increased automation, including inter-system collaboration. This discussion motivates the features of an architecture including cognitive networking for future missions and relays, interoperating with both existing endpoint-based networking models and emerging information-centric models. From this basis, we discuss progress on a proof-of-concept implementation of this architecture as a cognitive networking on-orbit application on the SCaN Testbed attached to the International Space Station.

A direct-to-drive neural data acquisition system.

PubMed

Kinney, Justin P; Bernstein, Jacob G; Meyer, Andrew J; Barber, Jessica B; Bolivar, Marti; Newbold, Bryan; Scholvin, Jorg; Moore-Kochlacs, Caroline; Wentz, Christian T; Kopell, Nancy J; Boyden, Edward S

2015-01-01

Driven by the increasing channel count of neural probes, there is much effort being directed to creating increasingly scalable electrophysiology data acquisition (DAQ) systems. However, all such systems still rely on personal computers for data storage, and thus are limited by the bandwidth and cost of the computers, especially as the scale of recording increases. Here we present a novel architecture in which a digital processor receives data from an analog-to-digital converter, and writes that data directly to hard drives, without the need for a personal computer to serve as an intermediary in the DAQ process. This minimalist architecture may support exceptionally high data throughput, without incurring costs to support unnecessary hardware and overhead associated with personal computers, thus facilitating scaling of electrophysiological recording in the future.

A direct-to-drive neural data acquisition system

PubMed Central

Kinney, Justin P.; Bernstein, Jacob G.; Meyer, Andrew J.; Barber, Jessica B.; Bolivar, Marti; Newbold, Bryan; Scholvin, Jorg; Moore-Kochlacs, Caroline; Wentz, Christian T.; Kopell, Nancy J.; Boyden, Edward S.

2015-01-01

Driven by the increasing channel count of neural probes, there is much effort being directed to creating increasingly scalable electrophysiology data acquisition (DAQ) systems. However, all such systems still rely on personal computers for data storage, and thus are limited by the bandwidth and cost of the computers, especially as the scale of recording increases. Here we present a novel architecture in which a digital processor receives data from an analog-to-digital converter, and writes that data directly to hard drives, without the need for a personal computer to serve as an intermediary in the DAQ process. This minimalist architecture may support exceptionally high data throughput, without incurring costs to support unnecessary hardware and overhead associated with personal computers, thus facilitating scaling of electrophysiological recording in the future. PMID:26388740

Environmental chemical exposures and human epigenetics

PubMed Central

Hou, Lifang; Zhang, Xiao; Wang, Dong; Baccarelli, Andrea

2012-01-01

Every year more than 13 million deaths worldwide are due to environmental pollutants, and approximately 24% of diseases are caused by environmental exposures that might be averted through preventive measures. Rapidly growing evidence has linked environmental pollutants with epigenetic variations, including changes in DNA methylation, histone modifications and microRNAs. Environ mental chemicals and epigenetic changes All of these mechanisms are likely to play important roles in disease aetiology, and their modifications due to environmental pollutants might provide further understanding of disease aetiology, as well as biomarkers reflecting exposures to environmental pollutants and/or predicting the risk of future disease. We summarize the findings on epigenetic alterations related to environmental chemical exposures, and propose mechanisms of action by means of which the exposures may cause such epigenetic changes. We discuss opportunities, challenges and future directions for future epidemiology research in environmental epigenomics. Future investigations are needed to solve methodological and practical challenges, including uncertainties about stability over time of epigenomic changes induced by the environment, tissue specificity of epigenetic alterations, validation of laboratory methods, and adaptation of bioinformatic and biostatistical methods to high-throughput epigenomics. In addition, there are numerous reports of epigenetic modifications arising following exposure to environmental toxicants, but most have not been directly linked to disease endpoints. To complete our discussion, we also briefly summarize the diseases that have been linked to environmental chemicals-related epigenetic changes. PMID:22253299

Combustor technology for future small gas turbine aircraft

NASA Technical Reports Server (NTRS)

Lyons, Valerie J.; Niedzwiecki, Richard W.

1993-01-01

Future engine cycles proposed for advanced small gas turbine engines will increase the severity of the operating conditions of the combustor. These cycles call for increased overall engine pressure ratios which increase combustor inlet pressure and temperature. Further, the temperature rise through the combustor and the corresponding exit temperature also increase. Future combustor technology needs for small gas turbine engines is described. New fuel injectors with large turndown ratios which produce uniform circumferential and radial temperature patterns will be required. Uniform burning will be of greater importance because hot gas temperatures will approach turbine material limits. The higher combustion temperatures and increased radiation at high pressures will put a greater heat load on the combustor liners. At the same time, less cooling air will be available as more of the air will be used for combustion. Thus, improved cooling concepts and/or materials requiring little or no direct cooling will be required. Although presently there are no requirements for emissions levels from small gas turbine engines, regulation is expected in the near future. This will require the development of low emission combustors. In particular, nitrogen oxides will increase substantially if new technologies limiting their formation are not evolved and implemented. For example, staged combustion employing lean, premixed/prevaporized, lean direct injection, or rich burn-quick quench-lean burn concepts could replace conventional single stage combustors.

The future of anticoagulation management in atrial fibrillation in Europe: An assessment of today's challenges with recommendations for the future.

PubMed

Lichten, Catherine A; Castle-Clarke, Sophie; Manville, Catriona; Horvath, Veronika; Robin, Enora; Krapels, Joachim; Parks, Sarah; Sim, Megan; van Zijverden, Olga; Chataway, Joanna

2015-11-30

Atrial fibrillation (AF) is the most common type of cardiac arrhythmia, affecting approximately 1-2 per cent of the population worldwide. Those who suffer from AF have a five times higher risk of stroke. AF prevalence increases with age and it affects roughly 18 per cent of the population over 85. Consequently, as populations age, AF is becoming an increasingly significant public health issue. Over recent years there have been developments in treatment and management options, both for treating the arrhythmia directly, and assessing and reducing the risk of AF-related stroke, but there is a need to ensure that available knowledge is applied optimally to benefit patients so that opportunities to prevent AF-related stroke are not missed. The aims of this project were to assess the current landscape and explore the direction of future developments in AF management in Europe, with a focus on the use of anticoagulants in the prevention of AF-related stroke. Through rapid evidence assessment, key informant interviews, PESTLE analysis and the development and exploration of future scenarios, we have developed sets of shorter- and longer-term recommendations for improving AF-related patient outcomes. The short-term recommendations are: i) improve AF awareness among the public and policymakers; ii) support education about AF management for healthcare professionals and patients; and iii) maintain engagement in AF-related research across the health services.

How ocean acidification can benefit calcifiers.

PubMed

Connell, Sean D; Doubleday, Zoë A; Hamlyn, Sarah B; Foster, Nicole R; Harley, Christopher D G; Helmuth, Brian; Kelaher, Brendan P; Nagelkerken, Ivan; Sarà, Gianluca; Russell, Bayden D

2017-02-06

Reduction in seawater pH due to rising levels of anthropogenic carbon dioxide (CO 2 ) in the world's oceans is a major force set to shape the future of marine ecosystems and the ecological services they provide [1,2]. In particular, ocean acidification is predicted to have a detrimental effect on the physiology of calcifying organisms [3]. Yet, the indirect effects of ocean acidification on calcifying organisms, which may counter or exacerbate direct effects, is uncertain. Using volcanic CO 2 vents, we tested the indirect effects of ocean acidification on a calcifying herbivore (gastropod) within the natural complexity of an ecological system. Contrary to predictions, the abundance of this calcifier was greater at vent sites (with near-future CO 2 levels). Furthermore, translocation experiments demonstrated that ocean acidification did not drive increases in gastropod abundance directly, but indirectly as a function of increased habitat and food (algal biomass). We conclude that the effect of ocean acidification on algae (primary producers) can have a strong, indirect positive influence on the abundance of some calcifying herbivores, which can overwhelm any direct negative effects. This finding points to the need to understand ecological processes that buffer the negative effects of environmental change. Copyright © 2017 Elsevier Ltd. All rights reserved.

Transferring climate research results to stakeholder needs in Northern Germany

NASA Astrophysics Data System (ADS)

Meinke, Insa

2013-04-01

The North German Climate Office was established in 2006 at the Institute for Coastal Research at the Helmholtz-Zentrum Geesthacht, Germany as consequence of an increased public information need regarding coastal climate change and its impacts in Northern Germany. The service is characterized by an intensive dialogue between regional climate research and stakeholders in Northern Germany. About once a week scientists of the North German climate office are invited to contribute to public dialogue events. Also, numerous direct inquiries are answered and expert interviews are conducted. From this dialogue process specific stakeholder information needs are localized and analysed to develop tailored information products. To provide easy and user specific access to research results interactive web tools are developed. One example is the North German climate atlas, an interactive web tool on possible future climate change in Northern Germany. Another interactive web tool is informing on present and future coastal protection needs in Northern Germany. Another aim of our information products is to assess and summarize the existing scientific knowledge on climate, climate change and impacts in Northern Germany. A mini IPCC-like regional assessment report has been published in 2010, which is summarizing, discussing and assessing the scientific knowledge on regional climate, climate change and impacts as well as possible adaptation strategies in the metropolitan region of Hamburg.

Deciphering the MSSM Higgs mass at future hadron colliders

DOE PAGES

Agrawal, Prateek; Fan, JiJi; Reece, Matthew; ...

2017-06-06

Here, future hadron colliders will have a remarkable capacity to discover massive new particles, but their capabilities for precision measurements of couplings that can reveal underlying mechanisms have received less study. In this work we study the capability of future hadron colliders to shed light on a precise, focused question: is the higgs mass of 125 GeV explained by the MSSM? If supersymmetry is realized near the TeV scale, a future hadron collider could produce huge numbers of gluinos and electroweakinos. We explore whether precision measurements of their properties could allow inference of the scalar masses and tan β withmore » sufficient accuracy to test whether physics beyond the MSSM is needed to explain the higgs mass. We also discuss dark matter direct detection and precision higgs physics as complementary probes of tan β. For concreteness, we focus on the mini-split regime of MSSM parameter space at a 100 TeV pp collider, with scalar masses ranging from 10s to about 1000 TeV.« less

Recent advances and plans in processing and geocoding of SAR data at the DFD

NASA Technical Reports Server (NTRS)

Noack, W.

1993-01-01

Because of the needs of future projects like ENVISAT and the experiences made with the current operational ERS-1 facilities, a radical change in the synthetic aperture radar (SAR) processing scenarios can be predicted for the next years. At the German PAF several new developments were initialized which are driven mainly either by user needs or by system and operational constraints ('lessons learned'). At the end there will be a major simplification and uniformation of all used computer systems. Especially the following changes are likely to be implemented at the German PAF: transcription before archiving, processing of all standard products with high throughput directly at the receiving stations, processing of special 'high-valued' products at the PAF, usage of a single type of processor hardware, implementation of a large and fast on-line data archive, and improved and unified fast data network between the processing and archiving facilities. A short description of the current operational SAR facilities as well as the future implementations are given.

Approaching the third decade of paediatric palliative oncology investigation: historical progress and future directions

PubMed Central

Rosenberg, Abby R; Wolfe, Joanne

2017-01-01

Paediatric palliative care (PPC) endeavours to alleviate the suffering and improve the quality of life of children with serious illnesses and their families. In the past two decades since WHO defined PPC and called for its inclusion in paediatric oncology care, rigorous investigation has provided important insights. For example, the first decade of research focused on end-of-life experiences of the child and the family, underscoring the high prevalence of symptom burden, the barriers to parent–provider concordance with regards to prognosis, as well as the need for bereavement supports. The second decade expanded PPC oncology investigation to include the entire cancer continuum and the voices of patients. Other studies identified the need for support of parents, siblings, and racial and ethnic minority groups. Promising interventions designed to improve outcomes were tested in randomised clinical trials. Future research will build on these findings and pose novel questions about how to continue to reduce the burdens of paediatric cancer. PMID:29333484

Building on a legacy for the era of population health.

PubMed

Brady, Marla G

2014-01-01

The 2011 Joplin tornado was a catastrophic EF5 multiple-vortex tornado that struck Joplin, Missouri, late in the afternoon of Sunday, May 22, 2011. It was part of a larger, late-May tornado outbreak and reached a maximum width of nearly 1 mile (1.6 km) during its path through the city. Mercy St John's Hospital (which had recently joined Mercy Ministries) suffered a direct hit and was rendered nonuseable. A total of 183 patients and nearly 200 coworkers/staff members were evacuated from the building within the next 90 minutes. Triage centers were set up outside as hospitals of other areas opened their doors for St John's patients and community members who had been injured. The tornado in Joplin destroyed Mercy St John's Hospital. Given this future, why did Mercy Ministries choose to rebuild an acute care facility rather than merely an outpatient system? The organization considered current community needs and the needs of the future. They also remembered their mission and the legacy of their heritage.

Science and the Energy Security Challenge: The Example of Solid-State Lighting

ScienceCinema

Philips, Julia [Sandia

2017-12-09

Securing a viable, carbon neutral energy future for humankind will require an effort of gargantuan proportions. As outlined clearly in a series of workshops sponsored by the DOE Office of Basic Energy Sciences (http://www.sc.doe.gov/bes/reports/list.html), fundamental advances in scientific understanding are needed to broadly implement many of the technologies that are held out as promising options to meet future energy needs, ranging from solar energy, to nuclear energy, to approaches to clean combustion. Using solid state lighting based on inorganic materials as an example, I will discuss some recent results and new directions, emphasizing the multidisciplinary, team nature of the endeavor. I will also offer some thoughts about how to encourage translation of the science into attractive, widely available products – a significant challenge that cannot be ignored. This case study offers insight into approaches that are likely to be beneficial for addressing other aspects of the energy security challenge.

Direct and indirect effects of climate change on herbicide leaching--a regional scale assessment in Sweden.

PubMed

Steffens, Karin; Jarvis, Nicholas; Lewan, Elisabet; Lindström, Bodil; Kreuger, Jenny; Kjellström, Erik; Moeys, Julien

2015-05-01

Climate change is not only likely to improve conditions for crop production in Sweden, but also to increase weed pressure and the need for herbicides. This study aimed at assessing and contrasting the direct and indirect effects of climate change on herbicide leaching to groundwater in a major crop production region in south-west Sweden with the help of the regional pesticide fate and transport model MACRO-SE. We simulated 37 out of the 41 herbicides that are currently approved for use in Sweden on eight major crop types for the 24 most common soil types in the region. The results were aggregated accounting for the fractional coverage of the crop and the area sprayed with a particular herbicide. For simulations of the future, we used projections of five different climate models as model driving data and assessed three different future scenarios: (A) only changes in climate, (B) changes in climate and land-use (altered crop distribution), and (C) changes in climate, land-use, and an increase in herbicide use. The model successfully distinguished between leachable and non-leachable compounds (88% correctly classified) in a qualitative comparison against regional-scale monitoring data. Leaching was dominated by only a few herbicides and crops under current climate and agronomic conditions. The model simulations suggest that the direct effects of an increase in temperature, which enhances degradation, and precipitation which promotes leaching, cancel each other at a regional scale, resulting in a slight decrease in leachate concentrations in a future climate. However, the area at risk of groundwater contamination doubled when indirect effects of changes in land-use and herbicide use, were considered. We therefore concluded that it is important to consider the indirect effects of climate change alongside the direct effects and that effective mitigation strategies and strict regulation are required to secure future (drinking) water resources. Copyright © 2014 Elsevier B.V. All rights reserved.

Treading lightly on shifting ground: The direction and motivation of future geological research

USGS Publications Warehouse

Witt, A.C.

2011-01-01

The future of the geosciences and geological research will involve complex scientific challenges, primarily concerning global and regional environmental issues, in the next 20-30 years. It is quite reasonable to suspect, based on current political and socioeconomic events, that young geoscientists will be faced with and involved in helping to resolve some well defined problems: water and energy security, the effects of anthropogenic climate change, coastal sea level rise and development, and the mitigation of geohazards. It is how we choose to approach these challenges that will define our future. Interdisciplinary applied research, improved modeling and prediction augmented with faster and more sophisticated computing, and a greater role in creating and guiding public policy, will help us achieve our goals of a cleaner and safer Earth environment in the next 30 years. In the far future, even grander possibilities for eliminating the risk of certain geohazards and finding sustainable solutions to our energy needs can be envisioned. Looking deeper into the future, the possibilities for geoscience research push the limits of the imagination.

Precise positioning with sparse radio tracking: How LRO-LOLA and GRAIL enable future lunar exploration

NASA Astrophysics Data System (ADS)

Mazarico, E.; Goossens, S. J.; Barker, M. K.; Neumann, G. A.; Zuber, M. T.; Smith, D. E.

2017-12-01

Two recent NASA missions to the Moon, the Lunar Reconnaissance Orbiter (LRO) and the Gravity Recovery and Interior Laboratory (GRAIL), have obtained highly accurate information about the lunar shape and gravity field. These global geodetic datasets resolve long-standing issues with mission planning; the tidal lock of the Moon long prevented collection of accurate gravity measurements over the farside, and deteriorated precise positioning of topographic data. We describe key datasets and results from the LRO and GRAIL mission that are directly relevant to future lunar missions. SmallSat and CubeSat missions especially would benefit from these recent improvements, as they are typically more resource-constrained. Even with limited radio tracking data, accurate knowledge of topography and gravity enables precise orbit determination (OD) (e.g., limiting the scope of geolocation and co-registration tasks) and long-term predictions of altitude (e.g., dramatically reducing uncertainties in impact time). With one S-band tracking pass per day, LRO OD now routinely achieves total position knowledge better than 10 meters and radial position knowledge around 0.5 meter. Other tracking data, such as Laser Ranging from Earth-based SLR stations, can further support OD. We also show how altimetry can be used to substantially improve orbit reconstruction with the accurate topographic maps now available from Lunar Orbiter Laser Altimeter (LOLA) data. We present new results with SELENE extended mission and LRO orbits processed with direct altimetry measurements. With even a simple laser altimeter onboard, high-quality OD can be achieved for future missions because of the datasets acquired by LRO and GRAIL, without the need for regular radio contact. Onboard processing of altimetric ranges would bring high-quality real-time position knowledge to support autonomous operation. We also describe why optical ranging transponders are ideal payloads for future lunar missions, as they can address both communication and navigation needs with little resources.

A Statistical Weather-Driven Streamflow Model: Enabling future flow predictions in data-scarce headwater streams

NASA Astrophysics Data System (ADS)

Rosner, A.; Letcher, B. H.; Vogel, R. M.

2014-12-01

Predicting streamflow in headwaters and over a broad spatial scale pose unique challenges due to limited data availability. Flow observation gages for headwaters streams are less common than for larger rivers, and gages with records lengths of ten year or more are even more scarce. Thus, there is a great need for estimating streamflows in ungaged or sparsely-gaged headwaters. Further, there is often insufficient basin information to develop rainfall-runoff models that could be used to predict future flows under various climate scenarios. Headwaters in the northeastern U.S. are of particular concern to aquatic biologists, as these stream serve as essential habitat for native coldwater fish. In order to understand fish response to past or future environmental drivers, estimates of seasonal streamflow are needed. While there is limited flow data, there is a wealth of data for historic weather conditions. Observed data has been modeled to interpolate a spatially continuous historic weather dataset. (Mauer et al 2002). We present a statistical model developed by pairing streamflow observations with precipitation and temperature information for the same and preceding time-steps. We demonstrate this model's use to predict flow metrics at the seasonal time-step. While not a physical model, this statistical model represents the weather drivers. Since this model can predict flows not directly tied to reference gages, we can generate flow estimates for historic as well as potential future conditions.

Future-directed thinking in first-episode psychosis.

PubMed

Goodby, Emmeline; MacLeod, Andrew K

2016-06-01

This study employed the Future Thinking Task (MacLeod et al., 2005, Br. J. Clin. Psychol., 44, 495) to investigate whether future-directed thinking in first-episode psychosis is significantly different from that of matched controls, and to identify its correlates in this patient group. Cross-sectional, mixed-model, case-control design. Participants were 30 patients with first-episode psychosis and 27 matched controls. The Future Thinking Task was used to assess future-directed thinking in both groups. Anxiety and depression were also measured as well as self-report measures of hopelessness, suicide ideation and a measure of negative symptoms. Individuals with psychosis were impaired in future-directed thinking in both positive and negative domains, particularly with respect to the coming year. Increased self-reported hopelessness was associated with reduced positive future thinking and increased negative future thinking. Increased positive future thinking was also associated with reduced severity of negative symptoms, whilst negative future thinking was associated with suicide ideation. Individuals with first-episode psychosis show a reduction in positive future thinking in line with that seen in other clinical groups, but this is accompanied by an unexpected reduction in negative future thinking. The findings suggest a general disengagement with the future in this group that may affect recovery and functioning. Individuals with first-episode psychosis may benefit from interventions to help them engage with their future, in particular in the mid-range, up to 1 year. The Future Thinking Task may be a helpful addition to the assessment of suicide risk in those with first-episode psychosis. Decreased positive future thinking was associated with increased severity of negative symptoms, indicating a potential new treatment angle for this resistant aspect of psychosis. The cross-sectional design of this study does not allow for conclusions about the causal relationship between psychosis and future-directed thinking. This study investigated future-directed thinking in individuals with a range of psychotic illnesses employing a trans-diagnostic approach; therefore, conclusions cannot be drawn about the nature of future-directed thinking in individual psychotic disorders. © 2015 The British Psychological Society.

A ride in the time machine: information management capabilities health departments will need.

PubMed

Foldy, Seth; Grannis, Shaun; Ross, David; Smith, Torney

2014-09-01

We have proposed needed information management capabilities for future US health departments predicated on trends in health care reform and health information technology. Regardless of whether health departments provide direct clinical services (and many will), they will manage unprecedented quantities of sensitive information for the public health core functions of assurance and assessment, including population-level health surveillance and metrics. Absent improved capabilities, health departments risk vestigial status, with consequences for vulnerable populations. Developments in electronic health records, interoperability and information exchange, public information sharing, decision support, and cloud technologies can support information management if health departments have appropriate capabilities. The need for national engagement in and consensus on these capabilities and their importance to health department sustainability make them appropriate for consideration in the context of accreditation.

Directed Energy Weapons

DTIC Science & Technology

2007-12-01

future business . In defense systems, the key to future business is the existence of funded programs. Military commanders understand the lethality and...directed energp capabilities that can provide visibiliy into the likey futur business case for sustaining directed energy industry capabilities...the USD (I) staff to be afocalpointfor advocating improvement in all dimensions of directed energy intelligence. - The Director, Defense Inteligence

Human behavior and malaria.

PubMed

Hongvivatana, T

1986-09-01

Human behavior in malaria is often narrowly referred to behavior of the target populations in transmission and control of malaria. In this presentation it was discussed that such view is too narrow. A broader framework incorporating illness behavior and human behavior in malaria control bureaucracies is needed for the success of national malaria control programme. Literature under the three broad categories of human behavior in malaria is reviewed to justify future directions in human behavior research and their significance for successful malaria control.

Summary of Awards: FY 1979 and 1980 Program of University Research,

DTIC Science & Technology

1980-12-01

completed. The wind tunnel Timothy M. Barrow, DTS-222 model for correlation of lateral/directional theory is also com- U.S. Department of...of SSOM through generalization and verification MONITOR of the program. The objective is to refine the SSOM to make it Timothy E. Aloney, NRD-12 a...Future Mobility Needs for the Elderly: Development of a Methodology 3. GALLAUDET COLLEGE DOT-OS-501 10 A Study to Identify the Problems that Deaf

Space Life Sciences Directorate's Position on the Physiological Effects of Exposing the Crewmemeber to Low-Voltage Electrical Hazards During Extravehicular Activity

NASA Technical Reports Server (NTRS)

Hamilton, Douglas; Kramer, Leonard; Mikatarian, Ron; Polk, James; Duncan, Michael; Koontz, Steven

2010-01-01

The models predict that, for low voltage exposures in the space suit, physiologically active current could be conducted across the crew member causing catastrophic hazards. Future work with Naval Health Research Center Detachment Directed Energy Bio-effects Laboratory is being proposed to analyze additional current paths across the human torso and upper limbs. These models may need to be verified with human studies.

Oversight Hearings Before the Select Subcommittee on Education of the Committee on Education and Labor. House of Representatives, Ninety-Third Congress, Second Session on Future Directions of the Rehabilitation Services Administration. Part 3.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. House Committee on Education and Labor.

The document records a hearing held by the Select Subcommittee on Education on the application of technology in meeting the needs of handicapped Americans: The Rehabilitation Act of 1973 provides for research funds and requires that 25 percent of moneys appropriated for research in 1975 be expended to establish and support engineering research…

What strategy is needed for attaining the EU air quality regulations under future climate change scenarios? A sensitivity analysis over Europe

NASA Astrophysics Data System (ADS)

Jiménez-Guerrero, P.; Baró, R.; Gómez-Navarro, J. J.; Lorente-Plazas, R.; García-Valero, J. A.; Hernández, Z.; Montávez, J. P.

2012-04-01

A wide number of studies show that several areas over Europe exceed some of the air quality thresholds established in the legislation. These exceedances will become more frequent under future climate change scenarios, since the policies aimed at improving air quality in the EU directives have not accounted for the variations in the climate. Climate change alone will influence the future concentrations of atmospheric pollutants through modifications of gas-phase chemistry, transport, removal, and natural emissions. In this sense, chemistry transport models (CTMs) play a key role in assessing and understanding the emissions abatement plans through the use of sensitivity analysis strategies. These sensitivity analyses characterize the change in model output due to variations in model input parameters. Since the management strategies of air pollutant emission is one of the predominant factors for controlling urban air quality, this work assesses the impact of various emission reduction scenarios in air pollution levels over Europe under two climate change scenarios. The methodology includes the use of a climate version of the meteorological model MM5 coupled with the CHIMERE chemistry transport model. Experiments span the periods 1971-2000, as a reference, and 2071-2100, as two future enhanced greenhouse gas and aerosol scenarios (SRES A2 and B2). The atmospheric simulations have an horizontal resolution of 25 km and 23 vertical layers up to 100 hPa, and are driven by the global climate model ECHO-G . In order to represent the sensitivity of the chemistry and transport of aerosols, tropospheric ozone and other photochemical species, several hypothetical scenarios of emission control have been implemented to quantify the influence of diverse emission sources in the area, such as on-road traffic, port and industrial emissions, among others. The modeling strategy lies on a sensitivity analysis to determine the emission reduction and strategy needed in the target area in order to attain the standards and thresholds set in the European Directive 2008/50/EC. Results depict that the system is able to characterize the exceedances occurring in Europe, mainly related to the maximum 8h moving average exceeding the target value of 120 μg/m3, mainly over southern Europe. Also, compliance of the PM10 daily limit values (50 μg/m3) is not achieved over wide areas in Europe. The sensitivity analysis indicates that large reductions of precursors emissions are needed in all the scenarios examined for attaining the thresholds set in the European Directive. In most cases this abatement strategy is hard to take into practice (e.g. unrealistic percentage of emission reductions in on-road traffic, industry or harbor activity); however, ozone and particulate matter air pollution improve considerably in most of the scenarios included. Results also unveil the propagation of uncertainties from the meteorological projections into future air quality and claim for future studies aimed at deepening the knowledge about the parameterized processes, the definition of emissions and, last, reducing uncertainties.

Priorities for Cardiovascular Outcomes Research: A Report of the National Heart, Lung, and Blood Institute's Centers for Cardiovascular Outcomes Research Working Group.

PubMed

Khazanie, Prateeti; Krumholz, Harlan M; Kiefe, Catarina I; Kressin, Nancy R; Wells, Barbara; Wang, Tracy Y; Peterson, Eric D

2017-07-01

The Centers for Cardiovascular Outcomes Research (CCORs) held a meeting to review how cardiovascular outcomes research had evolved in the decade since the National Heart, Lung, and Blood Institute 2004 working group report and to consider future directions. The conference involved representatives from governmental agencies, outcomes research thought leaders, and public and private healthcare partners. The main purposes of this meeting were to (1) advance collaborative high-yield, high-impact outcomes research; (2) identify priorities and barriers to important cardiovascular outcomes research; and (3) define future needs for the field. This report highlights the key topics covered during the meeting, including an examination of the recent history of outcomes research, an evaluation of the current academic climate, and a vision for the future of cardiovascular outcomes research. © 2017 American Heart Association, Inc.

Family-focused autism spectrum disorder research: a review of the utility of family systems approaches.

PubMed

Cridland, Elizabeth K; Jones, Sandra C; Magee, Christopher A; Caputi, Peter

2014-04-01

A family member with an autism spectrum disorder presents pervasive and bidirectional influences on the entire family system, suggesting a need for family-focused autism spectrum disorder research. While there has been increasing interest in this research area, family-focused autism spectrum disorder research can still be considered relatively recent, and there are limitations to the existing literature. The purpose of this article is to provide theoretical and methodological directions for future family-focused autism spectrum disorder research. In particular, this article proposes Family Systems approaches as a common theoretical framework for future family-focused autism spectrum disorder research by considering theoretical concepts such as Boundaries, Ambiguous Loss, Resilience and Traumatic Growth. We discuss reasons why these concepts are important to researching families living with autism spectrum disorder and provide recommendations for future research. The potential for research grounded in Family Systems approaches to influence clinical support services is also discussed.

Technology opportunities in a restructured electric industry

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

Gehl, S.

1995-12-31

This paper describes the Strategic Research & Development (SR&D) program of the Electric Power Research Institute (EPRI). The intent of the program is to anticipate and shape the scientific and technological future of the electricity enterprise. SR&D serves those industry R&D needs that are more exploratory, precompetitive, and longer-term. To this end, SR&D seeks to anticipate technological change and, where possible, shape that change to the advantage of the electric utility enterprise and its customers. SR&D`s response to this challenge is research and development program that addresses the most probable future of the industry, but at the same time ismore » robust against alternative futures. The EPRI SR&D program is organized into several vectors, each with a mission that relates directly to one or more EPRI industry goals, which are summarized in the paper. 1 fig., 2 tabs.« less

Promoting Behavior Change from Alcohol Use through Mobile Technology: The Future of Ecological Momentary Assessment

PubMed Central

Cohn, Amy M.; Hunter-Reel, Dorian; Hagman, Brett T.; Mitchell, Jessica

2011-01-01

Background Interactive and mobile technologies (i.e., smartphones such as Blackberries, iPhones, and palm-top computers) show promise as an efficacious and cost-effective means of communicating health-behavior risks, improving public health outcomes, and accelerating behavior change (Abroms and Maibach, 2008). The present study was conducted as a “needs assessment” to examine the current available mobile smartphone applications (e.g., apps) that utilize principles of ecological momentary assessment (EMA) -- daily self-monitoring or near real-time self-assessment of alcohol use behavior -- to promote positive behavior change, alcohol harm reduction, psycho-education about alcohol use, or abstinence from alcohol. Methods Data were collected and analyzed from iTunes for Apple iPhone©. An inventory assessed the number of available apps that directly addressed alcohol use and consumption, alcohol treatment, or recovery, and whether these apps incorporated empirically-based components of alcohol treatment. Results Findings showed that few apps addressed alcohol use behavior change or recovery. Aside from tracking drinking consumption, a minority utilized empirically-based components of alcohol treatment. Some apps claimed they could serve as an intervention, however no empirical evidence was provided. Conclusions More studies are needed to examine the efficacy of mobile technology in alcohol intervention studies. The large gap between availability of mobile apps and their use in alcohol treatment programs indicate several important future directions for research. PMID:21689119

A Qualitative Stakeholder Analysis of Avian Influenza Policy in Bangladesh.

PubMed

Chattopadhyay, Kaushik; Fournié, Guillaume; Abul Kalam, Md; Biswas, Paritosh K; Hoque, Ahasanul; Debnath, Nitish C; Rahman, Mahmudur; Pfeiffer, Dirk U; Harper, David; Heymann, David L

2017-11-13

Avian influenza is a major animal and public health concern in Bangladesh. A decade after development and implementation of the first national avian influenza and human pandemic influenza preparedness and response plan in Bangladesh, a two-stage qualitative stakeholder analysis was performed in relation to the policy development process and the actual policy. This study specifically aimed to identify the future policy options to prevent and control avian influenza and other poultry-related zoonotic diseases in Bangladesh. It was recommended that the policy should be based on the One Health concept, be evidence-based, sustainable, reviewed and updated as necessary. The future policy environment that is suitable for developing and implementing these policies should take into account the following points: the need to formally engage multiple sectors, the need for clear and acceptable leadership, roles and responsibilities and the need for a common pool of resources and provision for transferring resources. Most of these recommendations are directed towards the Government of Bangladesh. However, other sectors, including research and poultry production stakeholders, also have a major role to play to inform policy making and actively participate in the multi-sectoral approach.

The future for blood-stage vaccines against malaria.

PubMed

Richards, Jack S; Beeson, James G

2009-07-01

Malaria is a leading cause of mortality and morbidity globally, and effective vaccines are urgently needed. Malaria vaccine approaches can be broadly grouped as pre-erythrocytic, blood stage and transmission blocking. This review focuses on blood-stage vaccines, and considers the evidence supporting the development of blood-stage vaccines, the advantages and challenges of this approach, potential targets, human vaccine studies and future directions. There is a strong rationale for the development of vaccines based on antigens of blood-stage parasites. Symptomatic malaria is caused by blood-stage parasitemia and acquired immunity in humans largely targets blood-stage antigens. Several candidate vaccines have proved efficacious in animal models and at least one vaccine showed partial efficacy in a clinical trial. At present, all leading candidate blood-stage antigens are merozoite proteins, located on the merozoite surface or within the apical organelles. Major challenges and priorities include overcoming antigenic diversity, identification of protective epitopes, understanding the nature and targets of protective immune responses, and defining antigen combinations that give the greatest efficacy. Additionally, objective criteria and approaches are needed to prioritize the large number of candidate antigens, and strong candidates need to be tested in clinical trials as quickly as possible.

The mutual causality analysis between the stock and futures markets

NASA Astrophysics Data System (ADS)

Yao, Can-Zhong; Lin, Qing-Wen

2017-07-01

In this paper we employ the conditional Granger causality model to estimate the information flow, and find that the improved model outperforms the Granger causality model in revealing the asymmetric correlation between stocks and futures in the Chinese market. First, we find that information flows estimated by Granger causality tests from futures to stocks are greater than those from stocks to futures. Additionally, average correlation coefficients capture some important characteristics between stock prices and information flows over time. Further, we find that direct information flows estimated by conditional Granger causality tests from stocks to futures are greater than those from futures to stocks. Besides, the substantial increases of information flows and direct information flows exhibit a certain degree of synchronism with the occurrences of important events. Finally, the comparative analysis with the asymmetric ratio and the bootstrap technique demonstrates the slight asymmetry of information flows and the significant asymmetry of direct information flows. It reveals that the information flows from futures to stocks are slightly greater than those in the reverse direction, while the direct information flows from stocks to futures are significantly greater than those in the reverse direction.

Use of the My Health Record by people with communication disability in Australia: A review to inform the design and direction of future research.

PubMed

Hemsley, Bronwyn; Georgiou, Andrew; Carter, Rob; Hill, Sophie; Higgins, Isabel; van Vliet, Paulette; Balandin, Susan

2016-12-01

People with communication disability often struggle to convey their health information to multiple service providers and are at increased risk of adverse health outcomes related to the poor exchange of health information. The purpose of this article was to (a) review the literature informing future research on the Australian personally controlled electronic health record, 'My Health Record' (MyHR), specifically to include people with communication disability and their family members or service providers, and (b) to propose a range of suitable methodologies that might be applied in research to inform training, policy and practice in relation to supporting people with communication disability and their representatives to engage in using MyHR. The authors reviewed the literature and, with a cross-disciplinary perspective, considered ways to apply sociotechnical, health informatics, and inclusive methodologies to research on MyHR use by adults with communication disability. This article outlines a range of research methods suitable for investigating the use of MyHR by people who have communication disability associated with a range of acquired or lifelong health conditions, and their family members, and direct support workers. In planning the allocation of funds towards the health and well-being of adults with disabilities, both disability and health service providers must consider the supports needed for people with communication disability to use MyHR. There is an urgent need to focus research efforts on MyHR in populations with communication disability, who struggle to communicate their health information across multiple health and disability service providers. The design of studies and priorities for future research should be set in consultation with people with communication disability and their representatives. © The Author(s) 2016.

Adaptive Flight Control for Aircraft Safety Enhancements

NASA Technical Reports Server (NTRS)

Nguyen, Nhan T.; Gregory, Irene M.; Joshi, Suresh M.

2008-01-01

This poster presents the current adaptive control research being conducted at NASA ARC and LaRC in support of the Integrated Resilient Aircraft Control (IRAC) project. The technique "Approximate Stability Margin Analysis of Hybrid Direct-Indirect Adaptive Control" has been developed at NASA ARC to address the needs for stability margin metrics for adaptive control that potentially enables future V&V of adaptive systems. The technique "Direct Adaptive Control With Unknown Actuator Failures" is developed at NASA LaRC to deal with unknown actuator failures. The technique "Adaptive Control with Adaptive Pilot Element" is being researched at NASA LaRC to investigate the effects of pilot interactions with adaptive flight control that can have implications of stability and performance.

A Novel Therapy for People Who Attempt Suicide and Why We Need New Models of Suicide

PubMed Central

Michel, Konrad; Valach, Ladislav; Gysin-Maillart, Anja

2017-01-01

This paper presents a model of suicidal behaviour based on suicide as a goal-directed action, and its implications. An action theoretical model has guided the authors in the development of a brief therapy for individuals who attempt suicide (ASSIP—Attempted Suicide Short Intervention Program). Key elements are an early therapeutic alliance, narrative interviewing, psychoeducation, a joint case conceptualization, safety planning, and regular letters over 24 months. In a randomized controlled trial, ASSIP was highly effective in reducing the risk of suicide reattempts. The therapeutic elements in this treatment are described and possible implications for future directions in clinical suicide prevention discussed. PMID:28257071

High-Voltage High-Energy Stretched Lens Array Square-Rigger (SLASR) for Direct-Drive Solar Electric Propulsion

NASA Technical Reports Server (NTRS)

Howell, Joe T.; O'Neill, Mark J.; Mankins, John C.

2006-01-01

Development is underway on a unique high-voltage, high energy solar concentrator array called Stretched Lens Array Square-Rigger (SLASR) for direct drive electric propulsion. The SLASR performance attributes closely match the critical needs of solar electric propulsion (SEP) systems, which may be used for space tugs to fuel efficiently transport cargo from low earth orbit (LEO) to low lunar orbit (LLO), in support of NASA's robotic and human exploration missions. Later SEP systems may similarly transport cargo from the earth-moon neighborhood to the Mars neighborhood. This paper will describe the SLASR technology, discuss SLASR developments and ground testing, and outline plans for future SLASR technology maturation.

High-Voltage High-Energy Stretched Lens Array Square-Rigger (SLASR) for Direct-Drive Solar Electric Propulsion

NASA Technical Reports Server (NTRS)

Howell, Joe T.; O'Neill, Mark; Mankins, John C.

2006-01-01

Development is underway on a unique high-voltage, high-energy solar concentrator array called Stretched Lens Array Square-Rigger (SLASR) for direct drive electric propulsion. The SLASR performance attributes closely match the critical needs of solar electric propulsion (SEP) systems, which may be used for space tugs to fuel-efficiently transport cargo from low earth orbit (LEO) to low lunar orbit (LLO), in support of NASA s robotic and human exploration missions. Later SEP systems may similarly transport cargo from the earth-moon neighborhood to the Mars neighborhood. This paper will describe the SLASR technology, discuss SLASR developments and ground testing, and outline plans for future SLASR technology maturation.

Developing Informatics Tools and Strategies for Consumer-centered Health Communication

PubMed Central

Keselman, Alla; Logan, Robert; Smith, Catherine Arnott; Leroy, Gondy; Zeng-Treitler, Qing

2008-01-01

As the emphasis on individuals' active partnership in health care grows, so does the public's need for effective, comprehensible consumer health resources. Consumer health informatics has the potential to provide frameworks and strategies for designing effective health communication tools that empower users and improve their health decisions. This article presents an overview of the consumer health informatics field, discusses promising approaches to supporting health communication, and identifies challenges plus direction for future research and development. The authors' recommendations emphasize the need for drawing upon communication and social science theories of information behavior, reaching out to consumers via a range of traditional and novel formats, gaining better understanding of the public's health information needs, and developing informatics solutions for tailoring resources to users' needs and competencies. This article was written as a scholarly outreach and leadership project by members of the American Medical Informatics Association's Consumer Health Informatics Working Group. PMID:18436895

Biodiversity scenarios neglect future land-use changes.

PubMed

Titeux, Nicolas; Henle, Klaus; Mihoub, Jean-Baptiste; Regos, Adrián; Geijzendorffer, Ilse R; Cramer, Wolfgang; Verburg, Peter H; Brotons, Lluís

2016-07-01

Efficient management of biodiversity requires a forward-looking approach based on scenarios that explore biodiversity changes under future environmental conditions. A number of ecological models have been proposed over the last decades to develop these biodiversity scenarios. Novel modelling approaches with strong theoretical foundation now offer the possibility to integrate key ecological and evolutionary processes that shape species distribution and community structure. Although biodiversity is affected by multiple threats, most studies addressing the effects of future environmental changes on biodiversity focus on a single threat only. We examined the studies published during the last 25 years that developed scenarios to predict future biodiversity changes based on climate, land-use and land-cover change projections. We found that biodiversity scenarios mostly focus on the future impacts of climate change and largely neglect changes in land use and land cover. The emphasis on climate change impacts has increased over time and has now reached a maximum. Yet, the direct destruction and degradation of habitats through land-use and land-cover changes are among the most significant and immediate threats to biodiversity. We argue that the current state of integration between ecological and land system sciences is leading to biased estimation of actual risks and therefore constrains the implementation of forward-looking policy responses to biodiversity decline. We suggest research directions at the crossroads between ecological and environmental sciences to face the challenge of developing interoperable and plausible projections of future environmental changes and to anticipate the full range of their potential impacts on biodiversity. An intergovernmental platform is needed to stimulate such collaborative research efforts and to emphasize the societal and political relevance of taking up this challenge. © 2016 John Wiley & Sons Ltd.

Future hotspots of terrestrial mammal loss

PubMed Central

Visconti, Piero; Pressey, Robert L.; Giorgini, Daniele; Maiorano, Luigi; Bakkenes, Michel; Boitani, Luigi; Alkemade, Rob; Falcucci, Alessandra; Chiozza, Federica; Rondinini, Carlo

2011-01-01

Current levels of endangerment and historical trends of species and habitats are the main criteria used to direct conservation efforts globally. Estimates of future declines, which might indicate different priorities than past declines, have been limited by the lack of appropriate data and models. Given that much of conservation is about anticipating and responding to future threats, our inability to look forward at a global scale has been a major constraint on effective action. Here, we assess the geography and extent of projected future changes in suitable habitat for terrestrial mammals within their present ranges. We used a global earth-system model, IMAGE, coupled with fine-scale habitat suitability models and parametrized according to four global scenarios of human development. We identified the most affected countries by 2050 for each scenario, assuming that no additional conservation actions other than those described in the scenarios take place. We found that, with some exceptions, most of the countries with the largest predicted losses of suitable habitat for mammals are in Africa and the Americas. African and North American countries were also predicted to host the most species with large proportional global declines. Most of the countries we identified as future hotspots of terrestrial mammal loss have little or no overlap with the present global conservation priorities, thus confirming the need for forward-looking analyses in conservation priority setting. The expected growth in human populations and consumption in hotspots of future mammal loss mean that local conservation actions such as protected areas might not be sufficient to mitigate losses. Other policies, directed towards the root causes of biodiversity loss, are required, both in Africa and other parts of the world. PMID:21844048

Landsat: Planning the Next 20 Years of Earth Observation and Science

NASA Astrophysics Data System (ADS)

Ryker, S. J.; Larsen, M. C.; Newman, T. R.

2013-12-01

The Landsat series of Earth-observing satellites began 41 years ago as a partnership between the U.S. Department of the Interior (DOI) and NASA. The U.S. Geological Survey (USGS), as DOI's Earth science agency, provides Landsat's ground systems and data and develops value-added science products and applications. In 2013 the Administration committed to continue the Landsat program for the long term, and directed NASA and USGS to develop a series of spaceborne systems to provide global, continuous Landsat-quality multispectral and thermal infrared measurements for at least 20 years beyond Landsat 9. The Administration also directed the USGS to develop the program's long-term science directions, with special emphasis on making Landsat data more easily used in a wide variety of disciplines and fields of practice. With Landsats 7 and 8 on orbit, the USGS provides data every eight days for any location on the Earth's land masses. Given eight-day data collection and Landsat's 41-year historical archive, researchers and decision-makers can assess phenomena occurring at weekly to decadal time scales. With this in mind, the USGS has identified a set of Landsat-based science products that will improve applications used by natural resource managers and will contribute to the international and interagency climate monitoring community's initiative to develop consistent climate data records (CDRs) and essential climate variables (ECVs). Key Landsat-derived CDRs include surface reflectance and surface temperature, and ECV products will include measures of fire disturbance, snow covered area, surface water extent, land cover, and above-ground green biomass. These interpretive products will provide an authoritative basis for regional to continental scale identification of historical change, monitoring of current conditions, and predicting future conditions. The Administration has also assigned USGS the responsibility to analyze Landsat users' needs to inform future operational directions. For example, according to 2012 surveys, two-thirds of Landsat applications studied required eight-day data collection (i.e. multiple satellites on orbit), and applications increasingly rely on the 41-year archive (not only current data). These findings support the need for a near-term replacement for Landsat 7, which has only a few years of fuel left; and the need for Landsat 9 data to be highly compatible with previous Landsat data. In addition to eight-day repeat data collection and continuity, current themes in users' recommendations range from more frequent data collection for commodity estimates and resource management, to exploring the potential of new imaging instruments, for example by launching future Landsats with prototypes of new sensors on board. USGS continues to work with NASA to examine these options. USGS is also collaborating with commercial and foreign Earth observing institutions to explore alternate means to meet these user needs. For example, the European Commission in 2013 made strides toward a free data policy for the Sentinel-2 program. This and other relationships will augment what Landsat provides to scientists, decision-makers, and the commercial sector.

Influencing feelings of cancer risk: direct and moderator effects of affectively laden phrases in risk communication.

PubMed

Janssen, Eva; van Osch, Liesbeth; Lechner, Lilian; de Vries, Hein

2015-01-01

Evidence is accumulating for the importance of feelings of risk in explaining cancer preventive behaviors, but best practices for influencing these feelings are limited. This study investigated the direct and moderational influence of affectively laden phrases in cancer risk messages. Two experimental studies were conducted in relation to different cancer-related behaviors--sunbed use (n = 112) and red meat consumption (n = 447)--among student and nonstudent samples. Participants were randomly assigned to one of two conditions: (a) a cognitive message using cognitively laden phrases or (b) an affective message using affectively laden phrases. The results revealed that affective phrases did not directly influence feelings of risk in both studies. Evidence for a moderational influence was found in Study 2, suggesting that affective information strengthened the relation between feelings of risk and intention (i.e., participants relied more on their feelings in the decision-making process after exposure to affective information). These findings suggest that solely using affective phrases in risk communication may not be sufficient to directly influence feelings of risk and other methods need to be explored in future research. Moreover, research is needed to replicate our preliminary indications for a moderational influence of affective phrases to advance theory and practice.

A model for planning local contraceptive services.

PubMed

Wilson, S

1989-09-01

Data were collected on abortion referral rates, single young maternity rates and uptake of contraceptive services in order to identify specific areas of unmet need in the Nottingham Health District. Comparisons were made between boroughs and in the City of Nottingham between electoral wards. There was a direct relationship between abortion rate, single young maternity rate and social disadvantage. Analysis of contraceptive usage suggested a more ineffective service in the inner city, which has implications for the more efficient use of resources in the future. Targeting of consumer acceptable services to residents of the inner city and teenagers in general was recommended as a result of the study. For future planning a more useful routine data set was developed to record the activity at family planning clinics.

Future directions in bladder cancer immunotherapy: towards adaptive immunity

PubMed Central

Smith, Sean G; Zaharoff, David A

2016-01-01

The clinical management of bladder cancer has not changed significantly in several decades. In particular, intravesical bacillus Calmette–Guérin (BCG) immunotherapy has been a mainstay for high-risk nonmuscle invasive bladder cancer since the late 1970s/early 1980s. This is despite the fact that bladder cancer has the highest recurrence rates of any cancer and BCG immunotherapy has not been shown to induce a tumor-specific immune response. We and others have hypothesized that immunotherapies capable of inducing tumor-specific adaptive immunity are needed to impact bladder cancer morbidity and mortality. This article summarizes the preclinical and clinical development of bladder cancer immunotherapies with an emphasis on the last 5 years. Expected progress in the near future is also discussed. PMID:26860539

Future directions in bladder cancer immunotherapy: towards adaptive immunity.

PubMed

Smith, Sean G; Zaharoff, David A

2016-01-01

The clinical management of bladder cancer has not changed significantly in several decades. In particular, intravesical bacillus Calmette-Guérin (BCG) immunotherapy has been a mainstay for high-risk nonmuscle invasive bladder cancer since the late 1970s/early 1980s. This is despite the fact that bladder cancer has the highest recurrence rates of any cancer and BCG immunotherapy has not been shown to induce a tumor-specific immune response. We and others have hypothesized that immunotherapies capable of inducing tumor-specific adaptive immunity are needed to impact bladder cancer morbidity and mortality. This article summarizes the preclinical and clinical development of bladder cancer immunotherapies with an emphasis on the last 5 years. Expected progress in the near future is also discussed.

Condom negotiation: findings and future directions.

PubMed

Peasant, Courtney; Parra, Gilbert R; Okwumabua, Theresa M

2015-01-01

The aim of this review was to summarize factors associated with condom negotiation among heterosexual men. Literature searches were conducted using multiple databases spanning several disciplines. Studies examining psychological, demographic, relational, communication, and environmental factors related to condom negotiation are described, and a three-dimensional framework of condom negotiation is proposed. This framework of condom negotiation may aid researchers in operationalizing this construct, organizing this literature, and facilitating measurement development. We used this three-dimensional framework to articulate the influence of gender, ethnicity, relationship type, partner characteristics, trauma history, post-traumatic stress, and alcohol use on condom negotiation. Areas for future research are outlined. More research is needed to understand how these factors interact to influence condom negotiation, as well as the interaction between gender and the identified factors.

Anaesthesia in underdeveloped world: Present scenario and future challenges

PubMed Central

Bharati, Sachidanand Jee; Chowdhury, Tumul; Gupta, Nishkarsh; Schaller, Bernhard; Cappellani, Ronald B; Maguire, Doug

2014-01-01

The overall mortality and morbidity in underdeveloped countries are still unchanged and preventable risks factors constitute the main burden. Among these, anaesthesia-related mortality is largely preventable. Various contributory factors related to human resources, technical resources, education/teaching system and other utilities needs further attention in poor income group countries. Therefore, we have made an attempt to address all these issues in this educational article and have given special reference to those factors that might gain importance in (near) future. Proper understanding of anaesthesia-related resources, their overall impact on health care system and their improvisation methods should be thoroughly evaluated for providing safer anaesthesia care in these countries which would certainly direct better outcome and consequently influence mortality. PMID:24970961

Systematic Reviews of Mechanisms for Financing Family Planning: Findings, Implications, and Future Agenda.

PubMed

Lissner, Craig L; Ali, Moazzam

2016-12-01

The article describes an international collaboration that systematically reviewed the evidence on financing mechanisms for family planning/contraception, assessed the strength of and summarized the evidence, identified research gaps, and proposed a new research agenda to address the gaps. The review found that the evidence base is weak owing to the paucity of studies, diversity in findings, and variations in intervention, study design, and outcome measures. Of more than 17,000 papers reviewed only 38 met the eligibility criteria. A number of general recommendations on the directions and areas of future research can be drawn. There is a strong need for more robust study designs on the effectiveness of financial incentives in family planning. © 2016 The Population Council, Inc.

Respiratory neuroplasticity - Overview, significance and future directions.

PubMed

Fuller, David D; Mitchell, Gordon S

2017-01-01

Neuroplasticity is an important property of the neural system controlling breathing. However, our appreciation for its importance is still relatively new, and we have much to learn concerning different forms of plasticity, their underlying mechanisms, and their biological and clinical significance. In this brief review, we discuss several well-studied models of respiratory plasticity, including plasticity initiated by inactivity in the respiratory system, intermittent and sustained hypoxia, and traumatic injury to the spinal cord. Other aspects of respiratory plasticity are considered in other contributions to this special edition of Experimental Neurology on respiratory plasticity. Finally, we conclude with discussions concerning the biological and clinical significance of respiratory motor plasticity, and areas in need of future research effort. Copyright © 2016. Published by Elsevier Inc.

A Brain-Machine Interface Instructed by Direct Intracortical Microstimulation

PubMed Central

O'Doherty, Joseph E.; Lebedev, Mikhail A.; Hanson, Timothy L.; Fitzsimmons, Nathan A.; Nicolelis, Miguel A. L.

2009-01-01

Brain–machine interfaces (BMIs) establish direct communication between the brain and artificial actuators. As such, they hold considerable promise for restoring mobility and communication in patients suffering from severe body paralysis. To achieve this end, future BMIs must also provide a means for delivering sensory signals from the actuators back to the brain. Prosthetic sensation is needed so that neuroprostheses can be better perceived and controlled. Here we show that a direct intracortical input can be added to a BMI to instruct rhesus monkeys in choosing the direction of reaching movements generated by the BMI. Somatosensory instructions were provided to two monkeys operating the BMI using either: (a) vibrotactile stimulation of the monkey's hands or (b) multi-channel intracortical microstimulation (ICMS) delivered to the primary somatosensory cortex (S1) in one monkey and posterior parietal cortex (PP) in the other. Stimulus delivery was contingent on the position of the computer cursor: the monkey placed it in the center of the screen to receive machine–brain recursive input. After 2 weeks of training, the same level of proficiency in utilizing somatosensory information was achieved with ICMS of S1 as with the stimulus delivered to the hand skin. ICMS of PP was not effective. These results indicate that direct, bi-directional communication between the brain and neuroprosthetic devices can be achieved through the combination of chronic multi-electrode recording and microstimulation of S1. We propose that in the future, bidirectional BMIs incorporating ICMS may become an effective paradigm for sensorizing neuroprosthetic devices. PMID:19750199

Protecting Future Biodiversity via Re-allocation of Future Land-use Change Patterns

NASA Astrophysics Data System (ADS)

Chini, L. P.; Hurtt, G. C.; Jantz, S.; Brooks, T.; Leon, C.; Waldhoff, S.; Edmonds, J.

2013-12-01

Future scenarios, such as the Representative Concentration Pathways (RCPs), are typically designed to meet a radiative forcing target while also producing enough food and energy for a growing population. In the assessment process, impacts of these scenarios for other important variables such as biodiversity loss are considered 'downstream', after the future climate has been simulated within Earth System Models. However, the direct land-use impacts associated with future scenarios often have as much impact on these issues as the changing climate; in addition, many different patterns of land-use can result in the same radiative forcing target. In the case of biodiversity loss, one of the greatest contributors to species extinction is the loss of habitat such as primary forest, which is a direct result of land-use change decisions. By considering issues such as the preservation of future biodiversity 'up-front' in the scenario process, we can design a scenario that not only meets a radiative forcing target and feeds a growing planet, but also preserves as much habitat as possible through careful spatial allocation of future land-use change. Our Global Land-use Model (GLM) is used to provide 'harmonized' land-use data for the RCP process. GLM preserves as much information as possible from the Integrated Assessment Models (IAMs) while spatially allocating regional IAM land-use change data, ensuring a continuous transition from historical to future land-use states, and producing annual, gridded (0.5°×0.5°), fractional land-use states and all associated transitions. In this presentation we will present results from new GLM simulations in which land-use change decisions are constrained to meet the mutual goals of protecting important eco-regions (e.g. biodiversity hotspots) from future land-use change, providing enough food and fiber for a growing planet, and remaining consistent with the radiative forcing targets of the future scenarios. Trade-offs between agricultural demand and biodiversity protection were needed in some scenarios, but by constraining the land-use decisions to protect future biodiversity, an estimated 10-25% of species could be saved from loss between 2005 and 2100 (Jantz et al. 2013, in prep).

Next Generation Non-Vacuum, Maskless, Low Temperature Nanoparticle Ink Laser Digital Direct Metal Patterning for a Large Area Flexible Electronics

PubMed Central

Yeo, Junyeob; Hong, Sukjoon; Lee, Daehoo; Hotz, Nico; Lee, Ming-Tsang; Grigoropoulos, Costas P.; Ko, Seung Hwan

2012-01-01

Flexible electronics opened a new class of future electronics. The foldable, light and durable nature of flexible electronics allows vast flexibility in applications such as display, energy devices and mobile electronics. Even though conventional electronics fabrication methods are well developed for rigid substrates, direct application or slight modification of conventional processes for flexible electronics fabrication cannot work. The future flexible electronics fabrication requires totally new low-temperature process development optimized for flexible substrate and it should be based on new material too. Here we present a simple approach to developing a flexible electronics fabrication without using conventional vacuum deposition and photolithography. We found that direct metal patterning based on laser-induced local melting of metal nanoparticle ink is a promising low-temperature alternative to vacuum deposition– and photolithography-based conventional metal patterning processes. The “digital” nature of the proposed direct metal patterning process removes the need for expensive photomask and allows easy design modification and short turnaround time. This new process can be extremely useful for current small-volume, large-variety manufacturing paradigms. Besides, simple, scalable, fast and low-temperature processes can lead to cost-effective fabrication methods on a large-area polymer substrate. The developed process was successfully applied to demonstrate high-quality Ag patterning (2.1 µΩ·cm) and high-performance flexible organic field effect transistor arrays. PMID:22900011

Next generation non-vacuum, maskless, low temperature nanoparticle ink laser digital direct metal patterning for a large area flexible electronics.

PubMed

Yeo, Junyeob; Hong, Sukjoon; Lee, Daehoo; Hotz, Nico; Lee, Ming-Tsang; Grigoropoulos, Costas P; Ko, Seung Hwan

2012-01-01

Flexible electronics opened a new class of future electronics. The foldable, light and durable nature of flexible electronics allows vast flexibility in applications such as display, energy devices and mobile electronics. Even though conventional electronics fabrication methods are well developed for rigid substrates, direct application or slight modification of conventional processes for flexible electronics fabrication cannot work. The future flexible electronics fabrication requires totally new low-temperature process development optimized for flexible substrate and it should be based on new material too. Here we present a simple approach to developing a flexible electronics fabrication without using conventional vacuum deposition and photolithography. We found that direct metal patterning based on laser-induced local melting of metal nanoparticle ink is a promising low-temperature alternative to vacuum deposition- and photolithography-based conventional metal patterning processes. The "digital" nature of the proposed direct metal patterning process removes the need for expensive photomask and allows easy design modification and short turnaround time. This new process can be extremely useful for current small-volume, large-variety manufacturing paradigms. Besides, simple, scalable, fast and low-temperature processes can lead to cost-effective fabrication methods on a large-area polymer substrate. The developed process was successfully applied to demonstrate high-quality Ag patterning (2.1 µΩ·cm) and high-performance flexible organic field effect transistor arrays.

Direct imaging of exoplanets.

PubMed

Lagrange, Anne-Marie

2014-04-28

Most of the exoplanets known today have been discovered by indirect techniques, based on the study of the host star radial velocity or photometric temporal variations. These detections allowed the study of the planet populations in the first 5-8 AU from the central stars and have provided precious information on the way planets form and evolve at such separations. Direct imaging on 8-10 m class telescopes allows the detection of giant planets at larger separations (currently typically more than 5-10 AU) complementing the indirect techniques. So far, only a few planets have been imaged around young stars, but each of them provides an opportunity for unique dedicated studies of their orbital, physical and atmospheric properties and sometimes also on the interaction with the 'second-generation', debris discs. These few detections already challenge formation theories. In this paper, I present the results of direct imaging surveys obtained so far, and what they already tell us about giant planet (GP) formation and evolution. Individual and emblematic cases are detailed; they illustrate what future instruments will routinely deliver for a much larger number of stars. I also point out the limitations of this approach, as well as the needs for further work in terms of planet formation modelling. I finally present the progress expected in direct imaging in the near future, thanks in particular to forthcoming planet imagers on 8-10 m class telescopes.

Human evolutionary genomics: ethical and interpretive issues.

PubMed

Vitti, Joseph J; Cho, Mildred K; Tishkoff, Sarah A; Sabeti, Pardis C

2012-03-01

Genome-wide computational studies can now identify targets of natural selection. The unique information about humans these studies reveal, and the media attention they attract, indicate the need for caution and precision in communicating results. This need is exacerbated by ways in which evolutionary and genetic considerations have been misapplied to support discriminatory policies, by persistent misconceptions of these fields and by the social sensitivity surrounding discussions of racial ancestry. We discuss the foundations, accomplishments and future directions of human evolutionary genomics, attending to ways in which the interpretation of good science can go awry, and offer suggestions for researchers to prevent misapplication of their work. Copyright © 2011 Elsevier Ltd. All rights reserved.

Depressive symptoms and bodily pain: The role of physical disability and social stress

PubMed Central

Gayman, Mathew D.; Brown, Robyn Lewis; Cui, Ming

2010-01-01

Summary This study evaluates the bi-directional association between depressive symptoms and bodily pain, and examines the role of physical disability and perceived social stress in the depression—pain relationship. Data are employed from a two-wave panel study of Miami-Dade county residents (n = 1,459) that includes a substantial over-sampling of individuals who identify as physically-disabled. Findings indicate that the bi-directional relationship between depression and pain is similar for those with and without a physical disability. Results also demonstrate that stress exposure, specifically recent life events and daily discrimination, partially mediated the relationship between prior levels of depression and changes in pain. Directions for future research and the need for a more comprehensive model of health incorporating physical, psychological, and social factors are discussed. PMID:21359108

Health and vulnerability to poverty in Ghana: evidence from the Ghana Living Standards Survey Round 5

PubMed Central

2012-01-01

Background An understanding of the complex relationship between health status and welfare is crucial for critical policy interventions. However, the focus of most policies in developing regions has been on current welfare to the neglect of forward-looking welfare analysis. The absence of adequate research in the area of future poverty or vulnerability to poverty has also contributed to the focus on current welfare. The objectives of this study were to estimate vulnerability to poverty among households in Ghana and examine the relationship between health status and vulnerability to poverty. Method The study used cross section data from the Fifth Round of the Ghana Living Standards Survey (GLSS 5) with a nationally representative sample of 8,687 households from all administrative regions in Ghana. A three-step Feasible Generalized Least Squares (FGLS) estimation procedure was employed to estimate vulnerability to poverty and to model the effect of health status on expected future consumption and variations in future consumption. Vulnerability to poverty estimates were also examined against various household characteristics. Results Using an upper poverty line, the estimates of vulnerability show that about 56% of households in Ghana are vulnerable to poverty in the future and this is higher than the currently observed poverty level of about 29%. Households with ill members were vulnerable to poverty. Moreover, households with poor hygiene conditions were also vulnerable to future poverty. The vulnerability to poverty estimates were, however, sensitive to the poverty line used and varied with household characteristics. Conclusion The results imply that policies directed towards poverty reduction need to take into account the vulnerability of households to future poverty. Also, hygienic conditions and health status of households need not be overlooked in poverty reduction strategies. PMID:22827954

Relationship of social support and decisional conflict to advance directives attitude in Korean older adults: A community-based cross-sectional study.

PubMed

Lee, JuHee; Jung, Dukyoo; Choi, MoonKi

2016-01-01

The aim of this study was to clarify the relationship between social support, decisional conflict, and attitude towards advance directives, and determine whether decisional conflict mediates the relation between social support and advance directives attitude among older adults in South Korea. In total, 209 community-based older adults (mean age, 74.82 years) participated in this cross-sectional study. Demographic characteristics, self-perceived health status, social support, decisional conflict, and advance directives attitude were investigated via a structured questionnaire. Data analysis was carried out using Pearson's correlation and path analyses. The mean score of advance directives attitude was 48.01 (range, 35-61). Decisional conflict and social support were both significantly related to advance directives attitude (P < 0.001). Additionally, decisional conflict was a mediator between social support and advance directives attitudes. The results confirmed the importance of social support for reducing decisional conflict and encouraging positive attitudes toward advance directives. Future studies are needed to support the development of culturally sensitive educational approaches regarding advance directives for older adults in Korea. © 2015 The Authors. Japan Journal of Nursing Science © 2015 Japan Academy of Nursing Science.

Journal rankings and directions for future research in health care management: A global perspective.

PubMed

Meese, Katherine A; O'Connor, Stephen J; Borkowski, Nancy; Hernandez, S Robert

2017-05-01

Despite the increasingly global nature of health care, much of the research about journal rankings and directions for future research in health care management is from a United States based viewpoint. There is a lack of information about influential journals and trends for health care management research from a global perspective. This exploratory study gathered the opinions of health care management researchers from 17 countries regarding which journals are considered most influential, popular research topics and areas needing more attention from the research community. An online survey was sent to individuals in high-income Organisation for Economic Co-operation and Development countries who were identified through author relationships, academic institution websites, editorial boards of international journals, and academic and practitioner associations in the countries of interest. Results indicate that journal rankings vary substantially from prior published studies evaluating health care management journals and international ranking lists, and the list of influential journals includes a much more diverse array of publications. Respondents also indicated a diverse number of topics for current and future research, highlighting the global complexity of the field. The implications of this study are valuable to scholars evaluating outlets for disseminating research, and highlighting areas for collaborative research in health care management globally.

Future directions in health for the new Government: our health and the public health.

PubMed

Roberts, P R

2000-04-14

The 'no model' model awaited the invisible hand. However, 'more government' demands more hands-on direction of the health system. To whom will the government turn for advice? The health professionals were excluded from the market experiment because of the concern that they would 'capture the process'. With the change in the political will, some of the most simplistic, fallacious perceptions of New Zealand's society should have less influence on health policy. The new government has the opportunity to re-engage New Zealanders in advancing the health of the nation. Public health specialists have a wealth of information to guide decision-making which deserves wider dissemination and more executive consideration. In personal health care, health professionals have the will to continue innovation but need a system in which their values are respected. One caveat: there is a tendency, whether the approach is 'more market' or 'more government', to try to measure everything and tick every box. When dealing with complex systems which need highly skilled professionals, however, there simply needs to be a high level of trust As when getting on a plane, central planners, like the rest of us, need to understand that sometimes the pilots must 'capture the process' in order to get back on course.

Elucidating Solvation Structures for Rational Design of Multivalent Electrolytes-A Review.

PubMed

Rajput, Nav Nidhi; Seguin, Trevor J; Wood, Brandon M; Qu, Xiaohui; Persson, Kristin A

2018-04-26

Fundamental molecular-level understanding of functional properties of liquid solutions provides an important basis for designing optimized electrolytes for numerous applications. In particular, exhaustive knowledge of solvation structure, stability, and transport properties is critical for developing stable electrolytes for fast-charging and high-energy-density next-generation energy storage systems. Accordingly, there is growing interest in the rational design of electrolytes for beyond lithium-ion systems by tuning the molecular-level interactions of solvate species present in the electrolytes. Here we present a review of the solvation structure of multivalent electrolytes and its impact on the electrochemical performance of these batteries. A direct correlation between solvate species present in the solution and macroscopic properties of electrolytes is sparse for multivalent electrolytes and contradictory results have been reported in the literature. This review aims to illustrate the current understanding, compare results, and highlight future needs and directions to enable the deep understanding needed for the rational design of improved multivalent electrolytes.

THE ECONOMICS OF REPROCESSING vs DIRECT DISPOSAL OF SPENT NUCLEAR FUEL

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

Matthew Bunn; Steve Fetter; John P. Holdren

This report assesses the economics of reprocessing versus direct disposal of spent nuclear fuel. The breakeven uranium price at which reprocessing spent nuclear fuel from existing light-water reactors (LWRs) and recycling the resulting plutonium and uranium in LWRs would become economic is assessed, using central estimates of the costs of different elements of the nuclear fuel cycle (and other fuel cycle input parameters), for a wide range of range of potential reprocessing prices. Sensitivity analysis is performed, showing that the conclusions reached are robust across a wide range of input parameters. The contribution of direct disposal or reprocessing and recyclingmore » to electricity cost is also assessed. The choice of particular central estimates and ranges for the input parameters of the fuel cycle model is justified through a review of the relevant literature. The impact of different fuel cycle approaches on the volume needed for geologic repositories is briefly discussed, as are the issues surrounding the possibility of performing separations and transmutation on spent nuclear fuel to reduce the need for additional repositories. A similar analysis is then performed of the breakeven uranium price at which deploying fast neutron breeder reactors would become competitive compared with a once-through fuel cycle in LWRs, for a range of possible differences in capital cost between LWRs and fast neutron reactors. Sensitivity analysis is again provided, as are an analysis of the contribution to electricity cost, and a justification of the choices of central estimates and ranges for the input parameters. The equations used in the economic model are derived and explained in an appendix. Another appendix assesses the quantities of uranium likely to be recoverable worldwide in the future at a range of different possible future prices.« less

Research Priorities for Studies Linking Intake of Low-Calorie Sweeteners and Potentially Related Health Outcomes

PubMed Central

Bright, Oliver-John M; Wang, Ding Ding; Shams-White, Marissa; Bleich, Sara N; Foreyt, John; Franz, Marion; Johnson, Guy; Manning, Beth Trickett; Mattes, Rick; Pi-Sunyer, Xavier; Schneeman, Barbara; Parrott, James Scott; Steffen, Dan; Sylvetsky, Allison; Ziegler, Paula

2017-01-01

Abstract Background: In a world of finite research funding, efforts to prioritize future research topics are increasingly necessary. Objective: The aim of this study was to identify and prioritize the direction of future research in the broad area of low-calorie sweetener (LCS) intake and potentially related health outcomes by using a novel method that incorporates evidence mapping in the Agency for Healthcare Research and Quality's Future Research Needs (FRN) process. Methods: A diverse expert stakeholder panel was convened and engaged to identify research gaps and prioritize future research needs. An independent research team hosted a number of interactive webinars and elicited feedback through surveys and individual interviews with the stakeholder panel, which included policymakers, lay audience members, health providers, a research funder, individuals with food industry experience, and researchers of several different specialties. Results: The stakeholder panel generated and ranked a list of 18 FRN questions across 5 broad research areas. Overall, stakeholder panel members unanimously agreed that the research questions that will have the largest public health impact are those that address outcomes related to body weight, appetite, and dietary intake. Although the LCSs included in this FRN project have all been Generally Recognized as Safe by the FDA or approved as food additives, the recurrent concerns and confusions with regard to the “safety” of LCSs by consumers underscore the importance of communicating the science to the general public. Conclusion: Our project provides evidence that engaging a diverse expert stakeholder panel is an effective method of translating gaps in nutrition research into prioritized areas of future research.

Features of the Italian National Inventory of Chemical Substances.

PubMed

Binetti, R; Marcello, I

1994-01-01

The Italian National Inventory of Chemical Substances (Inventario nazionale delle sostanze chimiche, INSC), a factual data bank on chemical toxicology produced by the Istituto Superiore di Sanità (ISS), consists of a computerized system on existing chemicals developed for routinary and emergency needs. Historical background, current status and future direction of INSC are discussed. The structure and the feature of INSC are briefly examined. Aspects of retrieval of information and the criteria for the inclusion of data and priority selection are also considered.

Special forces medicine in Israel: history and future direction.

PubMed

Ostfeld, Ishay; Paran, Haim; Chen, Jacob; Barneis, Yotam; Dreyfuss, Uriel; Kedem, Hagai; Glassberg, Elon

2014-01-01

The Special Forces (SF) of the Israel Defense Force (IDF) have a long and pioneering history in tactical and medical aspects. Moreover, the importance of medical assistance is highly regarded in the Israeli SF community. Consequently, as current military challenges of Israel increase, the need for SF activity and for its medical support increases as well. Therefore, the authors anticipate that further development of SF medicine (SFM), as a specific branch of military medicine in Israel, will continue. 2014.

The use of computers for perioperative simulation in anesthesia, critical care, and pain medicine.

PubMed

Lambden, Simon; Martin, Bruce

2011-09-01

Simulation in perioperative anesthesia training is a field of considerable interest, with an urgent need for tools that reliably train and facilitate objective assessment of performance. This article reviews the available simulation technologies, their evolution, and the current evidence base for their use. The future directions for research in the field and potential applications of simulation technology in anesthesia, critical care, and pain medicine are discussed. Copyright © 2011 Elsevier Inc. All rights reserved.

Managing laboratory automation

PubMed Central

Saboe, Thomas J.

1995-01-01

This paper discusses the process of managing automated systems through their life cycles within the quality-control (QC) laboratory environment. The focus is on the process of directing and managing the evolving automation of a laboratory; system examples are given. The author shows how both task and data systems have evolved, and how they interrelate. A BIG picture, or continuum view, is presented and some of the reasons for success or failure of the various examples cited are explored. Finally, some comments on future automation need are discussed. PMID:18925018

Management of fibromyalgia syndrome in 2016

PubMed Central

Okifuji, Akiko; Gao, Jeff; Bokat, Christina; Hare, Bradford D

2016-01-01

Fibromyalgia syndrome is a chronic pain disorder and defies definitively efficacious therapy. In this review, we summarize the results from the early treatment research as well as recent research evaluating the pharmacological, interventional and nonpharmacological therapies. We further discuss future directions of fibromyalgia syndrome management; we specifically focus on the issues that are associated with currently available treatments, such as the need for personalized approach, new technologically oriented and interventional treatments, the importance of understanding and harnessing placebo effects and enhancement of patient engagement in therapy. PMID:27306300

Universal Frequency Domain Baseband Receiver Structure for Future Military Software Defined Radios

DTIC Science & Technology

2010-09-01

selective channels, i.e., it may have a poor performance at good conditions [4]. Military systems may require a direct sequence ( DS ) component for...frequency bins using a spreading code. This is called the MC- CDMA signal. Note that spreading does not need to cover all the subcarriers but just a few, like...preambles with appropriate frequency domain properties. A DS component can be added as usually. The FDP block then includes this code as a reference

Pay modernisation and healthcare governance.

PubMed

Benton, David C

Policies interact and have direct and indirect consequences resulting in both short-term and longer-term effects on the working lives of professionals, the care they offer and the education needed by future generations of staff. This article explores how pay modernisation could result in benefits and risks for corporate, clinical and staff governance. It is argued that if pay modernisation as a major enabler of service redesign is to succeed then far greater understanding of how various policies interact and their potential consequences is required.

Managing laboratory automation.

PubMed

Saboe, T J

1995-01-01

This paper discusses the process of managing automated systems through their life cycles within the quality-control (QC) laboratory environment. The focus is on the process of directing and managing the evolving automation of a laboratory; system examples are given. The author shows how both task and data systems have evolved, and how they interrelate. A BIG picture, or continuum view, is presented and some of the reasons for success or failure of the various examples cited are explored. Finally, some comments on future automation need are discussed.

Grass buffers for playas in agricultural landscapes: A literature synthesis

USGS Publications Warehouse

Melcher, Cynthia P.; Skagen, Susan K.

2005-01-01

Future research should entail multiple-scale approaches at regional, wetland-complex, and individual watershed scales. Information needs include direct measures of buffer effectiveness in ‘real-world’ systems, refinement and field tests of buffer-effectiveness models, how buffers may affect floral and faunal communities of playas, and basic ecological information on playa function and playa wildlife ecology. Understanding how wildlife communities respond to patch size and habitat fragmentation is crucial for addressing questions regarding habitat quality of grass buffers in playa systems.

The Development of Environmental Barrier Coating Systems for SiC-SiC Ceramic Matrix Composites: Environment Effects on the Creep and Fatigue Resistance

NASA Technical Reports Server (NTRS)

Zhu, Dongming; Ghosn, Louis J.

2014-01-01

Topics covered include: Environmental barrier coating system development: needs, challenges and limitations; Advanced environmental barrier coating systems (EBCs) for CMC airfoils and combustors; NASA EBC systems and material system evolutions, Current turbine and combustor EBC coating emphases, Advanced development, processing, testing and modeling, EBC and EBC bond coats: recent advances; Design tool and life prediction of coated CMC components; Advanced CMC-EBC rig demonstrations; Summary and future directions.

The Urgent Need for a Comprehensive, Fully Integrated, Joint Intra-Theater Aeromedical Evacuation System

DTIC Science & Technology

2017-04-06

future demands for intra-theater AE for all services and coalition partners in accordance with DoD Directive 5100.01 and the SECDEF’s Memorandum for... demand signal for AE assets approximately doubled. In 2009, the Medical Evacuation Proponency Directorate at Fort Rucker, AL conducted an...Analysis (TAA), but the Army only possessed 38 Air Ambulance Companies in its force structure to meet all of DoD’s AE demands .9 These results included nine

Assessing the industry using Porter's five forces.

PubMed

2014-01-01

To develop a business and plan for the future, there is a need to assess the current situation. One way of doing this is to use Porter's five forces framework. This was the brainchild of Harvard Business School's Michael Porter and developed in 1979. Looking at the competitive intensity of an industry, the model assesses internal and external factors that act together to determine the direction of the business; taken together, this gives an indication of the attractiveness of the industry.

Management of fibromyalgia syndrome in 2016.

PubMed

Okifuji, Akiko; Gao, Jeff; Bokat, Christina; Hare, Bradford D

2016-05-01

Fibromyalgia syndrome is a chronic pain disorder and defies definitively efficacious therapy. In this review, we summarize the results from the early treatment research as well as recent research evaluating the pharmacological, interventional and nonpharmacological therapies. We further discuss future directions of fibromyalgia syndrome management; we specifically focus on the issues that are associated with currently available treatments, such as the need for personalized approach, new technologically oriented and interventional treatments, the importance of understanding and harnessing placebo effects and enhancement of patient engagement in therapy.

Dyscalculia, dyslexia, and medical students' needs for learning and using statistics.

PubMed

MacDougall, Margaret

2009-02-07

Much has been written on the learning needs of dyslexic and dyscalculic students in primary and early secondary education. However, it is not clear that the necessary disability support staff and specialist literature are available to ensure that these needs are being adequately met within the context of learning statistics and general quantitative skills in the self-directed learning environments encountered in higher education. This commentary draws attention to dyslexia and dyscalculia as two potentially unrecognized conditions among undergraduate medical students and in turn, highlights key developments from recent literature in the diagnosis of these conditions. With a view to assisting medical educators meet the needs of dyscalculic learners and the more varied needs of dyslexic learners, a comprehensive list of suggestions is provided as to how learning resources can be designed from the outset to be more inclusive. A hitherto neglected area for future research is also identified through a call for a thorough investigation of the meaning of statistical literacy within the context of the undergraduate medical curriculum.

Dyscalculia, Dyslexia, and Medical Students’ Needs for Learning and Using Statistics

PubMed Central

MacDougall, Margaret

2009-01-01

Much has been written on the learning needs of dyslexic and dyscalculic students in primary and early secondary education. However, it is not clear that the necessary disability support staff and specialist literature are available to ensure that these needs are being adequately met within the context of learning statistics and general quantitative skills in the self-directed learning environments encountered in higher education. This commentary draws attention to dyslexia and dyscalculia as two potentially unrecognized conditions among undergraduate medical students and in turn, highlights key developments from recent literature in the diagnosis of these conditions. With a view to assisting medical educators meet the needs of dyscalculic learners and the more varied needs of dyslexic learners, a comprehensive list of suggestions is provided as to how learning resources can be designed from the outset to be more inclusive. A hitherto neglected area for future research is also identified through a call for a thorough investigation of the meaning of statistical literacy within the context of the undergraduate medical curriculum. PMID:20165516

The AGU Board of Heads and Chairs: Past and Future

NASA Astrophysics Data System (ADS)

Wuebbles, D. J.; Bierly, E. W.

2005-12-01

The primary objective of the AGU Board of Heads and Chairs is to be a conduit for interactions of AGU with the many universities and colleges involved in geosciences education and research. The Board also provides a forum for discussing key issues being faced by Earth and space science departments. From a historical perspective, the Board of Heads and Chairs has been a venue, through various meetings over the last two decades, for bringing together Heads and Chairs of such departments solutions; discuss and critically evaluate new instruments, facilities, tools, and methodologies; come together on important issues that transcend their own science such as the need for increased computing capacity; develop ways to increase women and minorities numbers in the field and deal with their issues in an equitable manner; discuss news ways to teach, introduction of new courses, establishment of new programs and degrees to fill the community's needs; and broaden their horizons, think in truly interdisciplinary ways and, return to their institutions with increased vigor and new ideas. We are looking to expand the role of the Board for the future, particularly towards being more proactive as a clearinghouse or "point of contact" for helping the represented universities and colleges. This presentation looks at what has been done and the direction of future activities of the Board.

Revolutionary Aerospace Systems Concepts - Planning for the Future of Technology Investments

NASA Technical Reports Server (NTRS)

Ferebee, Melvin J., Jr.; Breckenridge, Roger A.; Hall, John B., Jr.

2002-01-01

In January, 2000, the NASA Administrator gave the following directions to Langley: "We will create a new role for Langley as a leader for the assessment of revolutionary aerospace system concepts and architectures, and provide resources needed to assure technology breakthroughs will be there to support these advanced concepts. This is critical in determining how NASA can best invest its resources to enable future missions." The key objective of the RASC team is to look beyond current research and technology (R&T) programs and missions and evolutionary technology development approaches with a "top-down" perspective to explore possible new mission capabilities. The accomplishment of this objective will allow NASA to provide the ability to go anywhere, anytime - safely, and affordably- to meet its strategic goals for exploration, science, and commercialization. The RASC Team will seek to maximize the cross-Enterprise benefits of these revolutionary capabilities as it defines the revolutionary enabling technology areas and performance levels needed. The product of the RASC Team studies will be revolutionary systems concepts along with enabling technologies and payoffs in new mission capabilities, which these concepts can provide. These results will be delivered to the NASA Enterprises and the NASA Chief Technologist for use in planning revolutionary future NASA R&T program investments.

The use of psychometrists in clinical neuropsychology: history, current status, and future directions.

PubMed

Malek-Ahmadi, Michael; Erickson, Tom; Puente, Antonio E; Pliskin, Neil; Rock, Rachel

2012-01-01

In recent years, the National Academy of Neuropsychology and other professional neuropsychological organizations have published a number of articles and position papers regarding the use, education, and training of psychometrists ("technicians"). Although these documents provide guidelines for the suggested qualifications and training procedures of psychometrists, none make any mention of the need for a standardized credentialing process, which is commonly required of technicians in similar fields, especially in medical settings. Given the recent changes in current procedural Terminology codes used to bill for neuropsychological services and the interpretation of legislation disallowing the use of psychometrists in New York, the need for a standard credential for psychometrists is apparent. This article will review the history and current use of psychometrists in clinical neuropsychology and highlight the need and rationale for the credentialing of psychometrists.

Reflections on Developing Collaborative Research in Pediatric Psychology: Implications and Future Directions

PubMed Central

2013-01-01

Objectives Collaborative research with pediatric colleagues has become increasingly important in the professional agenda of pediatric psychology, and there is a continuing need to articulate the challenges of such research. To address this need, this article describes types of collaborative research, reasons for collaboration, collaborative process, challenges, and strategies to facilitate collaborative research. Methods Experiences and lessons learned over the course of a career in collaborative research are described. Results Challenges in collaborative research can be overcome by effective strategies of engagement and communication. Useful methods of training researchers in collaborative research include modeling and supervised mentored experiences in research initiated by trainees. Conclusion Data are needed to identify the characteristics of successful collaborative research, strategies to promote effective research, and methods of training and career development. PMID:23671060

The Organization of Future Translators' Self-Directed Learning at US Universities

ERIC Educational Resources Information Center

Nakonechna, Alyona

2017-01-01

The article deals with studying the peculiarities in the organization of future translators' self-directed learning at US universities. It has been stated that various researches on the problem prove the underestimation of self-directed learning that leads to insufficient professional competency of future translators. It has been found out that to…

Influence of strategic direction for NHS Scotland knowledge services on indexing policy for the NHS Scotland e-library.

PubMed

McLeod, Lorraine; Thain, Annette; Wales, Ann

2005-03-01

Indexing policy for the NHS Scotland e-Library needs to maximize future inter-operability with other significant health- and social-care-related resources. The strategic drive towards integration and partnership working means that the indexing system has to be widely acceptable to the full range of disciplines within the integrated health-care family. Indexes identified by various means and then shortlisted using predefined criteria. Three subject indexes have been chosen--Medical Subject Headings (MeSH), CareData and the Government Category List (GCL), plus mapping between natural language and MeSH terms. This decision was a reasonable compromise between the strategy-driven aim of seamless access for all 'partners in care', and practical constraints of time/manpower. Other authority files (e.g. geographical area, language) are also standards based, and customised to reflect the information needs of an increasingly integrated health-care system. No single index could provide the scope required to meet the widening range of NHS information need. The influence of high-level strategic aims and objectives have extended their reach to influence indexing policy for the e-Library. Our indexing policy will continue to evolve and contribute to a knowledge management infrastructure capable of supporting current and future NHS Scotland information needs and strategy. Layperson terminology was identified as a gap; additional measures to address this gap are highlighted.

Commercial Sexual Exploitation and Sex Trafficking of Children and Adolescents: A Narrative Review.

PubMed

Barnert, Elizabeth; Iqbal, Zarah; Bruce, Janine; Anoshiravani, Arash; Kolhatkar, Gauri; Greenbaum, Jordan

Commercial sexual exploitation and sex trafficking of children and adolescents represent a severe form of child abuse and an important pediatric health concern. Youth who are commercially sexually exploited have a constellation of clinical risk factors and high rates of unmet physical and mental health needs, including conditions that directly result from their victimization. Common physical health needs among commercially sexually exploited children and adolescents include violence-related injuries, pregnancy, sexually transmitted infections, and other acute infections. Common mental health conditions include substance use disorders, post-traumatic stress disorder, depression and suicidality, and anxiety. The existing literature indicates that trauma-informed approaches to the care of commercially sexually exploited youth are recommended in all aspects of their health care delivery. Additionally, medical education that attunes providers to identify and appropriately respond to the unique needs of this highly vulnerable group of children and adolescents is needed. The available research on commercial sexual exploitation and sex trafficking of children and adolescents remains fairly limited, yet is expanding rapidly. Especially relevant to the field of pediatrics, future research to guide health professionals in how best to identify and care for commercially sexually exploited children and adolescents in the clinical setting signifies a key gap in the extant literature and an important opportunity for future study. Copyright © 2017 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Neuromodulation interventions for addictive disorders: challenges, promise, and roadmap for future research.

PubMed

Spagnolo, Primavera A; Goldman, David

2017-05-01

Addictive disorders are a major public health concern, associated with high relapse rates, significant disability and substantial mortality. Unfortunately, current interventions are only modestly effective. Preclinical studies as well as human neuroimaging studies have provided strong evidence that the observable behaviours that characterize the addiction phenotype, such as compulsive drug consumption, impaired self-control, and behavioural inflexibility, reflect underlying dysregulation and malfunction in specific neural circuits. These developments have been accompanied by advances in neuromodulation interventions, both invasive as deep brain stimulation, and non-invasive such as repetitive transcranial magnetic stimulation and transcranial direct current stimulation. These interventions appear particularly promising as they may not only allow us to probe affected brain circuits in addictive disorders, but also seem to have unique therapeutic applications to directly target and remodel impaired circuits. However, the available literature is still relatively small and sparse, and the long-term safety and efficacy of these interventions need to be confirmed. Here we review the literature on the use of neuromodulation in addictive disorders to highlight progress limitations with the aim to suggest future directions for this field. Published by Oxford University Press on behalf of the Guarantors of Brain 2016. This work is written by US Government employees and is in the public domain in the United States.

Key Assets for a Sustainable Low Carbon Energy Future

NASA Astrophysics Data System (ADS)

Carre, Frank

2011-10-01

Since the beginning of the 21st century, concerns of energy security and climate change gave rise to energy policies focused on energy conservation and diversified low-carbon energy sources. Provided lessons of Fukushima accident are evidently accounted for, nuclear energy will probably be confirmed in most of today's nuclear countries as a low carbon energy source needed to limit imports of oil and gas and to meet fast growing energy needs. Future challenges of nuclear energy are then in three directions: i) enhancing safety performance so as to preclude any long term impact of severe accident outside the site of the plant, even in case of hypothetical external events, ii) full use of Uranium and minimization long lived radioactive waste burden for sustainability, and iii) extension to non-electricity energy products for maximizing the share of low carbon energy source in transportation fuels, industrial process heat and district heating. Advanced LWRs (Gen-III) are today's best available technologies and can somewhat advance nuclear energy in these three directions. However, breakthroughs in sustainability call for fast neutron reactors and closed fuel cycles, and non-electric applications prompt a revival of interest in high temperature reactors for exceeding cogeneration performances achievable with LWRs. Both types of Gen-IV nuclear systems by nature call for technology breakthroughs to surpass LWRs capabilities. Current resumption in France of research on sodium cooled fast neutron reactors (SFRs) definitely aims at significant progress in safety and economic competitiveness compared to earlier reactors of this type in order to progress towards a new generation of commercially viable sodium cooled fast reactor. Along with advancing a new generation of sodium cooled fast reactor, research and development on alternative fast reactor types such as gas or lead-alloy cooled systems (GFR & LFR) is strategic to overcome technical difficulties and/or political opposition specific to sodium. In conclusion, research and technology breakthroughs in nuclear power are needed for shaping a sustainable low carbon future. International cooperation is key for sharing costs of research and development of the required novel technologies and cost of first experimental reactors needed to demonstrate enabling technologies. At the same time technology breakthroughs are developed, pre-normative research is required to support codification work and harmonized regulations that will ultimately apply to safety and security features of resulting innovative reactor types and fuel cycles.

Capturing the genetic makeup of the active microbiome in situ

DOE PAGES

Singer, Esther; Wagner, Michael; Woyke, Tanja

2017-06-02

More than any other technology, nucleic acid sequencing has enabled microbial ecology studies to be complemented with the data volumes necessary to capture the extent of microbial diversity and dynamics in a wide range of environments. In order to truly understand and predict environmental processes, however, the distinction between active, inactive and dead microbial cells is critical. Also, experimental designs need to be sensitive toward varying population complexity and activity, and temporal as well as spatial scales of process rates. There are a number of approaches, including single-cell techniques, which were designed to study in situ microbial activity and thatmore » have been successively coupled to nucleic acid sequencing. The exciting new discoveries regarding in situ microbial activity provide evidence that future microbial ecology studies will indispensably rely on techniques that specifically capture members of the microbiome active in the environment. Herein, we review those currently used activity-based approaches that can be directly linked to shotgun nucleic acid sequencing, evaluate their relevance to ecology studies, and discuss future directions.« less

Spatially Refined Aerosol Direct Radiative Forcing Efficiencies

NASA Technical Reports Server (NTRS)

Henze, Daven K.; Shindell, Drew Todd; Akhtar, Farhan; Spurr, Robert J. D.; Pinder, Robert W.; Loughlin, Dan; Kopacz, Monika; Singh, Kumaresh; Shim, Changsub

2012-01-01

Global aerosol direct radiative forcing (DRF) is an important metric for assessing potential climate impacts of future emissions changes. However, the radiative consequences of emissions perturbations are not readily quantified nor well understood at the level of detail necessary to assess realistic policy options. To address this challenge, here we show how adjoint model sensitivities can be used to provide highly spatially resolved estimates of the DRF from emissions of black carbon (BC), primary organic carbon (OC), sulfur dioxide (SO2), and ammonia (NH3), using the example of emissions from each sector and country following multiple Representative Concentration Pathway (RCPs). The radiative forcing efficiencies of many individual emissions are found to differ considerably from regional or sectoral averages for NH3, SO2 from the power sector, and BC from domestic, industrial, transportation and biomass burning sources. Consequently, the amount of emissions controls required to attain a specific DRF varies at intracontinental scales by up to a factor of 4. These results thus demonstrate both a need and means for incorporating spatially refined aerosol DRF into analysis of future emissions scenario and design of air quality and climate change mitigation policies.

Capturing the genetic makeup of the active microbiome in situ

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

Singer, Esther; Wagner, Michael; Woyke, Tanja

More than any other technology, nucleic acid sequencing has enabled microbial ecology studies to be complemented with the data volumes necessary to capture the extent of microbial diversity and dynamics in a wide range of environments. In order to truly understand and predict environmental processes, however, the distinction between active, inactive and dead microbial cells is critical. Also, experimental designs need to be sensitive toward varying population complexity and activity, and temporal as well as spatial scales of process rates. There are a number of approaches, including single-cell techniques, which were designed to study in situ microbial activity and thatmore » have been successively coupled to nucleic acid sequencing. The exciting new discoveries regarding in situ microbial activity provide evidence that future microbial ecology studies will indispensably rely on techniques that specifically capture members of the microbiome active in the environment. Herein, we review those currently used activity-based approaches that can be directly linked to shotgun nucleic acid sequencing, evaluate their relevance to ecology studies, and discuss future directions.« less

NGNP Project 2011 Status and Path Forward

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

L.E. Demick

2011-12-01

High Temperature Gas Reactor (HTGR) technology can play an important role in the United States’ energy future by extending the use of nuclear energy for non-electricity energy production missions as well as continuing to provide a considerable base load electric power generation capability. Extending nuclear energy into the industrial and transportation sectors through the co-production of process heat and electricity provides safe and reliable energy for these sectors in an environmentally responsible manner. The safety case for the modular HTGR provides a substantial improvement in nuclear plant safety for the protection of the public and the environment, and supports collocationmore » of the HTGR with major industrial facilities. The NGNP Project at the Idaho National Laboratory has been working toward an objective of commercializing the HTGR technology under DOE direction since 2006. The Project is undergoing a quantum shift in direction and scope as a result of recent DOE decisions. This paper summarizes where the Project has been, where it is at the time of this writing and what is needed in future activities to commercialize HTGR technology.« less

Stereotactic Body Radiotherapy in the Management of Oligometastatic Disease.

PubMed

Ahmed, Kamran A; Torres-Roca, Javier F

2016-01-01

The treatment of oligometastatic disease has become common as imaging techniques have advanced and the management of systemic disease has improved. Use of highly targeted, hypofractionated regimens of stereotactic body radiotherapy (SBRT) is now a primary management option for patients with oligometastatic disease. The properties of SBRT are summarized and the results of retrospective and prospective studies of SBRT use in the management of oligometastases are reviewed. Future directions of SBRT, including optimizing dose and fractionation schedules, are also discussed. SBRT can deliver highly conformal, dosed radiation treatments for ablative tumors in a few treatment sessions. Phase 1/2 trials and retrospective institutional results support use of SBRT as a treatment option for oligometastatic disease metastasized to the lung, liver, and spine, and SBRT offers adequate toxicity profiles with good rates of local control. Future directions will involve optimizing dose and fractionation schedules for select histologies to improve rates of local control while limiting toxicity to normal structures. SBRT offers an excellent management option for patients with oligometastases. However, additional research is still needed to optimize dose and fractionation schedules.

A logistics and potential hazard study of propellant systems for a Saturn 5 derived heavy lift (three-stage core) launch vehicle

NASA Technical Reports Server (NTRS)

Whitney, E. Dow

1992-01-01

The Bush Administration has directed NASA to prepare for a return to the Moon and on to Mars - the Space Exploration Initiative. To meet this directive, powerful rocket boosters will be required in order to lift payloads that may reach the half-million pound range into low earth orbit. In this report an analysis is presented on logistics and potential hazards of the propellant systems envisioned for future Saturn 5 derived heavy lift launch vehicles. In discussing propellant logistics, particular attention has been given to possible problems associated with procurement, transportation, and storage of RP-1, HL2, and LOX, the heavy lift launch vehicle propellants. Current LOX producing facilities will need to be expanded and propellant storage and some support facilities will require relocation if current Launch Pads 39A and/or 39B are to be used for future heavy noise-abatement measures. Included in the report is a discussion of suggested additional studies, primarily economic and environmental, which should be undertaken in support of the goals of the Space Exploration Initiative.

Current usage and future trends in gross digital photography in Canada.

PubMed

Horn, Christopher L; DeKoning, Lawrence; Klonowski, Paul; Naugler, Christopher

2014-01-14

The purpose of this study was to assess the current usage, utilization and future direction of digital photography of gross surgical specimens in pathology laboratories across Canada. An online survey consisting of 23 multiple choice and free-text questions regarding gross digital photography was sent out to via email to laboratory staff across Canada involved in gross dissection of surgical specimens. Sixty surveys were returned with representation from most of the provinces. Results showed that gross digital photography is utilized at most institutions (90.0%) and the primary users of the technology are Pathologists (88.0%), Pathologists' Assistants (54.0%) and Pathology residents (50.0%). Most respondents felt that there is a definite need for routine digital imaging of gross surgical specimens in their practice (80.0%). The top two applications for gross digital photography are for documentation of interesting/ complex cases (98.0%) and for teaching purposes (84.0%). The main limitations identified by the survey group are storage space (42.5%) and security issues (40.0%). Respondents indicated that future applications of gross digital photography mostly include teaching (96.6%), presentation at tumour boards/ clinical rounds (89.8%), medico-legal documentation (72.9%) and usage for consultation purposes (69.5%). The results of this survey indicate that pathology staff across Canada currently utilizes gross digital images for regular documentation and educational reasons. They also show that the technology will be needed for future applications in teaching, consultation and medico-legal purposes.

Physiological and biochemical response of plants to engineered NMs: Implications on future design.

PubMed

de la Rosa, Guadalupe; García-Castañeda, Concepción; Vázquez-Núñez, Edgar; Alonso-Castro, Ángel Josabad; Basurto-Islas, Gustavo; Mendoza, Ángeles; Cruz-Jiménez, Gustavo; Molina, Carlos

2017-01-01

Engineered nanomaterials (ENMs) form the basis of a great number of commodities that are used in several areas including energy, coatings, electronics, medicine, chemicals and catalysts, among others. In addition, these materials are being explored for agricultural purposes. For this reason, the amount of ENMs present as nanowaste has significantly increased in the last few years, and it is expected that ENMs levels in the environment will increase even more in the future. Because plants form the basis of the food chain, they may also function as a point-of-entry of ENMs for other living systems. Understanding the interactions of ENMs with the plant system and their role in their potential accumulation in the food chain will provide knowledge that may serve as a decision-making framework for the future design of ENMs. The purpose of this paper was to provide an overview of the current knowledge on the transport and uptake of selected ENMs, including Carbon Based Nanomaterials (CBNMs) in plants, and the implication on plant exposure in terms of the effects at the macro, micro, and molecular level. We also discuss the interaction of ENMs with soil microorganisms. With this information, we suggest some directions on future design and areas where research needs to be strengthened. We also discuss the need for finding models that can predict the behavior of ENMs based on their chemical and thermodynamic nature, in that few efforts have been made within this context. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Degeneracy allows for both apparent homogeneity and diversification in populations

PubMed Central

Whitacre, James M.; Atamas, Sergei P.

2013-01-01

Trait diversity – the substrate for natural selection – is necessary for adaptation through selection, particularly in populations faced with environmental changes that diminish population fitness. In habitats that remain unchanged for many generations, stabilizing selection maximizes exploitation of resources by reducing trait diversity to a narrow optimal range. One might expect that such ostensibly homogeneous populations would have a reduced potential for heritable adaptive responses when faced with fitness-reducing environmental changes. However, field studies have documented populations that, even after long periods of evolutionary stasis, can still rapidly evolve in response to changed environmental conditions. We argue that degeneracy, the ability of diverse population elements to function similarly, can satisfy both the current need to maximize fitness and the future need for diversity. Degenerate ensembles appear functionally redundant in certain environmental contexts and functionally diverse in others. We propose that genetic variation not contributing to the observed range of phenotypes in a current population, also known as cryptic genetic variation (CGV), is a specific case of degeneracy. We argue that CGV, which gradually accumulates in static populations in stable environments, reveals hidden trait differences when environments change. By allowing CGV accumulation, static populations prepare themselves for future rapid adaptations to environmental novelty. A greater appreciation of degeneracy’s role in resolving the inherent tension between current stabilizing selection and future directional selection has implications in conservation biology and may be applied in social and technological systems to maximize current performance while strengthening the potential for future changes. PMID:22910487

Unmet patient needs in systemic sclerosis.

PubMed

Rubenzik, Tamara T; Derk, Chris T

2009-04-01

Assessment of systemic sclerosis patients has not directly addressed functioning from the patient's perspective. With this study, we aim to gain our patient's point of view by using a questionnaire to describe their unmet needs and understanding what demographic parameters influence these. A computer randomization program selected 50 patients, from 242 systemic sclerosis patients actively followed at our rheumatology clinic, to receive a survey about unmet needs. Twenty-five patients responded to the survey. Of 81 questions, 9 provided demographic data, whereas 72 questions addressed physical, daily living, psychologic, spiritual, existential, health services, health information, social support, and employment issues. A 4-point scale from no need to high need was used to rate all questions. Significant need was considered any issue for which more than 50% of patients reported a high need. The Fisher exact test was used to compare different demographic variables to unmet patient needs. The psychologic/spiritual/existential category had 9 questions reaching significance, the health services category had 5 significant questions, the physical category had 4 significant questions. Patients who had not attended college were more likely to have higher needs than patients who completed a college degree. Unmarried patients reported higher needs in 8 measures as compared with married patients, and patients in rural areas had higher needs in social support needs. The greatest prevalence of unmet needs in scleroderma patients were in the psychologic/spiritual/existential domain, such as being unable to do things they used to do, fear that the disease will worsen, anxiety and stress, feeling down or depressed, fears of physical disability, uncertainty about the future, change in appearance, keeping a positive outlook, and feeling in control. Significant differences were observed in unmet needs based on education, marital status, location, knowledge of disease, and age. Understanding each patient's specific unmet needs either through direct questioning or by the use of a questionnaire such as the one used for this study can help clinicians to give better care to each of our patients.

FutureTox II: In vitro Data and In Silico Models for Predictive Toxicology

PubMed Central

Knudsen, Thomas B.; Keller, Douglas A.; Sander, Miriam; Carney, Edward W.; Doerrer, Nancy G.; Eaton, David L.; Fitzpatrick, Suzanne Compton; Hastings, Kenneth L.; Mendrick, Donna L.; Tice, Raymond R.; Watkins, Paul B.; Whelan, Maurice

2015-01-01

FutureTox II, a Society of Toxicology Contemporary Concepts in Toxicology workshop, was held in January, 2014. The meeting goals were to review and discuss the state of the science in toxicology in the context of implementing the NRC 21st century vision of predicting in vivo responses from in vitro and in silico data, and to define the goals for the future. Presentations and discussions were held on priority concerns such as predicting and modeling of metabolism, cell growth and differentiation, effects on sensitive subpopulations, and integrating data into risk assessment. Emerging trends in technologies such as stem cell-derived human cells, 3D organotypic culture models, mathematical modeling of cellular processes and morphogenesis, adverse outcome pathway development, and high-content imaging of in vivo systems were discussed. Although advances in moving towards an in vitro/in silico based risk assessment paradigm were apparent, knowledge gaps in these areas and limitations of technologies were identified. Specific recommendations were made for future directions and research needs in the areas of hepatotoxicity, cancer prediction, developmental toxicity, and regulatory toxicology. PMID:25628403

Non-invasive brain stimulation approaches to fibromyalgia pain

PubMed Central

Short, Baron; Borckardt, Jeffrey J; George, Mark; Beam, Will; Reeves, Scott T

2010-01-01

Fibromyalgia is a poorly understood disorder that likely involves central nervous system sensory hypersensitivity. There are a host of genetic, neuroendocrine and environmental abnormalities associated with the disease, and recent research findings suggest enhanced sensory processing, and abnormalities in central monoamines and cytokines expression in patients with fibromyalgia. The morbidity and financial costs associated with fibromyalgia are quite high despite conventional treatments with antidepressants, anticonvulsants, low-impact aerobic exercise and psychotherapy. Noninvasive brain stimulation techniques, such as transcranial direct current stimulation, transcranial magnetic stimulation, and electroconvulsive therapy are beginning to be studied as possible treatments for fibromyalgia pain. Early studies appear promising but more work is needed. Future directions in clinical care may include innovative combinations of noninvasive brain stimulation, pharmacological augmentation, and behavior therapies. PMID:21841959

Investment in generation is heavy, but important needs remain

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

Maize, K.

2007-01-15

Forecasting the direction of the US electric power industry for 2007, much less the distant future, is like defining a velocity vector; doing so requires a direction and speed to delineate progress. In this special report, the paper looks at current industry indicators and draws conclusions based on more than 100 years of experience. To borrow verbatim the title of basketball legend Charles Barkely's book 'I may be wrong but I doubt it'. The forecast takes into consideration USDOE's National Electric Transmission Congestion Study (August 2006),a summary of industry data prepared by Industrial Info Resources (IIR) and NERC's 2006 Long-Termmore » Reliability Assessment (October 2006). It also reports opinions of industry specialists. 3 figs., 4 tabs.« less

An Initial Study of Airport Arrival Heinz Capacity Benefits Due to Improved Scheduling Accuracy

NASA Technical Reports Server (NTRS)

Meyn, Larry; Erzberger, Heinz

2005-01-01

The long-term growth rate in air-traffic demand leads to future air-traffic densities that are unmanageable by today's air-traffic control system. I n order to accommodate such growth, new technology and operational methods will be needed in the next generation air-traffic control system. One proposal for such a system is the Automated Airspace Concept (AAC). One of the precepts of AAC is to direct aircraft using trajectories that are sent via an air-ground data link. This greatly improves the accuracy in directing aircraft to specific waypoints at specific times. Studies of the Center-TRACON Automation System (CTAS) have shown that increased scheduling accuracy enables increased arrival capacity at CTAS equipped airports.

The Conference on High Temperature Electronics

NASA Technical Reports Server (NTRS)

Hamilton, D. J.; Mccormick, J. B.; Kerwin, W. J.; Narud, J. A.

1981-01-01

The status of and directions for high temperature electronics research and development were evaluated. Major objectives were to (1) identify common user needs; (2) put into perspective the directions for future work; and (3) address the problem of bringing to practical fruition the results of these efforts. More than half of the presentations dealt with materials and devices, rather than circuits and systems. Conference session titles and an example of a paper presented in each session are (1) User requirements: High temperature electronics applications in space explorations; (2) Devices: Passive components for high temperature operation; (3) Circuits and systems: Process characteristics and design methods for a 300 degree QUAD or AMP; and (4) Packaging: Presently available energy supply for high temperature environment.

The Conference on High Temperature Electronics

NASA Astrophysics Data System (ADS)

Hamilton, D. J.; McCormick, J. B.; Kerwin, W. J.; Narud, J. A.

The status of and directions for high temperature electronics research and development were evaluated. Major objectives were to (1) identify common user needs; (2) put into perspective the directions for future work; and (3) address the problem of bringing to practical fruition the results of these efforts. More than half of the presentations dealt with materials and devices, rather than circuits and systems. Conference session titles and an example of a paper presented in each session are (1) User requirements: High temperature electronics applications in space explorations; (2) Devices: Passive components for high temperature operation; (3) Circuits and systems: Process characteristics and design methods for a 300 degree QUAD or AMP; and (4) Packaging: Presently available energy supply for high temperature environment.

Legal considerations for social media marketing by pharmaceutical industry.

PubMed

Yang, Y Tony; Chen, Brian

2014-01-01

Social media marketing is the next frontier for direct-to-consumer advertising of pharmaceutical products, but represents an unchartered territory for regulatory action. With explosive growth in the use of social media, along with pharmaceutical companies' increasing adeptness at taking advantage of opportunities for social media marketing, the Food and Drug Administration (FDA) faces an urgent need to develop its own capacities to monitor and engage with social media marketing. In response to potential FDA action, pharmaceutical companies' marketing, regulatory compliance and legal staffs must work closely to design initiatives that are sensitive to FDA concerns. This article will address the current status of FDA regulations on social media advertising, their historical origins, challenges to implementation, and their likely future direction.

Direct drive digital servo press with high parallel control

NASA Astrophysics Data System (ADS)

Murata, Chikara; Yabe, Jun; Endou, Junichi; Hasegawa, Kiyoshi

2013-12-01

Direct drive digital servo press has been developed as the university-industry joint research and development since 1998. On the basis of this result, 4-axes direct drive digital servo press has been developed and in the market on April of 2002. This servo press is composed of 1 slide supported by 4 ball screws and each axis has linearscale measuring the position of each axis with high accuracy less than μm order level. Each axis is controlled independently by servo motor and feedback system. This system can keep high level parallelism and high accuracy even with high eccentric load. Furthermore the 'full stroke full power' is obtained by using ball screws. Using these features, new various types of press forming and stamping have been obtained by development and production. The new stamping and forming methods are introduced and 'manufacturing' need strategy of press forming with high added value and also the future direction of press forming are also introduced.

Status and future direction of male contraceptive development.

PubMed

Lyttle, C Richard; Kopf, Gregory S

2003-12-01

Control of fertility constitutes a global health issue, as overpopulation and unintended pregnancy have both major personal and societal impact. Although the contraceptive revolution in the 1960s following the development of hormonal-based oral contraceptives for women has had a major impact on societal dynamics in several cultures, little product innovation has occurred since then. One solution to this global health issue lies in the development of new and innovative contraceptives for both women and men, the goal of which is to provide a range of options for people at all stages and walks of life. Currently, three options for male-based contraception exist (i.e. withdrawal, condoms and vasectomy), and these are acknowledged as woefully inadequate. Introduction of new forms of male contraception based on both hormonal and non-hormonal paradigms are wanted and needed; this need is now becoming recognized by both the public and private sectors. New and innovative products will come from our knowledge of the unique physiology and genetics of reproduction, as well as by exploiting existing and future genomics, proteomics and protein network platforms.

Cultural psychiatry: research strategies and future directions.

PubMed

Kirmayer, Laurence J; Ban, Lauren

2013-01-01

This chapter reviews some key aspects of current research in cultural psychiatry and explores future prospects. The first section discusses the multiple meanings of culture in the contemporary world and their relevance for understanding mental health and illness. The next section considers methodological strategies for unpacking the concept of culture and studying the impact of cultural variables, processes and contexts. Multiple methods are needed to address the many different components or dimensions of cultural identity and experience that constitute local worlds, ways of life or systems of knowledge. Quantitative and observational methods of clinical epidemiology and experimental science as well as qualitative ethnographic methods are needed to capture crucial aspects of culture as systems of meaning and practice. Emerging issues in cultural psychiatric research include: cultural variations in illness experience and expression; the situated nature of cognition and emotion; cultural configurations of self and personhood; concepts of mental disorder and mental health literacy; and the prospect of ecosocial models of health and culturally based interventions. The conclusion considers the implications of the emerging perspectives from cultural neuroscience for psychiatric theory and practice. Copyright © 2013 S. Karger AG, Basel.

Veterinary professional associates: does the profession's foresight include a mid-tier professional similar to physician assistants?

PubMed

Kogan, Lori R; Stewart, Sherry M

2009-01-01

The projected shortage of veterinarians has created a need to explore alternatives designed to meet society's future demands. A veterinary professional health care provider, similar to the human medical profession's physician assistant (PA), is one such alternative. To explore this option, this paper provides background information on the development of PAs, including the motivations behind the initiative and the history of the role's development. Rather than aiming for a persuasive appeal, the authors have written this article with the intent of fostering discussion. It is suggested that perhaps veterinary professional associates, modeled after PAs, could be employed to handle routine veterinary care and thereby allow veterinarians additional time to focus on the more demanding and challenging aspects of veterinary medicine. Perhaps a team approach, similar to the physician/PA team, could help the field of veterinary medicine to better serve both clients and patients. As veterinary medicine directs its attention toward the new challenges on the horizon, creative solutions will be needed. Perhaps some variation of a veterinary professional associate is worthy of future discussion.

Human-Robot Interaction in High Vulnerability Domains

NASA Technical Reports Server (NTRS)

Gore, Brian F.

2016-01-01

Future NASA missions will require successful integration of the human with highly complex systems. Highly complex systems are likely to involve humans, automation, and some level of robotic assistance. The complex environments will require successful integration of the human with automation, with robots, and with human-automation-robot teams to accomplish mission critical goals. Many challenges exist for the human performing in these types of operational environments with these kinds of systems. Systems must be designed to optimally integrate various levels of inputs and outputs based on the roles and responsibilities of the human, the automation, and the robots; from direct manual control, shared human-robotic control, or no active human control (i.e. human supervisory control). It is assumed that the human will remain involved at some level. Technologies that vary based on contextual demands and on operator characteristics (workload, situation awareness) will be needed when the human integrates into these systems. Predictive models that estimate the impact of the technologies on the system performance and the on the human operator are also needed to meet the challenges associated with such future complex human-automation-robot systems in extreme environments.

Newer influenza antivirals, biotherapeutics and combinations.

PubMed

Hayden, Frederick G

2013-01-01

This summary provides an overview of investigational antiviral agents for influenza and of future directions for development of influenza therapeutics. While progress in developing clinically useful antiviral agents for influenza has been generally slow, especially with respect to seriously ill and high-risk patients, important clinical studies of intravenous neuraminidase inhibitors, antibodies and drug combinations are currently in progress. The current decade offers the promise of developing small molecular weight inhibitors with novel mechanisms of action, including host-directed therapies, new biotherapeutics and drug combinations, that should provide more effective antiviral therapies and help mitigate the problem of antiviral resistance. Immunomodulatory interventions also offer promise but need to be based on better understanding of influenza pathogenesis, particularly in seriously ill patients. The development of combination interventions, immunomodulators and host-directed therapies presents unique clinical trial design and regulatory hurdles that remain to be addressed. © 2012 Blackwell Publishing Ltd.

Phytovolatilization of Organic Contaminants.

PubMed

Limmer, Matt; Burken, Joel

2016-07-05

Plants can interact with a variety of organic compounds, and thereby affect the fate and transport of many environmental contaminants. Volatile organic compounds may be volatilized from stems or leaves (direct phytovolatilization) or from soil due to plant root activities (indirect phytovolatilization). Fluxes of contaminants volatilizing from plants are important across scales ranging from local contaminant spills to global fluxes of methane emanating from ecosystems biochemically reducing organic carbon. In this article past studies are reviewed to clearly differentiate between direct- and indirect-phytovolatilization and we discuss the plant physiology driving phytovolatilization in different ecosystems. Current measurement techniques are also described, including common difficulties in experimental design. We also discuss reports of phytovolatilization in the literature, finding that compounds with low octanol-air partitioning coefficients are more likely to be phytovolatilized (log KOA < 5). Reports of direct phytovolatilization at field sites compare favorably to model predictions. Finally, future research needs are presented that could better quantify phytovolatilization fluxes at field scale.

Schools as Vehicles to Assess Experiences, Improve Outcomes, and Effect Social Change.

PubMed

McMahon, Susan Dvorak

2018-06-01

Schools are important settings that can be utilized to yield a positive impact on youth and the many issues our society faces. In this Presidential Address, I identify key issues and directions for the field, advocating that we need to expand our ecological focus, improve school climate, and collaborate with schools to effect change. To illustrate these key themes, findings from four projects with k-12 youth and educators in the United States are described, and these projects have the following foci: protective factors for youth exposed to violence, teacher-directed violence as part of an APA Task Force, school climate and neighborhood factors in relation to academic outcomes, and school transitions for students with disabilities. Challenges and future directions to build upon community psychology theory, research, practice, and policy are discussed. © Society for Community Research and Action 2018.

SIeSTA: From Concept Board to Concept Desktop

NASA Astrophysics Data System (ADS)

de Castro Lozano, Carlos; Salcines, Enrique García; Sainz de Abajo, Beatriz; Burón Fernández, F. Javier; Ramírez, José Miguel; Recellado, José Gabriel Zato; Montoya, Rafael Sanchez; Bell, John; Marin, Francisco Alcantud

Recently published social protection and dependence reports reaffirm that the elderly, the disabled, or those in situations of dependency objectively benefit from continuing to live at home with the assistance from direct family. Currently in Spain - amongst the elderly, or people in a situation of dependency - 8 out of every 10 people stay at home. The end result is that the direct family relations have the responsibility of performing 76% of the tasks during the daily routine where aid is needed. Associations for people with disabilities, however, not only report a lack of adequate aid services, but a lack of direct-family assistance as well. It is necessary, therefore, for an "evolution" or overhaul amongst the social and health service provision systems. The elderly, people in situations of dependency, or people with disabilities should be provided with enough resources and aids to allow them to decide their own future.

A Direct Assessment of “Obesogenic” Built Environments: Challenges and Recommendations

PubMed Central

Gasevic, Danijela; Vukmirovich, Ina; Yusuf, Salim; Teo, Koon; Chow, Clara; Dagenais, Gilles; Lear, Scott A.

2011-01-01

This paper outlines the challenges faced during direct built environment (BE) assessments of 42 Canadian communities of various income and urbanization levels. In addition, we recommend options for overcoming such challenges during BE community assessments. Direct BE assessments were performed utilizing two distinct audit methods: (1) modified version of Irvine-Minnesota Inventory in which a paper version of an audit tool was used to assess BE features and (2) a Physical Activity and Nutrition Features audit tool, where the presence and positions of all environmental features of interest were recorded using a Global-Positioning-System (GPS) unit. This paper responds to the call for the need of creators and users of environmental audit tools to share experiences regarding the usability of tools for BE assessments. The outlined BE assessment challenges plus recommendations for overcoming them can help improve and refine the existing audit tools and aid researchers in future assessments of the BE. PMID:22174727

Health Inequalities through the Lens of Health Capital Theory: Issues, Solutions, and Future Directions

PubMed Central

Galama, Titus J.; van Kippersluis, Hans

2013-01-01

We explore what health-capital theory has to offer in terms of informing and directing research into health inequality. We argue that economic theory can help in identifying mechanisms through which specific socioeconomic indicators and health interact. Our reading of the literature, and our own work, leads us to conclude that non-degenerate versions of the Grossman model (1972a;b) and its extensions can explain many salient stylized facts on health inequalities. Yet, further development is required in at least two directions. First, a childhood phase needs to be incorporated, in recognition of the importance of childhood endowments and investments in the determination of later-life socioeconomic and health outcomes. Second, a unified theory of joint investment in skill (or human) capital and in health capital could provide a basis for a theory of the relationship between education and health. PMID:24570580

Direct-to-consumer DNA testing and the GP.

PubMed

Trent, Ronald

2014-07-01

From early 2000 a new form of DNA genetic testing became available commercially. It bypasses the medical practitioner and can be ordered directly by the individual. To understand direct-to-consumer (DTC) DNA genetic testing and be able to respond appropriately if asked to be involved by a patient. Presently, all but one or two DTC DNA genetic testing laboratories are located outside Australia. The industry promotes itself as a means to better health through giving individuals complete control over their results. When communicating with patients about DTC DNA genetic testing, general practitioners will need to make a determination about the clinical utility of the test and the laboratory validity, both of which can be difficult in the current environment. Assistance may be available through public hospital clinical genetics services, although waiting times can be long. There is likely to be tighter regulation of these types of testing in the future, which may include involvement of medical practitioners.

Achondroplasia: pathogenesis and implications for future treatment.

PubMed

Laederich, Melanie B; Horton, William A

2010-08-01

Although the genetic defect underlying achondroplasia has been known for over a decade, no effective therapies to stimulate bone growth have emerged. Here we review the recent literature and summarize the molecular mechanisms underlying disease pathology and examine their potential as therapeutic targets. Currently used preclinical models are discussed in the context of recent advances with a special focus on C-type natriuretic peptide. Research on the mutation in Fibroblast Growth Factor Receptor 3 (FGFR3) that causes achondroplasia suggests that disease results from increased signal transduction from the mutant receptor. Thus, current therapeutic strategies have focused on reducing signals emanating from FGFR3. First-generation therapies directly targeting FGFR3, such as kinase inhibitors and neutralizing antibodies, designed for targeting FGFR3 in cancer, are still in the preclinical phase and have yet to translate into the management of achondroplasia. Counteracting signal transduction pathways downstream of FGFR3 holds promise with the discovery that administration of C-type natriuretic peptide to achondroplastic mice ameliorates their clinical phenotype. However, more research into long-term effectiveness and safety of this strategy is needed. Direct targeting of therapeutic agents to growth plate cartilage may enhance efficacy and minimize side effects of these and future therapies. Current research into the pathogenesis of achondroplasia has expanded our understanding of the mechanisms of FGFR3-induced disease and has increased the number of approaches that we may use to potentially correct it. Further research is needed to validate these approaches in preclinical models of achondroplasia.

A process-model based approach to prospective memory impairment in Parkinson's disease.

PubMed

Kliegel, Matthias; Altgassen, Mareike; Hering, Alexandra; Rose, Nathan S

2011-07-01

The present review discusses the current state of research on the clinical neuropsychology of prospective memory in Parkinson's disease. To do so the paper is divided in two sections. In the first section, we briefly outline key features of the (partly implicit) rationale underlying the available literature on the clinical neuropsychology of prospective memory. Here, we present a conceptual model that guides our approach to the clinical neuropsychology of prospective memory in general and to the effects of Parkinson's disease on prospective memory in particular. In the second section, we use this model to guide our review of the available literature and suggest some open issues and future directions motivated by previous findings and the proposed conceptual model. The review suggests that certain phases of the prospective memory process (intention formation und initiation) are particularly impaired by Parkinson's disease. In addition, it is argued that prospective memory may be preserved when tasks involve specific features (e.g., focal cues) that reduce the need for strategic monitoring processes. In terms of suggestions for future directions, it is noted that intervention studies are needed which target the specific phases of the prospective memory process that are impaired in Parkinson's disease, such as planning interventions. Moreover, it is proposed that prospective memory deficits in Parkinson's disease should be explored in the context of a general impairment in the ability to form an intention and plan or coordinate an appropriate series of actions. Copyright © 2011 Elsevier Ltd. All rights reserved.

Nanotechnology in dentistry: Present and future

PubMed Central

Bhardwaj, Archana; Bhardwaj, Abhishek; Misuriya, Abhinav; Maroli, Sohani; Manjula, S; Singh, Arvind Kumar

2014-01-01

Nanotechnology is the manipulation of matter on the molecular and atomic levels. It has the potential to bring enormous changes into the fields of medicine and dentistry. A day may soon come when nanodentistry will succeed in maintaining near-perfect oral health through the aid of nanorobotics, nanomaterials and biotechnology. However, as with all developments, it may also pose a risk for misuse. Time, economical and technical resources, and human needs will determine the direction this revolutionizing development may take. This article reviews the current status and the potential clinical applications of nanotechnology, nanaomedicine and nanodentistry. How to cite the article: Bhardwaj A, Bhardwaj A, Misuriya A, Maroli S, Manjula S, Singh AK. Nanotechnology in dentistry: Present and future. J Int Oral Health 2013;6(1):121-6. PMID:24653616

Heart Failure in Minority Populations - Impediments to Optimal Treatment in Australian Aborigines

PubMed Central

Iyngkaran, Pupalan; Kangaharan, Nadarajan; Zimmet, Hendrik; Arstall, Margaret; Minson, Rob; Thomas, Merlin C.; Bergin, Peter; Atherton, John; MacDonald, Peter; Hare, David L.; Horowitz, John D.; Ilton, Marcus

2016-01-01

Chronic heart failure (CHF) among Aboriginal/Indigenous Australians is endemic. There are also grave concerns for outcomes once acquired. This point is compounded by a lack of prospective and objective studies to plan care. To capture the essence of the presented topic it is essential to broadly understand Indigenous health. Key words such as ‘worsening’, ‘gaps’, ‘need to do more’, ‘poorly studied’, or ‘future studies should inform’ occur frequently in contrast to CHF research for almost all other groups. This narrative styled opinion piece attempts to discuss future directions for CHF care for Indigenous Australians. We provide a synopsis of the problem, highlight the treatment gaps, and define the impediments that present hurdles in optimising CHF care for Indigenous Australians. PMID:27280307

Roles and challenges of the health information management educator: a national HIM faculty survey.

PubMed

Houser, Shannon H; Tesch, Linde; Hart-Hester, Susan; Dixon-Lee, Claire

2009-01-01

Health information technology initiatives created the framework for a national health information infrastructure that concomitantly fostered a need to build intellectual capacity within our current and future health information management (HIM) work force. Results from the 2008 HIM Educator Survey are discussed. Developed for voluntary electronic participation, the survey comprised a series of questions about educators' professional interests and responsibilities. Summary data from the 402 respondents are provided and highlight areas such as academic rank, teaching status, salary range, levels of interest in various issues, and use of virtual learning tools. Data from this survey provide insights into the concerns and challenges many HIM educators face in today's training institutions and suggest implications for future directions in work force training and professional development within the HIM field.

REVIEWS OF TOPICAL PROBLEMS: Experimental tests of general relativity: recent progress and future directions

NASA Astrophysics Data System (ADS)

Turyshev, S. G.

2009-01-01

Einstein's general theory of relativity is the standard theory of gravity, especially where the needs of astronomy, astrophysics, cosmology, and fundamental physics are concerned. As such, this theory is used for many practical purposes involving spacecraft navigation, geodesy, and time transfer. We review the foundations of general relativity, discuss recent progress in tests of relativistic gravity, and present motivations for the new generation of high-accuracy tests of new physics beyond general relativity. Space-based experiments in fundamental physics are presently capable of uniquely addressing important questions related to the fundamental laws of nature. We discuss the advances in our understanding of fundamental physics that are anticipated in the near future and evaluate the discovery potential of a number of recently proposed space-based gravitational experiments.

Organizational stressors and basic psychological needs: The mediating role of athletes' appraisal mechanisms.

PubMed

Bartholomew, K J; Arnold, R; Hampson, R J; Fletcher, D

2017-12-01

This article reports the first study to quantitatively examine the relationships between the demands encountered by athletes that are associated with the organization within which they are operating, cognitive appraisals, and basic psychological need experiences. Three hundred and fifteen high-level British athletes completed a multisection questionnaire which assessed each of the aforementioned constructs. A series of path analyses provided valuable insight into the way in which the three dimensions (ie, frequency, intensity, and duration) of five organizational stressor categories were evaluated by athletes and, in turn, how such threat or challenge appraisals predicted feelings of need satisfaction and need frustration. Moreover, cognitive stress appraisals were found to mediate the relationship between organizational stressors and psychological need experiences. The role of secondary control appraisals was also explored and found to mediate the relationship between primary cognitive appraisals and basic psychological need experiences. Study limitations, proposed future research directions, and the implications of the findings for applied practitioners are discussed. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

The current status and future direction of high magnetic field science in the United States

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

Lancaster, James

2013-11-01

This grant provided partial support for the National Research Council (NRC) study that assesses the current status of high magnetic field research in the United States and provides recommendations to guide the future of research and technology development for this area given the needs of user communities and in the context of other programs worldwide. A pdf version of the report is available for download, for free, at http://www.nap.edu/catalog.php?record_id=18355. The science drivers fall into 4 broad areas—(1) condensed matter and materials physics; (2) chemistry, biochemistry, and biology; (3) medical and life science studies; and (4) other fields such as high-energymore » physics, plasma physics, and particle astrophysics. Among the topics covered in the report’s findings, conclusions, and recommendations are a recognition that there is a continuing need for a centralized facility but also that clear benefits will flow to research communities from decentralized facilities. According to the report, support agencies should evaluate whether to establish such facilities when 32 Tesla superconducting magnets become available. The report also recommends the provision of facilities that combine magnetic fields with scattering facilities and THz radiation sources, and sets out specific magnet goals for magnets needed in several areas of research.« less

Regional Climate Service in Northern Germany -The North German Climate Office

NASA Astrophysics Data System (ADS)

Meinke, I.; Von Storch, H.

2012-12-01

The North German Climate Office was established in 2006 at the Institute for Coastal Research at the Helmholtz-Zentrum Geesthacht, Germany as consequence of an increased public information need regarding coastal climate change and its impacts in Northern Germany. The service is characterized by an intensive dialogue between regional climate research and stakeholders in Northern Germany. About once a week scientists of the North German climate office are invited to contribute to public dialogue events. Also numerous direct inquiries are answered and expert interviews are conducted. From this dialogue process specific stakeholder information needs are localized and analysed to develop tailored information products. To provide easy and user specific access to research results interactive web tools are developed. One example is the North German climate atlas, an interactive web tool on possible future climate change in Northern Germany. Another interactive web tool is informing on present and future coastal protection needs in Northern Germany. Another aim of our information products is to assess and summarize the existing scientific knowledge on climate, climate change and impacts in Northern Germany. A mini IPCC-like regional assessment report has been published in 2010, which is summarizing, discussing and assessing the scientific knowledge on regional climate, climate change and impacts as well as possible adaptation strategies in the metropolitan region of Hamburg.

From Residency to Lifelong Learning.

PubMed

Brandt, Keith

2015-11-01

The residency training experience is the perfect environment for learning. The university/institution patient population provides a never-ending supply of patients with unique management challenges. Resources abound that allow the discovery of knowledge about similar situations. Senior teachers provide counseling and help direct appropriate care. Periodic testing and evaluations identify deficiencies, which can be corrected with future study. What happens, however, when the resident graduates? Do they possess all the knowledge they'll need for the rest of their career? Will medical discovery stand still limiting the need for future study? If initial certification establishes that the physician has the skills and knowledge to function as an independent physician and surgeon, how do we assure the public that plastic surgeons will practice lifelong learning and remain safe throughout their career? Enter Maintenance of Certification (MOC). In an ideal world, MOC would provide many of the same tools as residency training: identification of gaps in knowledge, resources to correct those deficiencies, overall assessment of knowledge, feedback about communication skills and professionalism, and methods to evaluate and improve one's practice. This article discusses the need; for education and self-assessment that extends beyond residency training and a commitment to lifelong learning. The American Board of Plastic Surgery MOC program is described to demonstrate how it helps the diplomate reach the goal of continuous practice improvement.

AMTEC: High efficiency static conversion for space power

NASA Technical Reports Server (NTRS)

Bankston, C. P.; Shirbacheh, M.

1986-01-01

Future manned and unmanned space missions will require reliable, high efficiency energy conversion systems. For a manned Mars mission, power levels in the range of 10 to 100 kWe will be needed. The Alkali Metal Thermoelectric Converter (AMTEC) is a direct energy conversion technology with the potential to meet these needs. The AMTEC is a thermally regenerative electrochemical device that derives its operation from the sodium ion conducting properties of beta-alumina solid electrolyte (BASE). To date, an efficiency of 19%, area power density of 1 W/sq cm, and a lifetime of 10,000 hours at high temperature were demonstrated in laboratory devices. Systems studies show that projected AMTEC systems equal or surpass the performance of other static or dynamic systems in applications of 1 kWe-1 MWe. Thus, the laboratory experiments and applications studies conducted to date have shown that the AMTEC posseses great potential. In order to bring this technology to the stage where prototype units can be built and operated, several technical issues must be addressed. These include the need for long life, high power electrodes, minimization of radiative parasitic losses, and high temperature seals. In summary, the evidence shows that if AMTEC is developed, it can play a significant role in future space power applications.

African Cultural Concept of Death and the Idea of Advance Care Directives

PubMed Central

Ekore, Rabi Ilemona; Lanre-Abass, Bolatito

2016-01-01

An advance care directive is a person's oral or written instructions about his or her future medical care, if he or she becomes unable to communicate. It may be in written or oral form. Africans ordinarily do not encourage the contemplation of death or any discussion about their own or their loved ones’ death. According to the African belief system, life does not end with death, but continues in another realm. Becoming an ancestor after death is a desirable goal of every individual, a feat which cannot be achieved if an individual asks for an unnatural death by attempting to utilize advance care directives. Advance care directives are considered to be too individualistic for communitarian societies such as Africa. Coupled with the communitarian nature of African societies are issues such as lack of awareness of advance directives, fear of death and grief, and the African cultural belief system, which are potential barriers to the utilization of advance care directives in the African setting. Hence, the need for culture sensitivity which makes it imperative that patient's family and loved ones are carried along as far as possible, without compromising the autonomy of the patient in question when utilizing advance care directives. PMID:27803556

African Cultural Concept of Death and the Idea of Advance Care Directives.

PubMed

Ekore, Rabi Ilemona; Lanre-Abass, Bolatito

2016-01-01

An advance care directive is a person's oral or written instructions about his or her future medical care, if he or she becomes unable to communicate. It may be in written or oral form. Africans ordinarily do not encourage the contemplation of death or any discussion about their own or their loved ones' death. According to the African belief system, life does not end with death, but continues in another realm. Becoming an ancestor after death is a desirable goal of every individual, a feat which cannot be achieved if an individual asks for an unnatural death by attempting to utilize advance care directives. Advance care directives are considered to be too individualistic for communitarian societies such as Africa. Coupled with the communitarian nature of African societies are issues such as lack of awareness of advance directives, fear of death and grief, and the African cultural belief system, which are potential barriers to the utilization of advance care directives in the African setting. Hence, the need for culture sensitivity which makes it imperative that patient's family and loved ones are carried along as far as possible, without compromising the autonomy of the patient in question when utilizing advance care directives.

Status quo and future research challenges on organic food quality determination with focus on laboratory methods.

PubMed

Kahl, Johannes; Bodroza-Solarov, Marija; Busscher, Nicolaas; Hajslova, Jana; Kneifel, Wolfgang; Kokornaczyk, Maria Olga; van Ruth, Saskia; Schulzova, Vera; Stolz, Peter

2014-10-01

Organic food quality determination needs multi-dimensional evaluation tools. The main focus is on the authentication as an analytical verification of the certification process. New fingerprinting approaches such as ultra-performance liquid chromatography-mass spectrometry, gas chromatography-mass spectrometry, direct analysis in real time-high-resolution mass spectrometry as well as crystallization with and without the presence of additives seem to be promising methods in terms of time of analysis and detecting organic system-related parameters. For further methodological development, a system approach is recommended, which also takes into account food structure aspects. Furthermore, the authentication of processed organic samples needs more consciousness, hence most of organic food is complex and processed. © 2013 Society of Chemical Industry.

Leukemia Support Groups: How Are They Doing?

PubMed

Moss

1997-10-01

BACKGROUND: Support groups help their participants to cope with the emotional and practical impact of their illnesses. METHODS: The effectiveness of the Leukemia Society of America support groups in enhancing the quality of life for their participants is reviewed. The groundwork, purpose, and structure of such groups, as well as alternate sources of support, are presented. Evaluation and future directions for oncology groupwork are discussed. RESULTS: Support groups complement the therapies provided by clinical practitioners and scientists by addressing the additional needs of cancer patients over the course of illness and survival. CONCLUSIONS: New concepts and methods that address the needs of specific age-groups and incorporate the newly generated data on cancer treatments will further enhance the benefits provided by support groups.

Rickets: An Overview and Future Directions, with Special Reference to Bangladesh

PubMed Central

Craviari, Thierry; Pettifor, John M.; Thacher, Tom D.; Meisner, Craig; Arnaud, Josiane; Fischer, Philip R.

2008-01-01

Rickets has emerged as a public-health problem in Bangladesh during the past two decades, with up to 8% of children clinically affected in some areas. Insufficiency of dietary calcium is thought to be the underlying cause, and treatment with calcium (350–1,000 mg elemental calcium daily) is curative. Despite this apparently simple treatment, little is known about the most appropriate management of bone deformities of affected children, and further studies are needed to determine the details of dosing and duration of calcium therapy, the role of bracing, and specific indications for surgical intervention. Effective preventive measures that can feasibly reach entire communities are needed, and these may differ between various affected regions. PMID:18637536

Multiscale Computation. Needs and Opportunities for BER Science

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

Scheibe, Timothy D.; Smith, Jeremy C.

2015-01-01

The Environmental Molecular Sciences Laboratory (EMSL), a scientific user facility managed by Pacific Northwest National Laboratory for the U.S. Department of Energy, Office of Biological and Environmental Research (BER), conducted a one-day workshop on August 26, 2014 on the topic of “Multiscale Computation: Needs and Opportunities for BER Science.” Twenty invited participants, from various computational disciplines within the BER program research areas, were charged with the following objectives; Identify BER-relevant models and their potential cross-scale linkages that could be exploited to better connect molecular-scale research to BER research at larger scales and; Identify critical science directions that will motivate EMSLmore » decisions regarding future computational (hardware and software) architectures.« less

Dysphagia in Parkinson's disease: a therapeutic challenge?

PubMed

Michou, Emilia; Hamdy, Shaheen

2010-06-01

This article focuses on the current status and research directions on swallowing disorders (dysphagia) in patients with Parkinson's disease (PD). Although epidemiological data are scarce, increased incidence of dysphagia in patients with PD leads to increased risk of mortality, secondary to aspiration pneumonia. Although studies show that aspiration pneumonia is a common cause of death in this group of patients, clinical practice lacks an evidence base and there is an increased need for randomized clinical trials. Importantly, the underlying mechanisms accounting for the progression of dysphagia in PD are still unclear. Furthermore, evidence shows that dopaminergic medication does not affect swallowing performance. Future research in the field is urgently needed and may result in improved management of dysphagia in patients with PD.

X-Ray Microanalysis and Electron Energy Loss Spectrometry in the Analytical Electron Microscope: Review and Future Directions

NASA Technical Reports Server (NTRS)

Goldstein, J. I.; Williams, D. B.

1992-01-01

This paper reviews and discusses future directions in analytical electron microscopy for microchemical analysis using X-ray and Electron Energy Loss Spectroscopy (EELS). The technique of X-ray microanalysis, using the ratio method and k(sub AB) factors, is outlined. The X-ray absorption correction is the major barrier to the objective of obtaining I% accuracy and precision in analysis. Spatial resolution and Minimum Detectability Limits (MDL) are considered with present limitations of spatial resolution in the 2 to 3 microns range and of MDL in the 0.1 to 0.2 wt. % range when a Field Emission Gun (FEG) system is used. Future directions of X-ray analysis include improvement in X-ray spatial resolution to the I to 2 microns range and MDL as low as 0.01 wt. %. With these improvements the detection of single atoms in the analysis volume will be possible. Other future improvements include the use of clean room techniques for thin specimen preparation, quantification available at the I% accuracy and precision level with light element analysis quantification available at better than the 10% accuracy and precision level, the incorporation of a compact wavelength dispersive spectrometer to improve X-ray spectral resolution, light element analysis and MDL, and instrument improvements including source stability, on-line probe current measurements, stage stability, and computerized stage control. The paper reviews the EELS technique, recognizing that it has been slow to develop and still remains firmly in research laboratories rather than in applications laboratories. Consideration of microanalysis with core-loss edges is given along with a discussion of the limitations such as specimen thickness. Spatial resolution and MDL are considered, recognizing that single atom detection is already possible. Plasmon loss analysis is discussed as well as fine structure analysis. New techniques for energy-loss imaging are also summarized. Future directions in the EELS technique will be the development of new spectrometers and improvements in thin specimen preparation. The microanalysis technique needs to be simplified and software developed so that the EELS technique approaches the relative simplicity of the X-ray technique. Finally, one can expect major improvements in EELS imaging as data storage and processing improvements occur.

Designing evaluation studies to optimally inform policy: what factors do policy-makers in China consider when making resource allocation decisions on healthcare worker training programmes?

PubMed

Wu, Shishi; Legido-Quigley, Helena; Spencer, Julia; Coker, Richard James; Khan, Mishal Sameer

2018-02-23

In light of the gap in evidence to inform future resource allocation decisions about healthcare provider (HCP) training in low- and middle-income countries (LMICs), and the considerable donor investments being made towards training interventions, evaluation studies that are optimally designed to inform local policy-makers are needed. The aim of our study is to understand what features of HCP training evaluation studies are important for decision-making by policy-makers in LMICs. We investigate the extent to which evaluations based on the widely used Kirkpatrick model - focusing on direct outcomes of training, namely reaction of trainees, learning, behaviour change and improvements in programmatic health indicators - align with policy-makers' evidence needs for resource allocation decisions. We use China as a case study where resource allocation decisions about potential scale-up (using domestic funding) are being made about an externally funded pilot HCP training programme. Qualitative data were collected from high-level officials involved in resource allocation at the national and provincial level in China through ten face-to-face, in-depth interviews and two focus group discussions consisting of ten participants each. Data were analysed manually using an interpretive thematic analysis approach. Our study indicates that Chinese officials not only consider information about the direct outcomes of a training programme, as captured in the Kirkpatrick model, but also need information on the resources required to implement the training, the wider or indirect impacts of training, and the sustainability and scalability to other settings within the country. In addition to considering findings presented in evaluation studies, we found that Chinese policy-makers pay close attention to whether the evaluations were robust and to the composition of the evaluation team. Our qualitative study indicates that training programme evaluations that focus narrowly on direct training outcomes may not provide sufficient information for policy-makers to make decisions on future training programmes. Based on our findings, we have developed an evidence-based framework, which incorporates but expands beyond the Kirkpatrick model, to provide conceptual and practical guidance that aids in the design of training programme evaluations better suited to meet the information needs of policy-makers and to inform policy decisions.

Cell therapy from bench to bedside: Hepatocytes from fibroblasts - the truth and myth of transdifferentiation.

PubMed

Sanal, Madhusudana Girija

2015-06-07

Hepatocyte transplantation is an alternative to liver transplantation in certain disorders such as inherited liver diseases and liver failure. It is a relatively less complicated surgical procedure, and has the advantage that it can be repeated several times if unsuccessful. Another advantage is that hepatocytes can be isolated from partly damaged livers which are not suitable for liver transplantation. Despite these advantages hepatocyte transplantation is less popular. Important issues are poor engraftment of the transplanted cells and the scarcity of donor hepatocytes. Generation of "hepatocyte like cells"/iHeps from embryonic stem cells (ES) and induced pluripotent stem cells (iPSCs) by directed differentiation is an emerging solution to the latter issue. Direct conversation or trans-differentiation of fibroblasts to "hepatocyte like cells" is another way which is, being explored. However this method has several inherent and technical disadvantages compared to the directed differentiation from ES or iPSC. There are several methods claiming to be "highly efficient" for generating "highly functional" "hepatocyte like cells". Currently different groups are working independently and coming up with differentiation protocols and each group claiming an advantage for their protocol. Directed differentiation protocols need to be designed, compared, analyzed and tweaked systematically and logically than empirically. There is a need for a well-coordinated global initiative comparable to the Human Genome Project to achieve this goal in the near future.

Sensitivity analysis for future space missions with segmented telescopes for high-contrast imaging

NASA Astrophysics Data System (ADS)

Leboulleux, Lucie; Pueyo, Laurent; Sauvage, Jean-François; Mazoyer, Johan; Soummer, Remi; Fusco, Thierry; Sivaramakrishnan, Anand

2018-01-01

The detection and analysis of biomarkers on earth-like planets using direct-imaging will require both high-contrast imaging and spectroscopy at very close angular separation (10^10 star to planet flux ratio at a few 0.1”). This goal can only be achieved with large telescopes in space to overcome atmospheric turbulence, often combined with a coronagraphic instrument with wavefront control. Large segmented space telescopes such as studied for the LUVOIR mission will generate segment-level instabilities and cophasing errors in addition to local mirror surface errors and other aberrations of the overall optical system. These effects contribute directly to the degradation of the final image quality and contrast. We present an analytical model that produces coronagraphic images of a segmented pupil telescope in the presence of segment phasing aberrations expressed as Zernike polynomials. This model relies on a pair-based projection of the segmented pupil and provides results that match an end-to-end simulation with an rms error on the final contrast of ~3%. This analytical model can be applied both to static and dynamic modes, and either in monochromatic or broadband light. It retires the need for end-to-end Monte-Carlo simulations that are otherwise needed to build a rigorous error budget, by enabling quasi-instantaneous analytical evaluations. The ability to invert directly the analytical model provides direct constraints and tolerances on all segments-level phasing and aberrations.

Joint crisis plans and psychiatric advance directives in German psychiatric practice.

PubMed

Radenbach, Katrin; Falkai, Peter; Weber-Reich, Traudel; Simon, Alfred

2014-05-01

This study explores the attitude of German psychiatrists in leading positions towards joint crisis plans and psychiatric advance directives. This topic was examined by contacting 473 medical directors of German psychiatric hospitals and departments. They were asked to complete a questionnaire developed by us. That form contained questions about the incidence and acceptance of joint crisis plans and psychiatric advance directives and previous experiences with them. 108 medical directors of psychiatric hospitals and departments responded (response rate: 22.8%). Their answers demonstrate that in their hospitals these documents are rarely used. Among the respondents, joint crisis plans are more accepted than psychiatric advance directives. There is a certain uncertainty when dealing with these instruments. Our main conclusion is that German psychiatry needs an intensified discussion on the use of instruments for patients to constitute procedures for future critical psychiatric events. For this purpose it will be helpful to collect more empirical data. Furthermore, the proposal of joint crisis plans in psychiatric hospitals and departments should be discussed as well as the possibility of consulting an expert during the preparation of a psychiatric advance directive.

Directed evolution: tailoring biocatalysts for industrial applications.

PubMed

Kumar, Ashwani; Singh, Suren

2013-12-01

Current challenges and promises of white biotechnology encourage protein engineers to use a directed evolution approach to generate novel and useful biocatalysts for various sets of applications. Different methods of enzyme engineering have been used in the past in an attempt to produce enzymes with improved functions and properties. Recent advancement in the field of random mutagenesis, screening, selection and computational design increased the versatility and the rapid development of enzymes under strong selection pressure with directed evolution experiments. Techniques of directed evolution improve enzymes fitness without understanding them in great detail and clearly demonstrate its future role in adapting enzymes for use in industry. Despite significant advances to date regarding biocatalyst improvement, there still remains a need to improve mutagenesis strategies and development of easy screening and selection tools without significant human intervention. This review covers fundamental and major development of directed evolution techniques, and highlights the advances in mutagenesis, screening and selection methods with examples of enzymes developed by using these approaches. Several commonly used methods for creating molecular diversity with their advantages and disadvantages including some recently used strategies are also discussed.

Familiarizing with toy food: preliminary research and future directions.

PubMed

Lynch, Meghan

2012-01-01

A qualitative content analysis of children and parents interacting with toy food in their homes in view of recommendations for developing healthful food preferences. YouTube videos (n = 101) of children and parents interacting in toy kitchen settings were analyzed using qualitative content analysis. Toy food was categorized under 5 food groups, and interactions were compared to literature on developing healthful food preferences in children in real life. The most popular food group represented by the toys was Extras, followed by Fruits/Vegetables, Meats/Alternatives, Grains, and Milk/Dairy. Many parents were also found to encourage behaviors not conducive to healthful food preference development in children. Future research needs to determine whether familiarization with toy food influences children's real-life food preferences. Nutrition education programs for young children and parents could greatly benefit from future research on this approach. Exploring novel ways of developing children's food preferences is well warranted. Copyright © 2012 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.

The Future of Gero-Oncology Nursing.

PubMed

Kagan, Sarah H

2016-02-01

To project the future of gero-oncology nursing as a distinct specialty, framed between analysis of current challenges and explication of prospective solutions. Peer-reviewed literature, policy directives, web-based resources, and author expertise. Oncology nursing faces several challenges in meeting the needs of older people living with cancer. Realigning cancer nursing education, practice, and research to match demographic and epidemiological realities mandates redesign. Viewing geriatric oncology as an optional sub-specialty limits oncology nursing, where older people represent the majority of oncology patients and cancer survivors. The future of gero-oncology nursing lies in transforming oncology nursing itself. Specific goals to achieve transformation of oncology nursing into gero-oncology nursing include assuring integrated foundational aging and cancer content across entry-level nursing curricula; assuring a gero-competent oncology nursing workforce with integrated continuing education; developing gero-oncology nurse specialists in advanced practice roles; and cultivating nurse leadership in geriatric oncology program development and administration along with expanding the scope and sophistication of gero-oncology nursing science. Copyright © 2015 Elsevier Inc. All rights reserved.

Community treatment orders: towards a new research agenda.

PubMed

Brophy, Lisa; Edan, Vrinda; Gooding, Piers; McSherry, Bernadette; Burkett, Tatum; Carey, Sue; Carroll, Andrew; Callaghan, Sascha; Finch, Anne; Hansford, Margaret; Hanson, Sarah; Kisely, Steven; Lawn, Sharon; Light, Edwina; Maher, Sean; Patel, Gunvant; Ryan, Christopher James; Saltmarsh, Keir; Stratford, Anthony; Tellez, Juan Jose; Toko, Maggie; Weller, Penelope

2018-02-01

The aim of this study was to report on a half-day multi-stakeholder symposium on community treatment orders (CTOs) hosted by the Melbourne Social Equity Institute (MSEI), which identified research gaps and opportunities, and produced an agreed agenda for future CTO research. The MSEI convened a symposium for 22 experts in CTO research to discuss research priorities in this field in Australasia. An independent moderator elicited views and recommendations and produced a report detailing possible research projects. Research on CTOs is contentious and there is a need to gather and examine information regarding both their use and utility. Due to the complexities involved, it was agreed that research should be undertaken in partnership with persons with had lived experience of mental health problems, clinicians, policymakers and other interdisciplinary stakeholders. Five key areas for future investigation were identified. The issues and recommendations arising from the symposium should shape the scope, nature and conduct of future research directions in the field.

Dysonian Approach to SETI: A Fruitful Middle Ground?

NASA Astrophysics Data System (ADS)

Bradbury, R. J.; Cirkovic, M. M.; Dvorsky, G.

We critically assess the prevailing currents in the Search for Extraterrestrial Intelligence (SETI), embodied in the notion of radio-searches for intentional artificial signals as envisioned by pioneers such as Frank Drake, Philip Morrison, Michael Papagiannis and others. In particular, we emphasize (1) the necessity of integrating SETI into a wider astrobiological and future studies context, (2) the relevance of and lessons to be learnt from the anti-SETI arguments, in particular Fermi's paradox, and (3) a need for complementary approach which we dub the Dysonian SETI. It is meaningfully derived from the inventive and visionary ideas of Freeman J. Dyson and his imaginative precursors, like Konstantin E. Tsiolkovsky, Olaf Stapledon, Nikola Tesla or John B. S. Haldane, who suggested macro-engineering projects as the focal points in the context of extrapolations about the future of humanity and, by analogy, other intelligent species. We consider practical ramifications of the Dysonian SETI and indicate some of the promising directions for future work.

The ABPN Maintenance of Certification Program for psychiatrists: past history, current status, and future directions.

PubMed

Faulkner, Larry R; Tivnan, Patricia W; Winstead, Daniel K; Reus, Victor I; Andrade, Naleen N; Brooks, Beth Ann; Colenda, Christopher C; Mrazek, David A; Reifler, Burton V; Schneidman, Barbara

2008-01-01

To describe the American Board of Psychiatry and Neurology (ABPN) Maintenance of Certification Program, its underlying rationale, how it will be implemented now, and what it might look like in the future. The authors describe the philosophical foundation, specific components, and the implementation timeline of the ABPN Maintenance of Certification Program; the development of specific products that might be used by ABPN diplomates to meet its requirements; and several unanswered questions about its current status and future development. The ABPN Maintenance of Certification Program consists of specific requirements pertaining to professional standing, self-assessment and lifelong learning, performance in practice, and cognitive expertise that will be implemented incrementally over the next decade. The ABPN Maintenance of Certification Program has been implemented in a manner that is as consistent as possible with its underlying philosophical beliefs as well as the current and expected public and political concerns, diplomate needs, and the requirements of organizations responsible for licensure, credentialing, privileging, accreditation, professional development, and physician reimbursement.

The future of the cancer prevention workforce: why health literacy, advocacy, and stakeholder collaborations matter.

PubMed

Sulik, Gayle A; Cameron, Carrie; Chamberlain, Robert M

2012-05-01

In considering the role of the cancer prevention workforce in meeting the nation's future health care needs, it is vital to address the considerable gaps in information, communication, training, professional development, roles, and levels of collaboration among diverse disciplines, stakeholders, and constituencies. As part of an October 2009 symposium at The University of Texas MD Anderson Cancer Center entitled "Future Directions in Cancer Prevention and Control: Workforce Implications for Training, Practice, and Policy," the Health Policy and Advocacy Working Group was convened to discuss barriers to closing these gaps. Three major themes emerged from the group's deliberations and are discussed here: (1) the role of critical health literacy and evidence-based collaborations in cancer prevention education, research, and practice; (2) the implications of health advocacy for policy development and clinical and public health practice; and (3) culturally and linguistically appropriate cancer prevention programs and information within advocacy/workforce collaborations. Mechanisms for addressing these gaps are presented.

Developing Mobile Clinical Decision Support for Nursing Home Staff Assessment of Urinary Tract Infection using Goal-Directed Design.

PubMed

Jones, Wallace; Drake, Cynthia; Mack, David; Reeder, Blaine; Trautner, Barbara; Wald, Heidi

2017-06-20

Unique characteristics of nursing homes (NHs) contribute to high rates of inappropriate antibiotic use for asymptomatic bacteriuria (ASB), a benign condition. A mobile clinical decision support system (CDSS) may support NH staff in differentiating urinary tract infections (UTI) from ASB and reducing antibiotic days. We used Goal-Directed Design to: 1) Characterize information needs for UTI identification and management in NHs; 2) Develop UTI Decide, a mobile CDSS prototype informed by personas and scenarios of use constructed from Aim 1 findings; 3) Evaluate the UTI Decide prototype with NH staff. Focus groups were conducted with providers and nurses in NHs in Denver, Colorado (n= 24). Qualitative descriptive analysis was applied to focus group transcripts to identify information needs and themes related to mobile clinical decision support for UTI identification and management. Personas representing typical end users were developed; typical clinical context scenarios were constructed using information needs as goals. Usability testing was performed using cognitive walk-throughs and a think-aloud protocol. Four information needs were identified including guidance regarding resident assessment; communication with providers; care planning; and urine culture interpretation. Design of a web-based application incorporating a published decision support algorithm for evidence-based UTI diagnoses proceeded with a focus on nursing information needs during resident assessment and communication with providers. Certified nursing assistant (CNA) and registered nurse (RN) personas were constructed in 4 context scenarios with associated key path scenarios. After field testing, a high fidelity prototype of UTI Decide was completed and evaluated by potential end users. Design recommendations and content recommendations were elicited. Goal-Directed Design informed the development of a mobile CDSS supporting participant-identified information needs for UTI assessment and communication in NHs. Future work will include iterative deployment and evaluation of UTI Decide in NHs to decrease inappropriate use of antibiotics for suspected UTI.

NASA mobile satellite program

NASA Technical Reports Server (NTRS)

Knouse, G.; Weber, W.

1985-01-01

A three phase development program for ground and space segment technologies which will enhance and enable the second and third generation mobile satellite systems (MSS) is outlined. Phase 1, called the Mobile Satellite Experiment (MSAT-X), is directed toward the development of ground segment technology needed for future MSS generations. Technology validation and preoperational experiments with other government agencies will be carried out during the two year period following launch. The satellite channel capacity needed to carry out these experiments will be obtained from industry under a barter type agreement in exchange for NASA provided launch services. Phase 2 will develop and flight test the multibeam spacecraft antenna technology needed to obtain substantial frequency reuse for second generation commercial systems. Industry will provide the antenna, and NASA will fly it on the Shuttle and test it in orbit. Phase 3 is similar to Phase 2 but will develop an even larger multibeam antenna and test it on the space station.

NASA mobile satellite program

NASA Astrophysics Data System (ADS)

Knouse, G.; Weber, W.

1985-04-01

A three phase development program for ground and space segment technologies which will enhance and enable the second and third generation mobile satellite systems (MSS) is outlined. Phase 1, called the Mobile Satellite Experiment (MSAT-X), is directed toward the development of ground segment technology needed for future MSS generations. Technology validation and preoperational experiments with other government agencies will be carried out during the two year period following launch. The satellite channel capacity needed to carry out these experiments will be obtained from industry under a barter type agreement in exchange for NASA provided launch services. Phase 2 will develop and flight test the multibeam spacecraft antenna technology needed to obtain substantial frequency reuse for second generation commercial systems. Industry will provide the antenna, and NASA will fly it on the Shuttle and test it in orbit. Phase 3 is similar to Phase 2 but will develop an even larger multibeam antenna and test it on the space station.

21. century customers: Volume 1 -- Industry and manufacturing. Final report

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

Hanley, P.H.; Asfour, A.; Tripp, S.

1998-12-01

The arrival of 21st century information technologies has compelled traditional heavy industries such as steel, chemicals, and paper/pulp to invest in new plants and technologies, efficiency moves, globalization of sourcing, and aggressive pursuit of foreign direct investment. This report will assist strategic planners and marketing executives charged with identifying the needs of the widely dispersed industrial sector and provide insights regarding how to improve long-term profitability. Understanding and meeting the evolving needs of industrial customers could be critical to the future prosperity of energy enterprises. This report examines five significant industries that are undergoing dramatic changes in their markets andmore » relationships to buyers of their products--steel and aluminum, paper and pulp, chemicals, plastics, and food processing. The report provides a companion to Volume 2, ``21st Century Customers: Volume 2: Business and Commerce``, covering the evolving needs of five commercial sector businesses.« less

PalmCIS: A Wireless Handheld Application for Satisfying Clinician Information Needs

PubMed Central

Chen, Elizabeth S.; Mendonça, Eneida A.; McKnight, Lawrence K.; Stetson, Peter D.; Lei, Jianbo; Cimino, James J.

2004-01-01

Wireless handheld technology provides new ways to deliver and present information. As with any technology, its unique features must be taken into consideration and its applications designed accordingly. In the clinical setting, availability of needed information can be crucial during the decision-making process. Preliminary studies performed at New York Presbyterian Hospital (NYPH) determined that there are inadequate access to information and ineffective communication among clinicians (potential proximal causes of medical errors). In response to these findings, the authors have been developing extensions to their Web-based clinical information system including PalmCIS, an application that provides access to needed patient information via a wireless personal digital assistant (PDA). The focus was on achieving end-to-end security and developing a highly usable system. This report discusses the motivation behind PalmCIS, design and development of the system, and future directions. PMID:14527976

Perforated peptic ulcer

PubMed Central

Søreide, Kjetil; Thorsen, Kenneth; Harrison, Ewen M.; Bingener, Juliane; Møller, Morten H.; Ohene-Yeboah, Michael; Søreide, Jon Arne

2015-01-01

Summary Perforated peptic ulcer (PPU) is a frequent emergency condition worldwide with associated mortality up to 30%. A paucity of studies on PPU limits the knowledge base for clinical decision-making, but a few randomised trials are available. While Helicobacter pylori and use of non-steroidal anti-inflammatory drugs are frequent causes of PPU, demographic differences in age, gender, perforation location and aetiology exist between countries, as do mortality rates. Clinical prediction rules are used, but accuracy varies with study population. Early surgery, either by laparoscopic or open repair, and proper sepsis management are essential for good outcome. Selected patients can perhaps be managed non-operatively or with novel endoscopic approaches, but validation in trials is needed. Quality of care, sepsis care-bundles and postoperative monitoring need further evaluation. Adequate trials with low risk of bias are urgently needed for better evidence. Here we summarize the evidence for PPU management and identify directions for future clinical research. PMID:26460663

A Review of Services and Interventions for Runaway and Homeless Youth: Moving Forward.

PubMed

Slesnick, Natasha; Dashora, Pushpanjali; Letcher, Amber; Erdem, Gizem; Serovich, Julianne

2009-07-01

Research focused on the impact of community-based services and treatment interventions designed to intervene in the lives of runaway and homeless youth has increased in the last two decades in the U.S. and internationally. In light of the tremendous need for identifying effective strategies to end homelessness and its associated problems among youth, this paper summarizes and critiques the findings of the extant literature including U.S., international, and qualitative studies. Thirty-two papers met criteria for inclusion in the review. Among the conclusions are that comprehensive interventions which target the varied and interconnected needs of these youth and families may be worthy of more study than studies that isolate the intervention focus on one problem. Also, more research incorporating design strategies that increase the reliability and validity of study findings is needed. Other preliminary conclusions and future directions are offered.

Relationship between mathematics teacher subject matter knowledge, pedagogical content knowledge and professional development needs

NASA Astrophysics Data System (ADS)

Tajudin, Nor'ain Mohd; Chinnappan, Mohan; Saad, Noor Shah

2017-05-01

Two key variables emerged from the literature review is that Specific Matter Knowledge [SMK] and Pedagogical Content Knowledge [PCK] can influence the mathematics teachers' Professional Development [PD] needs. However, the key variables of SMK and PCK that were being investigated were not defined clearly. Empirical evidence that support relationship between SMK and PD and PCK and PD were not verified. In addition, how does PCK mediate SMK and PD is not clear and somewhat lacking. Therefore, the purpose of this paper was to examine the relationship between primary mathematics teacher's SMK, PCK and PD needs. Results of path analysis with SmartPLS indicated that the direct effect of SMK on PD was mediated via PCK. This data provide support for the claim that PD programs for future teachers of primary mathematics should be driven by a more nuanced understanding of the link between SMK and PCK.

Workshop on using natural language processing applications for enhancing clinical decision making: an executive summary

PubMed Central

Pai, Vinay M; Rodgers, Mary; Conroy, Richard; Luo, James; Zhou, Ruixia; Seto, Belinda

2014-01-01

In April 2012, the National Institutes of Health organized a two-day workshop entitled ‘Natural Language Processing: State of the Art, Future Directions and Applications for Enhancing Clinical Decision-Making’ (NLP-CDS). This report is a summary of the discussions during the second day of the workshop. Collectively, the workshop presenters and participants emphasized the need for unstructured clinical notes to be included in the decision making workflow and the need for individualized longitudinal data tracking. The workshop also discussed the need to: (1) combine evidence-based literature and patient records with machine-learning and prediction models; (2) provide trusted and reproducible clinical advice; (3) prioritize evidence and test results; and (4) engage healthcare professionals, caregivers, and patients. The overall consensus of the NLP-CDS workshop was that there are promising opportunities for NLP and CDS to deliver cognitive support for healthcare professionals, caregivers, and patients. PMID:23921193

Developing smoking cessation programs for chronically ill teens: lessons learned from research with healthy adolescent smokers.

PubMed

Robinson, Leslie A; Emmons, Karen M; Moolchan, Eric T; Ostroff, Jamie S

2008-03-01

Medically fragile teens who smoke need access to smoking cessation programs, because they are at even higher risk than their healthy peers for smoking-related complications. To date, no studies on the outcome of smoking cessation programs for medically ill teens have been conducted. To suggest directions for future research, we turn to the literature on smoking cessation in the general population of teens and occasionally to the literature on adult smokers. Four areas are explored: (a) the prevalence of unaided cessation in healthy teens; (b) the outcomes of various treatments for smoking cessation in healthy adolescents; (c) special issues that should be considered when designing programs for medically ill teens; and (d) lessons learned from previous research. Medically ill teens face a number of medical, emotional, social, and developmental challenges that can affect the quitting process. Research is sorely needed to address the unique needs of this population.

Minutes of the third annual meeting of the Panel on Reference Nuclear Data. [BNL, October 5, 1978

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

Burrows, T.W.; Stewart, L.; Coyne, J.J.

1979-05-01

The major activities of the meeting were as follows: welcome; organization, approval of minutes of the second meeting, and approval of agenda; review of nuclear data compilation and evaluation efforts (national and international efforts, master data files, publications); summary of 1977 panel meeting; definition of reference nuclear data; discussion of specific data needs and possible data center contributions (reactor physics, medicine and biology, controlled thermonuclear reactors and astrophysics); establishment of current interest and future direction of the panel; adjournment. Recommendations and action items are listed. Tables on nuclear data needs in applied physics, medicine and biology, and controlled thermonuclear reactorsmore » and astrophysics are presented. Appendixes include membership lists of various committees, summaries of publication activities, survey results, correspondence, and portions of the documents Proceedings of the Magnetic Fusion Energy Blanket and Shield Workshop and National Needs for Critically Evaluated Physical and Chemical Data. (RWR)« less

Designing an Awareness Display for Senior Home Care Professionals

NASA Astrophysics Data System (ADS)

Vastenburg, Martijn H.; Vroegindeweij, Robbert J.

Home care professionals play a central role in supporting elderly people when they need help to continue living in their own homes. Using awareness systems, caregivers might better be able to consider the actual and changing needs of individual clients, and better be prepared for the home visits. In the present situation, the functional requirements on a awareness systems for professional caregivers are unknown, and caregivers tend to be unaware of the potential use of these sensor-based systems. This paper presents a case study in which the user needs are studied using a working prototype; the prototype is used to make target users experience an awareness system in their everyday work practice, and thereby enable them to better reflect upon the user needs and the potential use of these systemsWhereas caregivers were skeptical at first, they did value the prototype in the evaluation phase. In the exit interviews, the caregivers came up with an interesting list of requirements and design directions for a future awareness display.

Dimensions of the transition service coordinator role.

PubMed

Betz, Cecily L; Redcay, Gay

2005-01-01

This article describes the development and implementation of an innovative advanced practice role, as a transition service coordinator for nurses who work with adolescents with special healthcare needs. Transition services for adolescents with special healthcare needs is an area of growing clinical need requiring that all healthcare professionals, including advanced practice nurses develop new clinical knowledge and skills to practice effectively. This emerging specialty area will require advanced practice nurses to provide direct services blending both pediatric and adult healthcare needs and to function in advanced practice roles such as case managers who can ensure the coordination of services between these two very different systems of care while promoting the youth's acquisition of goals for adulthood. This nursing role was first created to provide and coordinate transition services to youth seen in a piloted clinic titled Creating Healthy Futures. This article describes the various components of this nursing role that incorporated the advanced practice dimensions of clinical expert, consultant, change agent, leader, researcher, and educator that can be replicated in other clinical settings.

Emission Data For Climate-Chemistry Interactions

NASA Astrophysics Data System (ADS)

Smith, S. J.

2012-12-01

Data on anthropogenic and natural emissions of reactive species are a critical input for studies of atmospheric chemistry and climate. The availability and characteristics of anthropogenic emissions data that can be used for such studies are reviewed and pathways for future work discuss Global and regional datasets for historical and future emissions are available, but their characteristics and applicability for specific studies differ. For the first time, a coordinated set of historical emissions (Lamarque et al 2010) and the future projections (van Vuurren et al. 2011) have been developed for use in the CMIP5 and ACCMIP long-term simulation comparison projects. These data have decadal resolution and were designed for long-term, global simulations. These data, however, lack finer-scale spatial and temporal detail that might be needed for some studies. Robust and timely updates of emissions data is generally lacking, although recent updates will be presented. While historical emission data is often treated as known, emissions are uncertain, even though this uncertainty is rarely quantified. Uncertainty varies by species and location. Inverse modeling is starting to indicate where emission data may be uncertain, which opens the way to improving these data overall. Further interaction between the chemistry modeling and inventory development communities are needed. Future projections are intrinsically uncertain, and while institutions and processes are in place to develop and review long-term century-scale scenarios, a need has remained for a wider range in shorter-term (e.g., several decade) projections. Emissions and scenario development communities have been working to fill this need. Communication across disciplines of the assumptions embedded in emissions projections remains a challenge. Atmospheric chemistry models are a central tool needed for studying chemistry-climate interactions. Simpler models, however, are also needed in order to examine interactions between different physical systems and also between the physical and human systems. Statistical models of system responses are particularly needed both to parameterize interactions in models that cannot simulate particular processes directly, and also to represent uncertainty. Coordinated model experiments are necessary to provide the information needed to develop these representations (i.e. Wild et al 2011). Lamarque, J. F, et al. (2010) Historical (1850-2000) gridded anthropogenic and biomass burning emissions of reactive gases and aerosols: methodology and application. Atmospheric Chemistry and Physics 10 pp. 7017-7039. doi:10.5194/acp-10-7017-2010 Van Vuuren, D, JA Edmonds, M Kainuma, K Riahi, AM Thomson, KA Hibbard, G Hurtt, T Kram, V Krey, JF Lamarque, matsui, M Meinhausen, N Nakicenovic, SJ Smith, and SK Rose. 2011. "The Representative Concentration Pathways: An Overview." Climatic Change 109 (1-2) 5-31. doi: 10.1007/s10584-011-0148-z. Wild, O., et al. (2012) Modelling future changes in surface ozone: A parameterized approach. Atmos. Chem. Phys., 12, 2037-2054, doi:10.5194/acp-12-2037-2012.

Beyond Maslow's culture-bound linear theory: a preliminary statement of the double-Y model of basic human needs.

PubMed

Yang, Kuo-Shu

2003-01-01

Maslow's theory of basic human needs is criticized with respect to two of its major aspects, unidimensional linearity and cross-cultural validity. To replace Maslow's linear theory, a revised Y model is proposed on the base of Y. Yu's original Y model. Arranged on the stem of the Y are Maslow's physiological needs (excluding sexual needs) and safety needs. Satisfaction of these needs is indispensable to genetic survival. On the left arm of the Y are interpersonal and belongingness needs, esteem needs, and the self-actualization need. The thoughts and behaviors required for the fulfillment of these needs lead to genetic expression. Lastly, on the right arm of the Y are sexual needs, childbearing needs, and parenting needs. The thoughts and behaviors entailed in the satisfaction of these needs result in genetic transmission. I contend that needs for genetic survival and transmission are universal and that needs for genetic expression are culture-bound. Two major varieties of culture-specific expression needs are distinguished for each of the three levels of needs on the left arm of the Y model. Collectivistic needs for interpersonal affiliation and belongingness, esteem, and self-actualization prevail in collectivist cultures like those found in East Asian countries. Individualistic needs are dominant in individualist cultures like those in North America and certain European nations. I construct two separate Y models, one for people in collectivist cultures and the other for those in individualist ones. In the first (the Yc model), the three levels of expression needs on the left arm are collectivistic in nature, whereas in the second (the Yi model), the three levels of needs on the left arm are individualistic in nature. Various forms of the double-Y model are formulated by conceptually combining the Yc and Yi models at the cross-cultural, crossgroup, and intra-individual levels. Research directions for testing the various aspects of the double-Y model are identified for comparisons at these three levels. Future studies theoretically guided by the double-Y model will enable us to systematically understand, at both aggregate and individual levels, the characteristics and interactions of expression and transmission needs, the characteristics and interactions of collectivistic and individualistic expression needs, and the dynamic processes involved in the transformation of needs from collectivistic to individualistic and vice versa under certain specific conditions. The double-Y model, as a whole, represents a serious, systematic attempt to theoretically and empirically integrate the biological and cultural influences on basic motivational states and propensities. Whether this model will eventually prove to be able to survive future empirical testing and conceptual revision remains to be seen. I must hasten to add, however, that there may be other potentially viable models that are worth being advanced in the future for accomplishing the same purpose of integrating the biological and cultural determinants of the formation, development, and function of human motivation.

Patient value: its nature, measurement, and role in real world evidence studies and outcomes-based reimbursement.

PubMed

McKenna, Stephen P; Wilburn, Jeanette

2018-05-01

The assessment of "patient value" is fundamental to clinical trials, real world evidence studies, and outcomes-based reimbursement schemes. Measures of health-related quality-of-life (HRQoL) are widely used in health research. Such measures are effective in determining the presence or absence of symptoms and functional ability. However, HRQoL measures were not intended, nor designed, to determine the value to patients of alternative health states. Functions have no intrinsic value-they are a means to fulfil human needs. However, needs can be met in a variety of ways, for example by adopting different functions or by the provision of social services. It is possible to analyze all functions in terms of the needs they satisfy. A needs model has been applied in health research since the 1990s. It is concerned with the extent to which human needs are fulfilled in the presence of disease and its treatment. It is argued that this is the major concern of the patient. Needs-based measures are patient-centric and produce a valid unidimensional index of outcome. Consequently, they provide a direct means of measuring patient value. This approach provides the possibility of evaluating health services in terms of the value they provide to consumers and payers. It also has a role to play in real-world evidence studies and outcomes-based reimbursement. It is recommended that greater attention is given in future to the development of patient-reported outcome measures that provide direct assessments of patient value.

Pediatric neurology training in Canada: current status and future directions.

PubMed

Doja, Asif

2012-05-01

Child neurology training in Canada has changed considerably over time, with increasing requirements for standardized teaching of the fundamentals of child neurology and the CanMEDS competencies. We sought to determine the current status of child neurology training in Canada as well future directions for training. A web-based survey was sent to program directors (PD's) of active pediatric neurology training programs. General questions about the programs were asked, as well as about success at the Royal College of Physicians and Surgeons of Canada (RCPSC) exam, breakdown of rotations, views on CanMEDS roles and questions on the future of pediatric neurology. 9/9 PD's completed the survey. 96.5% of all trainees successfully passed their RCPSC exam from 2001-2006. Breakdowns of the number and type of rotations for each year of training were provided. All CanMEDS roles were deemed to be important by PD's and programs have developed unique strategies to teach and assess these roles.92.6% of trainees chose to go into academic practice, with the most popular subspecialty being epilepsy. All PD's favour joint training sessions particularly for neurogenetics and neuromuscular disease. Overall, PD's suggest recruitment for future child neurologists at the medical student level but are divided as to whether we are currently training too few or too many child neurologists. This survey provides a view of the current state of pediatric neurology training in Canada and suggestions for further development of post-graduate training. In particular, attention should be given to joint educational programs as well as urgently assessing the manpower needs of child neurologists.

Macroencapsulation Equivalency Guidance for Classified Weapon Components and NNSSWAC Compliance

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

Poling, J.

2012-05-15

The U.S. Department of Energy (DOE) complex has a surplus of classified legacy weapon components generated over the years with no direct path for disposal. The majority of the components have been held for uncertainty of future use or no identified method of sanitization or disposal. As more weapons are retired, there is an increasing need to reduce the amount of components currently in storage or on hold. A process is currently underway to disposition and dispose of the legacy/retired weapons components across the DOE complex.

Proceedings of the Thirteenth Annual Precise Time and Time Interval (PTTI) Applications and Planning Meeting

NASA Technical Reports Server (NTRS)

Wardrip, S. C.

1982-01-01

Proceedings of an annual Precise Time and Time Interval (PTTI) Applications and Planning Meeting are summarized. A transparent view of the state-of-the-art, an opportunity to express needs, a view of important future trends, and a review of relevant past accomplishments were considered for PTTI managers, systems engineers, and program planner. Specific aims were: to provide PTTI users with new and useful applications, procedures, and techniques; to allow the PTTI researcher to better assess fruitful directions for research efforts.

Universal Preventive Interventions for Children in the Context of Disasters and Terrorism

PubMed Central

Pfefferbaum, Betty; Varma, Vandana; Nitiéma, Pascal; Newman, Elana

2014-01-01

Synopsis This review addresses universal disaster and terrorism services and preventive interventions delivered to children pre and post event. The paper describes the organization and structure of services used to meet the needs of children in the general population (practice applications), examines screening and intervention approaches (tools for practice), and suggests future directions for the field. A literature search identified 17 empirical studies which were analyzed to examine timing and setting of intervention delivery, providers, conditions addressed and outcomes, and intervention approaches and components. PMID:24656585

A Framework for the Specificity of Addictions

PubMed Central

Sussman, Steve; Leventhal, Adam; Bluthenthal, Ricky N.; Freimuth, Marilyn; Forster, Myriam; Ames, Susan L.

2011-01-01

Research over the last two decades suggests that a wide range of substance and behavioral addictions may serve similar functions. Yet, co-occurrence of addictions has only been reported among a minority of addicts. “Addiction specificity” pertains to a phenomenon in which one pattern of addictive behaviors may be acquired whereas another is not. This paper presents the PACE model as a framework which might help explain addiction specificity. Pragmatics, attraction, communication, and expectation (PACE) variables are described, which may help give some direction to future research needs in this arena. PMID:21909314

Image BOSS: a biomedical object storage system

NASA Astrophysics Data System (ADS)

Stacy, Mahlon C.; Augustine, Kurt E.; Robb, Richard A.

1997-05-01

Researchers using biomedical images have data management needs which are oriented perpendicular to clinical PACS. The image BOSS system is designed to permit researchers to organize and select images based on research topic, image metadata, and a thumbnail of the image. Image information is captured from existing images in a Unix based filesystem, stored in an object oriented database, and presented to the user in a familiar laboratory notebook metaphor. In addition, the ImageBOSS is designed to provide an extensible infrastructure for future content-based queries directly on the images.