The Good, the Bad, and the Ugly! Highlights of the 1996 Major Tax Acts (Effective Immediately!).
ERIC Educational Resources Information Center
Lukaszewski, Thomas E.
1997-01-01
Describes four major tax acts which significantly impact businesses and individual taxpayers. Includes important issues affecting businesses, such as changes in minimum wage, depreciable personal property, pensions, and tax credits. Also describes important issues affecting individuals, including changes in spousal IRAs, adoption expense credits,…
Monitoring watersheds and streams
Robert R. Ziemer
1998-01-01
Regulations increasingly require monitoring to detect changes caused by land management activities. Successful monitoring requires that objectives be clearly stated. Once objectives are clearly identified, it is important to map out all of the components and links that might affect the issues of concern. For each issue and each component that affects that issue, there...
Copyright, the Internet, and Other Legal Issues.
ERIC Educational Resources Information Center
Gasaway, Laura N.
1998-01-01
Copyright and other intellectual property issues have dominated discussions of legal issues surrounding the Internet. There are other issues of considerable importance that also attract attention. Five legal issues affecting the Internet are addressed: copyright, online service-provider liability, database protection, obscenity, and privacy. Cited…
Rakich, J S; Feit, M D
2001-01-01
Public policy affects health and social services organizations. Senior management has a responsibility to prevent inappropriate demands of stakeholders from predominating and to influence the outcome of public policy to the benefit of their organization through the strategic issues management process. This article presents a public policy issue life cycle model, life-cycle stages and suggested strategies, paths issues can take in the life cycle, and factors that affect issue paths. An understanding of these dynamics can aid senior managers in shaping and changing public policy issues and lessening external environment threats to their organization.
2017-01-01
We use an experiment to examine whether the way in which climate change is framed affects individuals’ beliefs about its importance as a policy issue. We employ frames that emphasize national security, human rights, and environmental importance about the consequences of climate change. We find no evidence that issue frames have an overall effect on opinions about the importance of climate change policy. We do find some evidence that the effect of issue frames varies across ideological and partisan groups. Most notably, issue frames can lead Republicans and those on the political right to view climate change policy as less important. We conclude by discussing our findings relative to extant literature and considering the implications of our findings for those who seek to address the issue of climate change. PMID:28727842
Singh, Shane P; Swanson, Meili
2017-01-01
We use an experiment to examine whether the way in which climate change is framed affects individuals' beliefs about its importance as a policy issue. We employ frames that emphasize national security, human rights, and environmental importance about the consequences of climate change. We find no evidence that issue frames have an overall effect on opinions about the importance of climate change policy. We do find some evidence that the effect of issue frames varies across ideological and partisan groups. Most notably, issue frames can lead Republicans and those on the political right to view climate change policy as less important. We conclude by discussing our findings relative to extant literature and considering the implications of our findings for those who seek to address the issue of climate change.
Socioscientific Issues and the Affective Domain: Scientific Literacy's Missing Link.
ERIC Educational Resources Information Center
Sadler, Troy D.
The promotion of scientific literacy has become an important goal for science education, and the ability to negotiate socioscientific issues is at least one aspect of scientific literacy. This paper focuses on how the moral dimensions of socioscientific issues influence decision-making regarding these issues. Morality is examined from multiple…
ERIC Educational Resources Information Center
Schmidt, Toni L.; Hitchon, Jacqueline C.
1999-01-01
Applies schema theory to explore how undergraduate students respond to brand ads that incorporate social issues. Finds that placing an issue in an ad offers important advantages for advertisers and that congruent issue information elicits more positive affective and conative responses than incongruent issue information. Finds placing an issue in…
Thomas Jefferson, Page Design, and Desktop Publishing.
ERIC Educational Resources Information Center
Hartley, James
1991-01-01
Discussion of page design for desktop publishing focuses on the importance of functional issues as opposed to aesthetic issues, and criticizes a previous article that stressed aesthetic issues. Topics discussed include balance, consistency in text structure, and how differences in layout affect the clarity of "The Declaration of…
Untangling Legal Issues that Affect Teachers and Student Teachers
ERIC Educational Resources Information Center
Bain, Christina
2009-01-01
The number of lawsuits pertaining to educationally related issues is on the rise in the US (Mounts, 1999). Garner (2000) reports that teachers consider legal issues the third most important area of teacher preparation. However, few universities offer undergraduate courses in educational law and few programs offer comprehensive training concerning…
Hydrological processes and pathways affected by forest roads: what do we still need to learn?
Charles H. Luce
2002-01-01
Forest roads are an important environmental issue. While many scientists interested in hydrology recognize climate-altering processes as an important global issue, there are problems that are similar in scope and magnitude because human industriousness has brought them to so many parts of the world. Almost everywhere people live and work they build and use unimproved...
Spouse Employment in the Army: Research Findings
1990-03-01
Teplitzky, Thomas, & Nogami, 1988). In addition to being affected by the broader work-family issues which influence most employed wives, married women...resolve this important family issue . Procedure: A major effort of the Army Family Research Program (AFRP) has been the primary and secondary analyses...19 Spouse Earnings .......... ........................... .... 20 RELATED SPOUSE EMPLOYMENT ISSUES
Improving mature driver safety : task 6, final report with recommendations.
DOT National Transportation Integrated Search
2010-08-02
There are a number of important issues when examining the issue of mature drivers and mobility particularly age-related physical and behavioral changes that affect ones ability to drive. Recent research from a variety of sources (e.g., Nationa...
ERIC Educational Resources Information Center
Zembylas, Michalinos
2018-01-01
This paper suggests that scholarship in critical pedagogy needs to consider two important issues: first, how students' affective life ("affect" and "emotion" are used as interchangeable terms here) is manifested through "counter-conduct practices", namely, practices of resistance that challenge dominant or hegemonic…
2004-12-01
statutory authority for all domestic and imported food except meat , poultry , and egg products, which are under the authority of the USDA/Food Safety...Federal agencies (e.g., USDA). (Note: HHS, through the FDA, has statutory authority for all domestic and imported food except meat , poultry , and egg ...wildlife issues in disease and natural disaster issues Inspection and verification of meat , poultry , and egg products in affected areas Food
A Discussion about Ionising and Non-Ionising Radiation and the Critical Issue of Mobile Phones
ERIC Educational Resources Information Center
Kontomaris, Stylianos-Vasileios; Malamou, Anna
2018-01-01
Electromagnetic radiation is one of the most important issues affecting peoples' lives today. The misunderstanding of students and the general population of the effects of electromagnetic radiation is a problem which must be eliminated. Thus, a discussion about ionising and non-ionising radiation focusing on the crucial issue of radiation emitted…
Salisbury, D L
2000-01-01
Fewer and fewer Americans retire with benefits in the form of life annuities. The author raises key issues regarding the increased importance that uncertainty plays in determining retirement income. The key issues include longevity risk and how savings withdrawals rates will be affected at varying rates of return.
75 FR 80039 - The Manufacturing Council: Meeting of the Manufacturing Council
Federal Register 2010, 2011, 2012, 2013, 2014
2010-12-21
... competitiveness, clean energy, export/import issues and workforce development issues affecting the U.S... Jennifer Pilat, the Manufacturing Council, Room 4043, 1401 Constitution Avenue, NW., Washington, DC, 20230... impossible to fill. FOR FURTHER INFORMATION CONTACT: Jennifer Pilat, the Manufacturing Council, Room 4043...
A discussion about ionising and non-ionising radiation and the critical issue of mobile phones
NASA Astrophysics Data System (ADS)
Kontomaris, Stylianos-Vasileios; Malamou, Anna
2018-01-01
Electromagnetic radiation is one of the most important issues affecting peoples’ lives today. The misunderstanding of students and the general population of the effects of electromagnetic radiation is a problem which must be eliminated. Thus, a discussion about ionising and non-ionising radiation focusing on the crucial issue of radiation emitted by mobile phones is presented.
Healthcare M&A: critical issues in today's fast-paced market.
Ralph, Ron
2015-09-01
In an accelerating market for healthcare mergers and acquisitions, parties to a potential deal should consider the following factors when assessing risk and reward: Economic, business, and cultural forces. Funding issues and financing structures. Potential complications during due diligence. The critical importance of effective postmerger integration. The numerous regulatory, tax, and accounting issues that can affect an acquisition.
Physical attractiveness, issue agreement, and assimilation effects in candidate appraisal.
Schubert, James N; Curran, Margaret Ann; Strungaru, Carmen
2011-01-01
This study examines the cognitive and affective factors of candidate appraisal by manipulating candidate attractiveness and levels of issue agreement with voters. Drawing upon research in evolutionary psychology and cognitive neuroscience, this analysis proposes that automatic processing of physical appearance predisposes affective disposition toward more attractive candidates, thereby influencing cognitive processing of issue information. An experimental design presented attractive and unattractive candidates who were either liberal or conservative in a mock primary election. The data show strong partial effects for appearance on vote intention, an interaction between appearance and issue agreement, and a tendency for voters to assimilate the dissimilar views of attractive candidates. We argue that physical appearance is important in primary elections when the differences in issue positions and ideology between candidates is small.
Worldwide Emerging Environmental Issues Affecting the U.S. Military. March 2011 Report
2011-03-01
nuclear plant http://abcnews.go.com/Business/wireStory?id=13241596 Detection of radioactive material in the soil in Fukushima Daiichi Nuclear Power...and Nuclear Disasters in Japan The important reassessments following the Tōhoku earthquake and tsunami that hit Japan‟s northeast coast on March 11...and the nuclear waste issues are still not solved; hence, the Fukushima disaster might trigger important regime and development changes, such as
ERIC Educational Resources Information Center
Adams, Gina; Poersch, Nicole Oxendine
This report provides information on a range of key child care issues, including basic facts about child care and its importance to children, families, and communities; and information on key legislative issues and proposals affecting child care. Fact sheets, with supporting references and tabular data, comprise about one-half of the document.…
The impact of economic issues on Nigerian health sciences libraries.
Belleh, G S; Akhigbe, O O
1991-01-01
Economic issues are among the most important factors affecting health sciences libraries in Nigeria. These issues are influenced by the political, cultural, geographic, and demographic characteristics of the country. Significant economic issues are the dependence of the national economy on a single commodity, large foreign debt and spiraling inflation, stringent foreign exchange control measures, and inadequate realization by authorities of the role and importance of health sciences libraries. With shrinking budgets, resources, and staff, health sciences libraries can neither grow nor afford library automation. Health sciences librarians must take initiatives for cooperative activities to increase and make the most of resources, pursue nontraditional methods of fund-raising, educate authorities about the role and importance of libraries, and develop and implement a plan for the development and growth of health sciences libraries in the country. PMID:1884083
[Psychological issues in manned spaceflight].
Zhang, Q J; Bai, Y Q
1999-04-01
As the duration of manned spaceflight becomes longer and as crews become more heterogeneous, psychological and interpersonal factors will be more important in affecting the safety of crew and flight mission. In space environment there are four types of stressors: physical, physiological, psychological and interpersonal. Psychological issues include "Asthenia", alteration in time sense, transcendent experiences, sleep problem, career motivation, psychosomatic symptoms and psychiatric issues. Interpersonal issues include interpersonal tension, interpersonal relationships decreased cohesiveness and deprivation, displacement [correction of dispiacement] of anger to outside personnel over time.
On the relation between trust and fairness in environmental risk management.
Earle, Timothy C; Siegrist, Michael
2008-10-01
In this study, we empirically examine the relations between trust, fairness, and cooperation within two environmental risk management contexts, one in which the focal issue is of high personal moral importance and the other in which the focal issue is of low moral importance. Using an experimental design embedded in two parallel survey questionnaires, one mailed to residents of Washington State, the other to German-speaking residents of Switzerland, we either manipulated or constructed three factors, issue importance (high/low), procedural fairness (fair/unfair), and policy outcome (risk averse/risk accepting). This design enabled us to compare the predictions of the standard account of procedural fairness, that trust and cooperation are determined by judgments of fairness, with the predictions of an alternative account, that trust and cooperation will be determined by judgments of procedural fairness only when the issue involved is not morally important. Results for the American case showed that under conditions of high issue importance, policy outcome affected judged fairness, trust, and cooperation. Under conditions of low issue importance, policy outcome had no effect on judged fairness or trust but did have a moderate impact on cooperation. Analyses also showed that when issue importance was high, procedural fairness had no effects. When issue importance was low, procedural fairness had moderate effects on judged fairness and trust. Results for the Swiss case replicated the main findings for the American case. Together, these results support the alternative model of the relation between trust and fairness, suggesting that the efficacy of fair procedures is strictly limited.
Empowerment of Refugees by Language: Can ESL Learners Affect the Target Culture?
ERIC Educational Resources Information Center
Tadayon, Fereshteh; Khodi, Ali
2016-01-01
Numerous studies have investigated the changing patterns of immigration, the growth of multicultural-multilingual societies, and the important role of language in identity construction. Unfortunately, the issue of identity construction is affected by a variety of factors such as language learning and acquisition underlying different contexts and…
An important issue surrounding assessment of riverine fish assemblages is the minimum amount of sampling distance needed to adequately determine biotic condition. Determining adequate sampling distance is important because sampling distance affects estimates of fish assemblage c...
ERIC Educational Resources Information Center
Graham, Louis F.; Matiz Reyes, Armando; Lopez, William; Gracey, Alana; Snow, Rachel C.; Padilla, Mark B.
2013-01-01
This project increased awareness about issues of violence to youth, their communities, and policy makers through the technique of photovoice and its translation into photo exhibitions and other community events. Youth participants learned photography skills, engaged in critical communal discussions about important issues affecting their health,…
ERIC Educational Resources Information Center
Labandz, Stephenie
2010-01-01
As a school-based physical therapist, the author sees children with a wide variety of diagnoses affecting their mobility and motor function. Supported standing is an important part of the routines of those who are unable to stand independently due to issues affecting the neuromuscular system. Being eye-to-eye with their peers and interacting with…
USDA-ARS?s Scientific Manuscript database
The relationship between choline and folate metabolisms is an important issue due to the essential role of these nutrients in brain plasticity and cognitive functions. Present study was designed to investigate whether modification of the dietary folate-choline status in young rats would affect brain...
Ballast Blockade: Stopping Aquatic Immigrants.
ERIC Educational Resources Information Center
White, Sara
2003-01-01
Presents students with six ballast water treatment methods to evaluate. Allows students to acquaint themselves with current Great Lakes topics while simultaneously partaking in decision-making processes that could affect them. Emphasizes not only an important environmental issue for the Great Lakes, but also the importance of decision-making…
Psychosocial issues during an expedition to Mars
NASA Astrophysics Data System (ADS)
Kanas, Nick
2014-10-01
Much is known about psychological and interpersonal issues affecting astronauts participating in manned space missions near the Earth. But in a future long-distance, long-duration expedition to Mars, additional stressors will occur that will result in psychological, psychiatric, and interpersonal effects on the crew, both negative and positive. This paper will review what is known about important psychosocial issues in space and will extrapolate them to the scenario of a future manned space mission to Mars.
Democratic and Republican physicians provide different care on politicized health issues.
Hersh, Eitan D; Goldenberg, Matthew N
2016-10-18
Physicians frequently interact with patients about politically salient health issues, such as drug use, firearm safety, and sexual behavior. We investigate whether physicians' own political views affect their treatment decisions on these issues. We linked the records of over 20,000 primary care physicians in 29 US states to a voter registration database, obtaining the physicians' political party affiliations. We then surveyed a sample of Democratic and Republican primary care physicians. Respondents evaluated nine patient vignettes, three of which addressed especially politicized health issues (marijuana, abortion, and firearm storage). Physicians rated the seriousness of the issue presented in each vignette and their likelihood of engaging in specific management options. On the politicized health issues-and only on such issues-Democratic and Republican physicians differed substantially in their expressed concern and their recommended treatment plan. We control for physician demographics (like age, gender, and religiosity), patient population, and geography. Physician partisan bias can lead to unwarranted variation in patient care. Awareness of how a physician's political attitudes might affect patient care is important to physicians and patients alike.
Entrepreneurship in Smaller Jurisdictions: Appraising a Glocal Elite
ERIC Educational Resources Information Center
Baldacchino, Godfrey
2008-01-01
Entrepreneurship on smaller (often island) jurisdictions tends to suffer from the same import-orientation or "cargo cult" that affects many other issues: entrepreneurs are rarely locally bred but are most often "imported", recruited after long stints in other, larger countries, or else must be suffered to spend regular time…
Beyond the Middle Finger: Affective Labour, an Ethic of Care and the Reform of Teacher Education
ERIC Educational Resources Information Center
Renshaw, Peter
2017-01-01
The centrality of relationships between teachers and students is revealed in the articles in this special issue on alternative schools. This should characterise the mainstream but the Australian Professional Standards for Teachers avoids any reference to care or affect or to the importance of forming ethically informed caring relationships with…
A cross-cultural survey of residents' perceived barriers in questioning/challenging authority.
Kobayashi, H; Pian-Smith, M; Sato, M; Sawa, R; Takeshita, T; Raemer, D
2006-08-01
To identify perceived barriers to residents' questioning or challenging their seniors, to determine how these barriers affect decisions, and to assess how these barriers differ across cultures. A written questionnaire was administered to residents in teaching hospitals in the US and Japan to assess factors affecting residents' willingness to question or challenge their superiors. The responses were analyzed for statistical significance of differences between the two cultures and to determine the importance of issues affecting decisions. Questionnaires were completed by 175 US and 65 Japanese residents, with an overall response rate of 71%. Trainees from both countries believe that questioning and challenging contribute to safety. The perceived importance of specific beliefs about the workplace differed across cultures in seven out of 22 questions. Residents' decisions to make a challenge were related to the relationships and perceived response of the superiors. There was no statistical difference between the US and Japanese residents in terms of the threshold for challenging their seniors. We have identified attributes of residents' beliefs of communication, including several cross-cultural differences in the importance of values and issues affecting one's decision to question or challenge. In contrast, there was no difference in the threshold for challenging seniors by the Japanese and US residents studied. Changes in organizational and professional culture may be as important, if not more so, than national culture to encourage "speaking up". Residents should be encouraged to overcome barriers to challenging, and training programs should foster improved relationships and communication between trainers and trainees.
Affect integration and reflective function: clarification of central conceptual issues.
Solbakken, Ole André; Hansen, Roger Sandvik; Monsen, Jon Trygve
2011-07-01
The importance of affect regulation, modulation or integration for higher-order reflection and adequate functioning is increasingly emphasized across different therapeutic approaches and theories of change. These processes are probably central to any psychotherapeutic endeavor, whether explicitly conceptualized or not, and in recent years a number of therapeutic approaches have been developed that explicitly target them as a primary area of change. However, there still is important lack of clarity in the field regarding the understanding and operationalization of affect integration, particularly when it comes to specifying underlying mechanisms, the significance of different affect states, and the establishment of operational criteria for measurement. The conceptual relationship between affect integration and reflective function thus remains ambiguous. The present article addresses these topics, indicating ways in which a more complex and exhaustive understanding of integration of affect, cognition and behavior can be attained.
Estimating Hardwood Sawmill Conversion Efficiency Based on Sawing Machine and Log.
Michael W. Wade; Steven H. Bullard; Philip H. Steele; Philip A. Araman
1992-01-01
Increased problems of hardwood timber availability have caused many sawmillers, industry analysts, and planners to recognize the importance of sawmill conversion efficiency. Conversion efficiency not only affects sawmill profits, but is also important on a much broader level. Timber supply issues have caused resource planners and policy makers to consider the effects...
Van de Werfhorst, Herman G; de Graaf, Nan Dirk
2004-06-01
This paper studies the impact of social class and education on political orientation. We distinguish the 'old' middle class from a new class of social/cultural specialists. However, the difference in their political orientation may especially be related to the level and field of education; the new middle class is more highly educated and often in fields of study that extensively address social competencies, characteristics independently affecting political outcomes. Analyses on Dutch data showed that education is more important in the prediction of 'cultural' liberal issues than social class. Economically-oriented issues are more strongly affected by social class. This means that interests of the new middle class are served by liberal standpoints relating to a strong government and income redistribution policies, but not relating to cultural issues.
ERIC Educational Resources Information Center
O'Connor, Kimberly W.; Schmidt, Gordon B.
2015-01-01
Recent data suggest that 83% of individuals, aged 18 to 29 years, frequent social media sites (Drouin et al., 2015). This statistic confirms the need for universities to teach important issues regarding personal social media usage to students. At the forefront of these issues is how personal social media usage can affect students' future…
On the Brink: Instability and the Prospect of State Failure in Pakistan
2010-04-12
unpredictable posture. Most importantly, these historical events, coupled with current political , economic, and security related issues, have created a...current political , economic, and security related issues, have created a fragile state with the propensity to fail. Therefore, this monograph highlights...hardships that have affected the state’s political stability, economic performance, and security. These unrelenting problems lie at the foundation
Anxiety and Stress--How They Affect Teachers, Teaching.
ERIC Educational Resources Information Center
Youngs, Bettie Burres
1978-01-01
Principals can play an important role in the interpersonal relationships within a school building by exploring and assessing issues regarding cause and effect of the anxiety, stress, and tension that exist among personnel. (Author/MLF)
Teaching of Mathematics and Science in English: The Teachers' Voices
ERIC Educational Resources Information Center
Yahaya, Mohamad Fadhili Bin; Noor, Mohd Asri Bin Mohd; Mokhtar, Ahmad Azman Bin; Rawian, Rafizah Binti Mohd; Othman, Mahmod Bin; Jusoff, Kamaruzaman
2009-01-01
The policy to change the medium of instruction in the teaching of Mathematics and Science from Bahasa Melayu (Malay Language) to English in 2003 is an important innovation affecting not only the students but also teachers of Mathematics and Science. However, how far the changes affect the teachers is the issue addressed in the paper. In fact the…
ERIC Educational Resources Information Center
Berger, Mark C.
1996-01-01
Studies on Indonesia and the Philippines in this special issue examine how local financial control affects costs of providing primary schooling. In both countries, schools with greater financial decentralization operated more efficiently. These results have important implications for U.S. schools, where decentralization reforms in Kentucky and…
Camera sensor arrangement for crop/weed detection accuracy in agronomic images.
Romeo, Juan; Guerrero, José Miguel; Montalvo, Martín; Emmi, Luis; Guijarro, María; Gonzalez-de-Santos, Pablo; Pajares, Gonzalo
2013-04-02
In Precision Agriculture, images coming from camera-based sensors are commonly used for weed identification and crop line detection, either to apply specific treatments or for vehicle guidance purposes. Accuracy of identification and detection is an important issue to be addressed in image processing. There are two main types of parameters affecting the accuracy of the images, namely: (a) extrinsic, related to the sensor's positioning in the tractor; (b) intrinsic, related to the sensor specifications, such as CCD resolution, focal length or iris aperture, among others. Moreover, in agricultural applications, the uncontrolled illumination, existing in outdoor environments, is also an important factor affecting the image accuracy. This paper is exclusively focused on two main issues, always with the goal to achieve the highest image accuracy in Precision Agriculture applications, making the following two main contributions: (a) camera sensor arrangement, to adjust extrinsic parameters and (b) design of strategies for controlling the adverse illumination effects.
ERIC Educational Resources Information Center
Oakland, Jane; MacDonald, Raymond; Flowers, Paul
2014-01-01
The effects of musical career disruption are an increasingly important, yet under-researched, area within music education. This article highlights psychological issues that can negatively affect an operatic career. Existing work has examined the effects of redundancy for opera choristers and confirmed the importance of a flexible approach to…
Mediated realism and the representation of a health care controversy.
Petraglia, J
1994-01-01
Psychologists have recently identified "situated cognition" as an important issue for educators across disciplines. Accordingly, instructional technologists have been working on ways to make classroom materials more true-to-life and affectively engaging. In this article I review a study designed to investigate the ways in which differing realism conditions (delivered through interactive video) influenced users' understanding of the issue of euthanasia and the case of Dax Cowart. Based on the study's findings, I raise the issue of a possible trade-off between traditional values of objectivity and authenticity.
Reid, Chelsea A; Davis, Jody L; Pollack, Jeffrey M; Coughlan, Richard S
2017-08-18
The present work applies and extends balance theory by examining the role of relevance of issue to the relationship in balance theory processes within the context of workplace relationships. In Experiment 1, a sample of working adults (N = 81) reported greater job tension when self-supervisor dissimilarity involved a relationship-relevant (vs. non-relationship) ethical dilemma. In Experiment 2, a sample of working students (N = 185) who perceived greater self-supervisor dissimilarity about workplace (vs. family) ethics reported greater job tension, and in turn, less job satisfaction and organizational commitment. Perceiving dissimilarity with a work supervisor in attitudes about relationship-relevant issues may negatively affect outcomes at work. Importantly, these experiments demonstrated that not all dissimilarity is likely to yield negative outcomes; only relationship-relevant (vs. non-relevant) dissimilarity was a catalyst for imbalance-induced tension.
50 CFR 18.30 - Polar bear sport-hunted trophy import permits.
Code of Federal Regulations, 2010 CFR
2010-10-01
... sustainability of Canada's polar bear populations is being adversely affected or that sport hunting may be having... a response to the public comment in the final report; and (ii) We will not issue permits under this...
DOT National Transportation Integrated Search
2016-08-01
Attaining adequate vegetation cover along highways is important for Nebraska Department of Roads (NDOR) to comply with the Environmental Protection Agency's (EPAs) stormwater regulations. However, low plant cover is a common problem on shoulders (...
Democratic and Republican physicians provide different care on politicized health issues
Hersh, Eitan D.; Goldenberg, Matthew N.
2016-01-01
Physicians frequently interact with patients about politically salient health issues, such as drug use, firearm safety, and sexual behavior. We investigate whether physicians’ own political views affect their treatment decisions on these issues. We linked the records of over 20,000 primary care physicians in 29 US states to a voter registration database, obtaining the physicians’ political party affiliations. We then surveyed a sample of Democratic and Republican primary care physicians. Respondents evaluated nine patient vignettes, three of which addressed especially politicized health issues (marijuana, abortion, and firearm storage). Physicians rated the seriousness of the issue presented in each vignette and their likelihood of engaging in specific management options. On the politicized health issues—and only on such issues—Democratic and Republican physicians differed substantially in their expressed concern and their recommended treatment plan. We control for physician demographics (like age, gender, and religiosity), patient population, and geography. Physician partisan bias can lead to unwarranted variation in patient care. Awareness of how a physician’s political attitudes might affect patient care is important to physicians and patients alike. PMID:27698126
Leading trends in environmental regulation that affect energy development. Final report
DOE Office of Scientific and Technical Information (OSTI.GOV)
Steele, R V; Attaway, L D; Christerson, J A
1980-01-01
Major environmental issues that are likely to affect the implementation of energy technologies between now and the year 2000 are identified and assessed. The energy technologies specifically addressed are: oil recovery and processing; gas recovery and processing; coal liquefaction; coal gasification (surface); in situ coal gasification; direct coal combustion; advanced power systems; magnetohydrodynamics; surface oil shale retorting; true and modified in situ oil shale retorting; geothermal energy; biomass energy conversion; and nuclear power (fission). Environmental analyses of these technologies included, in addition to the main processing steps, the complete fuel cycle from resource extraction to end use. A comprehensive surveymore » of the environmental community (including environmental groups, researchers, and regulatory agencies) was carried out in parallel with an analysis of the technologies to identify important future environmental issues. Each of the final 20 issues selected by the project staff has the following common attributes: consensus of the environmental community that the issue is important; it is a likely candidate for future regulatory action; it deals with a major environmental aspect of energy development. The analyses of the 20 major issues address their environmental problem areas, current regulatory status, and the impact of future regulations. These analyses are followed by a quantitative assessment of the impact on energy costs and nationwide pollutant emissions of possible future regulations. This is accomplished by employing the Strategic Environmental Assessment System (SEAS) for a subset of the 20 major issues. The report concludes with a more general discussion of the impact of environmental regulatory action on energy development.« less
The effects of sexual orientation on state legislators' behavior and priorities.
Herrick, Rebekah
2009-01-01
This article explores whether sexual orientation, surrogate representation, and political factors affect legislators' work on gay, lesbian, and bisexual (GLB) interests, and whether the latter explains away the influence of sexual orientation. A survey of openly GLB state legislators and their colleagues was conducted to measure legislators' campaign issues, legislative priorities, surrogate representation, and ambition. This information is supplemented with bill introduction and district data. The results indicate that legislators' sexual orientation strongly influences their work on GLB issues and although surrogate representation and electoral considerations also affect GLB work, they do not explain away the importance of sexual orientation. The implications of this for the relationship between descriptive and substantive representation are explored.
Identifying geoscience knowledge likely to affect foreign policy
NASA Astrophysics Data System (ADS)
Kelmelis, J. A.
2006-12-01
The earth sciences play an important role in foreign policy and have done so throughout history. Whether it is access to resources, knowledge of weather or other earth system conditions, planning for or responding to disasters, protecting the environment, facilitating transportation and communication, or any of a number of other important topics, the geosciences continue to inform our decision making. The importance of science, technology, and health (STH) is being increasingly recognized in the foreign policy community. The National Research Council (NRC) recommended that the Department of State (State) expand its scientific base to address the importance of STH issues. In part, this consists of increasing the number of scientists within State. Another important aspect is not only identifying the STH issues that are of current concern, but also the issues that will be of importance in the future. A number of studies funded by the U.S. Government have identified some important STH areas of concern at a high level. These provide a basis for more in-depth investigations. However, there are additional phenomena, beyond those identified in the studies, which have foreign policy implications. The scientific findings may be well known to scientists but their foreign policy importance is not always obvious. The scientific and foreign policy communities could improve their dialog to better develop strategies for foreign policy and future scientific research. One way to help facilitate that is to ease identification of scientific issues with potential significance to foreign policy and to clarify uncertainties around those issues. A qualitative method relating the likelihood that the scientific finding has foreign policy importance to the potential level of foreign policy importance has been used to clarify the significance of a variety of scientific findings including Arctic warming, methane hydrates, atmospheric dust, disease, and natural hazards. From a foreign policy perspective, the significance of some scientific findings can cascade through emerging international issues and manifest themselves in ways that have both strategic and tactical concern.
Mittal; Ross
1998-12-01
Two studies examined the influence of transient affective states and issue framing on issue interpretation and risk taking within the context of strategic decision making. In Study 1, participants in whom transient positive or negative affective states were induced by reading a short story showed systematic differences in issue interpretation and risk taking in a strategic decision making context. Compared to negative mood participants, those in a positive mood were more likely to interpret the strategic issue as an opportunity and displayed lower levels of risk taking. Study 2 replicated and extended these results by crossing affective states with threat and opportunity frames. Results showed that framing an issue (as a threat or an opportunity) had a stronger impact on issue interpretation among negative affect participants than among positive affect participants. Affective states also moderated the impact of issue framing on risk taking: the effect of framing on risk-taking was stronger under negative rather than positive affect. These results are interpreted via information-processing and motivational effects of affect on a decision maker. Copyright 1998 Academic Press.
Yu, Juping
2009-04-01
Qualitative approaches have been increasingly used to explore ethnic differences in teenage sexual behavior, and methodological issues of conducting such research often remain unaddressed. This article discusses issues related to sampling, rapport, language, and ethnical considerations arising while undertaking research on attitudes toward teenage sexual behavior held by Chinese British families. It highlights the value of using snowball sampling, the importance of establishing rapport, and some advantages of matching the ethnic background between researcher and participants. The researcher's gender and social and cultural backgrounds affect research processes and findings, and this itself merits further reflection.
DOT National Transportation Integrated Search
2010-01-01
This project investigates issues related to parents decisions about childrens school transportation. This has become an important area : of research due to the growing concerns that increased reliance on private automobile in school travel has ...
ERIC Educational Resources Information Center
Organisation for Economic Cooperation and Development, Paris (France). Centre for Educational Research and Innovation.
Issues concerning the enrollment of adults in degree programs in countries belonging to the Organisation for Economic Cooperation and Development are considered. Of concern are policies and institutional practices that affect adult participation in degree studies. The growing importance of continuing academic and professional education is…
50 CFR 22.27 - Removal of eagle nests.
Code of Federal Regulations, 2010 CFR
2010-10-01
... additional factors that may be relevant to our decision whether to issue the permit, including, but not... (CONTINUED) TAKING, POSSESSION, TRANSPORTATION, SALE, PURCHASE, BARTER, EXPORTATION, AND IMPORTATION OF... mitigation, together with the cumulative effects of other permitted take and additional factors affecting...
Survey Report: Legislation for Special Groups.
ERIC Educational Resources Information Center
Martorana, S. V.; Broomall, James
1981-01-01
Summarizes the findings of an inquiry into 1980 state legislation affecting two-year colleges, focusing on administration and governance, academic affairs, defining and financing the community college mission, and future issues. Stresses the effects and importance of legislative policies and priorities on public education. (DMM)
"Nature" and the "Environment" in Jamaica's Primary School Curriculum Guides
ERIC Educational Resources Information Center
Ferguson, Therese
2008-01-01
In cases where environmental education is institutionalised within schools, the curriculum can affect what and how students learn about "nature" and the "environment". In Jamaica, schools are considered important settings for environmental education; the curriculum therefore includes environmental issues. Using content…
Issues in the Development of the AIDMAN VISION SCREENER
1990-12-01
relationship between the P-T ratio and disease prevalence . As indicated in the bottom portion of Figure 2, the predictive value of any screening test is...absence of disease/injury The Importance of Disease/Injury Prevalence Disease Prevalence - (TP + FN) / TOTAL The specificity and sensitivity The positive...and negative (and their corresponding inverses) predictive values of a given test of a given test are not affected by disease prevalence ! are affected
32 CFR 651.48 - Scoping process.
Code of Federal Regulations, 2014 CFR
2014-07-01
... participation immediately following publication of the NOI in the FR. It is important to note that scoping is... significantly affecting the environment will go through scoping unless extenuating circumstances make it... when it is useful. (b) The scoping process identifies relevant issues related to a proposed action...
32 CFR 651.48 - Scoping process.
Code of Federal Regulations, 2012 CFR
2012-07-01
... participation immediately following publication of the NOI in the FR. It is important to note that scoping is... significantly affecting the environment will go through scoping unless extenuating circumstances make it... when it is useful. (b) The scoping process identifies relevant issues related to a proposed action...
32 CFR 651.48 - Scoping process.
Code of Federal Regulations, 2011 CFR
2011-07-01
... participation immediately following publication of the NOI in the FR. It is important to note that scoping is... significantly affecting the environment will go through scoping unless extenuating circumstances make it... when it is useful. (b) The scoping process identifies relevant issues related to a proposed action...
32 CFR 651.48 - Scoping process.
Code of Federal Regulations, 2013 CFR
2013-07-01
... participation immediately following publication of the NOI in the FR. It is important to note that scoping is... significantly affecting the environment will go through scoping unless extenuating circumstances make it... when it is useful. (b) The scoping process identifies relevant issues related to a proposed action...
Tool for obtaining projected future climate inputs for the WEPP and SWAT models
USDA-ARS?s Scientific Manuscript database
Climate change is an increasingly important issue affecting natural resources. Rising temperatures, reductions in snow cover, and variability in precipitation depths and intensities are altering the accepted normal approaches for predicting runoff, soil erosion, and chemical losses from upland areas...
Mental health and retirement savings: Confounding issues with compounding interest.
Bogan, Vicki L; Fertig, Angela R
2018-02-01
The questionable ability of the U.S. pension system to provide for the growing elderly population combined with the rising number of people affected by depression and other mental health issues magnifies the need to understand how these household characteristics affect retirement. Mental health problems have a large and significant negative effect on retirement savings. Specifically, psychological distress is associated with decreasing the probability of holding retirement accounts by as much as 24 percentage points and decreasing retirement savings as a share of financial assets by as much as 67 percentage points. The magnitude of these effects underscores the importance of employer management policy and government regulation of these accounts to help ensure households have adequate retirement savings. Copyright © 2017 John Wiley & Sons, Ltd.
Energy taxation: an analysis of selected taxes
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1980-01-01
Taxation is a key instrument by which governments affect economic decision making and outcomes. Not surprisingly, energy taxation has received considerable attention in recent years with the mounting concern over national energy policy. As with other policy instruments, the taxation of energy production and use spans a wide array of topics. It also cuts across other instruments because it affects the entire spectrum of economic variables - prices, outputs, investments, uses, and so on. As a result, the subject of energy taxation constitutes a highly complex set of issues for public policy. This report examines the principal components of thatmore » set of issues. In the process, it points out the most-important interrelations among the various taxes and between taxation and other policy instruments.« less
5 CFR 2421.21 - Affected by issues raised.
Code of Federal Regulations, 2010 CFR
2010-01-01
... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Affected by issues raised. 2421.21 Section 2421.21 Administrative Personnel FEDERAL LABOR RELATIONS AUTHORITY, GENERAL COUNSEL OF THE FEDERAL... § 2421.21 Affected by issues raised. The phrase affected by issues raised, as used in part 2422, should...
Retention in the Marine Corps: The Importance of Quality in the Career Enlisted Force
1990-12-01
study is on the issue of the quality of the labor supply at the first-term reenlistment point. Quality is assessed on the basis of an individual’s...Objective Memoranda (POM), are then reviewed by the Defense Resources Board. The Defense Resources Board makes the final decisions and issues its...the economy of the U.S. These striking events, that clearly affect the defense position of the country, were not considered at the time DoD, the
NASA Astrophysics Data System (ADS)
Nikhil, E. V. S.; Sai Ram, V.; Charan Yadav, V.; Kiran Kumar, Kalla; Nagaraju, Dega
2017-05-01
Pharmaceutical sector plays an important role in the medical and health system. Due to the globalization of the business, increasing demand and supply for drugs, growing regulatory requirements, all stages of the pharmaceutical supply chain (SC) are facing numerous predicaments. The traditional way of selection and evaluation of these predicaments is customarily done using technical information. This approach lacks the ability to project the burning issue that to be addressed first. Hence, a computing method of selecting the crucial issue from the existing issues is essential in a pharmaceutical supply chain. This paper considers seven different predicaments as criteria and five sub-criteria under each main predicament of a pharmaceutical supply chain. The intention of this project is to manifest the process of assessing and selecting the issue that to be addressed first by using multi-criteria decision making technique (MCDM), i.e., fuzzy analytical hierarchy process (FAHP). The criteria and sub-criteria weights are calculated and priority assessment of the predicaments is done by using FAHP. Finally, from the findings of this work, the predicaments are ranked from most important to least important. This gives information to the decision maker (DM) to solve the issue that is affecting the SC the most with respect to the others.
Scheier, Lawrence M
2018-06-01
The collection of articles in this special issue both raise the bar and inspire new thinking with regard to both design and methodology concerns that influence drug use/abuse research. Thematically speaking, the articles focus on issues related to missing data, response formats, strategies for data harmonization, propensity scoring methods as an alternative to randomized control trials, integrative data analysis, statistical corrections to reduce bias from attrition, challenges faced from conducting large-scale evaluations, and employing abductive theory of method as an alternative to the more traditional hypothetico-deductive reasoning. Collectively, these issues are of paramount importance as they provide specific means to improve our investigative tools and refine the logical framework we employ to examine the problem of drug use/abuse. Each of the authors addresses a specific challenge outlining how it affects our current research efforts and then outlines remedies that can advance the field. To their credit, they have included issues that affect both etiology and prevention, thus broadening our horizons as we learn more about developmental processes causally related to drug use/abuse and intervention strategies that can mitigate developmental vulnerability. This is the essential dialogue required to advance our intellectual tool kit and improve the research skills we bring to bear on the important questions facing the field of drug use/abuse. Ultimately, the goal is to increase our ability to identify the causes and consequences of drug use/abuse and find ways to ameliorate these problems as we engage the public health agenda.
New Routes To Transfer. The Advisor. November 2001
ERIC Educational Resources Information Center
British Columbia Council on Admissions and Transfer, 2001
2001-01-01
The Advisor provides important information or "system alerts," in user-friendly format and language, on issues and changes affecting admissions and transfer. This document outlines new transfer possibilities in academic arts and science programs, and business diploma programs -- the two largest programs offered by the colleges,…
ELECTROFISHING DISTANCE NEEDED TO ESTIMATE FISH SPECIES RICHNESS IN RAFTABLE WESTERN USA RIVERS
A critical issue in river monitoring is the minimum amount of sampling distance required to adequately represent the fish assemblage of a reach. Determining adequate sampling distance is important because it affects estimates of fish assemblage integrity and diversity at local a...
Internationalizing Geography Education: A Focus on India
ERIC Educational Resources Information Center
Solem, Michael; Balachandran, Chandra Shekhar
2014-01-01
The Association of American Geographers (AAG), through its Center for Global Geography Education (CGGE) project, recently published a collection of online educational resources examining important geographic issues affecting people, places, and environments in India. The resources were created by a delegation of high school teachers and academic…
Research Needs for Rural Public Services.
ERIC Educational Resources Information Center
Stocker, Frederick D.
The report proposes a conceptual framework for researching key issues relating to rural public facility policy affecting such services as fire protection, water systems, roads, wastewater treatment, hospitals, and others, and identifies important research needs in this area. Major components of the framework are sources of financing (private and…
Chewing Over Physiology Integration
ERIC Educational Resources Information Center
Abdulkader, Fernando; Azevedo-Martins, Anna Karenina; de Arcisio Miranda, Manoel; Brunaldi, Kellen
2005-01-01
An important challenge for both students and teachers of physiology is to integrate the differentareas in which physiological knowledge is didactically divided. In developing countries, such an issue is even more demanding, because budget restrictions often affect the physiology program with laboratory classes being the first on the list when it…
ERIC Educational Resources Information Center
Given, Barbara K.
1998-01-01
What and how students eat can profoundly affect their ability to learn. Children require a high-protein breakfast for alertness, and a balanced diet, including complex carbohydrates throughout the day. Chronic stress causes the brain and body to deplete available nutrients. Nutrition is an important issue; better school food equals better school…
76 FR 13601 - Submission for OMB Review; Comment Request
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-14
... opportunities for fish passage improvements or dam removal that may fit into existing funding programs directed... uses of dams, anticipated uses of dams, important issues or concerns to dam owners, and owners... dams will also be identified. Affected Public: Business or other for-profit organizations. Frequency...
Prioritizing care during the acute phase: the prominent role of basic psychosocial life support.
Rooze, Magda; Netten, Josee; de Ruyter, Ariëlle; de Vries, Maaike; Helsloot, Ira; de Soir, Erik; Selwood, Philip; Schenk, Henk; Hustinx, Paul; Olinder, Henrik
2008-01-01
The issue of basic psychosocial life support during and after disasters is important. People who are affected by disasters can experience severe distress and may need psychosocial support. However, there still are many questions about service design and effectiveness of psychosocial support. During the process of the Targeted Agenda Program, "Prioritizing Care during the Acute Phase: The Prominent Role of Basic Psychosocial Life Support", a team of experts reached consensus on some important issues concerning psychosocial first aid, civil participation, and risk communication. The experts come from many different backgrounds, which supports the notion that psychosocial care deserves special attention within disaster relief programs involving all disciplines and all responsibilities.
Worldwide Emerging Environmental Issues Affecting the U.S. Military. December 2009 Report
2009-12-01
serious loss of ice sheets and associated sea-level rise • Amazon rainforest ––increased weather-altering deforestation after passing a critical...scientists agree on some tipping elements that are extremely sensitive to climate shifts and therefore might have an important impact on the planetary...trigger radical changes Scientists point out that an additional important unknown element is the interaction of these and other known elements
ERIC Educational Resources Information Center
Kaskaya, Alper; Calp, Sükran; Kuru, Oguzhan
2017-01-01
Decision making is one of the most important life skills. While making correct, timely, accurate and appropriate decisions lead to positive changes in one's life, making incorrect decisions may have a negative impact. It is an important issue to examine what the 4th grade students in primary school have about the decision-making ability to be…
The egoism and altruism of intergenerational behavior.
Wade-Benzoni, Kimberly A; Tost, Leigh Plunkett
2009-08-01
Some of the most important issues in society today affect more than one generation of people. In this article, the authors offer a conceptual overview and integration of the research on intergenerational dilemmas-decisions that entail a tradeoff between one's own self-interest in the present and the interests of other people in the future. Intergenerational decisions are characterized by a combination of intertemporal (i.e., behaviors that affect the future) and interpersonal (i.e., behaviors that affect other people) components. Research on intergenerational dilemmas identifies factors that emerge from these dimensions and how they interact with each other to influence intergenerational beneficence. Critically, phenomena that result from the intersection of these two dimensions-such as immortality striving through legacy creation-are especially important in distinguishing intergenerational decisions from other related decision contexts.
Final Report on 1989 Legislation Affecting Community Colleges.
ERIC Educational Resources Information Center
California Community Colleges, Sacramento. Office of the Chancellor.
A summary is provided of 1989 legislation of importance to California community colleges. The first section of the report provides an overview of the 1989 legislative year, including both federal and state issues. State highlights concern extensive negotiations over the allocation of funds to community colleges under the newly enacted Proposition…
ERIC Educational Resources Information Center
Littledyke, Michael
2008-01-01
Science education has an important part in developing understanding of concepts that underpin environmental issues, leading potentially to pro-environmental behaviour. However, science is commonly perceived negatively, leading to inappropriate and negative models of science that do not connect to people's experiences. The article argues that the…
Attitudes and Motivation in Early Foreign Language Learning
ERIC Educational Resources Information Center
Djigunovic, Jelena Mihaljevic
2012-01-01
This paper focuses on young foreign language learners' attitudes and motivations. An overview is given of the main issues in this research area, based on key European studies. Approaches to studying these affective learner characteristics are described. Some attention is devoted to data elicitation techniques and the importance of triangulation.…
Federal Technical Information and U.S. Competitiveness: Needs, Opportunities, and Issues.
ERIC Educational Resources Information Center
Hill, Christopher T.
1989-01-01
Discusses the importance of competitiveness to the American economy and examines three areas where federal information policies affect American competitiveness: providing the private sector with technical information; making federal information resources available to industry; and restricting foreign access to those resources. For each area,…
[Methods for measuring skin aging].
Zieger, M; Kaatz, M
2016-02-01
Aging affects human skin and is becoming increasingly important with regard to medical, social and aesthetic issues. Detection of intrinsic and extrinsic components of skin aging requires reliable measurement methods. Modern techniques, e.g., based on direct imaging, spectroscopy or skin physiological measurements, provide a broad spectrum of parameters for different applications.
Cross-Cultural Simulations in Teacher Education: Developing Empathy and Understanding
ERIC Educational Resources Information Center
Cruz, Barbara C.; Patterson, Jennifer
2005-01-01
Teacher training programs have recognized the importance of preparing future teachers for the unique opportunities and challenges that our multicultural societies and world provide. One method that is useful in sensitizing teachers to issues of diversity is cross-cultural simulations. By using kinesthetic and affective modes of learning,…
Counseling and Outreach Strategies for Assisting Multiracial College Students
ERIC Educational Resources Information Center
Paladino, Derrick A.; Davis, Harrison, Jr.
2006-01-01
Multiracial individuals are a unique and rising population adding to diversity on college campuses. With a number of potential issues affecting multiracial individuals on a college campus, it is important for counseling center staff to become more involved with and knowledgeable on approaches to assist this increasing population. This article…
Students' Meaning Making in Classroom Discussions: The Importance of Peer Interaction
ERIC Educational Resources Information Center
Rudsberg, Karin; Östman, Leif; Aaro Östman, Elisabeth
2017-01-01
The aim is to investigate how encounters with peers affect an individual's meaning making in argumentation about socio-scientific issues, and how the individual's meaning making influences the argumentation at the collective level. The analysis is conducted using the analytical method "transactional argumentation analysis" (TAA) which…
USDA-ARS?s Scientific Manuscript database
Drought and its affects on agricultural production is a serious issue facing global efforts to increase food supplies and ensure food security for the growing world population. Understanding how plants respond to dehydration is an important prerequisite for developing strategies for crop improvement...
ERIC Educational Resources Information Center
Kleine, Patricia A.; Webb, James T.
This chapter examines issues in cultivating community resources in programs for gifted and talented children. First, ways to meet the affective needs of gifted children are considered and the importance of bridging the gap between home and school and resolving conflicts is stressed. Ten hindrances to the optimum development of children are…
Al-Yaaribi, Ali; Kavussanu, Maria
2017-06-01
The manner in which teammates behave toward each other when playing sport could have important achievement-related consequences. However, this issue has received very little research attention. In this study, we investigated whether (a) prosocial and antisocial teammate behaviors predict task cohesion and burnout, and (b) positive and negative affect mediates these relationships. In total, 272 (M age = 21.86, SD = 4.36) team-sport players completed a multisection questionnaire assessing the aforementioned variables. Structural equation modeling indicated that prosocial teammate behavior positively predicted task cohesion and negatively predicted burnout, and these relationships were mediated by positive affect. The reverse pattern of relationships was observed for antisocial teammate behavior which negatively predicted task cohesion and positively predicted burnout, and these relationships were mediated by negative affect. Our findings underscore the importance of promoting prosocial and reducing antisocial behaviors in sport and highlight the role of affect in explaining the identified relationships.
CHALLENGES OF DSD: DIVERSE PERCEPTIONS ACROSS STAKEHOLDERS
Kogan, Barry A.; Gardner, Melissa; Alpern, Adrianne N.; Cohen, Laura M.; Grimley, Mary Beth; Quittner, Alexandra L.; Sandberg, David E.
2012-01-01
Background/Aims Disorders of Sex Development (DSD) are congenital conditions in which chromosomal, gonadal, or anatomic sex development is atypical. Optimal management is patient- and family-centered and delivered by interdisciplinary teams. The present pilot study elicits concerns held by important stakeholders on issues affecting young patients with DSD and their families. Methods Content from focus groups with expert clinicians (pediatric urologists [n=7], pediatric endocrinologists [n=10], mental health professionals [n=4]), DSD patient advocates (n=4), and interviews with parents of DSD-affected children (newborn to 6 yrs; n=11) was coded and content-analyzed to identify health-related quality of life issues. Results Key stressors varied across stakeholder groups. In general, family-centered issues were noted more than child-centered. In the child-centered domain, providers worried more about physical functioning; family and advocates emphasized gender concerns and body image. In the family-centered domain, parental concerns about medication management outweighed those of providers. Advocates reported more stressors regarding communication/information than other stakeholders. Conclusion Variability exists across stakeholder groups in the key concerns affecting young children/families with DSD. Interdisciplinary DSD healthcare team development should account for varying perspectives when counseling families and planning treatment. PMID:22832323
Adolescent social cognitive and affective neuroscience: past, present, and future
Blakemore, Sarah-Jayne
2012-01-01
In this article, we review three areas of research within adolescent social cognitive and affective neuroscience: (i) emotion reactivity and regulation, (ii) mentalizing and (iii) peer relations, including social rejection or acceptance as well as peer influence. The review provides a context for current contributions to the special issue of Social Cognitive and Affective Neuroscience on Adolescence, and highlights three important themes that emerge from the special issue, which are relevant to future research. First, the age of participants studied (and labels for these age groups) is a critical design consideration. We suggest that it might be logical to reduce the reliance on convenience samples of undergraduates to represent adults in psychology and cognitive neuroscience studies, since there is substantial evidence that the brain is still developing within this age range. Second, developmental researchers are broadening their scope of inquiry by testing for non-linear effects, via increased use of longitudinal strategies or much wider age ranges and larger samples. Third, there is increasing appreciation for the interrelatedness of the three areas of focus in this special issue (emotion reactivity and regulation, mentalizing, and peer relations), as well as with other areas of interest in adolescent development. PMID:22228750
Loving transgressions: Queer of color bodies, affective ties, transformative community.
Carrillo Rowe, Aimee; Royster, Francesca T
2017-07-03
This introductory article considers the importance of queer woman of color theorizations of affect in thinking more fully the recent interdisciplinary turn to affect. The affective turn has vitally invited culture and feminist critics to interrogate emotion beyond the individual to examine the political and cultural production of emotion. Even as women of color are often associated with excessive affect, the theoretical contributions women of color make to the field of affect studies are often overlooked. Our introduction and this special issue more broadly examine how this solipsism shapes projects invested in critical knowledge production, as well as the stakes of centering a queer woman of color genealogy. For instance, we argue for the importance of retaining U.S. third-world feminist concepts-like interpellation, oppositional consciousness, and the generative force of negative affects-even as they fall out of favor within affect studies. Centering theory that emerges from the vexed spaces of queer women of color lived experiences generates a vital interdisciplinary conversation that contributes to the ongoing political task of mobilizing affect for social action as a critical praxis. In the articles that follow we see this critical praxis at work in the form of community organizing, music, poetry, and performance art.
Emotion-affected decision making in human simulation.
Zhao, Y; Kang, J; Wright, D K
2006-01-01
Human modelling is an interdisciplinary research field. The topic, emotion-affected decision making, was originally a cognitive psychology issue, but is now recognized as an important research direction for both computer science and biomedical modelling. The main aim of this paper is to attempt to bridge the gap between psychology and bioengineering in emotion-affected decision making. The work is based on Ortony's theory of emotions and bounded rationality theory, and attempts to connect the emotion process with decision making. A computational emotion model is proposed, and the initial framework of this model in virtual human simulation within the platform of Virtools is presented.
Controversial issues: female genital mutilation.
Richards, D
2000-01-01
As immigrant women from African countries enter the U.S., Canada, Australia, and Western Europe, western health care providers are beginning to see patients affected by the cultural practice of Female Genital Mutilation (FGM). Unfamiliar with the practice, either medically or culturally, these providers are turning to medical librarians for information. Complicating the issue are the strong negative feelings most western health care workers have about FGM, which appears to them to be both barbaric and cruel. These feelings may conflict strongly with those of their immigrant patients, who regard the practice as normal and desirable. Both medical and cultural information are needed for the professional to provide treatment of medical conditions, while also establishing a good relationship with the FGM affected patient. This article identifies and describes the most important refereed journal article databases, available now over the Internet, providing both medical and cultural information on FGM, and the most useful Web sites for health professionals, librarians, and interested laypersons who need information about this difficult multicultural issue.
Quality of life in adolescents and adults with CHARGE syndrome.
Hartshorne, Nancy; Hudson, Alexandra; MacCuspie, Jillian; Kennert, Benjamin; Nacarato, Tasha; Hartshorne, Timothy; Blake, Kim
2016-08-01
Health-related Quality of Life and the Impact of Childhood Neurologic Disability Scale were collected for 53 patients with CHARGE syndrome aged 13-39 years with a mean academic level of 4th grade. The most prevalent new and ongoing issues included bone health issues, sleep apnea, retinal detachment, anxiety, and aggression. Sleep issues were significantly correlated with anxiety, self-abuse, conduct problems, and autistic-like behaviors. Problems with overall health, behavior, and balance most affected the number of social activities in the individual's life. Sensory impairment most affected relationships with friends. Two contrasting case studies are presented and demonstrate that the quality of life exists on a broad spectrum in CHARGE syndrome, just as its physical features range from mild to very severe. A multitude of factors, including those beyond the physical manifestations, such as anxiety and sleep problems, influence quality of life and are important areas for intervention. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.
Worldwide Emerging Environmental Issues Affecting the U.S. Military. March 2007 Report
2007-03-01
some existent climate regions (mainly in tropical mountain areas, Amazon and Indonesian rainforests , and towards the poles) and the prospects of...ice sheets and floating sea ice. Military Implications: In view of the increasing importance of the Arctic in military planning and the oil reserves...95080 4.2 Malacca Straits Need Increased Protection from Various Security Threats The Malacca Strait, one of the most important shipping lanes in the
Money: a therapeutic tool for couples therapy.
Shapiro, Margaret
2007-09-01
This article addresses the therapeutic importance of discussing money at every stage of a couple's relationship, both as a concrete reality and as a metaphor for security, adequacy, competence, commitment, acceptance, and acknowledgment in a relationship. I will present a developmental schema looking at financial issues that couples confront at various stages in the adult life cycle and how these affect and reflect relationship problems. The article also presents a money questionnaire as a useful tool for exploring family-of-origin financial history, affect, and behavior.
The Proposed U.S.-South Korea Free Trade Agreement (KORUS FTA): Provisions and Implications
2010-02-12
swirled around this issue, and on the extent to which household purchasing power is affected by the country’s economic crisis. (See Appendix A for...concerns about Korea’s implementation of SPS measures on food additives and those that have restricted U.S. fruit and vegetable exports. This new...vehicle rolled off the production line in West Point, Georgia.36 Falling imports from Korea probably were affected by a general softening of the U.S
ADA members weigh in on critical issues.
Burgess, Karen; Ruesch, Jon D; Mikkelsen, Matthew C; Wagner, Karen Schaid
2003-01-01
Science, new technology, patient care, dental reimbursement and government regulations all affect today's dental practitioners. To find out more about how such challenges may affect current private practitioners, the American Dental Association conducted the 2000 Membership Needs and Opinions Survey. A questionnaire was sent to 6,310 ADA members in January 2000 with follow-up mailings in February, March and April 2000. Data collection was completed in July 2000. The survey included questions on critical professional issues, and on perceptions of the ADA and ADA priorities. A total of 3,558 completed surveys were received for an adjusted response rate of 59.5 percent. Members rated the identified issues' level of importance to them. The top three issues included "maintaining my ability to recommend the treatment option I feel is most appropriate for my patients," "receiving fair reimbursement for the dental services I provide," and "protecting myself, my staff and my patients from communicable diseases." New dentists found other items to be more significant to them compared with members overall. Although ADA members as a whole had similar views on critical issues facing dentistry and ADA priorities, there were significant differences regarding some issues. New dentists were far more concerned about securing funds for their practice and paying off debt than were all ADA members. Minority dentists expressed greater levels of concern about certain issues than did all ADA members. When planning and implementing ADA activities, the Association should continue to take into account members' relative rankings of professional issues and note issues of special interest to selected membership subgroups.
Steadward, R D
2000-11-01
It is important to reflect back on the enormous changes that have taken place in society over the past century that have affected the quality of life of disabled persons and societal attitudes towards disability. Although great progress has been made, these people remain marginalized and disadvantaged, and despite all the efforts of volunteers, professionals, and governments, we cannot categorically state that they are fully socially integrated. The term disability continues to carry an enormous stigma, and therefore it is important to examine the concept of social integration and the issues around it as they affect disabled persons and the role of the International Paralympic Committee (IPC) movement in achieving this end.
Ongoing ethical issues concerning authorship in biomedical journals: an integrative review
Kornhaber, Rachel Anne; McLean, Loyola M; Baber, Rodney J
2015-01-01
Health professionals publishing within the field of health sciences continue to experience issues concerning appropriate authorship, which have clinical, ethical, and academic implications. This integrative review sought to explore the key issues concerning authorship from a bioethical standpoint, aiming to explore the key features of the authorship debate. Studies were identified through an electronic search, using the PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus databases of peer-reviewed research, published between 2009 and 2014, limited to English language research, with search terms developed to reflect the current issues of authorship. From among the 279 papers identified, 20 research papers met the inclusion criteria. Findings were compiled and then arranged to identify themes and relationships. The review incorporated a wide range of authorship issues encompassing equal-credited authors, honorary (guest/gift) and ghost authorship, perception/experiences of authorship, and guidelines/policies. This review suggests that the International Committee of Medical Journal Editors’ (ICMJE) recommended guidelines for authorship are not reflected in current authorship practices within the domain of health sciences in both low-and high-impact-factor journals. This devaluing of the true importance of authorship has the potential to affect the validity of authorship, diminish the real contributions of the true authors, and negatively affect patient care. PMID:26257520
Men's sexual issues after breast cancer in their wives: a qualitative study.
Nasiri, Ahmad; Taleghani, Fariba; Irajpour, Alireza
2012-01-01
Husbands of women with breast cancer may experience problems in their sexual relationships with their wives. Adjustment to sexual issues can be affected by cultural norms and beliefs. Understanding men's perceptions and responses to their new sexual status after diagnosis of their wife's disease and during its treatment may help clinicians to better support the couple. The objective of this study was to explore the sexual issues of Iranian men after breast cancer in their wives. A qualitative research method based on the grounded theory approach was used. In-depth interviews were conducted with a purposive sampling of Iranian men experiencing breast cancer in their wives. Data analysis was based on the constant comparative method. Eighteen men were interviewed. Five main themes emerged: sexual relationship changes, sexual avoidance, sexual abstinence, sexual restraint, and efforts to normalize the relationship. The participants experienced problems in their sex lives. Because cultural and religious beliefs were important factors affecting the men's sexual adjustment, health system providers should encourage husbands to tolerate and adjust to their sexual issues in the context of their culture and religion. The findings of this study could help nurses and other healthcare professionals recognize sexual issues in the husbands of women with breast cancer and promote the couples' healthy sexual life.
Ongoing ethical issues concerning authorship in biomedical journals: an integrative review.
Kornhaber, Rachel Anne; McLean, Loyola M; Baber, Rodney J
2015-01-01
Health professionals publishing within the field of health sciences continue to experience issues concerning appropriate authorship, which have clinical, ethical, and academic implications. This integrative review sought to explore the key issues concerning authorship from a bioethical standpoint, aiming to explore the key features of the authorship debate. Studies were identified through an electronic search, using the PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus databases of peer-reviewed research, published between 2009 and 2014, limited to English language research, with search terms developed to reflect the current issues of authorship. From among the 279 papers identified, 20 research papers met the inclusion criteria. Findings were compiled and then arranged to identify themes and relationships. The review incorporated a wide range of authorship issues encompassing equal-credited authors, honorary (guest/gift) and ghost authorship, perception/experiences of authorship, and guidelines/policies. This review suggests that the International Committee of Medical Journal Editors' (ICMJE) recommended guidelines for authorship are not reflected in current authorship practices within the domain of health sciences in both low-and high-impact-factor journals. This devaluing of the true importance of authorship has the potential to affect the validity of authorship, diminish the real contributions of the true authors, and negatively affect patient care.
Introduction to special issue on burnout and health.
Schaufeli, W B; Greenglass, E R
2001-09-01
Abstract In recent years, the issue of occupational stress and burnout have received increasing research attention. Given the amount of time people spend on work-related activities and the central importance of work to one's sense of identity and self-worth, it is not surprising that occupational stress is regarded as a central area of study. Although burnout is linked to the extensive literature on occupational health, burnout goes beyond occupational health by focusing on specific stressors in the workplace to emphasize total life and environmental pressures affecting health.
The effect of the behavior of an average consumer on the public debt dynamics
NASA Astrophysics Data System (ADS)
De Luca, Roberto; Di Mauro, Marco; Falzarano, Angelo; Naddeo, Adele
2017-09-01
An important issue within the present economic crisis is understanding the dynamics of the public debt of a given country, and how the behavior of average consumers and tax payers in that country affects it. Starting from a model of the average consumer behavior introduced earlier by the authors, we propose a simple model to quantitatively address this issue. The model is then studied and analytically solved under some reasonable simplifying assumptions. In this way we obtain a condition under which the public debt steadily decreases.
Unheard Voices: The Need for HIV Research and Prevention Priorities for YMSM in the Global Context.
Hall, Casey D; Murdock, Daniel; Nehl, Eric J; Wong, Frank Y
2016-06-01
This commentary considers the AIDS Education and Prevention special issue (volume 28, number 3) entitled "Behavioral HIV Prevention Interventions for Diverse Young Men Who Have Sex with Men (MSM)." The research presented in this special issue highlights the importance of addressing sub-populations of young MSM in order to better understand the unique realities and risk-factors affecting HIV epidemics and intervention needs. Here, we focus on several broad topics raised in this special issue and comment on their implications for HIV research and practice targeting young MSM in low- and middle-income countries. We consider issues relevant to reaching hidden populations, tailoring interventions, and integrating new communications and bio-medical technologies in research and practice in low-resource settings.
Poland, Gregory A.; Jacobson, Robert M.; Ovsyannikova, Inna G.
2009-01-01
Important scientific, cultural, temporal, and secular issues impact the development of, and delivery of vaccines. In this paper we discuss the impact of demographics, regulatory science, the anti-vaccine movement, and finally the impact of the new biology and individualized medicine, which we call vaccinomics, on vaccine development and delivery. A description of the issues and how they have, are, or should be impacting vaccinology is provided, and hopefully will result in increased attention and discussion among vaccinologists. These issues have been under-valued, under-discussed, and in some cases, ignored. We hope that discussion of these issues will result in changes in how we develop, and how we communicate those developments, to the public. PMID:19200833
Thibodeau, Paul H; Flusberg, Stephen J
2017-05-01
Political discourse is saturated with metaphor, but evidence for the persuasive power of this language has been hard to come by. We addressed this issue by investigating whether voting intentions were affected by implicit mappings suggested by a metaphorically framed message, drawing on a real-world example of political rhetoric about the federal budget. In the first experiment, the federal budget was framed as similar to or different from a household budget, though the information participants received was identical in both conditions. When the federal budget was described as similar to a household's, people considered the personal finances of a presidential candidate more relevant-a finding we replicated in a larger, pre-registered study. In a follow-up experiment, we presented participants with a more explicit rhetorical argument and found a similar effect, moderated by political affiliation. These studies illuminate how metaphorical comparison affects cognition for important real-world issues, sometimes in unintended ways. Copyright © 2017 Cognitive Science Society, Inc.
2014-01-01
Background Multiple myeloma is an incurable haematological cancer that affects physical, psychological and social domains of quality of life (QOL). Treatment decisions are increasingly guided by QOL issues, creating a need to monitor QOL within clinical practice. The development of myeloma-specific QOL questionnaires has been limited by a paucity of research to fully characterise QOL in this group. Aims of the present study are to (1) explore the issues important to QOL from the perspective of people with multiple myeloma, and (2) explore the views of patients and clinical staff on existing QOL questionnaires and their use in clinical practice. Methods The ‘Issues Interviews’ were semi-structured qualitative interviews to explore the issues important to QOL in a purposive sample of myeloma patients (n = 20). The ‘Questionnaire Interviews’ were semi-structured qualitative interviews in a separate purposive sample of myeloma patients (n = 20) to explore views on existing QOL questionnaires and their clinical use. Two patient focus groups (n = 7, n = 4) and a focus group of clinical staff (n = 6) complemented the semi-structured interviews. Thematic content analysis resulted in the development of a theoretical model of QOL in myeloma. Results Main themes important to QOL were Biological Status, Treatment Factors, Symptoms Status, Activity & Participation, Emotional Status, Support Factors, Expectations, Adaptation & Coping and Spirituality. Symptoms had an indirect effect on QOL, only affecting overall QOL if they impacted upon Activity & Participation, Emotional Status or Support Factors. This indirect relationship has implications for the design of QOL questionnaires, which often focus on symptom status. Health-service factors emerged as important but are often absent from QOL questionnaires. Sexual function was important to patients and difficult for clinicians to discuss, so inclusion in clinical QOL tools may flag hidden problems and facilitate better care. Patients and staff expressed preferences for questionnaires to be no more than 2 pages long and to include a mixture of structured and open questions to focus the goals of care on what is most important to patients. Conclusion Existing QOL questionnaires developed and validated for use in myeloma do not capture all that is important to patients and may not be well suited to clinical use. PMID:25005145
Women have unique health issues. And some of the health issues that affect both men and women can affect women differently. Unique issues ... and men also have many of the same health problems. But these problems can affect women differently. ...
Language Issues in Teaching and Learning of Mathematics
ERIC Educational Resources Information Center
Nath, Baiju. K.; V., Vineesha
2009-01-01
Today as in the past, many students struggle with mathematics and become affected as they continually encounter obstacles to engagement. Mathematics is generally seen as a difficult subject and how this subject is communicated to pupils will influence how pupils learn the subject. Classroom routines play an important role in developing students'…
Investigating the Relationships between Loneliness and Learning Burnout
ERIC Educational Resources Information Center
Lin, Shu-Hui; Huang, Yun-Chen
2012-01-01
Loneliness is a common problem for many students. Research indicates that loneliness is associated with relatively poor physical health and depression among students. Burnout in students is also an important issue since it adversely affects students' learning as well as their health and well-being. Both loneliness and learning burnout are related…
The Effects of Divorce on College Students.
ERIC Educational Resources Information Center
Bianchi, Lisa Gabardi; And Others
Statistics demonstrate that parental divorce is a compelling social issue affecting a large number of children. While investigations of the effects of divorce on children have grown rapidly in the last decade, there is a paucity of research on the effects of divorce on older adolescents and young adults. Given the developmental importance of…
Psychosocial Issues for Children and Adolescents in Disasters. Second Edition.
ERIC Educational Resources Information Center
Speier, Anthony H.
Major natural and human-caused disasters deeply affect children, and they have a special vulnerability to such events. The importance of providing crisis counseling recovery assistance within the context of their special world cannot be over emphasized. The information in this manual provides both theory and guidance to individuals concerned with…
Impacts of fire on hydrology and erosion in steep mountain big sagebrush communities
Frederick B. Pierson; Peter R. Robichaud; Kenneth E. Spaeth; Corey A. Moffet
2003-01-01
Wildfire is an important ecological process and management issue on western rangelands. Major unknowns associated with wildfire are its affects on vegetation and soil conditions that influence hydrologic processes including infiltration, surface runoff, erosion, sediment transport, and flooding. Post wildfire hydrologic response was studied in big sagebrush plant...
Development of a protocol for the ecological assessment of a special species
David Burton
2004-01-01
Developing consistent inventory and assessment protocols is important to people working on aspen issues in California and Nevada. Efforts have focused on identifying key indicators of ecological condition within aspen stands. The protocols have incorporated a range of factors that create or affect those indicators. Resulting ecological assessments conducted through the...
ACHP | News | ACHP Issue Spotlight: Transmission Lines in the West
effects. Some historic properties are affected by several of these lines, and some lines have multiple parts of Idaho and Montana. There are potential effects to a number of important historic properties impact, visual effects of this transmission line, will be approximated through "backsighted analysis
ERIC Educational Resources Information Center
Eren, Altay
2010-01-01
Recent cognitive psychological research has argued that involuntary mental time travel is an important individual difference variable that has the potential to affect an individual's motivation. However, this issue has not been empirically investigated in educational settings such as teacher education. Therefore, this study aimed to explore the…
Reflective Engagement as Professional Development in the Lives of University Teachers
ERIC Educational Resources Information Center
Lyons, Nona
2006-01-01
This paper takes up two important issues in the professional development of university teachers: the controversy surrounding reflective inquiry and its purported benefits for professional development and the lack of research on what teachers learn from reflective inquiry and how that affects and/or changes their professional practice.…
50 CFR 22.26 - Permits for eagle take that is associated with, but not the purpose of, an activity.
Code of Federal Regulations, 2010 CFR
2010-10-01
...) Other interests. (5) Any additional factors that may be relevant to our decision whether to issue the..., SALE, PURCHASE, BARTER, EXPORTATION, AND IMPORTATION OF WILDLIFE AND PLANTS (CONTINUED) EAGLE PERMITS... cumulative effects of other permitted take and other additional factors affecting eagle populations; (ii...
Student Reflective Writing: Cognition and Affect before, during, and after Study Abroad
ERIC Educational Resources Information Center
Savicki, Victor; Price, Michele V.
2015-01-01
Reflective thinking is an important feature of study-abroad learning, yet research on reflection in this context is sparse. The current study examined student reflection on 3 content areas (Academic Expectations, Cultural Expectations, and Psychological Issues) at 3 times (before, during, and after study abroad). A content analysis approach with…
Catholic Schooling, the Concept of Laity, and the Future Church
ERIC Educational Resources Information Center
McDonough, Graham P.
2017-01-01
The Catholic laity currently faces some concerns that are of importance to its future. The current decline and ageing of clergy affects the availability of sacraments and leadership. Moreover, the plurality of views among Catholics on ordination, ethical issues and Church governance suggests that controversy may accompany concurrent increased lay…
Mixed Signals in California: A Mismatch between High Schools and Community Colleges. Policy Alert
ERIC Educational Resources Information Center
National Center for Public Policy and Higher Education, 2008
2008-01-01
"Policy Alert" is a publication series that summarizes important policy findings affecting the future of higher education. This issue is based on an earlier study, "Investigating the Alignment of High School and Community College Assessments in California". The "Policy Alert" summarizes the findings of the study, and…
An Empirical Analysis of Factors Affecting Honors Program Completion Rates
ERIC Educational Resources Information Center
Savage, Hallie; Raehsler, Rod D.; Fiedor, Joseph
2014-01-01
One of the most important issues in any educational environment is identifying factors that promote academic success. A plethora of research on such factors exists across most academic fields, involving a wide range of student demographics, and the definition of student success varies across the range of studies published. The analysis in this…
Special Education: A Reference Book for Policy & Curriculum Development. Second Edition
ERIC Educational Resources Information Center
Grey House Publishing, 2009
2009-01-01
A reference work that presents a chronology focusing on special education, its development, and the important issues that both positively and negatively affect the field. Updated through current events, this second edition provides an excellent introduction to special education in all of its practical aspects--how it developed, its curriculum,…
Learning in the Workplace. Review of Research.
ERIC Educational Resources Information Center
Hager, Paul
Research on changes and issues in workplace learning in Australia over the past 6 years was reviewed. Special attention was paid to four topics: importance of learning in the workplace; nature of workplace learning; factors affecting the quality of workplace learning; and recognition of workplace learning. Selected findings were as follows: (1)…
Transcribing Nonsense Words: The Effect of Numbers of Voices and Repetitions
ERIC Educational Resources Information Center
Knight, Rachael-Anne
2010-01-01
Transcription skills are crucially important to all phoneticians, and particularly for speech and language therapists who may use transcriptions to make decisions about diagnosis and intervention. Whilst interest in factors affecting transcription accuracy is increasing, there are still a number of issues that are yet to be investigated. The…
ERIC Educational Resources Information Center
Achenbach, Thomas M.
2011-01-01
The special section articles demonstrate the importance of informant discrepancies. They also illustrate challenges posed by discrepancies, plus opportunities for advancing research and practice. This commentary addresses these cross-cutting issues: (a) Discrepancies affect many kinds of assessment besides ratings of children's problems. (b)…
Which Factors Affect Entrepreneurial Intention of University Students?
ERIC Educational Resources Information Center
Turker, Duygu; Selcuk, Senem Sonmez
2009-01-01
Purpose: Fostering entrepreneurship needs a twofold policy that should focus on both the current situation and future prospect of entrepreneurship. Although many scholars and policy makers devote their attention to the first foci of issue, it is equally important to map out the future context of entrepreneurship. The purpose of this paper is to…
Worldwide Emerging Environmental Issues Affecting the U.S. Military. October 2007 Report
2007-10-01
species ’ extinction , and unsustainable depletion of the world’s scarce resources are the most important threats to human survival. The report reiterates...diamond hunters and hopes of independence to Greenland http://www.guardian.co.uk/environment/2007/oct/04/1 Warming Revives Flora and Fauna in Greenland
New Groups Giving Teachers Alternative Voice
ERIC Educational Resources Information Center
Sawchuk, Stephen
2011-01-01
This article reports on the rise of nonunion advocacy groups for teachers which has enabled them to cut their teeth on policy issues that affect the profession. The teachers' unions remain the most visible, powerful, and probably the most important advocates for teachers. But over the past few years, a number of new efforts have sprung up…
Tax Exempt Organizations and Commercially Sponsored Scientific Research.
ERIC Educational Resources Information Center
Kertz, Consuelo Lauda
1982-01-01
Several related tax issues important to both the commercial sponsors and tax-exempt recipients of research funding are addressed: what type of activity qualified as scientific research; how acceptance of commercial funding affects tax-exempt status; and when the receipt of such funding generates a liability for tax on unrelated business income.…
Adolescent Behavioral, Affective, and Cognitive Engagement in School: Relationship to Dropout
ERIC Educational Resources Information Center
Archambault, Isabelle; Janosz, Michel; Morizot, Julien; Pagani, Linda
2009-01-01
Background: High school dropout represents an important public health issue. This study assessed the 3 distinct dimensions of student engagement in high school and examined the relationships between the nature and course of such experiences and later dropout. Methods: We administered questionnaires to 13,330 students (44.7% boys) from 69 high…
The Influence of Management on the Cost of Fire Protection
ERIC Educational Resources Information Center
Donahue, Amy K.
2004-01-01
An important and unresolved issue central to the study of government performance is how the actions of managers and the nature of organizations affect the cost of public services. This paper presents an empirical analysis of fire departments that estimates the influence of managerial choices on per capita spending within a simultaneous public…
Flynn, P M; McCann, J T; Fairbank, J A
1995-05-01
Substance abuse treatment clients often present other severe mental health problems that affect treatment outcomes. Hence, screening and assessment for psychological distress and personality disorder are an important part of effective treatment, discharge, and aftercare planning. The Millon Clinical Multiaxial Inventory-II (MCMI-II) frequently is used for this purpose. In this paper, several issues of concern to MCMI-II users are addressed. These include the extent to which MCMI-II scales correspond to DSM-III-R disorders; overdiagnosis of disorders using the MCMI-II; accuracy of MCMI-II diagnostic cut-off scores; and the clinical utility of MCMI-II diagnostic algorithms. Approaches to addressing these issues are offered.
Adjustment Issues Affecting Employment for Immigrants from the Former Soviet Union.
ERIC Educational Resources Information Center
Yost, Anastasia Dimun; Lucas, Margaretha S.
2002-01-01
Describes major issues, including culture shock and loss of status, that affect general adjustment of immigrants and refugees from the former Soviet Union who are resettling in the United States. Issues that affect career and employment adjustment are described and the interrelatedness of general and career issues is explored. (Contains 39…
Measuring competition in health care markets.
Baker, L C
2001-01-01
OBJECTIVE: Measuring competition is increasingly important for analysis of health care markets and policies. Measurement of competition in health care is made complex by the breadth of potential issues under study, by the lack of necessary data, and by rapid changes in health care financing and delivery. This study reviews key issues in the measurement of competition and is designed to familiarize researchers and policymakers interested in competition measurement, but not steeped in its practice, with key concepts, data sources, and ways of adapting measures to fit ongoing changes in health care markets. PRINCIPAL FINDINGS: Attention to several key issues will strengthen measurement. Important components of successful measurement are: careful identification of the products and market areas for study; selection of Herfindahl-Hirschman or other indices to fit the issues being considered; consideration of econometric problems, like endogeneity, with common measures; and attention to the ways that current marketplace changes, like growth in managed care, affect the performance of classic measures. Data needed for constructing measures are also frequently scarce, insufficient, or both. Measurement could be improved with access to better data. PMID:11327175
The Role of Transporters in Toxicity and Disease
Swaan, Peter W.; Tweedie, Donald J.
2014-01-01
The significance of transporters in the disposition, metabolism, and elimination of drugs is well recognized. One gap in our knowledge is a comprehensive understanding of how drug transporters change functionality (their amount and activity) in response to disease and how disease and its inevitable pathology change transporter expression. In this issue of Drug Metabolism and Disposition a series of review and primary research articles are presented to highlight the importance of transporters in toxicity and disease. Because of the central role of the liver in drug metabolism, many of the articles in this theme issue focus on transporters in the liver and how pathology or alterations in physiology affects transporter expression. The contributing authors have also considered the role of transporters in drug interactions as well as drug-induced liver injury. Noninvasive approaches to assessing transporter function in vivo are also described. Several articles highlight important issues in oncology where toxicity must be balanced against efficacy. In total, this theme issue will provide a stepping-stone to future studies that will establish a more comprehensive understanding of transporters in disease. PMID:24598705
Arsenic in the environment: Biology and chemistry
Bhattacharya, Prosun; Welch, Alan H.; Stollenwerk, Kenneth G.; McLaughlin , Mike J.; Bundschuh, Jochen; Panaullah, G.
2007-01-01
Arsenic (As) distribution and toxicology in the environment is a serious issue, with millions of individuals worldwide being affected by As toxicosis. Sources of As contamination are both natural and anthropogenic and the scale of contamination ranges from local to regional. There are many areas of research that are being actively pursued to address the As contamination problem. These include new methods of screening for As in the field, determining the epidemiology of As in humans, and identifying the risk of As uptake in agriculture. Remediation of As-affected water supplies is important and research includes assessing natural remediation potential as well as phytoremediation. Another area of active research is on the microbially mediated biogeochemical interactions of As in the environment.In 2005, a conference was convened to bring together scientists involved in many of the different areas of As research. In this paper, we present a synthesis of the As issues in the light of long-standing research and with regards to the new findings presented at this conference. This contribution provides a backdrop to the issues raised at the conference together with an overview of contemporary and historical issues of As contamination and health impacts.
The read-write Linked Data Web.
Berners-Lee, Tim; O'Hara, Kieron
2013-03-28
This paper discusses issues that will affect the future development of the Web, either increasing its power and utility, or alternatively suppressing its development. It argues for the importance of the continued development of the Linked Data Web, and describes the use of linked open data as an important component of that. Second, the paper defends the Web as a read-write medium, and goes on to consider how the read-write Linked Data Web could be achieved.
Managing the transcription revolution. Industry forces shape future of field.
Faulkner, Scott D
2003-01-01
You may be struggling with contract issues with a vendor. Or maybe you're contemplating the pros and cons of working with outsource, at-home, or overseas transcriptionists. It's a fact: if transcription processes aren't working efficiently, the entire HIM department may be adversely affected. Factor in additional concerns such as data capture for electronic health records, compliance, and patient safety, and the importance of ensuring quality and cost-efficient transcription becomes even more apparent. To help you answer some of these questions, the Journal of AHIMA is launching a four-part series dedicated to transcription issues from the HIM professional's point of view. In this issue, we begin with MTIA president Scott Faulkner's overview of the industry and where it's going next. In upcoming issues, other experts will look at controlling cost and monitoring quality, navigating new technologies, and dealing with contract-related issues.
Social and Economic Concern of Supply Chain Sustainability (SCS)
NASA Astrophysics Data System (ADS)
Faiz Mokhtar, Mohd; Omar, Badrul; Hisyamudin Muhd Nor, Nik; Fazlinda Mohd Pauzi, Nur; Hassan, Sulaiman; Mohamed, W. A. Wan
2016-11-01
Sustainability issues will provide impact on the environment, social and economy. The importance of these three aspects of sustainability must be look at in tandem. Some issues of these three pillars getting more attention by companies since they are more interested to identify issues that may affect performances related to their people or profit. Through CSRs report released by various international companies, this paper identified the value which companies place for social and economic sustainability. Result shows that human right and, occupational and safety have highest concern by companies while Product Utilities is less concern from other social issues. From an economic aspect, sales and net profit are the most influencing factors of sustainability while the raw material cost is shown as of the least concern. Based on the results, companies should consider the issues on social and economic aspects following these priorities.
Interplay between Public Attention and Public Emotion toward Multiple Social Issues on Twitter
Peng, Tai-Quan; Sun, Guodao; Wu, Yingcai
2017-01-01
This study aims to elucidate the intricate interplay between public attention and public emotion toward multiple social issues. A theoretical framework is developed based on three perspectives including endogenous affect hypothesis, affect transfer hypothesis, and affective intelligence theory. Large-scale longitudinal data with 265 million tweets on five social issues are analyzed using a time series analytical approach. Public attention on social issues can influence public emotion on the issue per se. Social issues interact with one another to attract public attention in both cooperative and competitive ways. Instead of a direct transfer from public emotion to public attention, the public emotion toward a social issue moderates the interaction between the issue and other issue(s). PMID:28081117
Quality of herbal medicines: challenges and solutions.
Zhang, Junhua; Wider, Barbara; Shang, Hongcai; Li, Xuemei; Ernst, Edzard
2012-01-01
The popularity of herbal medicines has risen worldwide. This increase in usage renders safety issues important. Many adverse events of herbal medicines can be attributed to the poor quality of the raw materials or the finished products. Different types of herbal medicines are associated with different problems. Quality issues of herbal medicines can be classified into two categories: external and internal. In this review, external issues including contamination (e.g. toxic metals, pesticides residues and microbes), adulteration and misidentification are detailed. Complexity and non-uniformity of the ingredients in herbal medicines are the internal issues affecting the quality of herbal medicines. Solutions to the raised problems are discussed. The rigorous implementation of Good Agricultural and Collection Practices (GACP) and Good Manufacturing Practices (GMP) would undoubtedly reduce the risk of external issues. Through the use of modern analytical methods and pharmaceutical techniques, previously unsolved internal issues have become solvable. Standard herbal products can be manufactured from the standard herbal extracts. Copyright © 2011 Elsevier Ltd. All rights reserved.
Housing trends and impact on wood manufacturing
Matt Bumgardner; Urs Buehlmann; Al Schuler; Karen Koenig
2013-01-01
Demand from housing and other construction-related sectors continues to be an important issue for the secondary wood products industry. Conducted in early 2013, this fourth annual survey provides updated information on the status and actions of U.S. manufacturers affected by these industries. The study is a joint effort by Virginia Tech, the USDA Forest Service, and...
Social Media Use and Social Connectedness in Adolescents: The Positives and the Potential Pitfalls
ERIC Educational Resources Information Center
Allen, Kelly A.; Ryan, Tracii; Gray, DeLeon L.; McInerney, Dennis M.; Waters, Lea
2014-01-01
As social media use is rising among adolescents, the issue of whether this use leads to positive or negative outcomes warrants greater understanding. This article critically reviews the literature related to this important topic. Specifically, we examine how social media use affects social connectedness in terms of three elements of adolescent…
ERIC Educational Resources Information Center
Geiger, Roger L.
1991-01-01
Current trends affecting private research universities include: privatization, more programmatic support of research, dispersion of university research, and a shift in the balance of activities from the center toward the periphery. Differences in finance and control of private universities are related to their disproportionate importance, given…
Manitoba Health's emerging work on wildland fire smoke
Jeffrey Joaquin; Darlene Oshanski
2015-01-01
Smoke caused by wildland fire events is an important public health issue, involving major risks to the health of people and the environment. Smoke from wildland fires can travel hundreds of kilometers, affecting air quality far from the flames. Through a partnership with Health Canada, Manitoba Health's Office of Disaster Management (ODM) has undertaken a number...
ERIC Educational Resources Information Center
Gola, Beata
2017-01-01
Due to the increased interest in ecology, global warming and numerous environmental problems, ecological issues are becoming extremely important in education. Many researchers and thinkers believe that solutions to environmental problems are affected by the environmental ethics adopted. This article identifies which of the three branches of…
Long-Term Analysis and Appropriate Metrics of Climate Change in Mongolia
ERIC Educational Resources Information Center
Jamiyansharav, Khishigbayar
2010-01-01
This study addresses three important issues related to long-term climate change study in Mongolia. Mongolia is one of the biggest land-locked countries in Asia and 75--80 percent of the land is rangeland, which is highly vulnerable to climate change. Climate will affect many sectors critical to the country's economic, social, and ecological…
Investigation of Burnout among Instructors Working at ESOGU Preparatory School
ERIC Educational Resources Information Center
Özkanal, Ümit; Arikan, Nadire
2010-01-01
Burnout is an issue to be taken seriously in the workplaces where human interaction is salient and very important. The aim of the research is to investigate burnout among the instructors working at ESOGU preparatory school and find out what factors affect their levels of burnout. 28 instructors working in this institution participated in the…
Health of eastern North American sugar maple forests and factors affecting decline
Stephen B. Horsley; Robert P. Long; Scott W. Bailey; Richard A. Hallett; Philip M. Wargo
2002-01-01
Sugar maple (Acer saccharum) is a keystone species in the forests of the northeastern and Midwestern United States and eastern Canada. Its sustained health is an important issue in both managed and unmanaged forests. While sugar maple generally is healthy throughout its range, decline disease of sugar maple has occurred sporadically during the past...
Sources from a Somerset Village: A Model for Informal Learning about Radiation and Radioactivity.
ERIC Educational Resources Information Center
Alsop, Steve; Watts, Mike
1997-01-01
Research on conceptual change emphasizes the importance of factors in the cognitive domain. This research argues that models of conceptual change learning should also encompass issues of affect, conation, and self-esteem. The use of these expressions is explained via four case studies on members of a rural village concerning informal learning…
ERIC Educational Resources Information Center
Karpudewan, Mageswary; Mohd Ali Khan, Nur Sabrina
2017-01-01
Climate change is one of the most important environmental issues affecting our society today and we need to educate the citizens about the impact on human lives. An attempt was made to integrate experiential-based climate change education into the teaching and learning of secondary school Biology lessons on the topic of "Endangered…
From Casual Work to Economic Security: The Case of British Columbia
ERIC Educational Resources Information Center
MacPhail, Fiona; Bowles, Paul
2008-01-01
Analysis of casual work in British Columbia is an important issue given that the increase in casual work has been greater in this province than in other provinces in Canada and given that the labour market has been substantially deregulated since 2001. In this paper, we analyse how individuals' casual employment status affects their economic…
Effects of Response Mode and Time Allotment on College Students' Writing
ERIC Educational Resources Information Center
Lovett, Benjamin J.; Lewandowski, Lawrence J.; Berger, Cassie; Gathje, Rebecca A.
2010-01-01
Written essays are a common feature of classroom and high stakes standardized tests at many age levels. However, little is known about how small alterations in the writing task affect students' writing, an issue made more important by the increasing use of task alterations for students with disabilities. In the present study, 140 college students…
ERIC Educational Resources Information Center
Jung, Jisun; Kim, Yangson
2018-01-01
With an increasing number of international students in South Korea, the issue of retaining these students and reducing their dropout rates has become important. This study explores the multilevel factors that affect the institutional dropout rate among international students in Korea. The research questions are as follows: (a) to what extent do…
Monitoring tree secies diversity over large spatial and temporal scales
James F. Rosson; Clifford C. Amundsen
2004-01-01
The prospect of decline in biological diversity has become a central concern in the life sciences, both around the world and across the United States. Anthropogenic disturbance has been identified as a major factor affecting species diversity trends. An increase in the harvesting of naturally diverse timber stands in the South has become an important issue. The...
Mike Curran; Pat Green; Doug Maynard
2007-01-01
Sustainability protocols recognize forest soil disturbance as an important issue at national and international levels. At regional levels continual monitoring and testing of standards, practices, and effects are necessary for successful implementation of sustainable soil management. Volcanic ash-cap soils are affected by soil disturbance and changes to soil properties...
American Indian Women and Screening Mammography: Findings from a Qualitative Study in Oklahoma
ERIC Educational Resources Information Center
Tolma, Eleni; Batterton, Chasity; Hamm, Robert M.; Thompson, David; Engelman, Kimberly K.
2012-01-01
Background: Breast cancer is an important public health issue within the American Indian (AI) community in Oklahoma; however, there is limited information to explain the low screening mammography rates among AI women. Purpose: To identify the motivational factors affecting an AI woman's decision to obtain a mammogram. Methods: Through the use of…
Students' Perspective on the First Programming Language: C-Like or Pascal-Like Languages?
ERIC Educational Resources Information Center
Xinogalos, Stelios; Pitner, Tomáš; Ivanovic, Mirjana; Savic, Miloš
2018-01-01
The choice of the first programming language (FPL) has been a controversial issue for several decades. Nearly everyone agrees that the FPL is important and affects students' subsequent education on programming. The study presented in this article investigates the suitability of various C-like and Pascal-like programming languages as a FPL.…
Topical, Yes, but It Dives beneath the Surface
ERIC Educational Resources Information Center
Tyler, Paul
2017-01-01
Topical science is about developing an awareness of science issues in the news and the importance of science stories that affect pupils' lives and the world around them. It is about making science relevant for pupils and engaging them in the subject. The author explores how children can be engaged and inspired through topical science. The idea of…
Women of Color and Pay Equity.
ERIC Educational Resources Information Center
Gee, Marguerite; Mitchell, Denise
Pay equity is the most important issue affecting all women (but especially women of color) seeking economic equity in the workplace. Over the last two decades, the earnings of White women as a percentage of the earnings of White men have remained constant at about 60%. The wages of women of color, on the other hand, increased dramatically (as a…
Sexual harassment: a concern for the athletic trainer.
Velasquez, B J
1998-04-01
Sexual harassment is a vital social issue that affects the business community, educational institutions, and personnel in the U.S. military. Addressing sexual harassment in the athletic training clinical setting is an important issue for the athletic training professional. Athletic trainers need to understand the complex definitions of sexual harassment and how to identify and handle claims of sexual harassment in order to prevent sexual harassment from occurring and to prevent civil lawsuits of alleged sexual harassment. Professional journals, legal textbooks, policy handbooks, unpublished findings from the NATA Women in Athletic Training Committee report, and current news media sources were used to gain a greater understanding of this social problem. To make the athletic trainer aware of this important social issue and to offer suggestions for the athletic training staff to aid in preventing problems of sexual harassment. This article provides definitions and examples of sexual harassment, discussion of policy development, and suggestions for ways to eliminate sexual harassment in the athletic training environment.
Sexual Harassment: A Concern for the Athletic Trainer
Velasquez, Benito J.
1998-01-01
Objective: Sexual harassment is a vital social issue that affects the business community, educational institutions, and personnel in the U.S. military. Addressing sexual harassment in the athletic training clinical setting is an important issue for the athletic training professional. Athletic trainers need to understand the complex definitions of sexual harassment and how to identify and handle claims of sexual harassment in order to prevent sexual harassment from occurring and to prevent civil lawsuits of alleged sexual harassment. Background: Professional journals, legal textbooks, policy handbooks, unpublished findings from the NATA Women in Athletic Training Committee report, and current news media sources were used to gain a greater understanding of this social problem. Description: To make the athletic trainer aware of this important social issue and to offer suggestions for the athletic training staff to aid in preventing problems of sexual harassment. Clinical Advantages: This article provides definitions and examples of sexual harassment, discussion of policy development, and suggestions for ways to eliminate sexual harassment in the athletic training environment. PMID:16558507
Ethical issues in livestock cloning.
Thompson, P B
1999-01-01
Although cloning may eventually become an important technology for livestock production, four ethical issues must be addressed before the practice becomes widespread. First, researchers must establish that the procedure is not detrimental to the health or well-being of affected animals. Second, animal research institutions should evaluate the net social benefits to livestock producers by weighing the benefits to producers against the opportunity cost of research capacity lost to biomedical projects. Third, scientists should consider the indirect effects of cloning research on the larger ethical issues surrounding human cloning. Finally, the market structure for products of cloned animals should protect individual choice, and should recognize that many individuals find the prospect of cloning (or consuming cloned animals) repugnant. Analysis of these four issues is complicated by spurious arguments alleging that cloning will have a negative impact on environment and genetic diversity.
Folayan, Morenike O; Haire, Bridget G; Brown, Brandon
2016-01-01
The devastation caused by the Ebola virus disease (EVD) outbreak in West Africa has brought to the fore a number of important ethical debates about how best to respond to a health crisis. These debates include issues related to prevention and containment, management of the health care workforce, clinical care, and research design, all of which are situated within the overarching moral problem of severe transnational disadvantage, which has very real and specific impacts upon the ability of citizens of EVD-affected countries to respond to a disease outbreak. Ethical issues related to prevention and containment include the appropriateness and scope of quarantine and isolation within and outside affected countries. The possibility of infection in health care workers impelled consideration of whether there is an obligation to provide health services where personal protection equipment is inadequate, alongside the issue of whether the health care workforce should have special access to experimental treatment and care interventions under development. In clinical care, ethical issues include the standards of care owed to people who comply with quarantine and isolation restrictions. Ethical issues in research include appropriate study design related to experimental vaccines and treatment interventions, and the sharing of data and biospecimens between research groups. The compassionate use of experimental drugs intersects both with research ethics and clinical care. The role of developed countries also came under scrutiny, and we concluded that developed countries have an obligation to contribute to the containment of EVD infection by contributing to the strengthening of local health care systems and infrastructure in an effort to provide fair benefits to communities engaged in research, ensuring that affected countries have ready and affordable access to any therapeutic or preventative interventions developed, and supporting affected countries on their way to recovery from the impact of EVD on their social and economic lives.
Attachment and eating disorders: a research update.
Tasca, Giorgio A
2018-03-16
Prominent models of eating disorders tend to focus on cognitive and behavioral features, but tend not to consider important developmental issues related to affect regulation, interpersonal style, self concept, and mentalization-all of which are well conceptualized within attachment theory. Higher levels of attachment insecurity across diagnoses are related to greater eating disorder symptoms. Low parental care and early trauma may lead to attachment insecurity that then might lead to greater eating disorder symptoms. The association between insecure attachment and eating disorder severity is likely mediated by affect dysregulation and perfectionism. Recent research using the Adult Attachment Interview highlights the importance of reflective functioning in predicting treatment response and therapeutic processes, and on the utility of therapies that increase mentalization. Copyright © 2018 Elsevier Ltd. All rights reserved.
Driving safety in elderly individuals.
Marottoli, R A
1993-05-01
Driving safety in elderly individuals is becoming an increasingly important issue in geriatrics and in medical practice. The number of elderly drivers is increasing as the population ages, and especially as current generations of female drivers age. Concern is raised about their safe operation of motor vehicles because of the increasing likelihood with advancing age of developing conditions that may adversely affect the visual, cognitive, and motor abilities integral to driving. But this issue is not only a medical one, since there are social and political components as well. This discussion will describe the background of this issue, focus on the changes that may occur with aging and their potential relationship to driving ability, and, finally, will outline an approach that physicians may employ in their practice.
Research Issues in Genetic Testing of Adolescents for Obesity
Segal, Mary E.; Sankar, Pamela; Reed, Danielle R.
2006-01-01
Obesity is often established in adolescence, and advances are being made in identifying its genetic underpinnings. We examine issues related to the eventual likelihood of genetic tests for obesity targeted to adolescents: family involvement; comprehension of the test’s meaning; how knowledge of genetic status may affect psychological adaptation; minors’ ability to control events; parental/child autonomy; ability to make informed medical decisions; self-esteem; unclear distinctions between early/late onset for this condition; and social stigmatization. The public health arena will be important in educating families about possible future genetic tests for obesity. PMID:15478685
DOE Office of Scientific and Technical Information (OSTI.GOV)
Raffray, A.R.; Meier, W.; Abdel-Khalik, S.
For thick liquid wall concepts, it is important to understand the different mechanisms affecting the chamber dynamics and the state of the chamber prior to each shot a compared with requirements from the driver and target. These include ablation mechanisms, vapor transport and control, possible aerosol formation, as well as protective jet behavior. This paper was motivated by a town meeting on this subject which helped identify the major issues, assess the latest results, review the capabilities of existing modeling and experimental facilities with respect to addressing remaining issues, and helping guide future analysis and R&D efforts; the paper coversmore » these exact points.« less
Jardine, Cynthia G; Banfield, Laura; Driedger, S Michelle; Furgal, Christopher M
2013-01-01
The development and implementation of a remediation plan for the residual arsenic trioxide stored at the former Giant Mine site in the Canadian Northwest Territories has raised important issues related to trust. Social and individual trust of those responsible for making decisions on risks is critically important in community judgements on risk and the acceptability of risk management decisions. Trust is known to be affected by value similarity and confidence in past performance, which serve as interacting sources of cooperation in acting toward a common goal. To explore the elements of trust associated with the development and implementation of the Giant Mine Remediation Plan. Semi-structured interviews were conducted with eight purposively selected key informants representing both various interested and affected parties and the two government proponents. Five primary issues related to trust were identified by the participants: (1) a historical legacy of mistrust between the community (particularly Aboriginal peoples) and government; (2) barriers to building trust with the federal government; (3) limited community input and control over the decision-making process; (4) the conflicted and confounded role of the government agencies being both proponent and regulator, and the resulting need for independent oversight; and (5) distrust of the government to commit to the perpetual care required for the remediation option selected. The dual-mode model of trust and confidence was shown to be a useful framework for understanding the pivotal role of trust in the development of the Giant Mine Remediation Plan. Failure to recognize issues of trust based on value dissimilarity and lack of confidence based on past performance have resulted in a lack of cooperation characterized by delayed remediation and a prolonged and expensive consultation process. Government recognition of the importance of trust to these issues will hopefully improve future communication and public engagement endeavours.
Nutritional and dental issues in patients with intellectual and developmental disabilities.
Ziegler, Jane; Spivack, Evan
2018-04-01
People with intellectual and developmental disabilities are among the most disadvantaged and underserved groups of dental patients. Considerable health care disparities for this population have been identified, particularly oral and dental health as well as access to dental care services. People with Down syndrome and cerebral palsy have a variety of nutritional and dental considerations. These people have a higher prevalence of untreated caries and periodontal disease than the general population and may have higher rates of obesity, edentulism, and chronic oral and systemic diseases. Diet choices may affect the oral health and may play an important role in the systemic health of these people. Suggestions to improve and affect dietary intake are provided. Health issues within this population require a holistic approach to care. Concerns about oral health and diet must be addressed to support optimal health. Copyright © 2018 American Dental Association. Published by Elsevier Inc. All rights reserved.
Sun, Junfeng; Li, Zhijun; Tong, Shanbao
2012-01-01
Functional neural connectivity is drawing increasing attention in neuroscience research. To infer functional connectivity from observed neural signals, various methods have been proposed. Among them, phase synchronization analysis is an important and effective one which examines the relationship of instantaneous phase between neural signals but neglecting the influence of their amplitudes. In this paper, we review the advances in methodologies of phase synchronization analysis. In particular, we discuss the definitions of instantaneous phase, the indexes of phase synchronization and their significance test, the issues that may affect the detection of phase synchronization and the extensions of phase synchronization analysis. In practice, phase synchronization analysis may be affected by observational noise, insufficient samples of the signals, volume conduction, and reference in recording neural signals. We make comments and suggestions on these issues so as to better apply phase synchronization analysis to inferring functional connectivity from neural signals. PMID:22577470
Energy taxation: An analysis of selected taxes: Energy policy study, Volume 14
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1980-09-05
Taxation is a key instrument by which governments affect economic decision making and outcomes. Not surprisingly, energy taxation has received considerable attention in recent years with the mounting concern over national energy policy. As with other policy instruments, the taxation of energy production and use spans a wide array of topics. It also cuts across other instruments because it affects the entire spectrum of economic variables/endash/prices, outputs, investments, uses, and so on. As a result, the subject of energy taxation constitutes a highly complex set of issues for public policy. This report examines the principal components of that set ofmore » issues. In the process, it points out the most important interrelations among the various taxes and between taxation and other policy instruments. Passing mention is made of areas that in the committee's opinion warrant further research. 61 refs., 15 tabs.« less
The evolutionary and ecological consequences of animal social networks: emerging issues.
Kurvers, Ralf H J M; Krause, Jens; Croft, Darren P; Wilson, Alexander D M; Wolf, Max
2014-06-01
The first generation of research on animal social networks was primarily aimed at introducing the concept of social networks to the fields of animal behaviour and behavioural ecology. More recently, a diverse body of evidence has shown that social fine structure matters on a broader scale than initially expected, affecting many key ecological and evolutionary processes. Here, we review this development. We discuss the effects of social network structure on evolutionary dynamics (genetic drift, fixation probabilities, and frequency-dependent selection) and social evolution (cooperation and between-individual behavioural differences). We discuss how social network structure can affect important coevolutionary processes (host-pathogen interactions and mutualisms) and population stability. We also discuss the potentially important, but poorly studied, role of social network structure on dispersal and invasion. Throughout, we highlight important areas for future research. Copyright © 2014 Elsevier Ltd. All rights reserved.
Hospital efficiency and transaction costs: a stochastic frontier approach.
Ludwig, Martijn; Groot, Wim; Van Merode, Frits
2009-07-01
The make-or-buy decision of organizations is an important issue in the transaction cost theory, but is usually not analyzed from an efficiency perspective. Hospitals frequently have to decide whether to outsource or not. The main question we address is: Is the make-or-buy decision affected by the efficiency of hospitals? A one-stage stochastic cost frontier equation is estimated for Dutch hospitals. The make-or-buy decisions of ten different hospital services are used as explanatory variables to explain efficiency of hospitals. It is found that for most services the make-or-buy decision is not related to efficiency. Kitchen services are an important exception to this. Large hospitals tend to outsource less, which is supported by efficiency reasons. For most hospital services, outsourcing does not significantly affect the efficiency of hospitals. The focus on the make-or-buy decision may therefore be less important than often assumed.
Blau, Gary; Chapman, Susan
2011-01-01
An exit survey was returned by a sample of 127 respondents in fully compensated positions who left the EMS profession, most within 12 months prior to filling out the exit survey. A very high percentage continued to work after leaving EMS. Respondents were asked to rate the importance of each of 17 items in affecting their decision to leave EMS. A higher than anticipated response to a "not applicable" response choice affected the usability of 8 of these items. Nine of the 17 items had at least 65 useable responses and were used for further analysis. Within these 9, stress/burnout and lack of job challenges had the highest importance in affecting the decision to leave EMS, while desire for better pay and benefits had the lowest importance. Desire for career change was positively related to life satisfaction after leaving EMS and negatively related to likelihood of returning to EMS. Stress/burnout was positively related to life satisfaction after leaving EMS. Study limitations and future research issues are briefly discussed.
A review of issues and concerns of family members of adult burn survivors.
Sundara, Diana C
2011-01-01
The purpose of this review is to synthesize what is known about the issues and concerns of families of adult burn survivors from research and clinical articles written between 1973 and 2009. Electronic database searching, ancestry searching, and electronic hand searching were performed to identify relevant articles. Seventeen research studies and 14 clinical articles were identified. Families are often in crisis immediately after the injury. This crisis involves strong emotions, some of which may persist over time. Throughout the course of hospitalization, family issues include worries about their loved one's physical appearance, logistical concerns, and the transition to home. For partners, role changes and sexual concerns may be of particular importance. Extended family, friends, the burn team, and other families affected by a burn injury are important sources of support for family members. Few studies have been conducted beyond the time of hospitalization. Clinical articles have identified issues not present in the research literature. Further research is needed that focuses more closely on families and their experiences both in and out of the hospital. Implications for burn care providers based on the findings of this review are discussed.
ERIC Educational Resources Information Center
Krech, Paul R.; Kulinna, Pamela H.; Cothran, Donetta
2010-01-01
Background: Effective classroom management is the cornerstone of successful teaching. Behavioural issues affect the classroom climate as well as the time available for learning. Pupil misbehaviours can also contribute to teacher stress and burn out resulting in teachers leaving the profession. It is important for us to understand more about pupil…
Student Aids and BBCCS (B'nai B'rith Career and Counseling Service): A New Look at an Old Problem.
ERIC Educational Resources Information Center
Feingold, S. Norman
Approximately 95 percent of affiliated Jewish youth attend college. Much is happening in student aid today that will probably affect parents and their children. Issues of importance include: (1) legal considerations; (2) sources of financial aid; (3) applying for financial aid; (4) state and federal programs of financial aid; (5) sources of…
"It Should Have Been Happening to Me": The Psychosocial Issues Older Caregiving Mothers Experience
ERIC Educational Resources Information Center
Raveis, Victoria H.; Pretter, Sheindy; Carrero, Monique
2010-01-01
The occurrence of cancer is an event of significant importance to family functioning. The present analysis reports on an understudied group profoundly affected by this health event: older mothers caring for an adult child with cancer. As part of a study of breast cancer survivors and their family caregivers, a subsample (N = 13) of older…
ERIC Educational Resources Information Center
Kiliçkaya, Ferit
2016-01-01
There are a variety of factors that affect learning and teaching in educational contexts. Among these factors, teachers play an important role in student learning. Teachers not only deliver materials to learners but also guide learners in their learning experiences. While doing this, teachers allow learners to notice the progress they have been…
ERIC Educational Resources Information Center
Ministerial Council on Education, Employment, Training and Youth Affairs, Carlton South (Australia).
An Australian national task force examined a number of areas related to achieving educational equality for Australia's Indigenous peoples. This paper looks at health issues, particularly during ages 0-8, that may affect the educational outcomes of Aboriginal and Torres Strait Islander children. Chapter 1 discusses the importance of the early years…
On-Line Mathematics Assessment: The Impact of Mode on Performance and Question Answering Strategies
ERIC Educational Resources Information Center
Johnson, Martin; Green, Sylvia
2006-01-01
The transition from paper-based to computer-based assessment raises a number of important issues about how mode might affect children's performance and question answering strategies. In this project 104 eleven-year-olds were given two sets of matched mathematics questions, one set on-line and the other on paper. Facility values were analyzed to…
ERIC Educational Resources Information Center
Duffy, Charles A.
Making training work has always been a critical issue and will become more important in the coming decades. Definitions of effective training range from training that promotes growth and enthusiasm among employees to a bottom-line approach with emphasis on whether the training makes employees produce more. Variables that affect training include…
Assessment of Teams and Teamwork in the University of Maryland Libraries
ERIC Educational Resources Information Center
Baughman, M. Sue
2008-01-01
Teams play an important role in the University of Maryland (UM) Libraries. Since 1998, teams and collaborative teamwork have become the way librarians address the myriad of issues affecting the needs of UM's faculty, students, and staff. There has been much change in the UM Libraries over the past nine years, and the development is ongoing.…
ERIC Educational Resources Information Center
Ahmadian, Mohammad Javad
2012-01-01
The study reported in this article aimed to investigate the way working memory capacity (WMC) interacts with careful online planning--a task-based implementation variable--to affect second language (L2) speech production. This issue is important to teachers, because it delves into one of the possible task-based implementation variables and thus…
ERIC Educational Resources Information Center
Otieno, Christine; Spada, Hans; Liebler, Katharina; Ludemann, Thomas; Deil, Ulrich; Renkl, Alexander
2014-01-01
Environmental issues such as climate change are becoming ever more important in today's societies and politics. Information is spread by the media, for example, via the Internet or information brochures, employing different representational styles (e.g. sensational vs. neutral styles, emphasis of human vs. natural causes). We investigated the…
Equal Pay: A Thirty-Five Year Perspective.
ERIC Educational Resources Information Center
Castro, Ida L.
Issued on the 35th anniversary of the signing of the Equal Pay Act (1963), this report is a historical analysis of the economic trends affecting women workers from the years leading up to passage of the act through the present. It is divided into three time periods to highlight important developments: Part I--The Early Impact of the Equal Pay Act,…
Variables Affecting the Amputees' Reactions Artificial Limbs in the Kingdom of Jordan
ERIC Educational Resources Information Center
Al-Adwan, Mezyed; Najjar, Yahya; Hdaib, Maha; Al-Khateeb, Monadel
2017-01-01
Amputee reaction to artificial limb is an important issue faces amputated individuals and the team who delivers services to these individuals. Although some individuals using artificial limb accept it, some others do not. There are several factors that may make it difficult to accept the artificial limb for a long time. The aim of this study is to…
ERIC Educational Resources Information Center
Meghir, Costas; Palme, Marten; Schnabel, Marieke
2012-01-01
The intergenerational transmission of human capital and the extent to which policy interventions can affect it is an issue of importance. Policies are often evaluated on either short term outcomes or just in terms of their effect on individuals directly targeted. If such policies shift outcomes across generations their benefits may be much larger…
ERIC Educational Resources Information Center
Sung, Pei-Fen; Yang, Meng-Li
2009-01-01
National identity is one of the most important forms of ideology that affects human behaviours. Yet, the issue of whether it influences history teachers' subject matter knowledge or teaching practice is overlooked most of the time. With regime change in Taiwan, history curriculum and textbooks are no longer dominated by a China-centred narrative;…
ERIC Educational Resources Information Center
Geske, Andrejs; Grinfelds, Andris; Dedze, Indra; Zhang, Yanhong
2006-01-01
Over the course of the fifteen years since 1991, Latvia has been undergoing rapid political changes from a party controlled state to a market economy. These changes have affected the system of education. The issue of quality and equity of educational outcomes is gaining increasing importance as schools are expected to adjust to the new economic…
ERIC Educational Resources Information Center
Quinn, Michael A.; Rubb, Stephen
2006-01-01
The positive impact of education on earnings, wages, and economic growth is well documented; however, the issue of education-occupation matching in developing countries has been largely ignored. Since workers' levels of schooling and their occupations' required level of education both affect wages, policymakers may find it useful to note if such…
ERIC Educational Resources Information Center
Fitzgerald, Suzanne; Gray, Nicola S.; Snowden, Robert J.
2007-01-01
Background: Whether the Flynn effect (the increase in the populations' IQ over time) affects the IQ scores of people with learning disability or borderline learning disability remains unclear. The issue is important as the Flynn effect should alter the number of people eligible for health service resources. A comparison of the Wechsler Adult…
Geographical Applications of Remote Sensing
DOE Office of Scientific and Technical Information (OSTI.GOV)
Weng, Qihao; Zhou, Yuyu; Quattrochi, Dale
2013-02-28
Data and Information derived through Earth observation technology have been extensively used in geographic studies, such as in the areas of natural and human environments, resources, land use and land cover, human-environment interactions, and socioeconomic issues. Land-use and land-cover change (LULCC), affecting biodiversity, climate change, watershed hydrology, and other surface processes, is one of the most important research topics in geography.
Halal and kosher slaughter methods and meat quality: a review.
Farouk, M M; Al-Mazeedi, H M; Sabow, A B; Bekhit, A E D; Adeyemi, K D; Sazili, A Q; Ghani, A
2014-11-01
There are many slaughter procedures that religions and cultures use around the world. The two that are commercially relevant are the halal and kosher methods practiced by Muslims and Jews respectively. The global trade in red meat and poultry produced using these two methods is substantial, thus the importance of the quality of the meat produced using the methods. Halal and kosher slaughter per se should not affect meat quality more than their industrial equivalents, however, some of their associated pre- and post-slaughter processes do. For instance, the slow decline in blood pressure following a halal pre-slaughter head-only stun and neck cut causes blood splash (ecchymosis) in a range of muscles and organs of slaughtered livestock. Other quality concerns include bruising, hemorrhages, skin discoloration and broken bones particularly in poultry. In addition to these conventional quality issues, the "spiritual quality" of the meat can also be affected when the halal and kosher religious requirements are not fully met during the slaughter process. The nature, causes, importance and mitigations of these and other quality issues related to halal and kosher slaughtering and meat production using these methods are the subjects of this review. Copyright © 2014 Elsevier Ltd. All rights reserved.
Adverse birth factors predict cognitive ability, but not hand preference.
Nicholls, Michael E R; Johnston, David W; Shields, Michael A
2012-09-01
There is a persistent theory that birth stress and subsequent brain pathology play an important role in the manifestation of left-handedness. Evidence for this theory, however, is mixed and studies are often beset with problems related to small sample sizes and unreliable health reports. TO avoid these issues, this study used a sample of approximately 10,000 children from the British Cohort Study. The study contains objective birth-health reports and comprehensive measures of socioeconomic status, handedness, cognitive ability, and behavioral/health issues. Regression analyses showed that variables associated with birth stress affected cognitive/behavioral/health outcomes of the child. Despite this, these same factors did not affect the direction or degree of hand preference. We have therefore demonstrated a dissociation whereby adverse birth factors affect the brain's cognitive ability, but not handedness, and by implication, cerebral lateralization. The study also demonstrated a link between left-handedness and reduced levels of cognitive ability. This link cannot be due a generalized birth-stress mechanism and may be caused by specific mechanisms related to changes in cerebral dominance.
Contextual influences on environmental concerns cross-nationally: A multilevel investigation.
Marquart-Pyatt, Sandra T
2012-09-01
Environmental issues continue to grow in international prominence, as environmental conditions are recognized as some of the most important problems facing the world. Research examining this globalization of environmental concern shown in public opinion surveys emphasizes the importance of context yet is currently underspecified. To address this gap, this research uses a multi-level, cross-national study to examine individual-level and country-level influences on three measures of environmental concern: environmental threat awareness, environmental efficacy, and willingness to pay. At the individual level, education, age, and gender affect environmental concerns. At the national level, economic, political, and environmental factors affect environmental concerns. Importantly, contextual factors differ in their effects depending on the dimension of environmental concern measured. Results from cross-level interactions for education confirm these complexities across these measures, supporting a dimensionality argument. The importance of the measurement of environmental concern shown in this research is emphasized for future cross-national scholarship. Copyright © 2012 Elsevier Inc. All rights reserved.
Green buildings need good ergonomics.
Hedge, A; Dorsey, J A
2013-01-01
A retrospective post-occupancy evaluation survey of 44 occupants in two Leadership in Energy and Environmental Design (LEED) Platinum buildings on a US college campus is reported. The Internet survey covered a range of indoor environment and ergonomics issues. Results show that working in these buildings were a generally positive experience for their health, performance and satisfaction. However, in one building there were persistent issues of variability in air temperature, air freshness, air quality and noise that affected the perceived health and performance of the occupants. Although the buildings were energy-efficient and sustainable structures, ergonomics design issues were identified. Implications for the role of ergonomics in green buildings and in the US LEED rating system are discussed. This survey identified a number of ergonomics design issues present in the LEED Platinum energy-efficient and sustainable buildings that were studied. These results highlight the importance of integrating ergonomics design into green buildings as a component in the US LEED rating system.
Information flow in the pharmaceutical supply chain.
Yousefi, Nazila; Alibabaei, Ahmad
2015-01-01
Managing the supply chain plays an important role in creating competitive advantages for companies. Adequate information flow in supply chain is one of the most important issues in SCM. Therefore, using certain Information Systems can have a significant role in managing and integrating data and information within the supply chain. Pharmaceutical supply chain is more complex than many other supply chains, in the sense that it can affect social and political perspectives. On the other hand, managing the pharmaceutical supply chain is difficult because of its complexity and also government regulations in this field. Although, Iran has progressed a lot in pharmaceutical manufacturing, still there are many unsolved issues in managing the information flow in the pharmaceutical supply chain. In this study, we reviewed the benefits of using different levels of an integrated information system in the supply chain and the possible challenges ahead.
Motsomi, Kegaugetswe; Makanjee, Chandra; Basera, Tariro; Nyasulu, Peter
2016-01-01
Communication between parents and adolescents regarding sexuality is an important reproductive health topic. Due to complexities associated with adolescent's physiological development, sexuality should be dealt with holistically. This study aimed to investigate factors affecting effective communication between parents and adolescents concerning sexual and reproductive health issues. An exploratory qualitative study using the focus group discussions method was done to explore amongst other things; social, cultural and religious barriers to communication. Thematic content analysis was done. Factors identified included: embarrassment when discussing sexual topics; adolescent misperceptions that guardians want to engage in sexual activities with them; strong belief amongst guardians that reproductive health discussions with adolescents encourages sexual experimentation; belief that adolescents were too young to understand; non-conducive environment for open discussions of sexual and reproductive health matters; cultural and religious beliefs. In view of these findings, there are still barriers in terms of parent-adolescent engagement on issues related to risks associated with sexual behaviours and erroneous reproductive health choices among adolescents. Therefore, there is a need to encourage engagement by creating neutral platforms facilitated by community healthcare providers and/ or social workers. This will help create awareness and bridge the communication and interaction gap by emphasising the importance of effective engagement among adolescents and their parents on matters related to risks associated with sexual behaviours and erroneous reproductive health choices. Post implantation intervention studies are needed to inform on the outcomes of the intervention.
Review on Malaysian Rail Transit Operation and Management System: Issues and Solution in Integration
NASA Astrophysics Data System (ADS)
Masirin, Mohd Idrus Mohd; Salin, Aminah Mohd; Zainorabidin, Adnan; Martin, David; Samsuddin, Norshakina
2017-08-01
In any context, operation and management of transportation systems are key issues which may affect both life quality and economic development. In large urban agglomerations, an efficient public transportation system may help abate the negative externalities of private car use such as congestion, air and noise pollution, accident and fuel consumption, without excessively penalizing user travel times or zone accessibility. Thus, this study is conducted to appraise the Malaysian rural rail transit operation and management system, which are considered important as there are many issues and solution in integration of the services that need to be tackled more conscientiously. The purpose of this paper is to describe some of the most important issues on integration of services and rail transit system in Malaysian and how to solve or reduce these problems and conflicts. In this paper, it consists of the historical development of rail transit construction in Malaysia. This paper also attempts to identify the important issues related to rail transit services and integration in Malaysian rural rail operation and management system. Comparison is also conducted with other countries such as UK, France, and Japan. Finally, a critical analysis is presented in this paper by looking at the possible application for future Malaysian rail transit operation system and management, especially focusing on enhancing the quality of Malaysian rural rail transit. In conclusion, this paper is expected to successfully review and appraise the existing Malaysian rural rail transit operation and management system pertaining to issues & solution in integration. It is also hoped that reformation or transformation of present service delivery quality of the rail transit operation and management will enable Malaysia to succeed in transforming Malaysian transportation system to greater heights.
Msaouel, Pavlos; Gralla, Richard J; Jones, Randy A; Hollen, Patricia J
2017-09-01
Evidence-based quality of life (QL) questionnaires require the identification of issues of importance to patients. The primary aim of this study was to inform providers on patient-expressed issues while enhancing the content validity of instruments assessing QL and patient-reported outcomes (PROs) in prostate cancer. The study provided additional psychometric properties for the new PRO and QL instrument, the Prostate Cancer Symptom Scale (PCSS). An anonymous web-based survey of 2128 patients with prostate cancer was conducted with patients rating 18 QL items on a five-point scale. Most respondents (74%) were aged 55-74 years, had early stage disease at diagnosis (81%) and were diagnosed within 2 years of the survey (81%). The top five-rated issues were: overall QL, ability to perform normal activities, maintaining independence, ability to sleep and not being a burden. These items were ranked as either 'very important' or 'important' by at least 88% of patients. None of the most highly ranked issues were symptoms. Instead, the highest ranked items were global issues reflecting the impact of symptoms on patients. In addition to the enhanced content validity findings, good reliability results and initial support for construct validity are reported for the PCSS. This is the largest survey providing patient-expressed background for content validity for QL and PRO measures. The findings of this study should aid development of newer practical questionnaires, such as the PCSS, which can be adapted to electronic platforms enhancing rapid and accurate PRO and QL evaluation. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.
Heart Disease Affects Women of All Ages
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A multidimensional framework for assessing patient room configurations.
Pati, Debajyoti; Harvey, Thomas E; Reyers, Evelyn; Evans, Jennie; Waggener, Laurie; Serrano, Marjorie; Saucier, Rachel; Nagle, Tina
2009-01-01
A framework for multidimensional assessment of patient room configurations is presented. Twenty-three issues are considered and categorized under six domains of assessment: (1) patient safety, (2) staff efficiency, (3) circulation, (4) infection control, (5) patient considerations, and (6) family amenities. Use of the framework to rank issues by importance and assess six alternative patient room configurations by a diverse group of experts in a symposium is described. One of the key questions posed during inpatient room design is the location of the bathroom. What issues are affected by the variations in room configuration that arise from bathroom location? A complete articulation of the issues that potentially are affected by room configuration is not available in the literature. The list of issues was developed by the authors in preparation for a symposium. The symposium was organized in May 2007 and attended by 14 experts from four institutions. Six alternative room configurations were used. Variations in the configurations included: (1) three same-handed and three mirror-image rooms; (2) three outboard, two inboard, and one nested bathroom; and (3) three rooms with footwall bathrooms and three with headwall bathrooms. In a four-step process, the attendees ranked the issues, discussed them in detail, rated each room configuration against each issue on a seven-point suitability scale, and conducted an overall assessment of the six configurations. Based on the ratings and rankings provided by the symposium participants, outboard bathroom locations were found to be most suitable, followed by nested and inboard configurations. Furthermore, configurations with patient bathrooms located on the footwall were rated as more suitable than headwall locations. The authors recommend, however, that the framework be used to determine a suitable room configuration in a specific context, rather than to identify configurations that will perform well universally.
The morality of socioscientific issues: Construal and resolution of genetic engineering dilemmas
NASA Astrophysics Data System (ADS)
Sadler, Troy D.; Zeidler, Dana L.
2004-01-01
The ability to negotiate and resolve socioscientific issues has been posited as integral components of scientific literacy. Although philosophers and science educators have argued that socioscientific issues inherently involve moral and ethical considerations, the ultimate arbiters of morality are individual decision-makers. This study explored the extent to which college students construe genetic engineering issues as moral problems. Twenty college students participated in interviews designed to elicit their ideas, reactions, and feelings regarding a series of gene therapy and cloning scenarios. Qualitative analyses revealed that moral considerations were significant influences on decision-making, indicating a tendency for students to construe genetic engineering issues as moral problems. Students engaged in moral reasoning based on utilitarian analyses of consequences as well as the application of principles. Issue construal was also influenced by affective features such as emotion and intuition. In addition to moral considerations, a series of other factors emerged as important dimensions of socioscientific decision-making. These factors included personal experiences, family biases, background knowledge, and the impact of popular culture. The implications for classroom science instruction and future research are discussed.
Vitulano, Lawrence A
2003-07-01
Self-esteem, school functioning, and sports participation are among the most significant psychosocial issues that affect children and adolescents with chronic illness. Although these capacities are essential components of development for all children, they present special concerns for children with limitations of health. Parents, teachers, and coaches play important roles in providing normalizing and gratifying opportunities for children who struggle to be competent and accepted by their peers. Much can be done to provide chronically ill children with experiences and support that will allow them to grow up happier, feel better about themselves, and enjoy more success.
Permanence of Temporary Security Barriers
2009-05-01
such as the ones in Baghdad. A strategic impact or perspective is defined for the purpose of this paper as affecting the instruments of national...use of security barriers and more importantly complex issues regarding their removal. This paper examines the use of security barriers across the...world and delves into the circumstances leading to the removal of security barriers. This paper proposes that there are definable, prerequisite
Graduating to a Pay Gap: The Earnings of Women and Men One Year after College Graduation
ERIC Educational Resources Information Center
Corbett, Christianne; Hill, Catherine
2012-01-01
Women are paid significantly less than men are in nearly every occupation. Because pay equity affects women and their families in all walks of life, it is not surprising that many women consider the issue important. For more than 130 years, the American Association of University Women (AAUW) has advocated for gender equity in education and the…
Worldwide Emerging Environmental Issues Affecting the U.S. Military. March 2006 Report
2006-03-01
and their metabolites can increase drug resistance among disease organisms and synthetic hormones can act as endocrine disruptors . Italian...The most important achievement was the adoption of the documentation requirements for LMO shipments for food , feed and processing (LMO-FFPs). The...special management areas, and policies to preserve endangered species - designation of several new protected areas - rejection of lifting the
Ecosystem carbon storage and flux in upland/peatland watersheds in northern Minnesota. Chapter 9.
David F. Grigal; Peter C. Bates; Randall K. Kolka
2011-01-01
Carbon (C) storage and fluxes (inputs and outputs of C per unit time) are central issues in global change. Spatial patterns of C storage on the landscape, both that in soil and in biomass, are important from an inventory perspective and for understanding the biophysical processes that affect C fluxes. Regional and national estimates of C storage are uncertain because...
Lavender, Steven A; Sommerich, Carolyn M; Patterson, Emily S; Sanders, Elizabeth B-N; Evans, Kevin D; Park, Sanghyun; Umar, Radin Zaid Radin; Li, Jing
2015-01-01
The aim of this study was to learn from a wide range of hospital staff members about how the design of the patient room in which they work adversely affects their ergonomics or hinders their job performance. In addition to providing a healing space for patients, hospital patient rooms need to serve as functional workplaces for the people who provide clinical care, to clean, or to maintain room functions. Therefore, from a design perspective, it is important to understand the needs of all the users of hospital patient rooms with regard to room design. One hundred forty-seven people, representing 23 different occupational stakeholder groups, participated in either focus groups or interviews in which they were asked to identify room design issues that affect the performance of their work tasks. Key issues shared across multiple stakeholder groups included an inability to have eye contact with the patient when entering the room, inadequate space around the bed for the equipment used by stakeholders, the physical demands experienced as stakeholders move furnishings to accomplish their activities or access equipment, and a lack of available horizontal surfaces. Unique issues were also identified for a number of stakeholder groups. There are a number of issues that should be addressed in the next generation of hospital patient rooms, or when refurbishing existing facilities, so that all occupational stakeholder groups can work effectively, efficiently, and without undue physical stress. © The Author(s) 2015.
Smith, Nicholas; Leiserowitz, Anthony
2012-06-01
This article explores how affective image associations to global warming have changed over time. Four nationally representative surveys of the American public were conducted between 2002 and 2010 to assess public global warming risk perceptions, policy preferences, and behavior. Affective images (positive or negative feelings and cognitive representations) were collected and content analyzed. The results demonstrate a large increase in "naysayer" associations, indicating extreme skepticism about the issue of climate change. Multiple regression analyses found that holistic affect and "naysayer" associations were more significant predictors of global warming risk perceptions than cultural worldviews or sociodemographic variables, including political party and ideology. The results demonstrate the important role affective imagery plays in judgment and decision-making processes, how these variables change over time, and how global warming is currently perceived by the American public. © 2012 Society for Risk Analysis.
Modi, Monica N.; Palmer, Sheallah
2014-01-01
Abstract Intimate partner violence (IPV) is defined as violence committed by a current or former boyfriend or girlfriend, spouse or ex-spouse. Each year, 1.3 to 5.3 million women in the United States experience IPV. The large number of individuals affected, the enormous healthcare costs, and the need for a multidisciplinary approach make IPV an important healthcare issue. The Violence Against Women Act (VAWA) addresses domestic violence, dating violence, sexual assault, and stalking. It emphasizes development of coordinated community care among law enforcement, prosecutors, victim services, and attorneys. VAWA was not reauthorized in 2012 because it lacked bipartisan support. VAWA 2013 contains much needed new provisions for Native Americans; lesbian, gay, bisexual, transgender, gay, and queer (LGBTQ) individuals; and victims of human trafficking but does not address the large amount of intimate partner violence in America's immigrant population. There are important remaining issues regarding intimate partner violence that need to be addressed by future legislation. This review examines the role of legislation and addresses proposals for helping victims of IPV. PMID:24299159
At issue: The future of cognitive rehabilitation of schizophrenia.
Silverstein, Steven M; Wilkniss, Sandra M
2004-01-01
Cognitive rehabilitation is becoming an increasingly popular intervention in treatment programs for people with schizophrenia. Despite this increased acceptance, however, the evidence base on its effectiveness is not impressive. Moreover, given the evidence of cognitive recovery in treated patients who do not receive cognitive rehabilitation--from newer medications and from other evidence-based psychosocial interventions--it is not clear whether cognitive rehabilitation is worth its expense in time and resources. We believe that the slow progress in the field of cognitive rehabilitation of schizophrenia is related to failure to address several critical issues: (1) the importance of manipulating stimulus and context structure in rehabilitative interventions; (2) the need to base a cognitive rehabilitation of schizophrenia on cognitive neuroscience as opposed to neuropsychology; (3) the importance of systematically addressing motivation, self-esteem, and affective factors when designing cognition-enhancing interventions; (4) the need to move beyond one-size-fits-all interventions and develop individualized treatments; and (5) the need to address abnormalities in the experience of the self when designing interventions to optimize cognitive and behavioral performance. Suggestions for addressing these issues are discussed.
Wu, Tsung-Chih; Liu, Chi-Wei; Lu, Mu-Chen
2007-01-01
Universities and colleges serve to be institutions of education excellence; however, problems in the areas of occupational safety may undermine such goals. Occupational safety must be the concern of every employee in the organization, regardless of job position. Safety climate surveys have been suggested as important tools for measuring the effectiveness and improvement direction of safety programs. Thus, this study aims to investigate the influence of organizational and individual factors on safety climate in university and college laboratories. Employees at 100 universities and colleges in Taiwan were mailed a self-administered questionnaire survey; the response rate was 78%. Multivariate analysis of variance revealed that organizational category of ownership, the presence of a safety manager and safety committee, gender, age, title, accident experience, and safety training significantly affected the climate. Among them, accident experience and safety training affected the climate with practical significance. The authors recommend that managers should address important factors affecting safety issues and then create a positive climate by enforcing continuous improvements.
Olvera Alvarez, Hector A; Appleton, Allison A; Fuller, Christina H; Belcourt, Annie; Kubzansky, Laura D
2018-06-01
Environmental and social determinants of health often co-occur, particularly among socially disadvantaged populations, yet because they are usually studied separately, their joint effects on health are likely underestimated. Building on converging bodies of literature, we delineate a conceptual framework to address these issues. Previous models provided a foundation for study in this area, and generated research pointing to additional important issues. These include a stronger focus on biobehavioral pathways, both positive and adverse health outcomes, and intergenerational effects. To accommodate the expanded set of issues, we put forward the Integrated Socio-Environmental Model of Health and Well-Being (ISEM), which examines how social and environmental factors combine and potentially interact, via multi-factorial pathways, to affect health and well-being over the life span. We then provide applied examples including the study of how food environments affect dietary behavior. The ISEM provides a comprehensive, theoretically informed framework to guide future research on the joint contribution of social and environmental factors to health and well-being across the life span.
Dental health of children with cerebral palsy
Jan, Basil M.; Jan, Mohammed M.
2016-01-01
Cerebral palsy (CP) is a common chronic motor disorder with associated cognitive, communicative, and seizure disorders. Children with CP have a higher risk of dental problems creating significant morbidity that can further affect their wellbeing and negatively impact their quality of life. Screening for dental disease should be part of the initial assessment of any child with CP. The objective of this article is to present an updated overview of dental health issues in children with CP and outline important preventative and practical strategies to the management of this common comorbidity. Providing adequate oral care requires adaptation of special dental skills to help families manage the ongoing health issues that may arise. As oral health is increasingly recognized as a foundation for general wellbeing, caregivers for CP patients should be considered an important component of the oral health team and must become knowledgeable and competent in home oral health practices. PMID:27744459
North, Carol S; Pfefferbaum, Betty; Tucker, Phebe
2002-08-01
Empirical data from research studies are vital to guiding mental health interventions following disasters. However, few data are available for this purpose. Important advances in policy and procedures for the conduct of organized research emerged from the Oklahoma City bombing, yielding cooperative working relationships among researchers and culminating in the ethical attainment of informative research data. However, the academic community was again caught off guard after the September 11, 2001, terrorist attacks. Suggestions to surmount these obstacles include incorporating research infrastructures into disaster preparedness plans in advance; organizing the community of researchers; and working closely with major funding organizations. Methodological issues pertaining to measurement of psychopathology include the importance of obtaining diagnostic data; interpreting the meaning of symptoms in the absence of a psychiatric disorder; differentiating preexisting symptoms from those that emerged after the disaster, and optimal timing of postdisaster assessment.
Competition in health insurance markets: limitations of current measures for policy analysis.
Scanlon, Dennis P; Chernew, Michael; Swaminathan, Shailender; Lee, Woolton
2006-12-01
Health care reform proposals often rely on increased competition in health insurance markets to drive improved performance in health care costs, access, and quality. We examine a range of data issues related to the measures of health insurance competition used in empirical studies published from 1994-2004. The literature relies exclusively on market structure and penetration variables to measure competition. While these measures are correlated, the degree of correlation is modest, suggesting that choice of measure could influence empirical results. Moreover, certain measurement issues such as the lack of data on PPO enrollment, the treatment of small firms, and omitted market characteristics also could affect the conclusions in empirical studies. Importantly, other types of measures related to competition (e.g., the availability of information on price and outcomes, degree of entry barriers, etc.) are important from both a theoretical and policy perspective, but their impact on market outcomes has not been widely studied.
Information flow in the pharmaceutical supply chain
Yousefi, Nazila; Alibabaei, Ahmad
2015-01-01
Managing the supply chain plays an important role in creating competitive advantages for companies. Adequate information flow in supply chain is one of the most important issues in SCM. Therefore, using certain Information Systems can have a significant role in managing and integrating data and information within the supply chain. Pharmaceutical supply chain is more complex than many other supply chains, in the sense that it can affect social and political perspectives. On the other hand, managing the pharmaceutical supply chain is difficult because of its complexity and also government regulations in this field. Although, Iran has progressed a lot in pharmaceutical manufacturing, still there are many unsolved issues in managing the information flow in the pharmaceutical supply chain. In this study, we reviewed the benefits of using different levels of an integrated information system in the supply chain and the possible challenges ahead. PMID:26664401
Gidengil, Courtney A; Rusinak, Donna; Allred, Norma J; Luff, Donna; Lee, Grace M; Lieu, Tracy A
2009-06-01
To describe the factors that affect the use of new combination vaccines, the authors conducted qualitative interviews with pediatricians (n = 7), state immunization program managers (n = 7), and health insurance plan representatives (n = 6 plans). Respondents from each group identified reduction in pain and potentially increased immunization coverage as key benefits of new combination vaccines. For several pediatricians, low reimbursement for cost of vaccine doses and potential loss of fees for vaccine administration were barriers to using combination vaccines. For most state immunization programs, the higher cost of combination vaccines relative to separate vaccines was an important consideration but not a barrier to adoption. Most insurers were not aware of the financial issues for providers, but some had changed or were willing to change reimbursement to support the use of new combination vaccines. Financial issues for pediatric practices that purchase and provide vaccines for children may be an important barrier to offering combination vaccines.
Falk, Emily B.; Spunt, Robert P.; Lieberman, Matthew D.
2012-01-01
We used the five weeks leading up to the 2008 presidential election as a backdrop to examine the ways that the brain processes attitudes and beliefs under different circumstances. We examined individual differences in personal issue importance and trait perspective-taking, as well as the temporal context in which attitude representation took place (i.e. number of days until the election). Finally, we examined the extent to which similar or dissimilar processes were recruited when considering the attitudes of political ingroup and outgroup candidates. Brain regions involved in social cognition and theory of mind, and to a lesser extent the limbic system, were modulated by these factors. Higher issue importance led to greater recruitment of neural regions involved in social cognition, across target perspectives. Higher trait perspective-taking was also associated with greater recruitment of several regions involved in social cognition, but differed depending on target perspective; greater activity was observed in prefrontal regions associated with social cognition when considering the perspective of one's own candidate compared with the opponent, and this effect was amplified closer to the election. Taken together, these results highlight ways in which ability and motivational relevance modulate socio-affective processing of the attitudes of others. PMID:22271788
Falk, Emily B; Spunt, Robert P; Lieberman, Matthew D
2012-03-05
We used the five weeks leading up to the 2008 presidential election as a backdrop to examine the ways that the brain processes attitudes and beliefs under different circumstances. We examined individual differences in personal issue importance and trait perspective-taking, as well as the temporal context in which attitude representation took place (i.e. number of days until the election). Finally, we examined the extent to which similar or dissimilar processes were recruited when considering the attitudes of political ingroup and outgroup candidates. Brain regions involved in social cognition and theory of mind, and to a lesser extent the limbic system, were modulated by these factors. Higher issue importance led to greater recruitment of neural regions involved in social cognition, across target perspectives. Higher trait perspective-taking was also associated with greater recruitment of several regions involved in social cognition, but differed depending on target perspective; greater activity was observed in prefrontal regions associated with social cognition when considering the perspective of one's own candidate compared with the opponent, and this effect was amplified closer to the election. Taken together, these results highlight ways in which ability and motivational relevance modulate socio-affective processing of the attitudes of others.
White, Mathew P; Eiser, J Richard; Harris, Peter R; Pahl, Sabine
2007-06-01
Although the issue of risk target (e.g., self, others, children) is widely acknowledged in risk perception research, its importance appears underappreciated. To date, most research has been satisfied with demonstrating comparative optimism, i.e., lower perceived risk for the self than others, and exploring its moderators, such as perceived controllability and personal exposure. Much less research has investigated how the issue of target may affect benefit perceptions or key outcomes such as stated preferences for hazard regulation. The current research investigated these issues using data from a public survey of attitudes toward mobile phone technology (N= 1,320). First, results demonstrated comparative optimism for this hazard, and also found moderating effects of both controllability and personal exposure. Second, there was evidence of comparative utility, i.e., users believed that the benefits from mobile phone technology are greater for the self than others. Third, and most important for policy, preferences for handset regulation were best predicted by perceptions of the risks to others but perceived benefits for the self. Results suggest a closer awareness of target can improve prediction of stated preferences for hazard regulation and that it would be profitable for future research to pay more attention to the issue of target for both risk and benefit perceptions.
ELECTIONS: Issues Affecting Military and Overseas Absentee Voters
2001-05-09
Office GAO For Release on Delivery Expected at 2:30 p.m., EDT Wednesday, May 9, 2001 ELECTIONS Issues Affecting Military and Overseas Absentee Voters...Type N/A Dates Covered (from... to) ("DD MON YYYY") Title and Subtitle ELECTIONS: Issues Affecting Military and Overseas Absentee Voters Contract or...Grant Number Program Element Number Authors David M. Walker Project Number Task Number Work Unit Number Performing Organization Name(s) and
Learning Technologies: Affective and Social Issues in Computer-Supported Collaborative Learning
ERIC Educational Resources Information Center
Jones, Ann; Issroff, Kim
2005-01-01
This paper is concerned with "affective" issues in learning technologies in a collaborative context. Traditionally in learning there has been a division between cognition and affect: where cognition is concerned with skills and processes such as thinking and problem-solving and affect with emotional areas such as motivation, attitudes, feelings.…
Worldwide Emerging Environmental Issues Affecting the U.S. Military. April 2009
2009-04-01
9 7.7 Fiber Check Dams with Chemicals Control Polluting Construction Runoff……..……10 7.8 Possibly Tainted Imported Drywall Raises Health...pressure is mounting for adopting regulations to include a comprehensive liability and mitigation regime based on the ― polluter pays‖ principle, mainly...carbon nanotubes onto plastic films that serve as both the device‘s electrodes and charge collectors. Their current designs are relatively inefficient
Health effects of Aspergillus in food and air.
Klich, Maren A
2009-01-01
This review summarizes the health aspects of the medically important fungal genus Aspergillus. The morphology and systematics of the genus are explained as well as its biogeography. Major mycotoxins, the aspergilli that produce them, affected crops, and symptoms of the toxicoses are summarized, as are the major mycoses caused by aspergilli. The current status of the relationship between Aspergillus in the indoor environment and health issues are discussed.
ERIC Educational Resources Information Center
Porteous, Sandra McClure
Part of a study of migrant child welfare services, this review synthesizes all available materials on the issues affecting migrant child welfare. Each chapter discusses the importance of a particular service area, assesses the migrant child's needs in that area, describes existing barriers to service delivery, and presents a history and the…
ERIC Educational Resources Information Center
Royal Society, London (England).
Based on the premise that science and technology directly affect a wide range of personal activities and impact policy issues of national and international importance, this report aims to show why it matters that all sections of the public should have some understanding of science and to stimulate action by scientists and others to improve this…
The Ethics of a Postmortem Testicular Harvest.
Stoker, Michael; Landry, Alden
2016-01-01
Faith and religion are topics that are not routinely discussed or of much significance in the emergency department (ED). However, there are certain cases when faith or religion can cause certain ethical dilemmas for the physician, patient, or hospital. Understanding patients' beliefs affects our own medical decision-making and the ability to treat certain illnesses. Hospital policy or religious views of the hospital can affect patient management. Spirituality or religion in the ED will not be an issue with every patient; however, there are times where religious beliefs will be at the very center of an ED visit, as shown by this case report. A 42-year-old man presented to the ED in cardiac arrest. Despite resuscitation and appropriate advanced cardiac life support, he was pronounced dead in the ED. The patient's wife stated they were trying to have a child and requested testicular harvest, planning for in vitro fertilization. Being at a Catholic institution, this raised important ethical questions. After the involvement of several disciplines, a resolution was reached that placated the patient's wife and the hospital. This report highlights the importance of understanding the ethical questions raised from faith-based issues in the ED to be able to provide the highest level of patient-centered care. Copyright © 2016 Elsevier Inc. All rights reserved.
Women's health is a community issue.
Irvin, A
1997-01-01
When a member of the Community Life Project in Nigeria led a group of women in a discussion about HIV/AIDS, the women reported that they understood that condom use is the best means of protection but that they were unable to negotiate condom use with their husbands. Even if the women were economically independent, they would rather face the risk of HIV/AIDS than divorce. Thus, efforts to improve women's health have not generated much change on the local level. This can also be seen by the facts that current programs have failed to reduce the numbers of women dying from pregnancy-related causes each year, nearly 3000 women die from tuberculosis each day, women suffer occupational health risks, and domestic violence is an important determinant of health problems for women. Because women lack power in many societies, efforts to effect individual change may be blocked by a woman's particular circumstances. Thus, the involvement of entire communities is necessary to improve the conditions affecting women's health. Community-level discussions may open the door for couples to discuss sexuality and gender-based issues as well as safer sex behavior. Despite the important role they can play, women's community health groups face stiff challenges because of a lack of knowledge or training and because of the difficulty in overcoming gender-based discrimination. The Hesperian Foundation's publication, "Where Women Have No Doctor," is an excellent resource for understanding how poverty and gender issues affect women's health. The book contains practical information, promotes a model of community-based responses to problems with social origins, and shares experiences of grassroots groups world-wide.
Da Silva, J M; Correa, J; Terto, V
1998-02-01
People of African descent comprise a large proportion of Brazil's population. While racism exists in the country, it is commonly denied. Most Afro-Brazilians live in poor areas, with poor health care services, sanitation, schools, and transport. Since HIV is linked to poverty, Afro-Brazilians are more affected by HIV than is the overall population. Although Afro-Brazilians contribute to Brazil's culture, they do not benefit from that contribution. Recognizing this considerable social problem, Project Araye was created in 1996 to address issues of race and HIV. Building upon religious and cultural traditions, the project is staffed by Afro-Brazilians who are knowledgeable in both health issues and Afro-Brazilian culture. Project Araye supports a wide range of diverse community leaders in linking sexual health and HIV with other health concerns which affect Afro-Brazilians such as sickle-cell anemia, diabetes, and leprosy. One important challenge has been overcoming the target population's denial of HIV and encouraging Afro-Brazilians to accept that HIV also affects them. Community leaders include religious leaders, rap musicians, artists, and other people respected by various communities. Activities include visits to samba dance schools, Umbanda and Candomble temples, and street youth groups to provide HIV-related information.
Work Related Stress, Burnout, Job Satisfaction and General Health of Nurses
Khamisa, Natasha; Oldenburg, Brian; Peltzer, Karl; Ilic, Dragan
2015-01-01
Gaps in research focusing on work related stress, burnout, job satisfaction and general health of nurses is evident within developing contexts like South Africa. This study identified the relationship between work related stress, burnout, job satisfaction and general health of nurses. A total of 1200 nurses from four hospitals were invited to participate in this cross-sectional study (75% response rate). Participants completed five questionnaires and multiple linear regression analysis was used to determine significant relationships between variables. Staff issues are best associated with burnout as well as job satisfaction. Burnout explained the highest amount of variance in mental health of nurses. These are known to compromise productivity and performance, as well as affect the quality of patient care. Issues, such as security risks in the workplace, affect job satisfaction and health of nurses. Although this is more salient to developing contexts it is important in developing strategies and intervention programs towards improving nurse and patient related outcomes. PMID:25588157
Work related stress, burnout, job satisfaction and general health of nurses.
Khamisa, Natasha; Oldenburg, Brian; Peltzer, Karl; Ilic, Dragan
2015-01-12
Gaps in research focusing on work related stress, burnout, job satisfaction and general health of nurses is evident within developing contexts like South Africa. This study identified the relationship between work related stress, burnout, job satisfaction and general health of nurses. A total of 1200 nurses from four hospitals were invited to participate in this cross-sectional study (75% response rate). Participants completed five questionnaires and multiple linear regression analysis was used to determine significant relationships between variables. Staff issues are best associated with burnout as well as job satisfaction. Burnout explained the highest amount of variance in mental health of nurses. These are known to compromise productivity and performance, as well as affect the quality of patient care. Issues, such as security risks in the workplace, affect job satisfaction and health of nurses. Although this is more salient to developing contexts it is important in developing strategies and intervention programs towards improving nurse and patient related outcomes.
Gynecological cancers: A summary of published Indian data.
Maheshwari, Amita; Kumar, Neha; Mahantshetty, Umesh
2016-01-01
Gynecological cancers are among the most common cancers in women and hence an important public health issue. Due to the lack of cancer awareness, variable pathology, and dearth of proper screening facilities in developing countries such as India, most women report at advanced stages, adversely affecting the prognosis and clinical outcomes. Ovarian cancer has emerged as one of the most common malignancies affecting women in India and has shown an increase in the incidence rates over the years. Although cervical cancer is on a declining trend, it remains the second most common cancer in women after breast cancer. Many researchers in India have published important data in the field of gynecologic oncology, covering all domains such as basic sciences, preventive oncology, pathology, radiological imaging, and clinical outcomes. This work has given us an insight into the in-depth understanding of these cancers as well as the demographics and survival rates in the Indian population. This aim of this review is to discuss the important studies done in India for all gynecological cancers.
Hiring your next partner: AOA critical issues.
Blasier, R Dale; Gagnon, Michael R; Iannotti, Joseph P; Jarvis-Selinger, Sandra
2014-09-03
Hiring a new partner into an orthopaedic department or group can be a daunting task. A recent American Orthopedic Association symposium sought to address three major aspects of hiring that affect orthopaedic leaders: (1) when to hire-the chairperson's role; (2) generational issues that affect hiring; and (3) the development of an initial compensation package.How does the chairperson recruit new physicians? Hiring a new partner into the academic setting requires a good deal of foresight. There must be an established game plan. Advertising and interviews need to be orchestrated. Chairpersons can find information about candidates from many unique sources. Fit within the department and community is important and must be cultivated. Spouses and families need special attention. Research candidates have individual needs. Perhaps the most important aspect of recruitment is the development of a realistic business plan. This paper provides an overview of factors to consider in managing a new hire.Generational issues are intriguing. Should they affect our hiring practices? It seems clear to established physicians that the new generation of graduates is different from their predecessors. Is this really true? Most everyone is familiar with the terms "Silent Generation," "Baby Boomers," "Generation X," and "Generation Y." Is there anything to be gained by categorizing an applicant? Is it important to hire a replica of one's self? This paper provides a thoughtful overview of generational issues as they apply to hiring new partners.Most department chairpersons are not trained as negotiators. Some preparation and experience are helpful in guiding the process of making an initial offer to a candidate. It is not all about pay. The package includes the guarantee period, expectations for the new hire, mentorship, and resources. How much should new orthopaedic academic hires be paid? Recent benchmark data from the Academic Orthopaedic Consortium suggest a mean income of $282,667 for physicians who have just finished a fellowship. New hires are concerned about call frequency and available time free from work. How much work should be expected from an academic surgeon? Recent survey data from the American Orthopaedic Consortium suggest a mean of 9200 relative value units per year. This article offers some guidelines for the chairperson who needs to formulate an initial offer for a new hire.There is a lot involved in hiring a new partner, as times are changing. This paper offers considerable food for thought about hiring. Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated.
Martin, Thomas E.
2011-01-01
What should parents do when they detect indications of more predators nearby that might eat their babies? This scenario is commonly faced by parents in the wild, and the consequences are important. The number of offspring that organisms produce has a major influence on fitness and, when averaged across a population, affects whether this population will increase or decrease. Offspring production thus has critical implications for evolution via fitness, and ecology and conservation via demography. On page 1398 of this issue, Zanette et al. (1) show that the fear of predation can, by itself, strongly affect the number of offspring produced over an annual cycle by song sparrows (see the figure).
The need for affect: individual differences in the motivation to approach or avoid emotions.
Maio, G R; Esses, V M
2001-08-01
The present research developed and tested a new individual-difference measure of the need for affect, which is the motivation to approach or avoid emotion-inducing situations. The first phase of the research developed the need for affect scale. The second phase revealed that the need for affect is related to a number of individual differences in cognitive processes (e.g., need for cognition, need for closure), emotional processes (e.g., affect intensity, repression-sensitization), behavioral inhibition and activation (e.g., sensation seeking), and aspects of personality (Big Five dimensions) in the expected directions, while not being redundant with them. The third phase of the research indicated that, compared to people low in the need for affect, people high in the need for affect are more likely to (a) possess extreme attitudes across a variety of issues, (b) choose to view emotional movies, and (c) become involved in an emotion-inducing event (the death of Princess Diana). Overall, the results indicate that the need for affect is an important construct in understanding emotion-related processes.
Respiratory infections during air travel.
Leder, K; Newman, D
2005-01-01
An increasing number of individuals undertake air travel annually. Issues regarding cabin air quality and the potential risks of transmission of respiratory infections during flight have been investigated and debated previously, but, with the advent of severe acute respiratory syndrome and influenza outbreaks, these issues have recently taken on heightened importance. Anecdotally, many people complain of respiratory symptoms following air travel. However, studies of ventilation systems and patient outcomes indicate the spread of pathogens during flight occurs rarely. In the present review, aspects of the aircraft cabin environment that affect the likelihood of transmission of respiratory pathogens on airplanes are outlined briefly and evidence for the occurrence of outbreaks of respiratory illness among airline passengers are reviewed.
Minority Women and Advocacy for Women's Health
Kumanyika, Shiriki K.; Morssink, Christiaan B.; Nestle, Marion
2001-01-01
US minority health issues involve racial/ethnic disparities that affect both women and men. However, women's health advocacy in the United States does not consistently address problems specific to minority women. The underlying evolution and political strength of the women's health and minority health movements differ profoundly. Women of color comprise only one quarter of women's health movement constituents and are, on average, socioeconomically disadvantaged. Potential alliances may be inhibited by vestiges of historical racial and social divisions that detract from feelings of commonality and mutual support. Nevertheless, insufficient attention to minority women's issues undermines the legitimacy of the women's health movement and may prevent important advances that can be achieved only when diversity is fully considered. PMID:11527764
Framing global health: the governance challenge.
McInnes, Colin; Kamradt-Scott, Adam; Lee, Kelley; Reubi, David; Roemer-Mahler, Anne; Rushton, Simon; Williams, Owain David; Woodling, Marie
2012-01-01
With the emergence of global health comes governance challenges which are equally global in nature. This article identifies some of the initial limitations in analyses of global health governance (GHG) before discussing the focus of this special supplement: the framing of global health issues and the manner in which this impacts upon GHG. Whilst not denying the importance of material factors (such as resources and institutional competencies), the article identifies how issues can be framed in different ways, thereby creating particular pathways of response which in turn affect the potential for and nature of GHG. It also identifies and discusses the key frames operating in global health: evidence-based medicine, human rights, security, economics and development.
NASA Astrophysics Data System (ADS)
Sejč, Pavol; Kubíček, Rastislav
2011-12-01
Welding of austenitic stainless steel has its specific issues, even when the weldability is considered good. The main problems of austenitic stainless steel welding are connected with its metallurgical weldability. The amount of the components presented in the structure of stainless steel welded joint affect its properties, therefore the understanding of the behavior of stainless steel during its welding is important for successful processing and allows the fabricators the possibility to manage the resulting issues. This paper is focused on the influence of heat input on the structural changes in GTA welded joints of austenitic stainless steel designated: ASTM SA TP 304L.
An attachment perspective on incarcerated parents and their children.
Cassidy, Jude; Poehlmann, Julie; Shaver, Phillip R
2010-07-01
The United States now incarcerates more people than any other country in the world (Pew Charitable Trust, 2008), and most of these incarcerated individuals have one or more children 18 years of age or younger (Glaze & Maruschak, 2008). Although the actual number is not known because the information is not systematically collected by jails, prisons, schools, child welfare agencies, or other organizations or institutions, a conservative estimate is that more than three million children are affected (Glaze & Maruschak, 2008; Western & Wildeman, 2009). In editing this special issue we had two major goals: (1) to introduce the many issues raised by parental incarceration to readers already grounded in attachment theory and research and (2) to highlight the importance of an attachment perspective to those who study and work with incarcerated parents. The contributors to this special issue present conceptual and empirical articles focusing on attachment issues related to incarcerated parents and their children. This introduction provides an overview of these contributions.
Measurement of testosterone in human sexuality research: methodological considerations.
van Anders, Sari M; Goldey, Katherine L; Bell, Sarah N
2014-02-01
Testosterone (T) and other androgens are incorporated into an increasingly wide array of human sexuality research, but there are a number of issues that can affect or confound research outcomes. This review addresses various methodological issues relevant to research design in human studies with T; unaddressed, these issues may introduce unwanted noise, error, or conceptual barriers to interpreting results. Topics covered are (1) social and demographic factors (gender and sex; sexual orientations and sexual diversity; social/familial connections and processes; social location variables), (2) biological rhythms (diurnal variation; seasonality; menstrual cycles; aging and menopause), (3) sample collection, handling, and storage (saliva vs. blood; sialogogues, saliva, and tubes; sampling frequency, timing, and context; shipping samples), (4) health, medical issues, and the body (hormonal contraceptives; medications and nicotine; health conditions and stress; body composition, weight, and exercise), and (5) incorporating multiple hormones. Detailing a comprehensive set of important issues and relevant empirical evidence, this review provides a starting point for best practices in human sexuality research with T and other androgens that may be especially useful for those new to hormone research.
Patient and disease factors affecting the choice and adherence to active surveillance.
Dall'Era, Marc A
2015-05-01
Treatment decisions for low-risk prostate cancer are arguably some of the most challenging in oncology. Active surveillance has emerged as an important option for many men with tumors estimated to have a low metastatic potential. Multiple complex patient and physician factors affect the recommendation, selection, and adherence to active surveillance. While baseline clinical criteria are used to identify candidates for this approach, it is important to identify and understand other forces that may influence the management of prostate cancer with active surveillance. Patient perceptions and acceptance of active surveillance have improved over time. Treatment decisions for prostate cancer are strongly associated with physician recommendations, and a high-quality relationship between the patient and his healthcare system is critical to successful active surveillance. Patient understanding of prostate cancer and consistency of information received from separate physicians can affect a decision to pursue active surveillance. Psychological symptoms, most notably regarding anxiety and distress, can affect adherence to active surveillance over time. In general, anxiety for men on active surveillance is low, and lifestyle interventions and self-management strategies may be helpful for increasing quality of life and limiting abandonment of active surveillance in the absence of disease progression. Multiple factors may affect the decision for and adherence to active surveillance for prostate cancer. It is important for both physicians and patients to be aware of these issues and work towards individualized approaches and interventions as needed to increase adoption of active surveillance in the future.
The E-health Literacy Demands of Australia's My Health Record: A Heuristic Evaluation of Usability.
Walsh, Louisa; Hemsley, Bronwyn; Allan, Meredith; Adams, Natalie; Balandin, Susan; Georgiou, Andrew; Higgins, Isabel; McCarthy, Shaun; Hill, Sophie
2017-01-01
My Health Record is Australia's electronic personal health record system, which was introduced in July 2012. As of August 2017, approximately 21 percent of Australia's total population was registered to use My Health Record. Internationally, usability issues have been shown to negatively influence the uptake and use of electronic health record systems, and this scenario may particularly affect people who have low e-health literacy. It is likely that usability issues are negatively affecting the uptake and use of My Health Record in Australia. To identify potential e-health literacy-related usability issues within My Health Record through a heuristic evaluation method. Between September 14 and October 12, 2016, three of the authors conducted a heuristic evaluation of the two consumer-facing components of My Health Record-the information website and the electronic health record itself. These two components were evaluated against two sets of heuristics-the Health Literacy Online checklist and the Monkman Heuristics. The Health Literacy Online checklist and Monkman Heuristics are evidence-based checklists of web design elements with a focus on design for audiences with low health literacy. During this heuristic evaluation, the investigators individually navigated through the consumer-facing components of My Health Record, recording instances where the My Health Record did not conform to the checklist criteria. After the individual evaluations were completed, the investigators conferred and aggregated their results. From this process, a list of usability violations was constructed. When evaluated against the Health Literacy Online Checklist, the information website demonstrated violations in 12 of 35 criteria, and the electronic health record demonstrated violations in 16 of 35 criteria. When evaluated against the Monkman Heuristics, the information website demonstrated violations in 7 of 11 criteria, and the electronic health record demonstrated violations in 9 of 11 criteria. The identified violations included usability issues with the reading levels used within My Health Record, the graphic design elements, the layout of web pages, and a lack of images and audiovisual tools to support learning. Other important usability issues included a lack of translated resources, difficulty using accessibility tools, and complexity of the registration processes. My Health Record is an important piece of technology that has the potential to facilitate better communication between consumers and their health providers. However, this heuristic evaluation demonstrated that many usability-related elements of My Health Record cater poorly to users at risk of having low e-health literacy. Usability issues have been identified as an important barrier to use of personal health records internationally, and the findings of this heuristic evaluation demonstrate that usability issues may be substantial barriers to the uptake and use of My Health Record.
The E-health Literacy Demands of Australia's My Health Record: A Heuristic Evaluation of Usability
Walsh, Louisa; Hemsley, Bronwyn; Allan, Meredith; Adams, Natalie; Balandin, Susan; Georgiou, Andrew; Higgins, Isabel; McCarthy, Shaun; Hill, Sophie
2017-01-01
Background My Health Record is Australia's electronic personal health record system, which was introduced in July 2012. As of August 2017, approximately 21 percent of Australia's total population was registered to use My Health Record. Internationally, usability issues have been shown to negatively influence the uptake and use of electronic health record systems, and this scenario may particularly affect people who have low e-health literacy. It is likely that usability issues are negatively affecting the uptake and use of My Health Record in Australia. Objective To identify potential e-health literacy–related usability issues within My Health Record through a heuristic evaluation method. Methods Between September 14 and October 12, 2016, three of the authors conducted a heuristic evaluation of the two consumer-facing components of My Health Record—the information website and the electronic health record itself. These two components were evaluated against two sets of heuristics—the Health Literacy Online checklist and the Monkman Heuristics. The Health Literacy Online checklist and Monkman Heuristics are evidence-based checklists of web design elements with a focus on design for audiences with low health literacy. During this heuristic evaluation, the investigators individually navigated through the consumer-facing components of My Health Record, recording instances where the My Health Record did not conform to the checklist criteria. After the individual evaluations were completed, the investigators conferred and aggregated their results. From this process, a list of usability violations was constructed. Results When evaluated against the Health Literacy Online Checklist, the information website demonstrated violations in 12 of 35 criteria, and the electronic health record demonstrated violations in 16 of 35 criteria. When evaluated against the Monkman Heuristics, the information website demonstrated violations in 7 of 11 criteria, and the electronic health record demonstrated violations in 9 of 11 criteria. The identified violations included usability issues with the reading levels used within My Health Record, the graphic design elements, the layout of web pages, and a lack of images and audiovisual tools to support learning. Other important usability issues included a lack of translated resources, difficulty using accessibility tools, and complexity of the registration processes. Conclusion My Health Record is an important piece of technology that has the potential to facilitate better communication between consumers and their health providers. However, this heuristic evaluation demonstrated that many usability-related elements of My Health Record cater poorly to users at risk of having low e-health literacy. Usability issues have been identified as an important barrier to use of personal health records internationally, and the findings of this heuristic evaluation demonstrate that usability issues may be substantial barriers to the uptake and use of My Health Record. PMID:29118683
Job-Sharing: A Survey of the Literature and a Plan for Academic Libraries.
ERIC Educational Resources Information Center
Bobay, Julie
1988-01-01
Discusses the social context of job sharing, reported benefits and disadvantages, and general issues that affect the successful implementation of job sharing programs. Issues specifically affecting job sharing in academic libraries are outlined, and methods for dealing with these issues are suggested. (15 references) (CLB)
Management of the assaultive adolescent.
Marohn, R C
1992-06-01
Evaluation and treatment of the assaultive adolescent is an important but difficult process. From a psychodynamic perspective, the author reviews factors associated with adolescent violence, including alcohol and substance use, depression and suicidality, overstimulation, sociocultural and family ambience, property damage, threats of violence, and alexythymia. Management and treatment issues are surveyed, such as the necessity to recognize that in some adolescents violence erupts not from narcissitic rage but from strong wishes for affectionate contact. Violent adolescents have little awareness of an inner psychological world, cannot name affects or differentiate one from another, and often confuse thought, feeling, and deed. In psychodynamic treatment, adolescents are helped to experience affect as part of themselves and to develop the capacity to manage affect and use it as a basis for communication and self-understanding.
Grzelak, Teresa; Dutkiewicz, Agata; Paszynska, Elzbieta; Dmitrzak-Weglarz, Monika; Slopien, Agnieszka; Tyszkiewicz-Nwafor, Marta
2017-05-01
The aim of this study was to determine the characteristic features which contribute to inappropriate eating attitudes in people suffering from anorexia nervosa, based on an analysis of recent data. Factors influencing these attitudes have a genetic, neurobiological, biochemical, affective-motivational, cognitive, and behavioral background. Another important issue addressed in the paper is a description of the mechanism leading to continuous dietary restrictions. The altered activity of neurotransmitters modulating patients' moods after the consumption of food and a disturbed responsiveness to enterohormones enhance affective-motivational and cognitive aspects which, in turn, impede the improvement of eating behaviors. An understanding of the mechanisms behind the factors affecting the maintenance of inappropriate eating attitudes may contribute to greater effectiveness in the treatment of anorexia nervosa.
How do cancer patients manage unattainable personal goals and regulate their emotions?
Schroevers, Maya; Kraaij, Vivian; Garnefski, Nadia
2008-09-01
This article addressed the role of goal adjustment (i.e. disengagement from unattainable goals and reengagement in alternative goals) and cognitive emotion-regulation strategies (i.e. rumination, catastrophizing, positive refocusing) in cancer patients' psychological well-being. We expected that patients who are better able to disengage from unattainable goals, identify alternative goals, and regulate their emotions by positive refocusing and not engaging in rumination and catastrophizing would experience less negative and more positive affect. In this cross-sectional study, data were collected using a self-report questionnaire. Cancer patients (N=108) were recruited on a psychoeducational meeting aimed to inform them about the illness and its consequences. To examine the relationships between goal adjustment, cognitive emotion-regulation strategies, and affect, Pearson correlations were calculated and regression analyses were performed. Regression analyses showed that reengaging in meaningful goals and focusing on pleasant issues were significantly associated with more positive affect. Focusing on pleasant issues was also significantly associated with less negative affect, whereas rumination and catastrophizing were significantly associated with more negative affect. Goal reengagement as well as cognitive emotion-regulation strategies seems to play an important role in cancer patients' psychological well-being. Health care professionals may assist patients in paying more attention to positive experiences in their daily life and in finding new meaningful goals. Techniques based on mindfulness may be used to assist cancer patients in decreasing the repetitive negative thinking about causes, meanings, and consequences of the illness and helping them to focus attention on the present moment.
Whitehouse, Peter J.
2000-01-01
The growing number of individuals affected by dementia will intensify the ethical issues that emerge in clinical practice and research, issues early in disease relate to genetic testing, use of medications in mildly affected persons, and diagnostic disclosure. Research issues relate to appropriate informed consent processes, conflict of interests, and research design issues, such as the use of placebos and the use of biological tissues, in the later stages of disease concern about appropriate therapeutic goals and end-of-life care is appropriate. PMID:22033828
Exploring key factors in online shopping with a hybrid model.
Chen, Hsiao-Ming; Wu, Chia-Huei; Tsai, Sang-Bing; Yu, Jian; Wang, Jiangtao; Zheng, Yuxiang
2016-01-01
Nowadays, the web increasingly influences retail sales. An in-depth analysis of consumer decision-making in the context of e-business has become an important issue for internet vendors. However, factors affecting e-business are complicated and intertwined. To stimulate online sales, understanding key influential factors and causal relationships among the factors is important. To gain more insights into this issue, this paper introduces a hybrid method, which combines the Decision Making Trial and Evaluation Laboratory (DEMATEL) with the analytic network process, called DANP method, to find out the driving factors that influence the online business mostly. By DEMATEL approach the causal graph showed that "online service" dimension has the highest degree of direct impact on other dimensions; thus, the internet vendor is suggested to made strong efforts on service quality throughout the online shopping process. In addition, the study adopted DANP to measure the importance of key factors, among which "transaction security" proves to be the most important criterion. Hence, transaction security should be treated with top priority to boost the online businesses. From our study with DANP approach, the comprehensive information can be visually detected so that the decision makers can spotlight on the root causes to develop effectual actions.
Coast, Ernestina; Jones, Eleri; Lattof, Samantha R; Portela, Anayda
2016-01-01
Addressing cultural factors that affect uptake of skilled maternity care is recognized as an important step in improving maternal and newborn health. This article describes a systematic review to examine the evidence available on the effects of interventions to provide culturally appropriate maternity care on the use of skilled maternity care during pregnancy, for birth or in the postpartum period. Items published in English, French and/or Spanish between 1 January 1990 and 31 March 2014 were considered. Fifteen studies describing a range of interventions met the inclusion criteria. Data were extracted on population and intervention characteristics; study design; definitions and data for relevant outcomes; and the contexts and conditions in which interventions occurred. Because most of the included studies focus on antenatal care outcomes, evidence of impact is particularly limited for care seeking for birth and after birth. Evidence in this review is clustered within a small number of countries, and evidence from low- and middle-income countries is notably lacking. Interventions largely had positive effects on uptake of skilled maternity care. Cultural factors are often not the sole factor affecting populations’ use of maternity care services. Broader social, economic, geographical and political factors interacted with cultural factors to affect targeted populations’ access to services in included studies. Programmes and policies should seek to establish an enabling environment and support respectful dialogue with communities to improve use of skilled maternity care. Whilst issues of culture are being recognized by programmes and researchers as being important, interventions that explicitly incorporate issues of culture are rarely evaluated. PMID:27190222
Informed consent process: A step further towards making it meaningful!
Kadam, Rashmi Ashish
2017-01-01
Informed consent process is the cornerstone of ethics in clinical research. Obtaining informed consent from patients participating in clinical research is an important legal and ethical imperative for clinical trial researchers. Although informed consent is an important process in clinical research, its effectiveness and validity are always a concern. Issues related to understanding, comprehension, competence, and voluntariness of clinical trial participants may adversely affect the informed consent process. Communication of highly technical, complex, and specialized clinical trial information to participants with limited literacy, diverse sociocultural background, diminished autonomy, and debilitating diseases is a difficult task for clinical researchers. It is therefore essential to investigate and adopt innovative communication strategies to enhance understanding of clinical trial information among participants. This review article visits the challenges that affect the informed consent process and explores various innovative strategies to enhance the consent process. PMID:28828304
Lying to Ourselves: Dishonesty in the Army Profession
2015-02-01
nature of land warfare; • Matters affecting the Army’s future; • The concepts, philosophy, and theory of strategy; and, • Other issues of importance...morally wrong behavior into socially acceptable conduct by dimming the glare and guilt of the ethical spotlight. One factor that encourages ethical...placating the Army bureaucracy or civilian overseers by telling them what they want to hear. As a result, Army leaders learn to talk of one world
Body image issues in women with breast cancer.
Helms, Rebecca L; O'Hea, Erin L; Corso, Marlaena
2008-05-01
Diagnosis and treatment of breast cancer affects women physically as well as psychologically. There are many obvious and real factors that are related to psychological distress in women coping with breast cancer, such as facing a life-threatening illness, painful and impairing treatments, and significant role changes. Although these factors are clearly important, issues related to body image in women faced with breast cancer can also add to psychological distress. Women, in general, are concerned with their appearance, their weight, and their body, with recent studies suggesting 89% of women reported concerns with weight. Such premorbid concerns are often deeply ingrained and can contribute to psychological distress in women treated for breast cancer. The present article is a summary of the literature that has examined body image issues and related psychological adjustment in women with breast cancer. Implications for clinical practice and recommendations for future investigations are discussed.
Feminism and nurse-midwifery. Historical overview and current issues.
McCool, W F; McCool, S J
1989-01-01
Despite the fact that the profession of nurse-midwifery and feminism are both disciplines concerned with women and issues affecting women's lives, there has been little investigation or acknowledgement of relationships between their two paradigms. The work presented here is an attempt to discover both similarities and differences between nurse-midwifery and feminist thought. Using a historical approach, it is shown that despite the common goal of improving and maintaining women's status in the world, whether in general or more specifically with regard to health, feminist theorists and nurse-midwives, to a large degree, have worked separately from each other, rarely acknowledging in any formal way the importance of the other discipline. Current issues that have an effect on the practice of nurse-midwifery today--lay midwifery, the profession of nursing, and nurse-midwifery research--are presented in relation to contemporary feminist thought.
Changes in tax laws could affect universities
NASA Astrophysics Data System (ADS)
A major item on the agenda of the U.S. Congress during July is the passage of legislation implementing the budget agreement worked out between the President and Congress.There are two components to be considered: changes in program spending and taxes. Attention is now focused on the massive tax bill, the first of this size to be considered since 1981. Congress is considering several important changes that would alter the conduct of education, and related matters, at universities. The House and Senate have passed different versions of the bill (H.R. 2014), which now must be reconciled by a conference committee. Although many issues in the tax bill may be resolved by July 18, issues needing more attention may not be settled until the end of July, and all indications point to the House—Senate conference being long and difficult, with major battles over tobacco taxes, family tax credits, capital gains, and corporate taxes, among other issues.
Physics education students’ cognitive and affective domains toward ecological phenomena
NASA Astrophysics Data System (ADS)
Napitupulu, N. D.; Munandar, A.; Redjeki, S.; Tjasyono, B.
2018-05-01
Environmental education is become prominent in dealing with natural phenomena that occur nowadays. Studying environmental physics will lead students to have conceptual understanding which are importent in enhancing attitudes toward ecological phenomena that link directry to cognitive and affective domains. This research focused on the the relationship of cognitive and affective domains toward ecological phenomena. Thirty-seven Physics Education students participated in this study and validated sources of data were collected to eksplore students’ conceptual understanding as cognitive domain and to investigate students’ attitudes as affective domain. The percentage of cognitive outcome and affective outcome are explore. The features of such approaches to environmental learning are discussion through analysis of contribution of cognitive to develop the attitude ecological as affective outcome. The result shows that cognitive domains do not contribute significantly to affective domain toward ecological henomena as an issue trend in Central Sulawesi although students had passed Environmental Physics instruction for two semester. In fact, inferior knowledge in a way actually contributes to the attitude domain caused by the prior knowledge that students have as ombo as a Kaili local wisdom.
42 CFR 498.56 - Hearing on new issues.
Code of Federal Regulations, 2010 CFR
2010-10-01
...) STANDARDS AND CERTIFICATION APPEALS PROCEDURES FOR DETERMINATIONS THAT AFFECT PARTICIPATION IN THE MEDICARE PROGRAM AND FOR DETERMINATIONS THAT AFFECT THE PARTICIPATION OF ICFs/MR AND CERTAIN NFs IN THE MEDICAID..., provide a hearing on new issues that impinge on the rights of the affected party. (2) Except for provider...
State Outlook: Fiscal and Public Policy Issues Affecting Postsecondary Education
ERIC Educational Resources Information Center
American Association of State Colleges and Universities, 2010
2010-01-01
This publication provides a compilation of the issues affecting postsecondary education in America. The contents of this issue include: (1) Overview of Economic and Fiscal Policy Dynamics; (2) July 2010 Economic Snapshot; (3) State Economic Conditions and Budget Outlook; (4) State Budget Pressures; (5) State Budget Realignment Strategies; (6)…
State Outlook: Fiscal and State Policy Issues Affecting Postsecondary Education
ERIC Educational Resources Information Center
American Association of State Colleges and Universities, 2010
2010-01-01
This publication provides a compilation of the issues affecting postsecondary education in America. The contents of this issue include: (1) Overview of Economic and Fiscal Dynamics; (2) Global and Domestic Growth Prospects; (3) Snapshot of Economic Indicators--November 2010; (4) Labor Market Conditions and Post-Recession Economic Impacts; (5)…
NASA Technical Reports Server (NTRS)
1976-01-01
Papers on major issues and trends that affect the future of intercity transportation are presented. Specific areas covered include: political, social, technological, institutional, and economic mechanisms, the workings of which determine how future intercity transporation technologies will evolve and be put into service; the major issues of intercity transportation from the point of view of reform, including candidate transporation technologies; and technical analysis of trends affecting the evolution of intercity transportation technologies.
Anderson, James G
2004-03-18
The purpose of this paper is to propose a case-based approach to instruction regarding ethical issues raised by the use of information technology (IT) in healthcare. These issues are rarely addressed in graduate degree and continuing professional education programs in health informatics. There are important reasons why ethical issues need to be addressed in informatics training. Ethical issues raised by the introduction of information technology affect practice and are ubiquitous. These issues are frequently among the most challenging to young practitioners who are ill prepared to deal with them in practice. First, the paper provides an overview of methods of moral reasoning that can be used to identify and analyze ethical problems in health informatics. Second, we provide a framework for defining cases that involve ethical issues and outline major issues raised by the use of information technology. Specific cases are used as examples of new dilemmas that are posed by the introduction of information technology in healthcare. These cases are used to illustrate how ethics can be integrated with the other elements of informatics training. The cases discussed here reflect day-to-day situations that arise in health settings that require decisions. Third, an approach that can be used to teach ethics in health informatics programs is outlined and illustrated.
Main issues of pile foundation at waterfront development and its prevention method
NASA Astrophysics Data System (ADS)
Manap, N.; Tan, K. Y.; Syahrom, N.
2017-12-01
Pile foundation is widely used in construction and building marine structures. This is because pile foundation is an important structure and should have long-term durability. However, in waterfront development, a lot of issues from the seawater should be considered distinctively because it consists of many problems that can affect the building structure especially the foundation of the building. Thus, a research should be conducted to identify issues of pile foundation at waterfront development and determine its prevention methods. The research was carried out through interviews with the developers and contractors from the projects of Lexis Hibiscus at Port Dickson, Negeri Sembilan and Redevelopment for Deep-Water Facilities at Quay 6 in Pasir Gudang, Johor, Malaysia. The objectives of this research are to identify issues of pile foundation and to determine the prevention methods of pile foundation issues at waterfront development. All respondents agreed that the main issues of pile foundations at waterfront development are the wave and tide condition. The prevention methods of the issue faced at waterfront development that are most frequently used for the pile foundation are coating system and concrete cover. This research is beneficial to all developers and contractors to ensure pile foundations at waterfront development can be protected by using the prevention methods.
Summary of panel session 3 -- Environmental issues affecting CCT deployment
DOE Office of Scientific and Technical Information (OSTI.GOV)
Hausker, K.
1997-12-31
The panelists discussed a variety of environmental issues that affect CCT deployment, and more broadly speaking, power development in general. The issues were both international and domestic in nature. The author summarizes the issues discussed. A summary is also presented which highlights ideas from the panelists that could be characterized as solutions to the demand for improved environmental performance and the surrounding uncertainties. The author offers some personal comments and observations.
Scanning the horizon in a decentralized healthcare system: the Canadian experience.
Morrison, Andra
2012-07-01
Canada has a highly decentralized health care system with 13 provinces and territories delivering health care within their own respective jurisdictions. Decisions regarding which innovative health technologies to adopt are often driven by the unique health care priorities of each jurisdiction's population. To understand these needs, the Canadian Agency for Drugs and Technologies in Health's (CADTH's) Early Awareness Service has expanded its activities. In addition to proactively scanning the horizon for new and emerging health technologies, the Early Awareness Service also scans the horizon for national and jurisdictional health policy issues. This paper looks at CADTH's process for identifying and monitoring policy issues at a national and jurisdictional level. CADTH's Early Awareness Service delivers timely information on emerging health care concerns and technologies that may affect health care finances, facilities, operations, and patient care. The identification of important policy issues can help determine which new and emerging technologies will have the most significant impact on the health care system. The information that CADTH scans can also be used to help decision-makers prepare for potential developments and events that may have an impact on health care systems. By improving its capability to identify and share policy issues across and within jurisdictions, CADTH is better situated to provide information that can be used by policy-makers to help them plan and anticipate for the introduction of new technologies and future developments affecting the unique health care needs of their jurisdictions.
102: PROMOTING INFORMATION LITERACY BY PROMOTING HEALTH LITERACY IN THE INFORMATION SOCIETY
Dastani, Meisam; Sattari, Masoume
2017-01-01
Background and aims In the information society the production, distribution and use of information is freely and widely available for all issues of life. Correct and appropriate use of appropriate and reliable information is especially important in health care. The present study introduces the concepts and benefits of health literacy and information literacy and its role in improving health literacy. Methods This study is a review based on a review of the concepts of the information society, information literacy and information educated to present importance of promoting information literacy on health literacy in the information society. Results and Conclusion The information society by providing a platform of information technology and computer systems to attempts exchange and development information between people in the community. Currently, electronic and web-based health information in the form of mass is available for people. Information as a fundamental base of the information society is a phenomenon that our decisions are affect in relation to various issues such as safety and health issues. It is important point to avoid the mass of information invalid, incorrect and inappropriate available on the internet. This requires information literacy skills such as identifying, accessing and evaluating information. In general, it can be said that the promotion of health literacy in communities are required to learn different skills in the form of information literacy.
Virtual fragment preparation for computational fragment-based drug design.
Ludington, Jennifer L
2015-01-01
Fragment-based drug design (FBDD) has become an important component of the drug discovery process. The use of fragments can accelerate both the search for a hit molecule and the development of that hit into a lead molecule for clinical testing. In addition to experimental methodologies for FBDD such as NMR and X-ray Crystallography screens, computational techniques are playing an increasingly important role. The success of the computational simulations is due in large part to how the database of virtual fragments is prepared. In order to prepare the fragments appropriately it is necessary to understand how FBDD differs from other approaches and the issues inherent in building up molecules from smaller fragment pieces. The ultimate goal of these calculations is to link two or more simulated fragments into a molecule that has an experimental binding affinity consistent with the additive predicted binding affinities of the virtual fragments. Computationally predicting binding affinities is a complex process, with many opportunities for introducing error. Therefore, care should be taken with the fragment preparation procedure to avoid introducing additional inaccuracies.This chapter is focused on the preparation process used to create a virtual fragment database. Several key issues of fragment preparation which affect the accuracy of binding affinity predictions are discussed. The first issue is the selection of the two-dimensional atomic structure of the virtual fragment. Although the particular usage of the fragment can affect this choice (i.e., whether the fragment will be used for calibration, binding site characterization, hit identification, or lead optimization), general factors such as synthetic accessibility, size, and flexibility are major considerations in selecting the 2D structure. Other aspects of preparing the virtual fragments for simulation are the generation of three-dimensional conformations and the assignment of the associated atomic point charges.
Voting for a personality: Do first impressions and self-evaluations affect voting decisions?
Koppensteiner, Markus; Stephan, Pia
2014-08-01
Participants were asked to assess their own personality (i.e. Big Five scales), the personality of politicians shown in brief silent video clips, and the probability that they would vote for these politicians. Response surface analyses (RSA) revealed noteworthy effects of self-ratings and observer-ratings of openness, agreeableness, and emotional stability on voting probability. Furthermore, the participants perceived themselves as being more open, more agreeable, more emotionally stable, and more extraverted than the average politician. The study supports previous findings that first impressions affect decision making on important issues. Results also indicate that when only nonverbal information is available people prefer political candidates they perceive as having personality traits they value in themselves.
Reflexive journaling on emotional research topics: ethical issues for team researchers.
Malacrida, Claudia
2007-12-01
Traditional epistemological concerns in qualitative research focus on the effects of researchers' values and emotions on choices of research topics, power relations with research participants, and the influence of researcher standpoints on data collection and analysis. However, the research process also affects the researchers' values, emotions, and standpoints. Drawing on reflexive journal entries of assistant researchers involved in emotionally demanding team research, this article explores issues of emotional fallout for research team members, the implications of hierarchical power imbalances on research teams, and the importance of providing ethical opportunities for reflexive writing about the challenges of doing emotional research. Such reflexive approaches ensure the emotional safety of research team members and foster opportunities for emancipatory consciousness among research team members.
Considerations in pharmaceutical conversion: focus on antihistamines.
Garbus, S B; Moulton, B W; Meltzer, E O; Reich, P R; Weinreb, L F; Friedman, J A; Orland, B I
1997-04-01
The practice of pharmaceutical conversion, which encompasses three types of drug interchange (generic, brand, and therapeutic substitution), is increasing in managed care settings. Pharmaceutical conversion has numerous implications for managed care organizations, their healthcare providers, and their customers. Although drug cost may be a driving consideration in pharmaceutical conversion, a number of other considerations are of equal or greater importance in the decision-making process may affect the overall cost of patient care. Among these considerations are clinical, psychosocial, and safety issues; patient adherence; patient satisfaction; and legal implications of pharmaceutical conversion. Patient-centered care must always remain central to decisions about pharmaceutical conversion. This article discusses the issues related to, and implications of, pharmaceutical conversion utilizing the antihistamines class of drugs as the case situation.
Not All Parts Are Created Equal: The Impact Of Counterfeit Parts In The Air Force Supply Chain
2017-04-06
Government implemented a whole of government approach to tackle this issue. This issue affects both DOD, defense contractors by increasing costs...and oversight to reduce Supply Chain Risk”.2 In other words, the issue has not been resolved. This issue affects both DOD, defense contractors by...U.S. parts distributors that sprang up virtually overnight after Congress did away with requiring primary government contractors to certify all
Characterization of Depression in Children with Autism Spectrum Disorders
Magnuson, Katherine M.; Constantino, John N.
2011-01-01
Depressive syndromes represent a disabling comorbidity for many children with autism spectrum disorders (ASD), however the ascertainment of depression can be complicated by phenotypic overlap between the two conditions, by ways in which autistic symptomatology can mask cardinal features of depression, and by atypical manifestations of depression in children with ASD. These issues have contributed to wide variation in the estimation of prevalence rates of depression in individuals with ASD, and invoke the need for new approaches to the specific detection of depression and other neuropsychiatric comorbidities that aggregate in children affected by ASD. We review the scientific literature relevant to the occurrence of depression in ASD, and consider important parameters of risk, including psychosocial factors such as insight into affectation status, as well as biological factors such as the aggregation of depressive syndromes in certain families affected by autism, which has suggested possible overlap in genetic influences underlying the two conditions. Variability in the manifestations of depression across environmental contexts provides important clues to intervention, and underscores the potential importance of involving multiple informants in ascertaining depression in children and adolescents with ASD. A practical strategy for evaluating the presence of depression in youth with ASD is synthesized from the available data and discussed. PMID:21502871
Transcribing nonsense words: The effect of numbers of voices and repetitions.
Knight, Rachael-Anne
2010-06-01
Transcription skills are crucially important to all phoneticians, and particularly for speech and language therapists who may use transcriptions to make decisions about diagnosis and intervention. Whilst interest in factors affecting transcription accuracy is increasing, there are still a number of issues that are yet to be investigated. The present paper considers how the number of voices and the number of repetitions affects the transcription of nonsense words. Thirty-two students in their second year of study for a BSc in Speech and Language Therapy were participants in an experiment. They heard two nonsense words presented 10 times in either one or two voices. Results show that the number of voices did not affect accuracy, but that accuracy increased between six and ten repetitions. The reasons behind these findings, and implications for teaching and learning, and further research are discussed.
The benefits of frequent positive affect: does happiness lead to success?
Lyubomirsky, Sonja; King, Laura; Diener, Ed
2005-11-01
Numerous studies show that happy individuals are successful across multiple life domains, including marriage, friendship, income, work performance, and health. The authors suggest a conceptual model to account for these findings, arguing that the happiness-success link exists not only because success makes people happy, but also because positive affect engenders success. Three classes of evidence--crosssectional, longitudinal, and experimental--are documented to test their model. Relevant studies are described and their effect sizes combined meta-analytically. The results reveal that happiness is associated with and precedes numerous successful outcomes, as well as behaviors paralleling success. Furthermore, the evidence suggests that positive affect--the hallmark of well-being--may be the cause of many of the desirable characteristics, resources, and successes correlated with happiness. Limitations, empirical issues, and important future research questions are discussed.
The relation between language, culture, and thought.
Imai, Mutsumi; Kanero, Junko; Masuda, Takahiko
2016-04-01
The relationship between culture, language, and thought has long been one of the most important topics for those who wish to understand the nature of human cognition. This issue has been investigated for decades across a broad range of research disciplines. However, there has been scant communication across these different disciplines, a situation largely arising through differences in research interests and discrepancies in the definitions of key terms such as 'culture,' 'language,' and 'thought.' This article reviews recent trends in research on the relation between language, culture and thought to capture how cognitive psychology and cultural psychology have defined 'language' and 'culture,' and how this issue was addressed within each research discipline. We then review recent research conducted in interdisciplinary perspectives, which directly compared the roles of culture and language. Finally, we highlight the importance of considering the complex interplay between culture and language to provide a comprehensive picture of how language and culture affect thought. Copyright © 2015 Elsevier Ltd. All rights reserved.
Issues unique to the female runner.
Prather, Heidi; Hunt, Deyvani
2005-08-01
Care and treatment of female runners will improve as further knowledge regarding the unique factors that affect them becomes available. For care and treatment to be their most effective, current and recent information needs to be disseminated among health care providers, coaches, teachers, school administrators, and parents. In young athletes, peer support and education are the most important factors in the success of detection and treatment. Individuals who have the female athlete triad are at significant risk for stress fractures and other injuries. Early detection and multidisciplinary treatment should begin after fractures are detected to reduce or prevent long-term adverse sequelae to bone. In addition, correction of menstrual dysfunction can help to prevent later fertility problems. Addressing the unique biomechanics and core strength of female runners also is essential to rehabilitate athletes past symptom resolution. A thorough understanding of the unique issues for female runners is essential for the prevention of injuries and plays an important role in the promotion of female participation in recreational and competitive running.
The Obama health care plan: what it means for mental health care of older adults.
Sorrell, Jeanne M
2009-01-01
Health care was an important issue for both the Obama and McCain election campaigns. Now that Barack Obama is poised to serve as the 44th President of the United States, many health care providers are focused on what Obama's administration will mean for new health care initiatives. This article focuses specifically on aspects of the Obama and Biden health care plan that affects mental health care for older adults.
Beyond cost-effectiveness: Using systems analysis for infectious disease preparedness.
Phelps, Charles; Madhavan, Guruprasad; Rappuoli, Rino; Colwell, Rita; Fineberg, Harvey
2017-01-20
Until the recent outbreaks, Ebola vaccines ranked low in decision makers' priority lists based on cost-effectiveness analysis and (or) corporate profitability. Despite a relatively small number of Ebola-related cases and deaths (compared to other causes), Ebola vaccines suddenly leapt to highest priority among international health agencies and vaccine developers. Clearly, earlier cost-effectiveness analyses badly missed some factors affecting real world decisions. Multi-criteria systems analysis can improve evaluation and prioritization of vaccine development and also of many other health policy and investment decisions. Neither cost-effectiveness nor cost-benefit analysis can capture important aspects of problems such as Ebola or the emerging threat of Zika, especially issues of inequality and disparity-issues that dominate the planning of many global health and economic organizations. Cost-benefit analysis requires assumptions about the specific value of life-an idea objectionable to many analysts and policy makers. Additionally, standard cost-effectiveness calculations cannot generally capture effects on people uninfected with Ebola for example, but nevertheless affected through such factors as contagion, herd immunity, and fear of dread disease, reduction of travel and commerce, and even the hope of disease eradication. Using SMART Vaccines, we demonstrate how systems analysis can visibly include important "other factors" and more usefully guide decision making and beneficially alter priority setting processes. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.
Hund, Lauren; Soto Mas, Francisco
2016-01-01
In the United States, data confirm that Spanish-speaking immigrants are particularly affected by the negative health outcomes associated with low health literacy. Although the literature points to variables such as age, educational background and language, only a few studies have investigated the factors that may influence health literacy in this group. Similarly, the role that bilingualism and/or multilingualism play in health literacy assessment continues to be an issue in need of further research. The purpose of this study was to examine the predictors of English health literacy among adult Hispanic immigrants whose self-reported primary language is Spanish, but who live and function in a bilingual community. It also explored issues related to the language of the instrument. An analysis of data collected through a randomized controlled study was conducted. Results identified English proficiency as the strongest predictor of health literacy (p < 0.001). The results further point to the importance of primary and secondary language in the assessment of heath literacy level. This study raises many questions in need of further investigation to clarify how language proficiency and sociolinguistic environment affect health literacy in language minority adults; proposes language approaches that may be more appropriate for measuring health literacy in these populations; and recommends further place-based research to determine whether the connection between language proficiency and health is generalizable to border communities. PMID:27127416
Hagiwara, Hiromi; Nakano, Shun; Ogawa, Yoshihiro; Tohkin, Masahiro
2015-06-01
We evaluated the effectiveness of warning letters published by the pharmaceutical regulatory agency in Japan on communication of drug safety and risk by quantitative analysis of the national health insurance claims database (NHICD). We then explored what factors may have affected risk communication. We measured the implementation rate of the hepatitis virus-monitoring test among methotrexate (MTX)-treated patients; a warning letter had been issued regarding the use of MTX, as it apparently activates the hepatitis virus. Data from the NHICD, which include 99·3% of Japanese residents, were used. A total of 4,933,481 patients with rheumatoid arthritis (RA) (January-June, 2010) were the focus of this study. The implementation rate of the hepatitis virus-monitoring test increased from 1·4% before to 1·8% after the warning letter announcement. Logistic regression analysis suggested that the installation of a drug information management room is one of the important factors affecting risk communication. Further analysis revealed that the hepatitis virus monitoring rates in hospitals without drug information management rooms increased from 2·3% to 4·1% due to the issue of the warning letter. The warning letter from the regulatory agency plays an important role in risk communication in hospitals without drug information management rooms. © 2015 John Wiley & Sons Ltd.
Jacobson, Holly E; Hund, Lauren; Soto Mas, Francisco
In the United States, data confirm that Spanish-speaking immigrants are particularly affected by the negative health outcomes associated with low health literacy. Although the literature points to variables such as age, educational background and language, only a few studies have investigated the factors that may influence health literacy in this group. Similarly, the role that bilingualism and/or multilingualism play in health literacy assessment continues to be an issue in need of further research. The purpose of this study was to examine the predictors of English health literacy among adult Hispanic immigrants whose self-reported primary language is Spanish, but who live and function in a bilingual community. It also explored issues related to the language of the instrument. An analysis of data collected through a randomized controlled study was conducted. Results identified English proficiency as the strongest predictor of health literacy (p < 0.001). The results further point to the importance of primary and secondary language in the assessment of heath literacy level. This study raises many questions in need of further investigation to clarify how language proficiency and sociolinguistic environment affect health literacy in language minority adults; proposes language approaches that may be more appropriate for measuring health literacy in these populations; and recommends further place-based research to determine whether the connection between language proficiency and health is generalizable to border communities.
Mineur, Frederic; Le Roux, Auguste; Maggs, Christine A; Verlaque, Marc
2014-12-01
With globalization, agriculture and aquaculture activities are increasingly affected by diseases that are spread through movement of crops and stock. Such movements are also associated with the introduction of non-native species via hitchhiking individual organisms. The oyster industry, one of the most important forms of marine aquaculture, embodies these issues. In Europe disease outbreaks affecting cultivated populations of the naturalized oyster Crassostrea gigas caused a major disruption of production in the late 1960s and early 1970s. Mitigation procedures involved massive imports of stock from the species' native range in the northwestern Pacific from 1971 to 1977. We assessed the role stock imports played in the introduction of non-native marine species (including pathogens) from the northwestern Pacific to Europe through a methodological and critical appraisal of record data. The discovery rate of non-native species (a proxy for the introduction rate) from 1966 to 2012 suggests a continuous vector activity over the entire period. Disease outbreaks that have been affecting oyster production since 2008 may be a result of imports from the northwestern Pacific, and such imports are again being considered as an answer to the crisis. Although successful as a remedy in the short and medium terms, such translocations may bring new diseases that may trigger yet more imports (self-reinforcing or positive feedback loop) and lead to the introduction of more hitchhikers. Although there is a legal framework to prevent or reduce these introductions, existing procedures should be improved. © 2014 Society for Conservation Biology.
[Differential diagnosis of febrile exanthema].
Aramă, St S; Anca, Ioana Alina; Munteanu, Daniela-Ioana; Aramă, Victoria; Hristea, Adriana; Moroti, Ruxandra; Ion, Daniela Adriana
2007-01-01
Febrile exanthema (FE) is an extremely polymorphous clinical entity, frequently seen in daily clinical practice. FE is characterized by diffuse rash and fever. FE is classified in 4 types, depending on the primary skin lesion: macular, maculopapular, vesicular, and bullous exanthema. It is of infectious and non-infectious cause. Among the infectious causes the most frequent is the viral one. FE may affect all ages, but especially children and young people. Usually, FE raises important issues of differential diagnosis, because its clinical and etiological complexity. To decide the most appropriate therapeutic and prophylactic measures for FE, it is important to know the clinical criteria and the specific diagnostic methods.
Bratland-Sanda, Solfrid; Sundgot-Borgen, Jorunn; Rø, Øyvind; Rosenvinge, Jan H; Hoffart, Asle; Martinsen, Egil W
2010-04-01
To describe changes in physical activity (PA) and exercise dependence score during treatment of eating disorders (ED), and to explore correlations among changes in PA, exercise motivation, exercise dependence score and ED psychopathology in excessive and non-excessive exercisers. Thirty-eight adult females receiving inpatient treatment for anorexia nervosa, bulimia nervosa or ED not otherwise specified participated in this prospective study. Assessments included accelerometer assessed PA, Exercise Dependence Scale, Reasons for Exercise Inventory, ED Examination, and ED Inventory. Amount of PA was significantly reduced in non-excessive exercisers during treatment, in excessive exercisers there was a trend towards reduced amount of PA from admission to discharge. In excessive exercisers, reduced ED psychopathology was correlated with reduction in exercise dependence score and perceived importance of exercise to regulate negative affects, but not with importance of exercise for weight/appearance. These associations were not found in non-excessive exercisers. Excessive exercise is an important issue in longstanding ED, and the excessive exercising patients need help to develop alternative strategies to regulate negative affects.
Psychiatry Departments Under Constrained Funding Mechanisms or What Is a Chairperson to Do?
Magen, Jed; Rapaport, Mark Hyman
2016-12-01
The authors surveyed academic departments of psychiatry to examine what effect decreases in funding levels may be having. An internet survey of all departments of psychiatry was conducted at US medical schools. The response rate was 43 of 120 programs. Both large more research intensive and smaller more clinical departments responded. Majorities of departments reported that funding decreases negatively impacted faculty recruitment, research, faculty retention, and teaching programs. Approximately, one-third reported laying-off non-tenured faculty members and almost half, staff members. Graduate Medical Education (GME) funding was also a challenge. Departments reported responding by attempting to develop alternative funding sources. Few departments in the sample were doing significant fund raising. Academic departments find themselves stressed financially and are constricting some functions that are thought important. They are, in general, not able to replace lost funding. The research enterprise appears to be disproportionately affected and results in problems recruiting faculty. GME programs thus far seem less affected. Overall, funding issues appear to be causing serious issues that will have long-term consequences.
Sonak, Sangeeta; Pangam, Prajwala; Giriyan, Asha
2008-10-01
A tsunami, triggered by a massive undersea earthquake off Sumatra in Indonesia, greatly devastated the lives, property and infrastructure of coastal communities in the coastal states of India, Andaman and Nicobar Islands, Indonesia, Sri Lanka, Malaysia and Thailand. This event attracted the attention of environmental managers at all levels, local, national, regional and global. It also shifted the focus from the impact of human activities on the environment to the impacts of natural hazards. Recovery/reconstruction of these areas is highly challenging. A clear understanding of the complex dynamics of the coast and the types of challenges faced by the several stakeholders of the coast is required. Issues such as sustainability, equity and community participation assume importance. The concept of ICZM (integrated coastal zone management) has been effectively used in most parts of the world. This concept emphasizes the holistic assessment of the coast and a multidisciplinary analysis using participatory processes. It integrates anthropocentric and eco-centric approaches. This paper documents several issues involved in the recovery of tsunami-affected areas and recommends the application of the ICZM concept to the reconstruction efforts.
Shamian, Judith
2014-12-01
We know from rigorous evidence that nurses can exert an incredible impact on the everyday lives of people and their health. Nurses can also contribute in much wider spheres of influence by applying their knowledge and skills to address broader issues affecting population health across communities, nations and globally. Despite the prevalence of so many vexing health and social issues, nurses often fail to think globally, or even regionally, when they are lobbying for change. And while much political influence is local, some issues are simply too complex to rely on local influence alone. Importantly in all this, we must acknowledge the ways these complex health issues are shaped by economic and political agendas and not necessarily by healthcare agendas. As such, the nursing community has to act globally and locally, both within and outside of the nursing arena. This paper explores early thinking about an evolving model of spheres--or "bubbles"--of policy influence in which nurses can and must operate to more effectively impact key global health and healthcare challenges.
Water quality degradation effects on freshwater availability: Impacts to human activities
Peters, N.E.; Meybeck, Michel
2000-01-01
The quality of freshwater at any point on the landscape reflects the combined effects of many processes along water pathways. Human activities on all spatial scales affect both water quality and quantity. Alteration of the landscape and associated vegetation has not only changed the water balance, but typically has altered processes that control water quality. Effects of human activities on a small scale are relevant to an entire drainage basin. Furthermore, local, regional, and global differences in climate and water flow are considerable, causing varying effects of human activities on land and water quality and quantity, depending on location within a watershed, geology, biology, physiographic characteristics, and climate. These natural characteristics also greatly control human activities, which will, in turn, modify (or affect) the natural composition of water. One of the most important issues for effective resource management is recognition of cyclical and cascading effects of human activities on the water quality and quantity along hydrologic pathways. The degradation of water quality in one part of a watershed can have negative effects on users downstream. Everyone lives downstream of the effects of some human activity. An extremely important factor is that substances added to the atmosphere, land, and water generally have relatively long time scales for removal or clean up. The nature of the substance, including its affinity for adhering to soil and its ability to be transformed, affects the mobility and the time scale for removal of the substance. Policy alone will not solve many of the degradation issues, but a combination of policy, education, scientific knowledge, planning, and enforcement of applicable laws can provide mechanisms for slowing the rate of degradation and provide human and environmental protection. Such an integrated approach is needed to effectively manage land and water resources.
Coast, Ernestina; Jones, Eleri; Lattof, Samantha R; Portela, Anayda
2016-12-01
Addressing cultural factors that affect uptake of skilled maternity care is recognized as an important step in improving maternal and newborn health. This article describes a systematic review to examine the evidence available on the effects of interventions to provide culturally appropriate maternity care on the use of skilled maternity care during pregnancy, for birth or in the postpartum period. Items published in English, French and/or Spanish between 1 January 1990 and 31 March 2014 were considered. Fifteen studies describing a range of interventions met the inclusion criteria. Data were extracted on population and intervention characteristics; study design; definitions and data for relevant outcomes; and the contexts and conditions in which interventions occurred. Because most of the included studies focus on antenatal care outcomes, evidence of impact is particularly limited for care seeking for birth and after birth. Evidence in this review is clustered within a small number of countries, and evidence from low- and middle-income countries is notably lacking. Interventions largely had positive effects on uptake of skilled maternity care. Cultural factors are often not the sole factor affecting populations' use of maternity care services. Broader social, economic, geographical and political factors interacted with cultural factors to affect targeted populations' access to services in included studies. Programmes and policies should seek to establish an enabling environment and support respectful dialogue with communities to improve use of skilled maternity care. Whilst issues of culture are being recognized by programmes and researchers as being important, interventions that explicitly incorporate issues of culture are rarely evaluated. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.
The Mind-Body Connection - Can Prolonged Stress Affect Whether Breast Cancer Returns?
... Past Issues The Mind-Body Connection Can Prolonged Stress Affect Whether Breast Cancer Returns? Past Issues / Winter ... traumatic life events. The categories ranged from traumatic stress to some stress to no significant stress. According ...
75 FR 63058 - Airworthiness Directives; PIAGGIO AERO INDUSTRIES S.p.A Model PIAGGIO P-180 Airplanes
Federal Register 2010, 2011, 2012, 2013, 2014
2010-10-14
...) Service Bulletin (SB) 80-0268 original issue, which contains instructions to rework the affected area... Bulletin (SB) 80-0268 original issue, which contains instructions to rework the affected area, thus...
Study of the regulatory issues affecting truck freight movement in the Midwest.
DOT National Transportation Integrated Search
2014-12-01
This project investigated regulatory issues that may affect or limit freight movement in Iowa and other Midwest states: Illinois, Kansas, : Minnesota, Missouri, Nebraska, South Dakota, and Wisconsin. Current state regulations for the following are re...
Women's Health. Report of the Public Health Service Task Force on Women's Health Issues. Volume II.
ERIC Educational Resources Information Center
Public Health Service (DHHS), Rockville, MD.
This report identifies a broad spectrum of issues affecting women's health and is divided into four sections: (1) social factors affecting women's health; (2) women's physical health and well-being; (3) health concerns of older women; and (4) issues related to alcohol, drug use and abuse, and the mental health of women. The Public Health Service…
ERIC Educational Resources Information Center
American Association of State Colleges and Universities, 2009
2009-01-01
Presented in this paper are the top 10 issues most likely to affect public higher education across the 50 states in 2009, in the view of the state policy analysis and research staff at American Association of State Colleges and Universities (AASCU). While numerous topics shape state higher education policy, each affecting the issues of…
How engineers perceive the importance of ethics in Finland
NASA Astrophysics Data System (ADS)
Taajamaa, Ville; Majanoja, Anne-Maarit; Bairaktarova, Diana; Airola, Antti; Pahikkala, Tapio; Sutinen, Erkki
2018-01-01
Success in complex and holistic engineering practices requires more than problem-solving abilities and technical competencies. Engineering education must offer proficient technical competences and also train engineers to think and act ethically. A technical 'engineering-like' focus and demand have made educators and students overlook the importance of ethical awareness and transversal competences. Using two Finnish surveys, conducted in 2014 and 2016, we examine how engineers perceive working life needs regarding ethics. The data consider different age groups. We research whether an engineer's age affects their perception of the importance of ethics in their work and if there are differences between young experts and young managers in their use of ethics within work. The results indicate that practising engineers do not consider ethical issues important in their work. This especially applies to younger engineers; the older an engineer, the more important they consider ethics. No statistically significant difference was found between young engineering experts and managers.
Protein construct storage: Bayesian variable selection and prediction with mixtures.
Clyde, M A; Parmigiani, G
1998-07-01
Determining optimal conditions for protein storage while maintaining a high level of protein activity is an important question in pharmaceutical research. A designed experiment based on a space-filling design was conducted to understand the effects of factors affecting protein storage and to establish optimal storage conditions. Different model-selection strategies to identify important factors may lead to very different answers about optimal conditions. Uncertainty about which factors are important, or model uncertainty, can be a critical issue in decision-making. We use Bayesian variable selection methods for linear models to identify important variables in the protein storage data, while accounting for model uncertainty. We also use the Bayesian framework to build predictions based on a large family of models, rather than an individual model, and to evaluate the probability that certain candidate storage conditions are optimal.
The attitudes of mental health professionals towards patients’ desire for children
2014-01-01
Background When a patient with a serious mental illness expresses a desire for children, mental health professionals are faced with an ethical dilemma. To date, little research has been conducted into their strategies for dealing with these issues. Methods Seven focus groups with a total of 49 participants from all professional groups active in mental health (nurses, psychologists, social workers and psychiatrists) were conducted in a 330-bed psychiatric hospital. Group discussions were transcribed verbatim and analysed by the documentary method described by Bohnsack. Results Mental health professionals did not feel that their patients’ desire for children was as important in daily practice as were parenting issues. When discussing the desire for children on the part of patients, the following themes emerged: “the patient’s own decision”, “neutrality”, “the patient’s well-being”, “issues affecting the children of mentally ill parents” and “appropriate parenthood”. In order to cope with what they perceived as conflicting norms, mental health professionals developed the following (discursive) strategies: "subordination of child welfare", "de-professionalisation", "giving rational advice" and "resignation". Conclusions The theme of “reproductive autonomy” dominated mental health professionals’ discourse on the desire for children among psychiatric patients. “Reproductive autonomy” stood in conflict with another important theme (patient’s children). Treating reproductive issues as taboo is the result of the gap between MHPs’ perceptions of (conflicting) norms when dealing with a patient’s desire for children and the limited opportunities to cope with them appropriately. In order to support both patients with a desire for children and mental health professionals who are charged with providing counselling for such patients, there is a need to encourage ethical reflection and to focus on clinical recommendations in this important area. PMID:24580889
The attitudes of mental health professionals towards patients' desire for children.
Krumm, Silvia; Checchia, Carmen; Badura-Lotter, Gisela; Kilian, Reinhold; Becker, Thomas
2014-03-02
When a patient with a serious mental illness expresses a desire for children, mental health professionals are faced with an ethical dilemma. To date, little research has been conducted into their strategies for dealing with these issues. Seven focus groups with a total of 49 participants from all professional groups active in mental health (nurses, psychologists, social workers and psychiatrists) were conducted in a 330-bed psychiatric hospital. Group discussions were transcribed verbatim and analysed by the documentary method described by Bohnsack. Mental health professionals did not feel that their patients' desire for children was as important in daily practice as were parenting issues. When discussing the desire for children on the part of patients, the following themes emerged: "the patient's own decision", "neutrality", "the patient's well-being", "issues affecting the children of mentally ill parents" and "appropriate parenthood". In order to cope with what they perceived as conflicting norms, mental health professionals developed the following (discursive) strategies: "subordination of child welfare", "de-professionalisation", "giving rational advice" and "resignation". The theme of "reproductive autonomy" dominated mental health professionals' discourse on the desire for children among psychiatric patients. "Reproductive autonomy" stood in conflict with another important theme (patient's children). Treating reproductive issues as taboo is the result of the gap between MHPs' perceptions of (conflicting) norms when dealing with a patient's desire for children and the limited opportunities to cope with them appropriately.In order to support both patients with a desire for children and mental health professionals who are charged with providing counselling for such patients, there is a need to encourage ethical reflection and to focus on clinical recommendations in this important area.
Special Issue on Uncertainty Quantification in Multiscale System Design and Simulation
Wang, Yan; Swiler, Laura
2017-09-07
The importance of uncertainty has been recognized in various modeling, simulation, and analysis applications, where inherent assumptions and simplifications affect the accuracy of model predictions for physical phenomena. As model predictions are now heavily relied upon for simulation-based system design, which includes new materials, vehicles, mechanical and civil structures, and even new drugs, wrong model predictions could potentially cause catastrophic consequences. Therefore, uncertainty and associated risks due to model errors should be quantified to support robust systems engineering.
The Economics of Organ Transplantation.
Altınörs, Nur; Haberal, Mehmet
2018-03-01
To determine the cost effectiveness of transplantation, we analyzed the financial economics of the organ and tissue transplant process. We compared the cost of this process with traditional modalities for treating endstage liver and kidney disease. Medical, surgical, legal, social, ethical, and religious issues are important in organ transplant procedures. Government, health insurance companies, and uninsured individuals are affected by the financial economics of organ transplantation. The distribution of financial burden differs among countries and is dependent on the unique circumstances of each country.
Special Issue on Uncertainty Quantification in Multiscale System Design and Simulation
DOE Office of Scientific and Technical Information (OSTI.GOV)
Wang, Yan; Swiler, Laura
The importance of uncertainty has been recognized in various modeling, simulation, and analysis applications, where inherent assumptions and simplifications affect the accuracy of model predictions for physical phenomena. As model predictions are now heavily relied upon for simulation-based system design, which includes new materials, vehicles, mechanical and civil structures, and even new drugs, wrong model predictions could potentially cause catastrophic consequences. Therefore, uncertainty and associated risks due to model errors should be quantified to support robust systems engineering.
Optimization of investment portfolio weight of stocks affected by market index
NASA Astrophysics Data System (ADS)
Azizah, E.; Rusyaman, E.; Supian, S.
2017-01-01
Stock price assessment, selection of optimum combination, and measure the risk of a portfolio investment is one important issue for investors. In this paper single index model used for the assessment of the stock price, and formulation optimization model developed using Lagrange multiplier technique to determine the proportion of assets to be invested. The level of risk is estimated by using variance. These models are used to analyse the stock price data Lippo Bank and Bumi Putera.
Thermal Expansion and Thermal Conductivity of Rare Earth Silicates
NASA Technical Reports Server (NTRS)
Zhu, Dongming; Lee, Kang N.; Bansal, Narottam P.
2006-01-01
Rare earth silicates are considered promising candidate materials for environmental barrier coatings applications at elevated temperature for ceramic matrix composites. High temperature thermophysical properties are of great importance for coating system design and development. In this study, the thermal expansion and thermal conductivity of hot-pressed rare earth silicate materials were characterized at temperatures up to 1400 C. The effects of specimen porosity, composition and microstructure on the properties were also investigated. The materials processing and testing issues affecting the measurements will also be discussed.
Russo, R
1999-04-01
Y2K issues could affect anyone, so it is important for HIV-positive people to make preparations to ensure their health and security. There are wide-ranging opinions about the effects of the so-called Millennium Bug, but some planning will make any changes more manageable. Patients should have adequate supplies of food, water, and medications at home in case of shortages or production problems. Other prudent steps include keeping extra cash on hand and obtaining copies of medical records and benefit plans. Internet resources are listed.
Haney, Craig; Zimbardo, Philip G
2009-06-01
The Stanford Prison Experiment demonstrated some important lessons about the power of social situations, settings, and structures to shape and transform behavior. At the time the study was done, the authors scrupulously addressed the issue of whether and how the dispositions or personality traits of the participants might have affected the results. Here the authors renew and reaffirm their original interpretation of the results and apply this perspective to some recent socially and politically significant events.
NASA Astrophysics Data System (ADS)
Cuff, K.; Cannady, M.; Dorph, R.; Rodriguez, V. A.; Romero, V.
2016-12-01
The UC Berkeley East Bay Academy for Young Scientists (EBAYS) program provides youth from non-dominant communities in the East San Francisco Bay Area with unique opportunities to develop deeper understanding of environmental science content, as well as fundamental scientific practice skills. A key component of EBAYS programming is collaborative research projects that generate information useful in addressing critical environmental issues. This important component also provides opportunities for youth to present results of their investigations to other community members and to the scientific community at large. Inclusion of the environmental science research component is intended to help address the following program goals: A) increasing appreciation for the value of scientific practices as a tool for addressing important community-based issues; B) helping raise community awareness of important issues; C) sparking interest in other forms of community activism; D) increasing understanding of key science concepts; and E) generating valuable environmental quality data. In an effort to assess the degree to which EBAYS programming accomplishes these goals, as well as to evaluate its capacity to be effectively replicated on a broader scale, EBAYS staff has engaged in an investigation of associated learning and youth development outcomes. In this regard a research strategy has been developed that includes the use of assessment tools that will help foster a deeper understanding of the ways in which EBAYS programming increases the extent to which participants value the application of science, affects their overall occupational trajectory, and inspires them to consider careers in STEM.
Testing the role of action and inaction anticipated regret on intentions and behaviour.
Sandberg, Tracy; Hutter, Russell; Richetin, Juliette; Conner, Mark
2016-09-01
Anticipated regret (AR) has been suggested as a useful addition to the theory of planned behaviour (TPB) that captures affective influences. However, previous research has generally (1) assessed the impact of AR in relation to one behaviour (action or inaction) when considering TPB variables in relation to the alternative behaviour, (2) not controlled for affective attitudes or past behaviour, and (3) examined only one or two behaviours. In two studies across several behaviours, the present research showed that even when controlling for affective attitudes, past behaviour, and other TPB variables towards action, action and inaction AR each added to the prediction of intentions across multiple behaviours. The two studies also showed that inaction regret was generally the stronger predictor, although action regret was important for some types of behaviour. Implications and issues for further research are discussed. © 2016 The British Psychological Society.
14 CFR 415.23 - Policy review.
Code of Federal Regulations, 2011 CFR
2011-01-01
... Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... license application to determine whether it presents any issues affecting U.S. national security or... presents any issues affecting U.S. national security. (2) The FAA consults with the Department of State to...
14 CFR 431.55 - Payload reentry review.
Code of Federal Regulations, 2012 CFR
2012-01-01
....55 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... any issues that would adversely affect U.S. national security or foreign policy interests, would... reentry of a proposed payload presents any issues adversely affecting U.S. national security. (c) The FAA...
14 CFR 431.55 - Payload reentry review.
Code of Federal Regulations, 2013 CFR
2013-01-01
....55 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... any issues that would adversely affect U.S. national security or foreign policy interests, would... reentry of a proposed payload presents any issues adversely affecting U.S. national security. (c) The FAA...
14 CFR 431.55 - Payload reentry review.
Code of Federal Regulations, 2010 CFR
2010-01-01
....55 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... any issues that would adversely affect U.S. national security or foreign policy interests, would... reentry of a proposed payload presents any issues adversely affecting U.S. national security. (c) The FAA...
14 CFR 431.55 - Payload reentry review.
Code of Federal Regulations, 2011 CFR
2011-01-01
....55 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... any issues that would adversely affect U.S. national security or foreign policy interests, would... reentry of a proposed payload presents any issues adversely affecting U.S. national security. (c) The FAA...
14 CFR 415.23 - Policy review.
Code of Federal Regulations, 2013 CFR
2013-01-01
... Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... license application to determine whether it presents any issues affecting U.S. national security or... presents any issues affecting U.S. national security. (2) The FAA consults with the Department of State to...
14 CFR 415.23 - Policy review.
Code of Federal Regulations, 2012 CFR
2012-01-01
... Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... license application to determine whether it presents any issues affecting U.S. national security or... presents any issues affecting U.S. national security. (2) The FAA consults with the Department of State to...
Voting for a personality: Do first impressions and self-evaluations affect voting decisions?
Koppensteiner, Markus; Stephan, Pia
2014-01-01
Participants were asked to assess their own personality (i.e. Big Five scales), the personality of politicians shown in brief silent video clips, and the probability that they would vote for these politicians. Response surface analyses (RSA) revealed noteworthy effects of self-ratings and observer-ratings of openness, agreeableness, and emotional stability on voting probability. Furthermore, the participants perceived themselves as being more open, more agreeable, more emotionally stable, and more extraverted than the average politician. The study supports previous findings that first impressions affect decision making on important issues. Results also indicate that when only nonverbal information is available people prefer political candidates they perceive as having personality traits they value in themselves. PMID:25089064
Sandbox University: estimating influence of institutional action.
Forsman, Jonas; Mann, Richard P; Linder, Cedric; van den Bogaard, Maartje
2014-01-01
The approach presented in this article represents a generalizable and adaptable methodology for identifying complex interactions in educational systems and for investigating how manipulation of these systems may affect educational outcomes of interest. Multilayer Minimum Spanning Tree and Monte-Carlo methods are used. A virtual Sandbox University is created in order to facilitate effective identification of successful and stable initiatives within higher education, which can affect students' credits and student retention - something that has been lacking up until now. The results highlight the importance of teacher feedback and teacher-student rapport, which is congruent with current educational findings, illustrating the methodology's potential to provide a new basis for further empirical studies of issues in higher education from a complex systems perspective.
Sandbox University: Estimating Influence of Institutional Action
Forsman, Jonas; Mann, Richard P.; Linder, Cedric; van den Bogaard, Maartje
2014-01-01
The approach presented in this article represents a generalizable and adaptable methodology for identifying complex interactions in educational systems and for investigating how manipulation of these systems may affect educational outcomes of interest. Multilayer Minimum Spanning Tree and Monte-Carlo methods are used. A virtual Sandbox University is created in order to facilitate effective identification of successful and stable initiatives within higher education, which can affect students' credits and student retention – something that has been lacking up until now. The results highlight the importance of teacher feedback and teacher-student rapport, which is congruent with current educational findings, illustrating the methodology's potential to provide a new basis for further empirical studies of issues in higher education from a complex systems perspective. PMID:25054313
Tobias, Robert; Inauen, Jennifer
2010-10-01
Gathering time-series data of behaviors and psychological variables is important to understand, guide, and evaluate behavior-change campaigns and other change processes. However, repeated measurement can affect the phenomena investigated, particularly frequent face-to-face interviews, which are often the only option in developing countries. This article presents three intervention control studies to investigate this issue. Daily diaries in Cuba did not affect behavior or attitudes for persons with intervention but reduced attitudes for persons without intervention. Reactivity of face-to-face interviews in Bolivia was negligible if applied weekly, but strong if applied twice per week. The article concludes with recommendations for gathering time-series data in developing countries.
Creating Effective Dialogue Around Climate Change
NASA Astrophysics Data System (ADS)
Kiehl, J. T.
2015-12-01
Communicating climate change to people from diverse sectors of society has proven to be difficult in the United States. It is widely recognized that difficulties arise from a number of sources, including: basic science understanding, the psychologically affect laden content surrounding climate change, and the diversity of value systems that exist in our society. I explore ways of working with the affect that arises around climate change and describe specific methods to work with the resistance often encountered when communicating this important issue. The techniques I describe are rooted in psychology and group process and provide means for creating more effective narratives to break through the barriers to communicating climate change science. Examples are given from personal experiences in presenting climate change to diverse groups.
The measurement of drug craving
Sayette, Michael A.; Shiffman, Saul; Tiffany, Stephen T.; Niaura, Raymond S.; Martin, Christopher S.; Shadel, William G.
2009-01-01
This paper reviews theoretical and methodological issues in the measurement of drug craving, with an emphasis on self-report assessment. Despite the important role that craving plays in many research and clinical settings, the way in which the construct is conceptualized and measured rarely receives sufficient attention. Issues pertinent to conceptualizing craving are identified. Because there is no single perfect measure of craving, it is essential that researchers understand the limitations of each measure. Measurement performance concerns that affect the validity of different measures are reviewed. Non-verbal assessment methods are also reviewed. Research factors that may help determine the optimal measures for a given study are highlighted. It is concluded that advances in assessment will proceed only when combined with additional research and a better theoretical understanding of craving. PMID:11002914
Effect of poverty on eye health and implications for nursing practice.
Williamson, Swapna; Seewoodhary, Ramesh; Dampies, Lavona
2016-08-10
Poverty is a global issue that affects the health and quality of life of millions of people. It predisposes people to many health conditions, including sight loss or blindness as a result of the immune system becoming compromised. Blindness is common in areas of the world where there is extreme poverty. In the UK, poverty has become a major social issue, contributing to many health problems, including eye conditions. These eye conditions can result in sight loss if they are not managed effectively. Psychosocial care is an essential aspect of patient care, because poverty and sight loss are interrelated. Healthcare practitioners have a significant role in the management and prevention of blindness. Blindness caused by poverty is largely preventable, and health promotion is an important strategy in care management.
Experiencing abortion rights in India through issues of autonomy and legality: A few controversies.
Patel, Tulsi
2018-06-01
Abortion laws in India, like other laws, are premised on the 1861 British Penal Code. The Medical Termination of Pregnancy Act was passed in 1971 to circumvent the criminality clause around abortion. Yet the law continues to render invisible women's right to choose. Legal procedures have often hindered in permitting abortion, resulting in the death of a mother or the foetus. Despite the latest techno-medical advances, the laws have remained stagnant or rather restrictive, complicated further by selective female foetus abortions. Legal resistance to abortion-seeking after 20 weeks gestation adversely affects women, depriving them of autonomy of choice. In this paper, raising important gender, health and ethical issues are illustrated through a recent legal case in India. Feminist campaigns against the legal mindset in India are emerging.
Using Risk Assessment Methodologies to Meet Management Objectives
NASA Technical Reports Server (NTRS)
DeMott, D. L.
2015-01-01
Corporate and program objectives focus on desired performance and results. ?Management decisions that affect how to meet these objectives now involve a complex mix of: technology, safety issues, operations, process considerations, employee considerations, regulatory requirements, financial concerns and legal issues. ?Risk Assessments are a tool for decision makers to understand potential consequences and be in a position to reduce, mitigate or eliminate costly mistakes or catastrophic failures. Using a risk assessment methodology is only a starting point. ?A risk assessment program provides management with important input in the decision making process. ?A pro-active organization looks to the future to avoid problems, a reactive organization can be blindsided by risks that could have been avoided. ?You get out what you put in, how useful your program is will be up to the individual organization.
Kang, Kyoung Doo; Jung, Tae Woon; Park, In Hui; Han, Doug Hyun
2018-04-26
Internet gaming disorder (IGD) has been suggested to be a mental health disorder. Attachment and emotional status in IGD patients are important for understanding the etiology and progression of IGD because both parameters are considered to be associated with the affective network. Equine-assisted activities and therapies (EAAT) have been reported to improve emotional status and attachment in subjects. We hypothesized that EAAT would improve attachment in IGD adolescents with insecure attachment issues and increase functional connectivity (FC) within the affective network. Subjects completed a demographic questionnaire, the Korean Experiences in Close Relationships Scale Revised version (K-ECRS), the Child Depression Inventory, Young's Internet Addiction Scale, the Korean Attention-Deficit Hyperactivity Disorder Rating Scale, and resting-state functional magnetic resonance imaging at baseline at the end of EAAT. Fifteen IGD adolescents with insecure attachment issues and 15 healthy comparison adolescents with secure attachment agreed to participate in this study. After 7 days of EAAT, K-ECRS avoidance and anxiety scores improved in all adolescents. K-ECRS avoidance scores of the IGD group showed marked improvement compared with those of the healthy group. In all participants, FC from the left amygdala to the left parahippocampal gyrus, left medial frontal gyrus, and left inferior frontal gyrus, as well as from the right amygdala to the left caudate, right claustrum, and left inferior frontal gyrus increased. In IGD adolescents, FC from the left amygdala to the left frontal orbital gyrus, as well as from the right amygdala to the right corpus callosum also increased. These findings suggested that EAAT improves attachment, which could lead to a decrease in the severity of IGD symptoms in IGD patients with insecure attachment issues. In addition, EAAT increases FC within the affective network, which was associated with attachment not only in healthy adolescents but also in adolescents with IGD.
Identifying emerging issues in forestry as a tool for research planning.
Hans M. Gregersen; Allen L. Lundgren; Pamela J. Jakes; David N. Bengston
1989-01-01
A Delphi exercise is used to identify emerging issues in National Forest management and use, the relative importance of the issues, and barriers to resolving issues. USDA Forest Service managers agree on the importance of the 11 issues identified; however, researchers and National Forest managers do not always agree on the importance of issues or barriers.
NASA Astrophysics Data System (ADS)
Li, C. K.; Seguin, F. H.; Frenje, J. A.; Rosenberg, M.; Zylstra, A. B.; Rinderknecht, H. G.; Petrasso, R. D.; Amendt, P. A.; Landen, O. L.; Town, R. P. J.; Betti, R.; Knauer, J. P.; Meyerhofer, D. D.; Back, C. A.; Kilkenny, J. D.; Nikroo, A.
2010-11-01
Backlighting of x-ray-driven implosions in empty hohlraums with mono-energetic protons on the OMEGA laser facility has allowed a number of important phenomena to be observed. Several critical parameters were determined, including plasma flow, three types of spontaneous electric fields and megaGauss magnetic fields. These results provide insight into important issues in indirect-drive ICF. Even though the cavity is effectively a Faraday cage, the strong, local fields inside the hohlraum can affect laser-plasma instabilities, electron distributions and implosion symmetry. They are of fundamental scientific importance for a range of new experiments at the frontiers of high-energy-density physics. Future experiments designed to characterize the field formation and evolution in low-Z gas fill hohlraums will be discussed.
Chlamydia trachomatis and Genital Mycoplasmas: Pathogens with an Impact on Human Reproductive Health
Ljubin-Sternak, Sunčanica; Meštrović, Tomislav
2014-01-01
The most prevalent, curable sexually important diseases are those caused by Chlamydia trachomatis (C. trachomatis) and genital mycoplasmas. An important characteristic of these infections is their ability to cause long-term sequels in upper genital tract, thus potentially affecting the reproductive health in both sexes. Pelvic inflammatory disease (PID), tubal factor infertility (TFI), and ectopic pregnancy (EP) are well documented complications of C. trachomatis infection in women. The role of genital mycoplasmas in development of PID, TFI, and EP requires further evaluation, but growing evidence supports a significant role for these in the pathogenesis of chorioamnionitis, premature membrane rupture, and preterm labor in pregnant woman. Both C. trachomatis and genital mycoplasmas can affect the quality of sperm and possibly influence the fertility of men. For the purpose of this paper, basic, epidemiologic, clinical, therapeutic, and public health issue of these infections were reviewed and discussed, focusing on their impact on human reproductive health. PMID:25614838
Andrade, Monica Viegas; Noronha, Kenya Valeria Micaela de Souza; Maia, Ana Carolina; Kind, Paul
2013-11-01
This study analyzes how different health dimensions defined by the EQ-5D-3L instrument affect average individual preferences for health states. This analysis is an important benchmark for the incorporation of health technologies as it takes into consideration Brazilian population preferences in health resource allocation decisions. The EQ-5D instrument defines health in terms of five dimensions (mobility, daily activities, self-care activities, pain/discomfort, and anxiety/depression) each divided into three levels of severity. Data came from a valuation study with 3,362 literate individuals aged between 18 and 64 living in urban areas of Minas Gerais State, Brazil. The main results reveal that health utility decreases as the level of severity increases. With regard to health issues, mobility stands out as the most important EQ-5D dimension. Independently of severity levels of the other EQ-5D-3L dimensions, the highest decrements in utilities are associated with severe mobility problems.
Relationship between massage therapy usage and health outcomes in older adults.
Munk, Niki; Zanjani, Faika
2011-04-01
Physical and emotional decline in older adults is a serious issue affecting not only quality of life but also susceptibility to injury. Non-pharmacological interventions addressing the needs of older adults are important for reducing medication burden and possible drug interactions. This study (N=144) examines the potential of massage therapy as such an intervention for older adults by comparing self-reported health outcome scores among adults 60 and older who have and have not utilized massage therapy in the past year. When controlling for age and cumulative morbidities, older adults who reported massage therapy usage in the past year had significantly better health outcome scores in the following domains: 1) emotional well-being, 2) limitations due to physical issues, and 3) limitations due to emotional issues. Because previous massage therapy research has not included or focused on older adults, studies examining massage therapy and emotional health, specifically among this population, are warranted. Copyright © 2010 Elsevier Ltd. All rights reserved.
Methodological Issues in Trials of Complementary and Alternative Medicine Interventions
Sikorskii, Alla; Wyatt, Gwen; Victorson, David; Faulkner, Gwen; Rahbar, Mohammad Hossein
2010-01-01
Background Complementary and alternative medicine (CAM) use is widespread among cancer patients. Information on safety and efficacy of CAM therapies is needed for both patients and health care providers. Well-designed randomized clinical trials (RCTs) of CAM therapy interventions can inform both clinical research and practice. Objectives To review important issues that affect the design of RCTs for CAM interventions. Methods Using the methods component of the Consolidated Standards for Reporting Trials (CONSORT) as a guiding framework, and a National Cancer Institute-funded reflexology study as an exemplar, methodological issues related to participants, intervention, objectives, outcomes, sample size, randomization, blinding, and statistical methods were reviewed. Discussion Trials of CAM interventions designed and implemented according to appropriate methodological standards will facilitate the needed scientific rigor in CAM research. Interventions in CAM can be tested using proposed methodology, and the results of testing will inform nursing practice in providing safe and effective supportive care and improving the well-being of patients. PMID:19918155
Predictive mapping of seabirds, pinnipeds and cetaceans off the Pacific Coast of Washington
Menza, Charles; Leirness, Jeffery B.; White, Tim; Winship, Arliss; Kinlan, Brian P.; Kracker, Laura; Zamon, Jeannette E.; Ballance, Lisa; Becker, Elizabeth; Forney, Karin A.; Barlow, Jay; Adams, Josh; Pereksta, David; Pearson, Scott; Pierce, John; Jeffries, Steven J.; Calambokidis, John; Douglas, Annie; Hanson, Bradford C.; Benson, Scott R.; Antrim, Liam
2016-01-01
This research supports the National Oceanic and Atmospheric Administration (NOAA) Coastal Zone Management Program, a voluntary partnership between the federal government and U.S. coastal and Great Lakes states and territories authorized by the Coastal Zone Management Act (CZMA) of 1972 to address national coastal issues. The act provides the basis for protecting, restoring, and responsibly developing our nation’s diverse coastal communities and resources. To meet the goals of the CZMA, the national program takes a comprehensive approach to coastal resource management – balancing the often competing and occasionally conflicting demands of coastal resource use, economic development, and conservation. A wide range of issues are addressed through the program, including coastal development, water quality, public access, habitat protection, energy facility siting, ocean governance and planning, coastal hazards, and climate change. Accurate maps of seabird and marine mammal distributions are an important tool for making informed management decisions that affect all of these issues.
Ahmed, Almoutaz A.
2010-01-01
The lack of awareness of the effects of hypoglycemia on safe driving is a real issue for diabetic patients and a challenge for health care providers. Taking the form of questions and answers, this review addresses the issue of road traffic accidents and drivers with type 1 diabetes mellitus. While there is little evidence showing higher accident rates among diabetic drivers, there is research indicating that hypoglycemia compromises driving performance, resulting in slower response times and reduced cognitive function. Unawareness of an early fall in plasma glucose is another important issue that affects some diabetic drivers. The driver with type 1 diabetes is obliged to check their blood glucose before driving. The physician’s duty is to familiarize the patient with the risk of hypoglycemia. If hypoglycemic unawareness is present, the physician should advise the patient to stop driving until the condition is reversed. The doctor should consider informing authorities if he concludes there is a risk and the driver cannot be persuaded to stop driving. PMID:21060159
Sanyal, Udishnu; Demirci, Umit B; Jagirdar, Balaji R; Miele, Philippe
2011-12-16
In today's era of energy crisis and global warming, hydrogen has been projected as a sustainable alternative to depleting CO(2)-emitting fossil fuels. However, its deployment as an energy source is impeded by many issues, one of the most important being storage. Chemical hydrogen storage materials, in particular B-N compounds such as ammonia borane, with a potential storage capacity of 19.6 wt % H(2) and 0.145 kg(H2)L(-1), have been intensively studied from the standpoint of addressing the storage issues. Ammonia borane undergoes dehydrogenation through hydrolysis at room temperature in the presence of a catalyst, but its practical implementation is hindered by several problems affecting all of the chemical compounds in the reaction scheme, including ammonia borane, water, borate byproducts, and hydrogen. In this Minireview, we exhaustively survey the state of the art, discuss the fundamental problems, and, where applicable, propose solutions with the prospect of technological applications. Copyright © 2011 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.
Stigmatization of Overweight and Obese Women During Forensic Examinations.
Davis, Karis M; Sekula, L Kathleen
2018-04-24
Stigma and discrimination toward overweight and obese people pose consequences to their psychological and physical health. In the United States, overweight and obesity and affects over 34% of the population. This frequently ignored public health issue often sees overweight and obese individuals blamed for their weight, thereby justifying the bias. During a post-sexual-assault examination, sexual assault nurse examiners and other forensic examiners must be cognizant of the specific issues and challenges related to the care of these victims. Forensic nurses may need to refine their techniques such as positioning overweight and obese patients on an appropriate-sized table, obtaining equipment for better visualization, and requiring assistance during the examination (e.g., lifting the victim's pendulous skin folds for assessment and evidence collection). Moreover, they may need to recognize and reflect on their own weight related biases. Addressing these important issues may lead to decreasing stigmatization during examinations, thereby providing quality care to victims of sexual assault, regardless of their weight.
Hypoglycemia and safe driving.
Ahmed, Almoutaz A
2010-01-01
The lack of awareness of the effects of hypoglycemia on safe driving is a real issue for diabetic patients and a challenge for health care providers. Taking the form of questions and answers, this review addresses the issue of road traffic accidents and drivers with type 1 diabetes mellitus. While there is little evidence showing higher accident rates among diabetic drivers, there is research indicating that hypoglycemia compromises driving performance, resulting in slower response times and reduced cognitive function. Unawareness of an early fall in plasma glucose is another important issue that affects some diabetic drivers. The driver with type 1 diabetes is obliged to check their blood glucose before driving. The physician's duty is to familiarize the patient with the risk of hypoglycemia. If hypoglycemic unawareness is present, the physician should advise the patient to stop driving until the condition is reversed. The doctor should consider informing authorities if he concludes there is a risk and the driver cannot be persuaded to stop driving.
Aitken, Kenneth J
2008-03-01
Intersubjectivity is an approach to the study of social interaction viewed from a perspective which rejects the view that reducing any such analysis to study at the level of the individual is adequate to address the issues of social functioning. It also stresses the view that social processes cannot be reduced to cognitive ones - most of the important questions in the study of developmental psychopathology deal with issues which have commonality with many other species and are patent well before the ontological emergence of 'cognitive' abilities. In this paper we review the evidence in this area, and discuss a range of issues relevant to autistic spectrum disorders. We focus in particular on social interaction; the role of the Intrinsic Motive Formation and recent work on mirror neurons in autism; genetic and teratogenic factors in the genesis of autism; and the role of a number of biological factors in pathogenesis - tryptophan; vitamin B12; sterol metabolism; glutamate and GABA; and the Fragile-X expansion.
Yourkavitch, Jennifer; Hassmiller Lich, Kristen; Flax, Valerie L; Okello, Elialilia S; Kadzandira, John; Katahoire, Anne Ruhweza; Munthali, Alister C; Thomas, James C
2018-01-01
Retention in care remains an important issue for prevention of mother-to-child transmission (PMTCT) programs according to WHO guidelines, formerly called the "Option B+" approach. The objective of this study was to examine how poverty, gender, and health system factors interact to influence women's participation in PMTCT services. We used qualitative research, literature, and hypothesized variable connections to diagram causes and effects in causal loop models. We found that many factors, including antiretroviral therapy (ART) use, service design and quality, stigma, disclosure, spouse/partner influence, decision-making autonomy, and knowledge about PMTCT, influence psychosocial health, which in turn affects women's participation in PMTCT services. Thus, interventions to improve psychosocial health need to address many factors to be successful. We also found that the design of PMTCT services, a modifiable factor, is important because it affects several other factors. We identified 66 feedback loops that may contribute to policy resistance-that is, a policy's failure to have its intended effect. Our findings point to the need for a multipronged intervention to encourage women's continued participation in PMTCT services and for longitudinal research to quantify and test our causal loop model.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Miller, M.J.
The author outlines what he considers to be the key environmental issues affecting Clean Coal Technology (CCT) deployment both in the US and internationally. Since the international issues are difficult to characterize given different environmental drivers in various countries and regions, the primary focus of his remarks is on US deployment. However, he makes some general remarks, particularly regarding the environmental issues in developing vs. developed countries and how these issues may affect CCT deployment. Further, how environment affects deployment depends on which particular type of clean coal technology one is addressing. It is not the author`s intention to mentionmore » many specific technologies other than to use them for the purposes of example. He generally categorizes CCTs into four groups since environment is likely to affect deployment for each category somewhat differently. These four categories are: Precombustion technologies such as coal cleaning; Combustion technologies such as low NOx burners; Postcombustion technologies such as FGD systems and postcombustion NOx control; and New generation technologies such as gasification and fluidized bed combustion.« less
Data Position Statement to Be Updated
NASA Astrophysics Data System (ADS)
Von Holle, Kate
2008-04-01
AGU members have an opportunity to provide comments to a panel preparing to update a position statement for Council consideration in May 2008 concerning the archiving and availability of scientific data. There is currently a risk of losing important data that have been collected over the years, and these data need to be preserved and made publicly available where possible to help future generations understand the various Earth systems. The panel is being asked to address a broad range of data issues that affect Earth and space scientists globally. The current statement can be found at http://www.agu.org/sci_soc/policy/sci_pol.html#positions under the heading ``The importance of archiving and availability of geophysical data.''
Dyads and triads at 35,000 feet - Factors affecting group process and aircrew performance
NASA Technical Reports Server (NTRS)
Foushee, H. C.
1984-01-01
The task of flying a multipilot transport aircraft is a classic small-group performance situation where a number of social, organizational, and personality factors are relevant to important outcome variables such as safety. The aviation community is becoming increasingly aware of the importance of these factors but is hampered in its efforts to improve the system because of research psychology's problems in defining the nature of the group process. This article identifies some of the problem areas as well as methods used to address these issues. It is argued that high fidelity flight simulators provide an environment that offers unique opportunities for work meeting both basic and applied research criteria.
Dyads and triads at 35,000 feet: Factors affecting group process and aircrew performance
NASA Technical Reports Server (NTRS)
Foushee, H. Clayton
1987-01-01
The task of flying a multipilot transport aircraft is a classic small-group performance situation where a number of social, organizational, and personality factors are relevant to important outcome variables such as safety. The aviation community is becoming increasingly aware of the importance of these factors but is hampered in its efforts to improve the system because of research psychology's problems in defining the nature of the group process. This article identifies some of the problem areas as well as methods used to address these issues. It is argued that high fidelity flight simulators provide an environment that offers unique opportunities for work meeting both basic and applied research criteria.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Iavicoli, Ivo, E-mail: ivo.iavicoli@unina.it
Rapid advances and applications in nanotechnology are expected to result in increasing occupational exposure to nano-sized materials whose health impacts are still not completely understood. Scientific efforts are required to identify hazards from nanomaterials and define risks and precautionary management strategies for exposed workers. In this scenario, the definition of susceptible populations, which may be at increased risk of adverse effects may be important for risk assessment and management. The aim of this review is to critically examine available literature to provide a comprehensive overview on susceptibility aspects potentially affecting heterogeneous responses to nanomaterials workplace exposure. Genetic, genotoxic and epigeneticmore » alterations induced by nanomaterials in experimental studies were assessed with respect to their possible function as determinants of susceptibility. Additionally, the role of host factors, i.e. age, gender, and pathological conditions, potentially affecting nanomaterial toxicokinetic and health impacts, were also analysed. Overall, this review provides useful information to obtain insights into the nanomaterial mode of action in order to identify potentially sensitive, specific susceptibility biomarkers to be validated in occupational settings and addressed in risk assessment processes. The findings of this review are also important to guide future research into a deeper characterization of nanomaterial susceptibility in order to define adequate risk communication strategies. Ultimately, identification and use of susceptibility factors in workplace settings has both scientific and ethical issues that need addressing. - Highlights: • To define susceptible populations is important for risk assessment and management; • Genetic susceptibility may influence the individual response to nanomaterial exposure; • Susceptibility factors in workplace settings have both scientific and ethical issues.« less
International Youth Conference on the Poles
NASA Astrophysics Data System (ADS)
Church, A. K.; Kuhn, T. S.; Baeseman, J.; Garmulewicz, A.; Raymond, M.; Salmon, R.
2006-12-01
The International Polar Year (IPY) is an international effort, involving more than 50 countries, to focus research in both the sciences and social sciences on the world's Polar Regions. In order to secure youth involvement in the IPY, the Youth Steering Committee (YSC) has been formed, aiming specifically to network young polar researchers from all backgrounds enabling collaboration and to involve this group in outreach focused towards other young people. A conference targeted directly at an audience of early career researchers and international youth will be central to fulfilling these aims. The YSC has therefore developed the concept of the International Youth Conference on the Poles (IYCP). Proposed for 2008, this conference will bring together youth from a diverse set of backgrounds and nationalities to discuss the issues affecting the Polar Regions, their effects on a global scale and ways of addressing these issues. The conference will also serve to highlight ongoing IPY research, especially research being undertaken by young researchers, and provide a perennial framework for youth involvement in polar research and policies. The IYCP will run for three days in May 2008, attracting an international youth audience, as well as representatives from polar organizations, teachers, politicians, policy makers, the general public and media. The IYCP will be divided into three sections. Youth Roundtable Discussions will bring youth together to discuss issues affecting the Polar Regions and potential solutions to these. A Young Researchers Conference will provide the opportunity for young researchers working in the Polar Regions to present their work to an interdisciplinary audience. The Polar Fair will provide an interactive environment for youth to learn about the Polar Regions. The IYCP will be of great importance to the IPY because it will serve as the principle venue during the Polar Year where youth from many different disciplines, backgrounds and countries will be able to gather and interact. It will inspire many young people to become more actively involved in polar research and issues, while reinforcing for those currently undertaking these endeavours the importance of their contribution.
Thomson, H J; Winters, Z E; Brandberg, Y; Didier, F; Blazeby, J M; Mills, J
2013-03-01
A comprehensive evaluation of breast reconstruction (BRR) surgery includes measurement of patient reported outcomes (PROs). There is, however, a lack of validated BRR-specific PRO measures (PROMs) that adequately assess relevant issues. This study is developing a European Organisation for Research and Treatment of Cancer (EORTC) questionnaire/module specific for PROs in BRR to supplement the cancer-core and breast cancer EORTC questionnaires, respectively: the QLQ-C30 and QLQ-BR23. Phases I and II of questionnaire development followed EORTC guidelines including a systematic literature review to identify all potential 'issues' (concepts relevant to PROs) and semi-structured interviews with 89 patients and 9 European multi-disciplinary health care professionals (HCPs) (Sweden, Italy and the United Kingdom [UK]). Interviewers asked participants the 'relevance' of outcomes identified in the literature and captured additional 'issues' of importance. The literature search and interviews of patients and HCPs yielded 69 issues relating to BRR operationalised into 31 provisional items (single questions) for the module, which was conceptualised to contain five scales: treatment/surgery related symptoms (affecting the shoulder, arm and reconstructed breast), body image, sexuality, cosmetic outcomes (pertaining to three areas: breast, donor site and nipple) and overall satisfaction. The provisional development of the EORTC BRR module has 31 items addressing issues of importance to patients as well as HCPs. Further international testing is underway as a UK National Cancer Research Network trial to ensure that this PROM will be psychometrically and clinically robust and applicable for use in clinical trials, cohort studies, national audit and clinical practice. Copyright © 2012 Elsevier Ltd. All rights reserved.
Organ Transplantation in Iran; Current State and Challenges with a View on Ethical Consideration.
Kiani, Mehrzad; Abbasi, Mahmoud; Ahmadi, Mehdi; Salehi, Bahare
2018-03-05
Organ transplantation is a new issue in medical science. It is an important achievement and a sign of the progression and ability of medical centers around the world. Governments, populations, the medical community and people involved in culture, art, and media all have a decisive role in the culture of organ donation, which is the only way to guarantee that the healthy organs of a brain-dead person can continue to work and save the lives of people in need of organ transplantation. The brain death phenomenon and its possible application in organ transplantation, while offering new hope for the salvation of a number of patients, has led to many ethical, cultural, and legal issues. Ethical issues in organ transplantation are very complicated due to many social factors such as religion, culture, and traditions of the affected communities. The ethical and legal points of removing organs from the body of a living or cadaveric source, the definition of brain death, the moral and legal conditions of the donor and the recipient, and the financial relationship between them and many others, are all critical issues in organ transplantation. While there may be no available explicit solution to these issues, they should be rigorously considered by the experts. Efforts to systematically eliminate barriers and solve problems in organ transplantation, can not only reduce the costs of maintaining brain-dead patients and encourage patients that need organ transplantation but can also prevent immoral and illegal activities. In this paper, we have reviewed the most important and current challenges in organ transplantation with a view to the ethical considerations, and we have suggested some strategies to extend it in Iran.
Organ Transplantation in Iran; Current State and Challenges with a View on Ethical Consideration
Kiani, Mehrzad; Abbasi, Mahmoud
2018-01-01
Organ transplantation is a new issue in medical science. It is an important achievement and a sign of the progression and ability of medical centers around the world. Governments, populations, the medical community and people involved in culture, art, and media all have a decisive role in the culture of organ donation, which is the only way to guarantee that the healthy organs of a brain-dead person can continue to work and save the lives of people in need of organ transplantation. The brain death phenomenon and its possible application in organ transplantation, while offering new hope for the salvation of a number of patients, has led to many ethical, cultural, and legal issues. Ethical issues in organ transplantation are very complicated due to many social factors such as religion, culture, and traditions of the affected communities. The ethical and legal points of removing organs from the body of a living or cadaveric source, the definition of brain death, the moral and legal conditions of the donor and the recipient, and the financial relationship between them and many others, are all critical issues in organ transplantation. While there may be no available explicit solution to these issues, they should be rigorously considered by the experts. Efforts to systematically eliminate barriers and solve problems in organ transplantation, can not only reduce the costs of maintaining brain-dead patients and encourage patients that need organ transplantation but can also prevent immoral and illegal activities. In this paper, we have reviewed the most important and current challenges in organ transplantation with a view to the ethical considerations, and we have suggested some strategies to extend it in Iran. PMID:29510570
[Social issues in the doctor's clinic].
Vos, H
2017-01-01
Doctors are confronted with issues that arise in society. These social issues can affect patients' health. Solving these problems requires more than just prescribing a pill, as illustrated by the cases of three patients. The first patient is a 42-year-old male with cardiac symptoms, chronic lower back pain and an excessive use of tranquillizers. The welfare worker intervened and his demand for health care and use of tranquillizers diminished. The second patient is a 53-year-old female with symptoms of chronic back pain, migraine and depression. A labour dispute concerning her health eventually led to a referral to a project named 'social hospital', but actual assistance never took place due to the patient's alleged lack of time to participate. The third case concerns an 86-year-old female with postherpetic neuralgia who also suffered from loneliness. The patient's named welfare worker tried to get in touch with her, but the patient kept her at a distance. These three cases illustrate that it is very important to get to know the social network in a community in order to refer patients with social issues to the right person or place. Furthermore, prevention and early intervention strategies should be applied where possible. Doctors and local governments must act together in order to succeed in solving patient ill health as a result of social issues.
Environmental Programs Information: Affecting Kansas Public Schools
ERIC Educational Resources Information Center
Kansas State Department of Education, 2004
2004-01-01
This document provides a brief overview of the environmental issues that affect Kansas public schools. Specific programs that address these problems are included, along with their contact information. This document contains information on the following issues and programs: (1) Department of Health and Environment; (2) air; (3) asbestos; (4)…
The Environmental Factor in International Relations.
ERIC Educational Resources Information Center
Nicholson, Joan Martin
1985-01-01
U.S.-Canadian and Mexican water-related issues testify to the role that natural resources/ environmental issues play in foreign policy and demonstrate how environmental problems can affect the public and private sectors of a nation internally. How people affect the environment is an irreducible bottom line for stable international trade and market…
Forces Affecting Educational Decisions.
ERIC Educational Resources Information Center
Sullivan, Neil V.
This speech begins with a discussion of broad social and political patterns and trends that are currently developing and continues to the specific unresolved social issues which will affect the nature and structure of educational systems. Those issues seen by the author is most likely to produce the greatest amount of activity are integration, the…
Career Issues and International Adjustment of Business Expatriates.
ERIC Educational Resources Information Center
Selmer, Jan
1999-01-01
A survey of 343 Western business executives working in Hong Kong showed that meeting career goals within the organization did not significantly affect work adjustment but positively affected sociocultural and psychological adjustment. Other career issues (wrong/right career move, and supportive corporate attitudes) had no effect on adjustment. (SK)
Child Care Recommendations for Honeywell Employees.
ERIC Educational Resources Information Center
Johnston, Chris, Ed.
Quality child care is an issue affecting both an industry as a whole and the individuals within that industry. Employees' absenteeism, morale, and motivation are closely linked to concern for their child's well-being and this concern will ultimately affect both production and company success. In recognition of this issue, the Honeywell Corporation…
ERIC Educational Resources Information Center
Patel, Mahesh, Ed.
Using data primarily from United Nations Statistical Yearbooks, but from other sources as well, this Atlas provides an overview, in graphical form, of issues affecting children in Africa. Some of the issues covered, such as immunization, affect children directly. Others, such as economic progress, are included because they form part of the…
Kairis, Or; Kosmas, C; Karavitis, Ch; Ritsema, C; Salvati, L; Acikalin, S; Alcalá, M; Alfama, P; Atlhopheng, J; Barrera, J; Belgacem, A; Solé-Benet, A; Brito, J; Chaker, M; Chanda, R; Coelho, C; Darkoh, M; Diamantis, I; Ermolaeva, O; Fassouli, V; Fei, W; Feng, J; Fernandez, F; Ferreira, A; Gokceoglu, C; Gonzalez, D; Gungor, H; Hessel, R; Juying, J; Khatteli, H; Khitrov, N; Kounalaki, A; Laouina, A; Lollino, P; Lopes, M; Magole, L; Medina, L; Mendoza, M; Morais, P; Mulale, K; Ocakoglu, F; Ouessar, M; Ovalle, C; Perez, C; Perkins, J; Pliakas, F; Polemio, M; Pozo, A; Prat, C; Qinke, Y; Ramos, A; Ramos, J; Riquelme, J; Romanenkov, V; Rui, L; Santaloia, F; Sebego, R; Sghaier, M; Silva, N; Sizemskaya, M; Soares, J; Sonmez, H; Taamallah, H; Tezcan, L; Torri, D; Ungaro, F; Valente, S; de Vente, J; Zagal, E; Zeiliguer, A; Zhonging, W; Ziogas, A
2014-11-01
Indicator-based approaches are often used to monitor land degradation and desertification from the global to the very local scale. However, there is still little agreement on which indicators may best reflect both status and trends of these phenomena. In this study, various processes of land degradation and desertification have been analyzed in 17 study sites around the world using a wide set of biophysical and socioeconomic indicators. The database described earlier in this issue by Kosmas and others (Environ Manage, 2013) for defining desertification risk was further analyzed to define the most important indicators related to the following degradation processes: water erosion in various land uses, tillage erosion, soil salinization, water stress, forest fires, and overgrazing. A correlation analysis was applied to the selected indicators in order to identify the most important variables contributing to each land degradation process. The analysis indicates that the most important indicators are: (i) rain seasonality affecting water erosion, water stress, and forest fires, (ii) slope gradient affecting water erosion, tillage erosion and water stress, and (iii) water scarcity soil salinization, water stress, and forest fires. Implementation of existing regulations or policies concerned with resources development and environmental sustainability was identified as the most important indicator of land protection.
Wind tunnel measurements of pollutant turbulent fluxes in urban intersections
NASA Astrophysics Data System (ADS)
Carpentieri, Matteo; Hayden, Paul; Robins, Alan G.
2012-01-01
Wind tunnel experiments have been carried out at the EnFlo laboratory to measure mean and turbulent tracer fluxes in geometries of real street canyon intersections. The work was part of the major DAPPLE project, focussing on the area surrounding the intersection between Marylebone Road and Gloucester Place in Central London, UK. Understanding flow and dispersion in urban streets is a very important issue for air quality management and planning, and turbulent mass exchange processes are important phenomena that are very often neglected in urban modelling studies. The adopted methodology involved the combined use of laser Doppler anemometry and tracer concentration measurements. This methodology was applied to quantify the mean and turbulent flow and dispersion fields within several street canyon intersections. Vertical profiles of turbulent tracer flux were also measured. The technique, despite a number of limitations, proved reliable and allowed tracer balance calculations to be undertaken in the selected street canyon intersections. The experience gained in this work will enable much more precise studies in the future as issues affecting the accuracy of the experimental technique have been identified and resolved.
Slamming: Recent Progress in the Evaluation of Impact Pressures
NASA Astrophysics Data System (ADS)
Dias, Frédéric; Ghidaglia, Jean-Michel
2018-01-01
Slamming, the violent impact between a liquid and solid, has been known to be important for a long time in the ship hydrodynamics community. More recently, applications ranging from the transport of liquefied natural gas (LNG) in LNG carriers to the harvesting of wave energy with oscillating wave surge converters have led to renewed interest in the topic. The main reason for this renewed interest is that the extreme impact pressures generated during slamming can affect the integrity of the structures involved. Slamming fluid mechanics is challenging to describe, as much from an experimental viewpoint as from a numerical viewpoint, because of the large span of spatial and temporal scales involved. Even the physical mechanisms of slamming are challenging: What physical phenomena must be included in slamming models? An important issue deals with the practical modeling of slamming: Are there any simple models available? Are numerical models viable? What are the consequences for the design of structures? This article describes the loading processes involved in slamming, offers state-of-the-art results, and highlights unresolved issues worthy of further research.
Physiotherapy clinical educators' perceptions of student fitness to practise.
Lo, Kristin; Curtis, Heather; Keating, Jennifer L; Bearman, Margaret
2017-01-17
Health professional students are expected to maintain Fitness to Practise (FTP) including clinical competence, professional behaviour and freedom from impairment (physical/mental health). FTP potentially affects students, clinicians and clients, yet the impact of supervising students across the spectrum of FTP issues remains relatively under-reported. This study describes clinical educators' perceptions of supporting students with FTP issues. Between November 2012 and January 2013 an online survey was emailed to physiotherapy clinical educators from 34 sites across eight health services in Australia. The self-developed survey contained both closed and open ended questions. Demographic data and Likert scale responses were summarised using descriptive statistics. The hypotheses that years of clinical experience increased clinical educator confidence and comfort in supporting specific student FTP issues were explored with correlational analysis. Open text questions were analysed based on thematic analysis. Sixty-one percent of the 79 respondents reported supervising one or more students with FTP issues. Observed FTP concerns were clinical competence (76%), mental health (51%), professional behaviour (47%) and physical health (36%). Clinicians considered 52% (95% CI 38-66) of these issues avoidable through early disclosure, student and clinician education, maximising student competency prior to commencing placements, and human resources. Clinicians were confident and comfortable supporting clinical competence, professional behaviour and physical health issues but not mental health issues. Experience significantly increased confidence to support all FTP issues but not comfort. Student FTP issues affects the clinical educator role with 83% (95% CI 75-92) of clinicians reporting that work satisfaction was affected due to time pressures, emotional impact, lack of appreciation of educator time, quality of care conflict and a mismatch in role perception. Educators also considered that FTP issues affect service delivery and impact on those seeking health care. Strategies to support student FTP have potential to positively impact on students, clinicians and clients. Collaboration between these stakeholders is required, particularly in supporting mental health. Universities are strategically placed to implement appropriate support such as communication support.
Environmental health and hazardous waste issues related to the U.S.-Mexico border.
Carter, D E; Peña, C; Varady, R; Suk, W A
1996-01-01
Environmental health and environmental quality issues along the U.S.-Mexico border have been of concern for several years. The enactment of the North American Free Trade Agreement and the presence of the maquiladoras (foreign-owned industries using imported raw materials) have intensified those concerns recently. Efforts to assess these issues are complicated by the fact that many of the issues affecting the border region are within federal jurisdiction, but the problems are regional and local in nature. Thus, state and local governments become involved with public concerns about real and potential problems. One major problem is that environmental health data from this region are lacking, particularly from Mexico. Some new agencies such as the Border Environment Cooperation Commission, the United States-Mexico Border Health Commission, and the North American Commission on Environmental Cooperation have joined several existing agencies at the federal and state level to address environmental quality and health. Several studies have been initiated to determine air and water quality, but little is being done in the areas of hazardous waste and health assessment. Several problems are anticipated in the generation of such data, such as its format and accessibility. Data gaps and research needs are discussed. PMID:8793340
... Issue Past Issues Special Section Two Kinds of Stroke Past Issues / Summer 2007 Table of Contents For ... are often a warning sign for future strokes. Stroke Can Affect Anyone Award-winning actress Julie Harris ...
Microwaves and Alzheimer's disease
Zhang, Xia; Huang, Wen-Juan; Chen, Wei-Wei
2016-01-01
Alzheimer's diseases (AD) is the most common type of dementia and a neurodegenerative disease that occurs when the nerve cells in the brain die. The cause and treatment of AD remain unknown. However, AD is a disease that affects the brain, an organ that controls behavior. Accordingly, anything that can interact with the brain may affect this organ positively or negatively, thereby protecting or encouraging AD. In this regard, modern life encompasses microwaves for all issues including industrial, communications, medical and domestic tenders, and among all applications, the cell phone wave, which directly exposes the brain, continues to be the most used. Evidence suggests that microwaves may produce various biological effects on the central nervous system (CNS) and many arguments relay the possibility that microwaves may be involved in the pathophysiology of CNS disease, including AD. By contrast, previous studies have reported some beneficial cognitive effects and that microwaves may protect against cognitive impairment in AD. However, although many of the beneficial effects of microwaves are derived from animal models, but can easily be extrapolated to humans, whether microwaves cause AD is an important issue that is to be addressed in the current review. PMID:27698682
Group decisions in humans and animals: a survey
Conradt, Larissa; List, Christian
2008-01-01
Humans routinely make many decisions collectively, whether they choose a restaurant with friends, elect political leaders or decide actions to tackle international problems, such as climate change, that affect the future of the whole planet. We might be less aware of it, but group decisions are just as important to social animals as they are for us. Animal groups have to collectively decide about communal movements, activities, nesting sites and enterprises, such as cooperative breeding or hunting, that crucially affect their survival and reproduction. While human group decisions have been studied for millennia, the study of animal group decisions is relatively young, but is now expanding rapidly. It emerges that group decisions in animals pose many similar questions to those in humans. The purpose of the present issue is to integrate and combine approaches in the social and natural sciences in an area in which theoretical challenges and research questions are often similar, and to introduce each discipline to the other's key ideas, findings and successful methods. In order to make such an introduction as effective as possible, here, we briefly review conceptual similarities and differences between the sciences, and provide a guide to the present issue. PMID:19073475
Stryker, Jo Ellen
2002-11-01
Characteristics defining newsworthiness of journal articles appearing in JAMA and NEJM were examined to determine if they affect visibility in the news media. It was also hypothesized that press releases affected the amount of news coverage of a journal article due to the fact that the most newsworthy journal articles are selected for press releases. Journal articles (N = 95) were coded for characteristics believed to describe the "newsworthiness" of journal articles. Quantity of news coverage of the journal articles was estimated using the LEXIS-NEXIS database. Bivariate associations were examined using one-way analysis of variance, and multivariate analyses utilized OLS regression. Characteristics of the newsworthiness of medical journal articles predicted their visibility in newspapers. The issuing of press releases also predicted newspaper coverage. However, press releases predicted newspaper coverage largely because more newsworthy journal articles had accompanying press releases rather than because the press release itself was influential. Journalists report on medical information that is topical, stratifies risk based on demographic and lifestyle variables, and has lifestyle rather than medical implications. Medical journals issue press releases for articles that possess the characteristics journalists are looking for, thereby further highlighting their importance.
Using Drones to Study Human Beings: Ethical and Regulatory Issues.
Resnik, David B; Elliott, Kevin C
2018-02-27
Researchers have used drones to track wildlife populations, monitor forest fires, map glaciers, and measure air pollution but have only begun to consider how to use these unmanned aerial vehicles to study human beings. The potential use of drones to study public gatherings or other human activities raises novel issues of privacy, confidentiality, and consent, which this article explores in depth. It argues that drone research could fall into several different categories: non-human subjects research (HSR), exempt HSR, or non-exempt HSR. In the case of non-exempt HSR, it will be difficult for institutional review boards to approve studies unless they are designed so that informed consent can be waived. Whether drone research is non-HSR, exempt HSR, or non-exempt HSR, it is important for investigators to consult communities which could be affected by the research.
Pandemic Ventilator Rationing and Appeals Processes
Patrone, Daniel; Resnik, David
2014-01-01
In a severe influenza pandemic, hospitals will likely experience serious and widespread shortages of patient pulmonary ventilators and of staff qualified to operate them. Deciding who will receive access to mechanical ventilation will often determine who lives and who dies. This prospect raises an important question whether pandemic preparedness plans should include some process by which individuals affected by ventilator rationing would have the opportunity to appeal adverse decisions. However, the issue of appeals processes to ventilator rationing decisions has been largely neglected in state pandemic planning efforts. If we are to devise just and effective plans for coping with a severe influenza pandemic, more attention to the issue of appeals processes for pandemic ventilator rationing decisions is needed. Arguments for and against appeals processes are considered, and some suggestions are offered to help efforts at devising more rational pandemic preparedness plans. PMID:20354793
Wearable design issues for electronic vision enhancement systems
NASA Astrophysics Data System (ADS)
Dvorak, Joe
2006-09-01
As the baby boomer generation ages, visual impairment will overtake a significant portion of the US population. At the same time, more and more of our world is becoming digital. These two trends, coupled with the continuing advances in digital electronics, argue for a rethinking in the design of aids for the visually impaired. This paper discusses design issues for electronic vision enhancement systems (EVES) [R.C. Peterson, J.S. Wolffsohn, M. Rubinstein, et al., Am. J. Ophthalmol. 136 1129 (2003)] that will facilitate their wearability and continuous use. We briefly discuss the factors affecting a person's acceptance of wearable devices. We define the concept of operational inertia which plays an important role in our design of wearable devices and systems. We then discuss how design principles based upon operational inertia can be applied to the design of EVES.
International Space Education Outreach: Taking Exploration to the Global Classroom
NASA Technical Reports Server (NTRS)
Dreschel, T. W.; Lichtenberger, L. A.; Chetirkin, P. V.; Garner, L. C.; Barfus, J. R.; Nazarenko, V. I.
2005-01-01
With the development of the International Space Station and the need for international collaboration for returning to the moon and developing a mission to Mars, NASA has embarked on developing international educational programs related to space exploration. In addition, with the explosion of educational technology, linking students on a global basis is more easily accomplished. This technology is bringing national and international issues into the classroom, including global environmental issues, the global marketplace, and global collaboration in space. We present the successes and lessons learned concerning international educational and public outreach programs that we have been involved in for NASA as well as the importance of sustaining these international peer collaborative programs for the future generations. These programs will undoubtedly be critical in enhancing the classroom environment and will affect the achievements in and attitudes towards science, technology, engineering and mathematics.
Pandemic ventilator rationing and appeals processes.
Patrone, Daniel; Resnik, David
2011-06-01
In a severe influenza pandemic, hospitals will likely experience serious and widespread shortages of patient pulmonary ventilators and of staff qualified to operate them. Deciding who will receive access to mechanical ventilation will often determine who lives and who dies. This prospect raises an important question whether pandemic preparedness plans should include some process by which individuals affected by ventilator rationing would have the opportunity to appeal adverse decisions. However, the issue of appeals processes to ventilator rationing decisions has been largely neglected in state pandemic planning efforts. If we are to devise just and effective plans for coping with a severe influenza pandemic, more attention to the issue of appeals processes for pandemic ventilator rationing decisions is needed. Arguments for and against appeals processes are considered, and some suggestions are offered to help efforts at devising more rational pandemic preparedness plans.
Kumari, A. Krishna; J, Yuvaraj; Das, L. K
2012-01-01
Lymphatic filariasis is a vector borne parasitic disease causing long term disability. The Global Programme to Eliminate Lymphatic Filariasis aims to achieve its objective through two strategies; Mass Drug Administration (MDA) to interrupt transmission and Morbidity Management (MM) to manage disability for those already affected. MDA is going on in full swing in endemic areas; but MM is lagging behind. An exploratory study was conducted in Pondicherry through focus group discussions to find out whether there are delivery issues if any, in the MM programme and get suggestions from end users. The study results show that MM has not received the same attention as MDA and there are shortcomings in the delivery mechanism of the programme. The importance of these findings are discussed and suggestions given for improving the programme. PMID:22654597
Need for "conflict version" of primary surgery: war surgery in the era of low-intensity conflicts.
Morikawa, Masahiro J
2006-01-01
The conventional wars between nations have widely been replaced by low-intensity conflicts within nations today, resulting in different patterns of injuries and practice of surgical care. A blurred front line, protracted durations of violence, indiscriminant fighting, and the emergence of specific surgical problems characterize low-intensity conflicts. In protracted conflicts with limited resources, surgical outcomes depend on many factors other than surgical skills, such as social/cultural values and economical feasibility. This paper examines how the characteristics of current conflicts affect surgical practice and will address key issues to evolve care to adapt to these changes. Key issues are (1) need for comprehensive surgical skills, (2) importance of improving local capacities, (3) long-term impact of trauma, and (4) limited access to information required to improve surgical skills.
Framing Climate Change to Account for Values
NASA Astrophysics Data System (ADS)
Hassol, S. J.
2011-12-01
Belief, trust and values are important but generally overlooked in efforts to communicate climate change. Because climate change has often been framed too narrowly as an environmental issue, it has failed to engage segments of the public for whom environmentalism is not an important value. Worse, for some of these people, environmentalism and the policies that accompany it may be seen as a threat to their core values, such as the importance of personal freedoms and the free market. Climate science educators can improve this situation by more appropriately framing climate change as an issue affecting the economy and our most basic human needs: food, water, shelter, security, health, jobs, and the safety of our families. Further, because people trust and listen to those with whom they share cultural values, climate change educators can stress the kinds of values their audiences share. They can also enlist the support of opinion leaders known for holding these values. In addition, incorporating messages about solutions to climate change and their many benefits to economic prosperity, human health, and other values is an important component of meeting this challenge. We must also recognize that local impacts are of greater concern to most people than changes that feel distant in place and time. Different audiences have different concerns, and effective educators will learn what their audiences care about and tailor their messages accordingly.
Paediatric genomics: diagnosing rare disease in children.
Wright, Caroline F; FitzPatrick, David R; Firth, Helen V
2018-05-01
The majority of rare diseases affect children, most of whom have an underlying genetic cause for their condition. However, making a molecular diagnosis with current technologies and knowledge is often still a challenge. Paediatric genomics is an immature but rapidly evolving field that tackles this issue by incorporating next-generation sequencing technologies, especially whole-exome sequencing and whole-genome sequencing, into research and clinical workflows. This complex multidisciplinary approach, coupled with the increasing availability of population genetic variation data, has already resulted in an increased discovery rate of causative genes and in improved diagnosis of rare paediatric disease. Importantly, for affected families, a better understanding of the genetic basis of rare disease translates to more accurate prognosis, management, surveillance and genetic advice; stimulates research into new therapies; and enables provision of better support.
How research-prioritization exercises affect conservation policy.
Rudd, Murray A
2011-10-01
Conservation scientists are concerned about the apparent lack of impact their research is having on policy. By better aligning research with policy needs, conservation science might become more relevant to policy and increase its real-world salience in the conservation of biological diversity. Consequently, some conservation scientists have embarked on a variety of exercises to identify research questions that, if answered, would provide the evidence base with which to develop and implement effective conservation policies. I synthesized two existing approaches to conceptualizing research impacts. One widely used approach classifies the impacts of research as conceptual, instrumental, and symbolic. Conceptual impacts occur when policy makers are sensitized to new issues and change their beliefs or thinking. Instrumental impacts arise when scientific research has a direct effect on policy decisions. The use of scientific research results to support established policy positions are symbolic impacts. The second approach classifies research issues according to whether scientific knowledge is developed fully and whether the policy issue has been articulated clearly. I believe exercises to identify important research questions have objectives of increasing the clarity of policy issues while strengthening science-policy interactions. This may facilitate the transmission of scientific knowledge to policy makers and, potentially, accelerate the development and implementation of effective conservation policy. Other, similar types of exercises might also be useful. For example, identification of visionary science questions independent of current policy needs, prioritization of best practices for transferring scientific knowledge to policy makers, and identification of questions about human values and their role in political processes could all help advance real-world conservation science. It is crucial for conservation scientists to understand the wide variety of ways in which their research can affect policy and be improved systematically. ©2011 Society for Conservation Biology.
Statistical issues on the analysis of change in follow-up studies in dental research.
Blance, Andrew; Tu, Yu-Kang; Baelum, Vibeke; Gilthorpe, Mark S
2007-12-01
To provide an overview to the problems in study design and associated analyses of follow-up studies in dental research, particularly addressing three issues: treatment-baselineinteractions; statistical power; and nonrandomization. Our previous work has shown that many studies purport an interacion between change (from baseline) and baseline values, which is often based on inappropriate statistical analyses. A priori power calculations are essential for randomized controlled trials (RCTs), but in the pre-test/post-test RCT design it is not well known to dental researchers that the choice of statistical method affects power, and that power is affected by treatment-baseline interactions. A common (good) practice in the analysis of RCT data is to adjust for baseline outcome values using ancova, thereby increasing statistical power. However, an important requirement for ancova is there to be no interaction between the groups and baseline outcome (i.e. effective randomization); the patient-selection process should not cause differences in mean baseline values across groups. This assumption is often violated for nonrandomized (observational) studies and the use of ancova is thus problematic, potentially giving biased estimates, invoking Lord's paradox and leading to difficulties in the interpretation of results. Baseline interaction issues can be overcome by use of statistical methods; not widely practiced in dental research: Oldham's method and multilevel modelling; the latter is preferred for its greater flexibility to deal with more than one follow-up occasion as well as additional covariates To illustrate these three key issues, hypothetical examples are considered from the fields of periodontology, orthodontics, and oral implantology. Caution needs to be exercised when considering the design and analysis of follow-up studies. ancova is generally inappropriate for nonrandomized studies and causal inferences from observational data should be avoided.
Students' reflections in a portfolio pilot: highlighting professional issues.
Haffling, Ann-Christin; Beckman, Anders; Pahlmblad, Annika; Edgren, Gudrun
2010-01-01
Portfolios are highlighted as potential assessment tools for professional competence. Although students' self-reflections are considered to be central in the portfolio, the content of reflections in practice-based portfolios is seldom analysed. To investigate whether students' reflections include sufficient dimensions of professional competence, notwithstanding a standardized portfolio format, and to evaluate students' satisfaction with the portfolio. Thirty-five voluntary final-year medical students piloted a standardized portfolio in a general practice (GP) attachment at Lund University, Sweden. Students' portfolio reflections were based upon documentary evidence from practice, and aimed to demonstrate students' learning. The reflections were qualitatively analysed, using a framework approach. Students' evaluations of the portfolio were subjected to quantitative and qualitative analysis. Among professional issues, an integration of cognitive, affective and practical dimensions in clinical practice was provided by students' reflections. The findings suggested an emphasis on affective issues, particularly on self-awareness of feelings, attitudes and concerns. In addition, ethical problems, clinical reasoning strategies and future communication skills training were subjects of several reflective commentaries. Students' reflections on their consultation skills demonstrated their endeavour to achieve structure in the medical interview by negotiation of an agenda for the consultation, keeping the interview on track, and using internal summarizing. The importance of active listening and exploration of patient's perspective was also emphasized. In students' case summaries, illustrating characteristic attributes of GP, the dominating theme was 'patient-centred care', including the patient-doctor relationship, holistic modelling and longitudinal continuity. Students were satisfied with the portfolio, but improved instructions were needed. A standardized portfolio in a defined course with a limited timeframe provided ample opportunities for reflections on professional issues. Support by mentors and a final examiner interview contributed to the success of the portfolio with students. The interview also allowed students to deepen their reflections and to receive feedback.
Brown, Cary A
2004-01-07
Service providers working with people who have complex health problems like chronic pain are considered at particular risk from the heavy emotional content of these interactions (frustration, guilt, hostility). For the good of service users and in the interests of healthcare workers' own health it is important for them to employ reflective practice acknowledging these issues. Service providers are inculcated to negate the affective domain of their practice despite the growing awareness that wellbeing can no longer be envisioned as a linear (cause and effect) process divorced from socio-cultural influences and attendant values and beliefs. The aim of this report is to examine to what degree service users (SU) and service providers (SP) believe their decisions about treatment importance are influenced by self-image and emotion. These results are extrapolated from a larger study based on a postal questionnaire that went to members of the Pain Society (UK Chapter of IASP) and service users belonging to chronic pain support groups in the North-West of England. The question of interest in this report asked participants to identify their level of agreement with statements about how four themes influence their decision-making about whether a treatment is important. The themes (coherence, purposiveness, self-image and affect) arise from Chapman's model of consciousness and pain. Only 20.5% of service providers rated the influence of self-image (what someone like me would think) as 3 (mostly) or 4 (completely). Service provider rating for the influence of affect (how this treatment makes me feel) were similarly low with only 19.4% of respondents selecting a rating of 3 or 4. In marked contrast, 73.3% of the service users selected self-image and 92.9% selected affect as a strong influence. Service providers felt that affect and self-image had little influence on their decision-making. However, there is growing evidence in the literature to suggest that it is not possible, nor preferable, to divorce emotion from the clinical encounter.
Is exercise important in chronic obstructive pulmonary disease?
Make, Barry; Casaburi, Richard
2007-09-01
Chronic obstructive pulmonary disease impairs the ability of patients to perform maximal physical exercise, particularly in patients with severe lung disease. However, differing perceptions of the meaning and importance of exercise to patients and caregivers is likely to impair patient-physician communication about current medical status and outcomes of therapeutic interventions. Other outcomes of importance to patients including actual performance of functional activity during daily life and health-related quality of life may also be affected by impaired exercise capacity. However, the relationships between exercise, activity, and quality of life are inconsistent. Thus, measurement of physiologic and patient-centered outcomes may provide the best approach to assessing responses to therapeutic interventions. These concepts were explored in a conference sponsored by Boehringer Ingelheim Pharmaceuticals, Inc. and Pfizer Inc and reviewed in the articles generated from the symposium in this issue of COPD.
The role of gender in the socialization of emotion: key concepts and critical issues.
Root, Amy Kennedy; Denham, Susanne A
2010-01-01
Given the omnipresent role of gender in children's and adolescents' development, it seems necessary to better understand how gender affects the process of emotion socialization. In this introductory chapter, the authors discuss the overarching themes and key concepts discussed in this volume, as well as outline the distinct contribution of each individual chapter. Each chapter within this volume underscores the important role that parents play in the socialization of emotion, and the impact gender-typed emotion socialization may have on later socioemotional adjustment. (c) Wiley Periodicals, Inc.
Taymans, Juliana M
2012-01-01
Although the exact prevalence is not determined, a noticeable subset of individuals who enroll in adult education and training programs have either diagnosed or undiagnosed specific learning disabilities (SLD). Understanding SLD is important basic information for adult educators to inform program policies as well as determine effective instructional practices. This article discusses the development of definitions of SLD and current agreement on the nature of SLD relevant to working with adults. It concludes with implications for adult education programs.
Guidelines of care for the management of acne vulgaris.
Zaenglein, Andrea L; Pathy, Arun L; Schlosser, Bethanee J; Alikhan, Ali; Baldwin, Hilary E; Berson, Diane S; Bowe, Whitney P; Graber, Emmy M; Harper, Julie C; Kang, Sewon; Keri, Jonette E; Leyden, James J; Reynolds, Rachel V; Silverberg, Nanette B; Stein Gold, Linda F; Tollefson, Megha M; Weiss, Jonathan S; Dolan, Nancy C; Sagan, Andrew A; Stern, Mackenzie; Boyer, Kevin M; Bhushan, Reva
2016-05-01
Acne is one of the most common disorders treated by dermatologists and other health care providers. While it most often affects adolescents, it is not uncommon in adults and can also be seen in children. This evidence-based guideline addresses important clinical questions that arise in its management. Issues from grading of acne to the topical and systemic management of the disease are reviewed. Suggestions on use are provided based on available evidence. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.
Antimicrobial resistance-a threat to the world's sustainable development.
Jasovský, Dušan; Littmann, Jasper; Zorzet, Anna; Cars, Otto
2016-08-01
This commentary examines how specific sustainable development goals (SDGs) are affected by antimicrobial resistance and suggests how the issue can be better integrated into international policy processes. Moving beyond the importance of effective antibiotics for the treatment of acute infections and health care generally, we discuss how antimicrobial resistance also impacts on environmental, social, and economic targets in the SDG framework. The paper stresses the need for greater international collaboration and accountability distribution, and suggests steps towards a broader engagement of countries and United Nations agencies to foster global intersectoral action on antimicrobial resistance.
[Drug application in patients with artificial nutritional support via tubes].
Pfaff, A
2006-06-01
There has been an increasing number of patients with artificial nutritional support via tubes in the last few years. The inpatient setting as well as the outpatient setting is affected by this matter Physicians, nurses, pharmacists, and relatives have to deal with issues of drug application via tubes. In many cases a few drugs are to be administred via tube in addition to the artificial nutrition. The choice of the appropriate drug is of importance beyond other things to avoid intricacies and to ensure a safe and effective therapy.
2010-09-01
optics, in the eyes of both the CF and NGO participants, was seen, quite literally, as a life and death issue. 3.4 Differences in Organizational...public, both local and at home in Canada. This, in turn, can affect their security and their image in the eyes of their donor, but most importantly...Canadian Forces Leaders, Davis, 2009). Cultural competence is a concept that has its origins in the sociological, anthropological and psychological
Croy, Ilona; Geide, Helen; Paulus, Martin; Weidner, Kerstin; Olausson, Håkan
2016-11-30
Affective touch is important for social interaction within families and groups and there is evidence that unmyelinated C tactile fibers are involved in this process. Individuals with autism spectrum disorders show alterations in the perception and processing of affective touch. sThus, we hypothesized that affective touch awareness based on C tactile fiber activation is impaired in individuals with high levels of autistic trait. The pleasantness perception of optimal and suboptimal C tactile stimuli was tested in an explorative study in 70 patients recruited from an outpatient psychotherapy clinic and 69 healthy comparison subjects. All participants completed questionnaires about autistic traits, depressive symptomatology, childhood maltreatment, and about the daily amount of touch. Relative to comparison subjects, patients reported engaging in touch less frequently in daily life and rated touch less pleasant. Reduced valence ratings of touch were explained by childhood maltreatment but not by any particular disorder or depression severity. Among all tested variables, the affective touch awareness correlated with autistic traits only - in patients as well as in comparison subjects. Taken together, individuals with mental health issues have a lower baseline of expression and reception of affective touch. Autistic traits and childhood maltreatment modulate the experience of affective touch. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-12
... consensus-based negotiations among affected parties. October 2012, the convenor issued his report based on a.... Proposed Negotiating Procedures A. Key Issues for Negotiation DOE has identified the following substantive... negotiations; nevertheless, each affected interest can be adequately represented. To have a successful...
ERIC Educational Resources Information Center
Duggan, Louise Maria
2015-01-01
This article explores the use of qualitative research methods towards our understanding of the issues affecting female undergraduate engineers. As outlined in this article female engineering students face many challenges during their undergraduate studies. Qualitative research methods provide an opportunity to gain a deeper understanding of the…
Student Teaching and the Law. SCIP No. 5.
ERIC Educational Resources Information Center
Hazard, William R.
This document explains some aspects of the law which affect teachers in general and student teachers in particular. Five issues are examined. The first issue concerns state laws which affect student teachers, with Illinois and Indiana laws used as examples. Some of these laws have to do with liability insurance, credentialling, clinical training,…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-09-23
... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2013-N-1073] Complex Issues in Developing Medical Devices for Pediatric Patients Affected by Rare Diseases; Public Workshop; Request for Comments AGENCY: Food and Drug Administration, HHS. ACTION: Notice of public workshop...
Rural Issues for Children and Families Affected by Epilepsy.
ERIC Educational Resources Information Center
Ellis, Gail Johnston
Epilepsy affects approximately one percent of the population, with most cases having onset during childhood. School personnel can best incorporate the child with epilepsy into the classroom and provide support for families by becoming familiar with the types of seizure disorders, the issues that epilepsy presents for children and families, and the…
Federal Register 2010, 2011, 2012, 2013, 2014
2011-08-09
... water quality issues that affect private well owners. Please note that we may not conduct or sponsor... objectives of this survey are to obtain information on water quality issues that affect private well owners... of Management and Budget (OMB) to approve the new information collection (IC) described below. As...
After "Hazelwood": The Role of School Officials in Conflicts over the Curriculum.
ERIC Educational Resources Information Center
Whitson, James Anthony
1993-01-01
Analyzes in some detail a number of censorship cases affected by the 1988 United States Supreme Court case, Hazelwood School District v. Kuhlmeier. Considers how principals have been affected by the ruling in their relation to the issue of censorship. Presents ideas about how administrators should deal with the issue. (HB)
Capital, Inequality and Education in Conflict-Affected Contexts
ERIC Educational Resources Information Center
Novelli, Mario
2016-01-01
Piketty's "Capital in the Twenty-First Century" has brought the issue of inequality to the centre of political debate. This article explores contemporary research on the relationship between education and inequality in conflict-affected contexts with a view to seeing how Piketty's work speaks to these issues as a field of research and…
... Bar Home Current Issue Past Issues Males and Eating Disorders Past Issues / Spring 2008 Table of Contents For ... this page please turn Javascript on. Photo: PhotoDisc Eating disorders primarily affect girls and women, but boys and ...
Feature Hepatitis: Hepatitis Can Strike Anyone
... Navigation Bar Home Current Issue Past Issues Feature Hepatitis Hepatitis Can Strike Anyone Past Issues / Spring 2009 Table ... from all walks of life are affected by hepatitis, especially hepatitis C, the most common form of ...
Andersen, Susan L
2016-11-01
Adolescence as highlighted in this special issue is a period of tremendous growth, synaptic exuberance, and plasticity, but also a period for the emergence of mental illness and addiction. This commentary aims to stimulate research on prevention science to reduce the impact of early life events that often manifest during adolescence. By promoting a better understanding of what creates a normal and abnormal trajectory, the reviews by van Duijvenvoorde et al., Kilford et al., Lichenstein et al., and Tottenham and Galvan in this special issue comprehensively describe how the adolescent brain develops under typical conditions and how this process can go awry in humans. Preclinical reviews also within this issue describe how adolescents have prolonged extinction periods to maximize learning about their environment (Baker et al.), whereas Schulz and Sisk focus on the importance of puberty and how it interacts with stress (Romeo). Caballero and Tseng then set the stage of describing the neural circuitry that is often central to these changes and psychopathology. Factors that affect the mis-wiring of the brain for illness, including prenatal exposure to anti-mitotic agents (Gomes et al.) and early life stress and inflammation (Schwarz and Brenhouse), are included as examples of how exposure to early adversity manifests. These reviews are synthesized and show how information from the maturational stages that precede or occur during adolescence is likely to hold the key towards optimizing development to produce an adolescent and adult that is resilient and well adapted to their environment. Copyright © 2016 Elsevier Ltd. All rights reserved.
Fifty years of driving safety research.
Lee, John D
2008-06-01
This brief review covers the 50 years of driving-related research published in Human Factors, its contribution to driving safety, and emerging challenges. Many factors affect driving safety, making it difficult to assess the impact of specific factors such as driver age, cell phone distractions, or collision warnings. The author considers the research themes associated with the approximately 270 articles on driving published in Human Factors in the past 50 years. To a large extent, current and past research has explored similar themes and concepts. Many articles published in the first 25 years focused on issues such as driver impairment, individual differences, and perceptual limits. Articles published in the past 25 years address similar issues but also point toward vehicle technology that can exacerbate or mitigate the negative effect of these issues. Conceptual and computational models have played an important role in this research. Improved crash-worthiness has contributed to substantial improvements in driving safety over the past 50 years, but future improvements will depend on enhancing driver performance and perhaps, more important, improving driver behavior. Developing models to guide this research will become more challenging as new technology enters the vehicle and shifts the focus from driver performance to driver behavior. Over the past 50 years, Human Factors has accumulated a large base of driving-related research that remains relevant for many of today's design and policy concerns.
Uchino, Bert N.; Bowen, Kimberly; Carlisle, McKenzie; Birmingham, Wendy
2012-01-01
Contemporary models postulate the importance of psychological mechanisms linking perceived and received social support to physical health outcomes. In this review, we examine studies that directly tested the potential psychological mechanisms responsible for links between social support and health-relevant physiological processes (1980s to 2010). Inconsistent with existing theoretical models, no evidence was found that psychological mechanisms such as depression, perceived stress, and other affective processes are directly responsible for links between support and health. We discuss the importance of considering statistical/design issues, emerging conceptual perspectives, and limitations of our existing models for future research aimed at elucidating the psychological mechanisms responsible for links between social support and physical health outcomes. PMID:22326104
Contributions of Philip Teitelbaum to affective neuroscience.
Berridge, Kent C
2012-06-01
As part of a festschrift issue for Philip Teitelbaum, I offer here the thesis that Teitelbaum deserves to be viewed as an important forefather to the contemporary field of affective neuroscience (which studies motivation, emotion and affect in the brain). Teitelbaum's groundbreaking analyses of motivation deficits induced by lateral hypothalamic damage, of roles of food palatability in revealing residual function, and of recovery of 'lost' functions helped shape modern understanding of how motivation circuits operate within the brain. His redefinition of the minimum requirement for identifying motivation raised the conceptual bar for thinking about the topic among behavioral neuroscientists. His meticulous analyses of patterned stages induced by brain manipulations, life development and clinical disorders added new dimensions to our appreciation of how brain systems work. His steadfast highlighting of integrative functions and behavioral complexity helped provide a healthy functionalist counterbalance to reductionist trends in science of the late 20th century. In short, Philip Teitelbaum can be seen to have made remarkable contributions to several domains of psychology and neuroscience, including affective neuroscience. Copyright © 2011 Elsevier B.V. All rights reserved.
Cheah, Y K; Azahadi, M; Phang, S N; Hazilah, N
2017-05-01
The rapid rise in the prevalence of physical inactivity-related diseases has become a serious public health issue worldwide. The objective of the present study is to examine the factors affecting participation in physical activity among urban dwellers in Malaysia. This cross-sectional study measures physical activity using a rigorous regression model. Data are obtained from the National Health and Morbidity Survey 2011 (NHMS 2011). A lognormal hurdle model is used to analyse the participation decision and the amount decision of physical activity. The results show that income, gender, ethnicity, marital status and employment status are significantly associated with participation decision and amount decision. However, age, insurance and self-rated health only affect participation decision, whereas family size, education and smoking only affect amount decision. It can, thus, be concluded that sociodemographic, insurance, lifestyle and health factors play an important role in determining physical activity behaviour among urban dwellers. When formulating policies, special attention must be paid to these factors. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
[Research progress on the degradation mechanisms and restoration of riparian ecosystem].
Huang, Kai; Guo, Huai-cheng; Liu, Yong; Yu, Ya-juan; Zhou, Feng
2007-06-01
Restoration and reconstruction of degraded riparian ecosystem caused by natural and anthropogenic disturbances is one of the important issues in restoration ecology and watershed ecology. The disturbances on riparian ecosystem include flow regime alteration, direct modification and watershed disturbance, which have different affecting mechanisms. Flow regime alteration affects riparian ecosystem by changing riparian soil humidity, oxidation-reduction potential, biotaliving environment, and sediment transfer; direct modification affects riparian vegetation diversity through human activities and exotic plants invasion; and watershed disturbance mainly manifests in the channel degradation, aggradation or widening, the lowering of groundwater table, and the modification in fluvial process. The assessment objects of riparian restoration are riparian ecosystem components, and the assessment indicators are shifted from ecological to synthetic indices. Riparian restoration should be based on the detailed understanding of the biological and physical processes which affect riparian ecosystem, and implemented by vegetation restoration and hydrological adjustment at watershed or landscape scale. To extend the research scales and objects and to apply interdisciplinary approaches should be the key points in the further studies on the degradation mechanisms and restoration of riparian ecosystem.
Contributions of Philip Teitelbaum to affective neuroscience
Berridge, Kent C.
2011-01-01
As part of a festschrift issue for Philip Teitelbaum, I offer here the thesis that Teitelbaum deserves to be viewed as an important forefather to the contemporary field of affective neuroscience (which studies motivation, emotion and affect in the brain). Teitelbaum’s groundbreaking analyses of motivation deficits induced by lateral hypothalamic damage, of roles of food palatability in revealing residual function, and of recovery of ‘lost’ functions helped shape modern understanding of how motivation circuits operate within the brain. His redefinition of the minimum requirement for identifying motivation raised the conceptual bar for thinking about the topic among behavioral neuroscientists. His meticulous analyses of patterned stages induced by brain manipulations, life development and clinical disorders added new dimensions to our appreciation of how brain systems work. His steadfast highlighting of integrative functions and behavioral complexity helped provide a healthy functionalist counterbalance to reductionist trends in science of the late 20th century. In short, Philip Teitelbaum can be seen to have made remarkable contributions to several domains of psychology and neuroscience, including affective neuroscience. PMID:22051942
Does age or gender influence quality of life in children with atopic dermatitis?
Hon, K L E; Leung, T F; Wong, K Y; Chow, C M; Chuh, A; Ng, P C
2008-11-01
Quality of life (QoL) is impaired in children with atopic dermatitis (AD) but the various aspects of QoL may not be equally affected. Aim. To evaluate if age and gender affect some aspects of QoL in children with AD. The Children's Dermatology Life Quality Index (CDLQI) was used for all children with AD seen at a paediatric dermatology clinic over a 3-year period. Disease severity was assessed using the SCORing Atopic Dermatitis (SCORAD) and Nottingham Eczema Severity Score (NESS) tools. We reviewed CDLQI in 133 children (70 male and 63 female; age range 5-16 years) with AD. Itch, sleep disturbance, treatment and swimming/sports were the four aspects of QoL issues that were most commonly affected, in 50%, 47%, 38% and 29% of patients, respectively. Problems with interpersonal issues (friendship, school/holidays, and teasing/bullying) occurred in only a minority of children (
Mental Retardation: Topics of Today--Issues of Tomorrow.
ERIC Educational Resources Information Center
Meyen, Edward L., Ed.
1984-01-01
The monograph examines issues affecting the future of handicapped people generally, and mentally retarded people specifically. E. Meyen introduces the volume and describes how the issues were identified. H. Turnbull and P. Barber, in "Perspectives on Public Policy," discuss such issues as defederalization, redefinition of handicaps, and…
2005-06-01
the Graduate School of Business and Public Policy in the Naval Postgraduate School By: John Porti, Hwu Ching-Hwa, Piotr...Affecting International Students at the Graduate School of Business and Public Policy in the Naval Postgraduate School 6. AUTHOR(S) John Porti, Hwu Ching...Military Students (IMS) at the Graduate School of Business and Public Policy is to identify issues that affect them. A total of 42 IMS participated in
Drug Issues Affecting Chinese, Indian and Pakistani People Living in Greater Glasgow
ERIC Educational Resources Information Center
Ross, A. J.; Heim, D.; Bakshi, N.; Davies, J. B.; Flatley, K. J.; Hunter, S. C.
2004-01-01
This paper describes research on drug issues affecting Chinese, Indian and Pakistani people living in Greater Glasgow. There were two strands: (i) a questionnaire-based survey of young people and focus groups; (ii) interviews with young people and adults. The primary aims were to gather prevalence data and to investigate perceptions about current…
Framing the issues affecting northern forests
Stephen R. Shifley; Francisco X. Aguilar; Nianfu Song; Susan I. Stewart; David J. Nowak; Dale D. Gormanson; W. Keith Moser; Sherri Wormstead; Eric J. Greenfield
2012-01-01
People in the North are concerned about forests, especially the forests near to them. Concerns reflect their diverse connections to forests and the many ways that rural and urban forests affect their quality of life. A recent analysis by Dietzman et al. (2011) summarized more than 700 comments about issues facing northern forests. The comments came from 74 print and...
30 CFR 250.271 - For what reasons will MMS disapprove the DPP or DOCD?
Code of Federal Regulations, 2011 CFR
2011-07-01
...) No consistency concurrence. (1) An affected State has not yet issued a final decision on your coastal zone consistency certification (see 15 CFR 930.78(a)); or (2) An affected State objects to your coastal... either has not yet issued a final decision on, or has objected to, your coastal zone consistency...
ERIC Educational Resources Information Center
Mika, Joseph J.; Shuman, Bruce A.
1988-01-01
This fourth lesson in a continuing education course on legal issues affecting libraries and librarians discusses the library's rights and legal responsibilities in the areas of censorship and intellectual freedom, the Freedom of Information Act and patron privacy, problem patrons, and ethical considerations of library services. (14 references)…
Research on Social Issues in Elementary School Physical Education
ERIC Educational Resources Information Center
Solmon, Melinda A.; Lee, Amelia M.
2008-01-01
The social and cultural norms children learn in schools can have a powerful effect on a variety of lifestyle decisions that will affect their physical and mental health. In this article we examine research on social issues in elementary school physical education. We provide an overview of how teachers' actions and behaviors affect what children…
Hidden Curriculum as One of Current Issue of Curriculum
ERIC Educational Resources Information Center
Alsubaie, Merfat Ayesh
2015-01-01
There are several issues in the education system, especially in the curriculum field that affect education. Hidden curriculum is one of current controversial curriculum issues. Many hidden curricular issues are the result of assumptions and expectations that are not formally communicated, established, or conveyed within the learning environment.…
Special Issues in Working with Gifted Minority Adolescents.
ERIC Educational Resources Information Center
Lindstrom, Rena R.; Van Sant, Sondra
1986-01-01
Gifted adolescents from minority groups face the same issues all gifted young people face, but the addition of racial and cultural factors increases the complexity of these issues. Discusses individual versus cultural pressures that affect identity, issues related to assisting students with long-range planning, and two models for programming.…
Direct, Operational Field Test Evaluation, Institutional Issues
DOT National Transportation Integrated Search
1998-08-01
INSTITUTIONAL ISSUES HAVE BEEN DEFINED AS NON-TECHNICAL ISSUES OR CONCERNS THAT INFLUENCE THE COURSE AND OUTCOME OF AN OPERATIONAL TEST. OFTEN THEY ARE EVENTS AND/OR CIRCUMSTANCES THAT AFFECT ADMINISTRATION, DESIGN, DEPLOYMENT AND EVALUATION OF THE O...
When prison is "easier": probationers' perceptions of health and wellbeing.
Plugge, Emma; Ahmed Abdul Pari, Anees; Maxwell, Janet; Holland, Sarah
2014-01-01
There are currently over 300,000 offenders in England and Wales and the majority, around 240,000, are in the community on probation. However, there is a paucity of research on their health and healthcare needs. The purpose of this paper is to explore issues around health and access to health services for those on probation. In particular the paper explores what people on probation consider to be the key health issues currently affecting them, and to identify barriers to accessing healthcare in the community. The authors ran six focus groups with a total of 41 participants; two were with staff and the others with men and women on probation. In each focus group, the researchers used semi-structured guide and the discussions were recorded electronically and then transcribed. The paper adopted a thematic analytical framework and used NVivo 7 to facilitate analysis. Both probationers and professionals largely agreed about the key issues which included substance use and mental health problems. However, the most important issue for probationers was dealing with the stress of being on probation which was not generally recognised by professionals. All participants recognised the impact of issues such as housing, finances and employment on the wellbeing of probationers and were concerned about the lack of access to health services, in particular mental health and alcohol services. This was a small study conducted in one part of England and therefore it is not clear that the findings are generalisable. However, it raises important issues about the mental health needs of probationers and the lack of appropriate services for them. Effective services may have positive impact on re-offending and further research is needed to evaluate models of care. The challenge remains for local health service commissioners and providers and the probation service to work together to provide appropriate and accessible services for all those on probation. Nearly one-quarter of a million people are on probation at any one time in the UK but the existing evidence on their health is patchy and dated. Little is known about effective health interventions or the extent to which their health needs are met. This study shows that probationers see the stress of being on probation as their most important health concern. Both probationers and staff recognise that mental health and substance use are persistent problems and that these important health needs in these areas are not being met by existing services.
Merla, Arcangelo
2014-01-01
The evaluation of the psychophysiological state of the interlocutor is an important element of interpersonal relationships and communication. Thermal infrared (IR) imaging has proved to be a reliable tool for non-invasive and contact-less evaluation of vital signs, psychophysiological responses, and emotional states. This technique is quickly spreading in many fields, from psychometrics to social and developmental psychology; and from the touch-less monitoring of vital signs and stress, up to the human–machine interaction. In particular, thermal IR imaging promises to be of use for gathering information about affective states in social situations. This paper presents the state of the art of thermal IR imaging in psychophysiology and in the assessment of affective states. The goal is to provide insights about its potentialities and limits for its use in human–artificial agent interaction in order to contribute to a major issue in the field: the perception by an artificial agent of human psychophysiological and affective states. PMID:25101046
Predicting bystander intervention among middle school students.
Menolascino, Nicole; Jenkins, Lyndsay N
2018-06-01
Bullying is a prevalent issue in schools, and the importance of involving bystanders in bullying prevention has been recognized; however, there are few studies that examine personal characteristics that relate to the five steps of Latané and Darley's (1970) Bystander Intervention Model (notice the event, interpret as an emergency, accept responsibility, know what to do, and act). This study examined cognitive and affective empathy and perceived popularity and their relation to each of the five steps of the Bystander Intervention Model in Bullying (Nickerson, Aloe, Livingston, & Feeley, 2014), as well as explored if gender changed those relations. With a sample of 346 sixth to eighth grade students, we found a negative relation between perceived popularity and noticing bullying events. For boys, higher affective empathy was associated with a greater likelihood of interpreting bullying as an emergency and accepting responsibility for intervening, but for girls, their perception of bullying as an emergency and accepting responsibility was stable regardless of their level of affective empathy. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
Lin, Jie; Zou, Xinqing; Huang, Faming
2018-06-01
The ecological impact of thermal discharge has become an important issue in the field of marine and environmental protection. We focused on the effects of thermal discharge on seawater temperature and biological communities based on data from before (2006) and after (2013-2014) the construction of a power plant. The thermal discharge induced stratification, which resulted in changes in the vertical hydrodynamic conditions. Stratification combined with elevated temperatures significantly affected the phytoplankton abundance and community structure. Elevated seawater temperatures decreased the chlorophyll-a concentrations by 34% and 63%, at the surface and bottom, respectively. The elevated seawater temperature at the bottom might not be high enough to significantly affect the macrobenthos, but significantly affected the phytoplankton and zooplankton communities. Because these communities serve as food for the macrobenthic community, their changes resulted in growth of the macrobenthos. Furthermore, this effect induced macrobenthic community succession, resulting in decreased species diversity and increased dominance. Copyright © 2018 Elsevier Ltd. All rights reserved.
Pistulka, Gina M; Winch, Peter J; Park, Hyunjeong; Han, Hae-Ra; Kim, Miyong T
2012-06-01
Type 2 diabetes mellitus (DM) and hypertension (HTN) disproportionately affect minority populations in the United States, including Korean American immigrants (KAI). We conducted qualitative interviews with middle-aged KAI in Maryland living with DM and HTN to examine the illness experience to inform future intervention strategies. Study results show that participants utilized strategies to maintain respect and Korean identity, including an image of being healthy and in control of their behavior in the public arena. These strategies included the lack of disclosure of their illness, even to family members, and avoiding outside assistance when engaging in problem solving. Maintaining an outward image of health was a common goal that affected the self-care of KAI in this study, a finding that might prove significant in the management of other chronic illnesses affecting this population. The study findings demonstrate the importance of in-depth understanding of specific populations when treating chronic illness, and caretakers' sensitivity to each population's unique cultural issues regarding identity, image, and disclosure.
Sommer, Marni; Muñoz-Laboy, Miguel; Williams, Anaise; Mayevskaya, Yana; Falb, Kathryn; Abdella, Gizman; Stark, Lindsay
2018-05-01
Violence against women and girls is a global concern, and particularly salient in humanitarian settings. Successful efforts to prevent gender-based violence in humanitarian settings must address a wide range of issues, from discriminatory laws to explicit community support for violence, and yet, at the core of these efforts is reducing oppressive gender and social norms. This study examined local attitudes towards and social norms around responding to physical and sexual abuse of girls through interviews conducted with adolescent girls (n = 66) and with caregivers (n = 58) among two conflict-affected populations: villages in South Kivu in the Democratic Republic of the Congo and Sudanese and South Sudanese refugees in Ethiopian camps. The findings suggest how communities use violence as a tool to enforce the importance of girls practicing community-defined "good" adolescent girl behavior, and have implications for gender-based violence programming among other conflict-affected populations. Copyright © 2018. Published by Elsevier Ltd.
Vicary, Amanda M; Fraley, R Chris
2010-11-01
After the shootings at Virginia Tech and Northern Illinois University, many students gravitated to the Internet for support. Despite the fact that the Internet plays a major role in how people live their lives in contemporary society, little is known about how people use the Internet in times of tragedy and whether this use affects well-being. To address these issues, the current study assessed the types of online activities more than 200 Virginia Tech and Northern Illinois University students participated in 2 weeks after the shootings and again 6 weeks later, as well as their depressive and posttraumatic stress disorder (PTSD) symptoms. Results showed that 2 weeks after the shootings, nearly 75% of students were suffering from significant psychological distress. Additionally, students participated in numerous online activities related to the shootings. Importantly, students perceived their Internet activities as being beneficial, although there was no evidence that Internet use affected their well-being.
Assessment and management of urinary incontinence in women.
Stewart, Ellie
2018-05-02
Urinary incontinence is a common and usually hidden issue that can affect women of all ages. It is often ignored by the patient because of their misconception that incontinence is an inevitable consequence of ageing and their low expectations of successful treatment. There are various types of incontinence, with symptoms that can significantly affect patients' quality of life. This article aims to enhance nurses' understanding of the types of urinary incontinence affecting women, associated risk factors and continence assessment, as well as the initial investigations and conservative treatments that can be instigated by general nurses. It also discusses some of the advanced treatments offered by specialist services. The article emphasises the importance of undertaking a holistic continence assessment to ensure appropriate continence care is provided, and how tailoring this care to the individual can improve adherence to treatment plans. © 2018 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.
Rodríguez, Juan Pablo Loyola; Ayala-Herrera, Jose Luis; Muñoz-Gomez, Noel; Martínez-Martínez, Rita E; Santos-Díaz, Miguel Angel; Olvera-Delgado, Jose Honorio; Loyola-Leyva, Alejandra
To compare dental caries and oral findings in patients affected by different types of Cerebral Palsy (CP). This cross-sectional study involved 120 children and adolescents with a diagnosis of CP. WHO diagnostic criteria were used to determine DMFT (caries diagnosis), the pocket depth and attachment level (periodontitis diagnosis). Additionally, the study evaluated dental erosion, traumatic dental injuries, treatment needs index (TNI), oral habits, malocclusions, gingival overgrowth, and dental fluorosis. The most frequent CP type was spastic (62.5%), followed by mixed (18.3%), ataxic (10%), and athetoid (9.1). Patients affected by mixed CP showed a higher prevalence in decayed, DMFT index and TNI compared with the other types of CP (p<0.05). The frequency of malocclusion in the clinical evaluation was 87.5% and in plaster models was 49.2%. Dental caries was an important issue in mixed and athetoid CP groups. Oral habits and malocclusions were the most significant oral health problems in individuals with CP.
14 CFR 21.621 - Issue of letters of TSO design approval: Import articles.
Code of Federal Regulations, 2014 CFR
2014-01-01
... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Issue of letters of TSO design approval: Import articles. 21.621 Section 21.621 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... Approvals § 21.621 Issue of letters of TSO design approval: Import articles. (a) The FAA may issue a letter...
14 CFR 21.621 - Issue of letters of TSO design approval: Import articles.
Code of Federal Regulations, 2012 CFR
2012-01-01
... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Issue of letters of TSO design approval: Import articles. 21.621 Section 21.621 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... Approvals § 21.621 Issue of letters of TSO design approval: Import articles. (a) The FAA may issue a letter...
14 CFR 21.621 - Issue of letters of TSO design approval: Import articles.
Code of Federal Regulations, 2013 CFR
2013-01-01
... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Issue of letters of TSO design approval: Import articles. 21.621 Section 21.621 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT... Approvals § 21.621 Issue of letters of TSO design approval: Import articles. (a) The FAA may issue a letter...
Women's experiences of pregnancy related pelvic girdle pain: A systematic review.
Mackenzie, Jo; Murray, Esther; Lusher, Joanne
2018-01-01
to systematically review the available studies which relay the experience of pregnancy related pelvic girdle pain and how this affects women psychologically and emotionally. a systematic review and meta-synthesis of the experiences of pregnancy related pelvic girdle pain was conducted for qualitative studies dated between 2005 and 2016. Predefined terms were used to search nine central databases and hand searches of two reference lists of identified studies were carried out. 614 records were identified, eight studies met the inclusion criteria for review. Pain from pelvic girdle pain impacted on women's daily lives both at home and the workplace. This had a negative emotional and psychological impact on women as it took away their feeling of independence. Women reported feelings of frustration, guilt, irritability and upset at being unable to carry out their normal roles. Pelvic girdle pain also affected the women's sense of identity and ability to care for their children. Health professionals working with pregnant and postnatal women need to be aware of the anger, frustration and negative emotions resulting from PGP. These women may become socially isolated and there is a risk they could abuse analgesics in attempt to manage the pain especially if they do not have the social support. For women with young children, it is important to be aware of safety issues they face with carrying babies and controlling toddlers. It is therefore important that health professionals recognise PGP as a serious health issue, approach this condition sensitively and refer to appropriate treatment as soon as PGP is suspected. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.
A synthesis of welfare reform policy and its impact on substance users.
Montoya, Isaac D; Atkinson, John S
2002-01-01
The purpose of this study was to provide an overview of welfare reform and its impact on the substance-abusing recipient. The data for this paper were derived from sources including the US Department of Health and Human Services and the National Institute on Drug Abuse. The number of individuals on public assistance has decreased in the years following implementation of welfare reform legislation. Factors relevant to transitioning welfare recipients into the workplace, such as transportation and childcare, have special ramifications for the drug-using population. Additionally, these individuals require treatment for their addictions in order to become employable. The issue of concern is that recipients may be deterred from seeking benefits by various provisions of welfare reform legislation and turn instead to other sources (including illicit activities) for sustenance. Welfare caseloads have been dropping over the past two years. However, the number of substance abusers continues to rise. It is not known in what ways welfare reform will affect substance abusers who are welfare recipients. Important policy issues arise from this nexus; it is argued that these issues will require careful investigation.
Reproducibility and replicability of rodent phenotyping in preclinical studies.
Kafkafi, Neri; Agassi, Joseph; Chesler, Elissa J; Crabbe, John C; Crusio, Wim E; Eilam, David; Gerlai, Robert; Golani, Ilan; Gomez-Marin, Alex; Heller, Ruth; Iraqi, Fuad; Jaljuli, Iman; Karp, Natasha A; Morgan, Hugh; Nicholson, George; Pfaff, Donald W; Richter, S Helene; Stark, Philip B; Stiedl, Oliver; Stodden, Victoria; Tarantino, Lisa M; Tucci, Valter; Valdar, William; Williams, Robert W; Würbel, Hanno; Benjamini, Yoav
2018-04-01
The scientific community is increasingly concerned with the proportion of published "discoveries" that are not replicated in subsequent studies. The field of rodent behavioral phenotyping was one of the first to raise this concern, and to relate it to other methodological issues: the complex interaction between genotype and environment; the definitions of behavioral constructs; and the use of laboratory mice and rats as model species for investigating human health and disease mechanisms. In January 2015, researchers from various disciplines gathered at Tel Aviv University to discuss these issues. The general consensus was that the issue is prevalent and of concern, and should be addressed at the statistical, methodological and policy levels, but is not so severe as to call into question the validity and the usefulness of model organisms as a whole. Well-organized community efforts, coupled with improved data and metadata sharing, have a key role in identifying specific problems and promoting effective solutions. Replicability is closely related to validity, may affect generalizability and translation of findings, and has important ethical implications. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.
Rahman, M Azizur; Rahman, A; Khan, M Zaved Kaiser; Renzaho, Andre M N
2018-04-15
Arsenic contamination of drinking water, which can occur naturally or because of human activities such as mining, is the single most important public health issue in Bangladesh. Fifty out of the 64 districts in the country have arsenic concentration of groundwater exceeding 50µgL -1 , the Bangladeshi threshold, affecting 35-77 million people or 21-48% of the total population. Chronic arsenic exposure through drinking water and other dietary sources is an important public health issue worldwide affecting hundreds of millions of people. Consequently, arsenic poisoning has attracted the attention of researchers and has been profiled extensively in the literature. Most of the literature has focused on characterising arsenic poisoning and factors associated with it. However, studies examining the socio-economic aspects of chronic exposure of arsenic through either drinking water or foods remain underexplored. The objectives of this paper are (i) to review arsenic exposure pathways to humans; (ii) to summarise public health impacts of chronic arsenic exposure; and (iii) to examine socio-economic implications and consequences of arsenicosis with a focus on Bangladesh. This scoping review evaluates the contributions of different exposure pathways by analysing arsenic concentrations in dietary and non-dietary sources. The socio-economic consequences of arsenicosis disease in Bangladesh are discussed in this review by considering food habits, nutritional status, socio-economic conditions, and socio-cultural behaviours of the people of the country. The pathways of arsenic exposure in Bangladesh include drinking water, various plant foods and non-dietary sources such as soil. Arsenic affected people are often abandoned by the society, lose their jobs and get divorced and are forced to live a sub-standard life. The fragile public health system in Bangladesh has been burdened by the management of thousands of arsenicosis victims in Bangladesh. Copyright © 2017 Elsevier Inc. All rights reserved.
Krentel, Alison; Fischer, Peter U.; Weil, Gary J.
2013-01-01
Background The success of programs to eliminate lymphatic filariasis (LF) depends in large part on their ability to achieve and sustain high levels of compliance with mass drug administration (MDA). This paper reports results from a comprehensive review of factors that affect compliance with MDA. Methodology/Principal Findings Papers published between 2000 and 2012 were considered, and 79 publications were included in the final dataset for analysis after two rounds of selection. While results varied in different settings, some common features were associated with successful programs and with compliance by individuals. Training and motivation of drug distributors is critically important, because these people directly interact with target populations, and their actions can affect MDA compliance decisions by families and individuals. Other important programmatic issues include thorough preparation of personnel, supplies, and logistics for implementation and preparation of the population for MDA. Demographic factors (age, sex, income level, and area of residence) are often associated with compliance by individuals, but compliance decisions are also affected by perceptions of the potential benefits of participation versus the risk of adverse events. Trust and information can sometimes offset fear of the unknown. While no single formula can ensure success MDA in all settings, five key ingredients were identified: engender trust, tailor programs to local conditions, take actions to minimize the impact of adverse events, promote the broader benefits of the MDA program, and directly address the issue of systematic non-compliance, which harms communities by prolonging their exposure to LF. Conclusions/Significance This review has identified factors that promote coverage and compliance with MDA for LF elimination across countries. This information may be helpful for explaining results that do not meet expectations and for developing remedies for ailing MDA programs. Our review has also identified gaps in understanding and suggested priority areas for further research. PMID:24278486
Optimization of Close Range Photogrammetry Network Design Applying Fuzzy Computation
NASA Astrophysics Data System (ADS)
Aminia, A. S.
2017-09-01
Measuring object 3D coordinates with optimum accuracy is one of the most important issues in close range photogrammetry. In this context, network design plays an important role in determination of optimum position of imaging stations. This is, however, not a trivial task due to various geometric and radiometric constraints affecting the quality of the measurement network. As a result, most camera stations in the network are defined on a try and error basis based on the user's experience and generic network concept. In this paper, we propose a post-processing task to investigate the quality of camera positions right after image capturing to achieve the best result. To do this, a new fuzzy reasoning approach is adopted, in which the constraints affecting the network design are all modeled. As a result, the position of all camera locations is defined based on fuzzy rules and inappropriate stations are determined. The experiments carried out show that after determination and elimination of the inappropriate images using the proposed fuzzy reasoning system, the accuracy of measurements is improved and enhanced about 17% for the latter network.
Saving the limb in diabetic patients with ischemic foot lesions complicated by acute infection.
Clerici, Giacomo; Faglia, Ezio
2014-12-01
Ischemia and infection are the most important factors affecting the prognosis of foot ulcerations in diabetic patients. To improve the outcome of these patients, it is necessary to aggressively treat 2 important pathologies--namely, occlusive arterial disease affecting the tibial and femoral arteries and infection of the ischemic diabetic foot. Each of these 2 conditions may lead to major limb amputation, and the presence of both critical limb ischemia (CLI) and acute deep infection is a major risk factor for lower-extremity amputation. Thus, the management of diabetic foot ulcers requires specific therapeutic approaches that vary significantly depending on whether foot lesions are complicated by infection and/or ischemia. A multidisciplinary team approach is the key to successful treatment of a diabetic foot ulcer: ischemic diabetic foot ulcers complicated by acute deep infection pose serious treatment challenges because high levels of skill, organization, accuracy, and timing of intervention are required to maximize the chances of limb salvage: these complex issues are better managed by a multidisciplinary clinical group. © The Author(s) 2014.
U.S. Department of Energy Office of Legacy Management's Tribal Interactions - 12513
DOE Office of Scientific and Technical Information (OSTI.GOV)
Gil, April; Shafer, David; Elmer, John
2012-07-01
Effective government-to-government interactions with tribal nations and maintaining stakeholder relations with members of tribes are increasingly important to the U.S. Department of Energy (DOE) Office of Legacy Management (LM). As of October 2011, LM was responsible for long-term surveillance and maintenance of 87 sites and facilities in the continental U.S. and Puerto Rico, including some sites on tribal lands. The sites on tribal lands can affect natural resources that are managed or used by tribes, or the sites can potentially affect areas of cultural significance to tribal nations in Alaska, Arizona, Colorado, New Mexico, Utah, Washington, and Wyoming. Tribes aremore » separate sovereign governments recognized in the U.S. Constitution and are significant stakeholders for LM sites. The tribes are individual nations with diverse histories, cultures, customs, religions, and laws. LM has regular communication with the affected tribes to inform members of issues, to allow the tribe to participate in decision making, to provide technical reviews, and to ensure tribal concerns are addressed. Four LM sites are in the Navajo Nation. Three of those sites contain uranium mill tailings disposal cells regulated under long-term surveillance and maintenance programs that require monitoring and annual inspections. The fourth site was remediated but still has a groundwater plume that LM is responsible for. DOE and LM have worked with the Navajo Nation for almost 30 years on technical issues and to ensure tribal concerns are addressed. (authors)« less
Factors affecting jail detention of defendants adjudicated incompetent to proceed.
Christy, Annette; Otto, Randy; Finch, Jacquelyn; Ringhoff, Daniel; Kimonis, Eva R
2010-01-01
The movement of defendants through the legal process who have been adjudicated incompetent to proceed is little studied, yet it is important. The purpose of this study was to provide empirical data regarding factors that affected the amount of time defendants adjudicated incompetent to proceed and ordered to undergo hospitalization remained in jail while awaiting transfer to a state hospital. Statewide data collected in Florida between July 2005 and June 2008 were used to determine the lengths of time incompetent defendants spent at certain stages in the legal process. The addition of forensic bed capacity following media attention and litigation resulted in a significant decrease in the amount of time defendants adjudicated incompetent to proceed waited in jail for transfer to a state hospital for treatment. The amount of time it took for completed commitment orders to be submitted to the state mental health authority by the Clerks of Court of each county accounted for a meaningful portion of days defendants spent in jail awaiting transfer to a state hospital, with considerable variation across counties with respect to waiting times. These findings reflect how various stakeholders can affect the amount of time defendants spend in jail while awaiting hospitalization. These issues are discussed in the context of controversy related to Florida's forensic mental health system, as well as issues related to the political process and funding of the state's mental health authority. Copyright © 2010 John Wiley & Sons, Ltd.
Paracelsus confronts the saints: miracles, healing and the secularization of magic.
Webster, C
1995-12-01
The sixteenth and seventeenth centuries witnessed an erosion of the role played by the church in healing. Magical practices mediated by the church were replaced by the resources of medicine. This represented an important cultural development and it is often regarded as a manifestation of increasing secularization, the decline of magic and rise of science. This paper examines this issue with special reference to miraculous healing associated with saints, which constituted one of the most important facets of magic controlled by the church. It will be suggested that Paracelsus (Theophrast von Hohenheim, 1493-1541) played an important part in the argument concerning the miraculous powers of saints. Many works by Paracelsus produced at various points in his career were relevant to this issue, but De causis morborum invisibilium, the sequel to his important Opus Paraminum (1531), was especially significant. The question of miraculous healing was therefore important in the first, full presentation of the new system of medicine developed by Paracelsus. Modern commentators have understandably found De causis morborum invisibilium less intelligible and congenial than the more accessible Opus Paramirum. But the former was important to Paracelsus, and it addressed problems that were fundamental to his audience. This case-study shows how conclusions reached by Paracelsus about medical questions were integrally tied up with his theological standpoint and with his wider reaction to the acute crisis of confidence which affected the church and the established social order at the beginning of the sixteenth century. By eliminating the miraculous intervention of saints and promoting the secularization of magic, Paracelsus was contributing to one of the important cultural changes associated with the Reformation.
International and domestic regulator issues facing the Canadian MSAT system
NASA Technical Reports Server (NTRS)
Bahman, Azarbar; Langlois, Jacques R.; Frank, Christopher J.
1988-01-01
International and domestic regulatory issues which affect the implementation of a mobile satellite system (MSAT) over North America are addressed. WARC-MOB-87, MSAT frequency co-ordination, frequency sharing and key Canadian domestic issues are discussed.
Understanding the Evolution and Stability of the G-Matrix
Arnold, Stevan J.; Bürger, Reinhard; Hohenlohe, Paul A.; Ajie, Beverley C.; Jones, Adam G.
2011-01-01
The G-matrix summarizes the inheritance of multiple, phenotypic traits. The stability and evolution of this matrix are important issues because they affect our ability to predict how the phenotypic traits evolve by selection and drift. Despite the centrality of these issues, comparative, experimental, and analytical approaches to understanding the stability and evolution of the G-matrix have met with limited success. Nevertheless, empirical studies often find that certain structural features of the matrix are remarkably constant, suggesting that persistent selection regimes or other factors promote stability. On the theoretical side, no one has been able to derive equations that would relate stability of the G-matrix to selection regimes, population size, migration, or to the details of genetic architecture. Recent simulation studies of evolving G-matrices offer solutions to some of these problems, as well as a deeper, synthetic understanding of both the G-matrix and adaptive radiations. PMID:18973631
Determinants of Workplace Injuries and Violence Among Newly Licensed RNs.
Unruh, Lynn; Asi, Yara
2018-06-01
Workplace injuries, such as musculoskeletal injuries, needlestick injuries, and emotional and physical violence, remain an issue in U.S. hospitals. To develop meaningful safety programs, it is important to identify workplace factors that contribute to injuries. This study explored factors that affect injuries in a sample of newly licensed registered nurses (NLRNs) in Florida. Regressions were run on models in which the dependent variable was the degree to which the respondent had experienced needlesticks, work-related musculoskeletal injuries, cuts or lacerations, contusions, verbal violence, physical violence, and other occupational injuries. A higher probability of these injuries was associated with greater length of employment, working evening or night shifts, working overtime, and reporting job difficulties and pressures. A lower probability was associated with working in a teaching hospital and working more hours. Study findings suggest that work environment issues must be addressed for safety programs to be effective.
Elahi, Merina; Eshera, Noha; Bambata, Nkosazana; Barr, Helen; Lyn-Cook, Beverly; Beitz, Julie; Rios, Maria; Taylor, Deborah R; Lightfoote, Marilyn; Hanafi, Nada; DeJager, Lowri; Wiesenfeld, Paddy; Scott, Pamela E; Fadiran, Emmanuel O; Henderson, Marsha B
2016-03-01
The U.S. Food and Drug Administration Office of Women's Health (FDA OWH) has supported women's health research for ∼20 years, funding more than 300 studies on women's health issues, including research on diseases/conditions that disproportionately affect women in addition to the evaluation of sex differences in the performance of and response to medical products. These important women's health issues are studied from a regulatory perspective, with a focus on improving and optimizing medical product development and the evaluation of product safety and efficacy in women. These findings have influenced industry direction, labeling, product discontinuation, safety notices, and clinical practice. In addition, OWH-funded research has addressed gaps in the knowledge about diseases and medical conditions that impact women across the life span such as cardiovascular disease, pregnancy, menopause, osteoporosis, and the safe use of numerous medical products.
Psychological issues in the evaluation and treatment of tension-type headache.
Rosen, Noah L
2012-12-01
Tension-type headache is the most common headache disorder, affecting approximately 40 % of Americans within a one-year span. Although the most common form, episodic tension-type headache, is rarely impairing, more frequent tension-type headache can occur with significant disability and psychological comorbidity. Appreciating the psychological impact, assessing the associated biopsychosocial issues, and understanding patients' coping styles are important in forming an appropriate treatment plan and maximizing treatment outcomes. A range of psychological therapies including relaxation training, cognitive behavioral therapy, biofeedback and mindfulness have demonstrated utility in treating chronic pain conditions and reducing the associated disability. This may be particularly applicable to special populations, including pediatric patients, pregnant patients and geriatric. Psychological assessment and treatment may be done conjointly with medication management and expands treatment options. There is great need to continue researching the effects of psychological treatments, standardizing interventions and making them available to the wider population.
Integrative Medicine as a Bridge to Physician Wellness.
Nguyen, Chau T
2018-03-01
Burnout is increasingly recognized as an issue of major importance affecting physicians of all ages and disciplines and thereby patients, systems, and health care in general. At the 2017 American Academy of Otolaryngology-Head and Neck Surgery Foundation Annual Meeting, the scope of burnout in medicine was addressed, along with systematic issues that remain. While changing the culture of medicine and health systems to address this is needed, what strategies can health care providers use in their everyday lives to lessen the impact of burnout? Integrative medicine with its focus on wholeness of patient care, including the emotional, mental, social, and spiritual domains of health, is uniquely positioned in arming physicians with sets of tools to help them navigate patients to better health and healing. These very same methods are invaluable for personal self-care, as we are all potential patients. Integrative medicine is a pathway to improving one's own self-care and, thereby, improving patient care.
Elahi, Merina; Eshera, Noha; Bambata, Nkosazana; Barr, Helen; Lyn-Cook, Beverly; Beitz, Julie; Rios, Maria; Taylor, Deborah R.; Lightfoote, Marilyn; Hanafi, Nada; DeJager, Lowri; Wiesenfeld, Paddy; Scott, Pamela E.; Henderson, Marsha B.
2016-01-01
Abstract The U.S. Food and Drug Administration Office of Women's Health (FDA OWH) has supported women's health research for ∼20 years, funding more than 300 studies on women's health issues, including research on diseases/conditions that disproportionately affect women in addition to the evaluation of sex differences in the performance of and response to medical products. These important women's health issues are studied from a regulatory perspective, with a focus on improving and optimizing medical product development and the evaluation of product safety and efficacy in women. These findings have influenced industry direction, labeling, product discontinuation, safety notices, and clinical practice. In addition, OWH-funded research has addressed gaps in the knowledge about diseases and medical conditions that impact women across the life span such as cardiovascular disease, pregnancy, menopause, osteoporosis, and the safe use of numerous medical products. PMID:26871618
ERIC Educational Resources Information Center
Bauer, Allison F.
This report presents current information available on each state and the District of Columbia related to education issues that affect lesbian, gay, bisexual, and transgender (LGBT) youth. It summarizes the laws affecting students, LGBT students. Results from the 2001 National School Climate Survey of the Gay, Lesbian and Straight Education Network…
Issues Affecting Skill Demand and Supply in Australia's Education and Training Sector. At a Glance.
ERIC Educational Resources Information Center
National Centre for Vocational Education Research, Leabrook (Australia).
The responses to a 1999 study of Australian employers and an examination of skill shortages by Australia's Department for Employment, Work Relations, and Small Business were analyzed to identify issues affecting skill demand and supply in Australia's education and training sector. The following were among the key findings: (1) in recent years, the…
NASA Astrophysics Data System (ADS)
Crane, N. L.
2004-12-01
Experiential learning, engaging students in the process of science, can not only teach students important skills and knowledge, it can also help them become connected with the process on a personal level. This study investigates the role that Inquiry-Driven Field-Based (IDFB) experiences (primarily field classes) in ocean science have on undergraduate science students' development as ocean scientists. Both cognitive (knowledge-based) and affective (motivation and attitude) measures most important to students were used as indicators of development. Major themes will be presented to illustrate how IDFB science experiences can enhance the academic and personal development of students of science. Through their active engagement in the process of science, students gain important skills and knowledge as well as increased confidence, motivation, and ability to plan for their future (in particular their career and educational pathways). This growth is an important part of their development as scientists; the IDFB experience provides them a way to build a relationship with the world of science, and to better understand what science is, what scientists do, and their own future role as scientists. IDFB experiences have a particularly important role in affective measures of development: students develop an important personal connection to science. By doing science, students learn to be scientists and to understand science and science concepts in context. Many underrepresented students do not have the opportunity to take IDFB classes, and addressing this access issue could be an important step towards engaging more underrepresented students in the field. The nature of IDFB experiences and their impact on students makes them a potentially important mechanism for retaining students in the geo-science `pipeline'.
Proteomics As a Tool for Studying Bacterial Virulence and Antimicrobial Resistance
Pérez-Llarena, Francisco J.; Bou, Germán
2016-01-01
Proteomic studies have improved our understanding of the microbial world. The most recent advances in this field have helped us to explore aspects beyond genomics. For example, by studying proteins and their regulation, researchers now understand how some pathogenic bacteria have adapted to the lethal actions of antibiotics. Proteomics has also advanced our knowledge of mechanisms of bacterial virulence and some important aspects of how bacteria interact with human cells and, thus, of the pathogenesis of infectious diseases. This review article addresses these issues in some of the most important human pathogens. It also reports some applications of Matrix-Assisted Laser Desorption/Ionization-Time-Of-Flight (MALDI-TOF) mass spectrometry that may be important for the diagnosis of bacterial resistance in clinical laboratories in the future. The reported advances will enable new diagnostic and therapeutic strategies to be developed in the fight against some of the most lethal bacteria affecting humans. PMID:27065974
“Don’t Think Paralysis Takes Away Your Womanhood”: Sexual Intimacy After Spinal Cord Injury
Dillaway, Heather; Lysack, Cathy L.
2015-01-01
Sexuality and intimacy are important components of health and well-being. Issues surrounding sexuality and intimacy are equally important for men and women living with physical disabilities, including spinal cord injury (SCI). Yet, women’s sexuality after SCI remains largely unexamined. This article presents the findings from an in-depth qualitative investigation of the sexual and reproductive health experiences of 20 women with SCI in or around Detroit, MI. Findings echo existing literature documenting the sexual consequences of life after SCI and suggest new areas of inquiry important for better addressing sexual concerns across the lifespan. Specifically, findings suggest a need to consider the variable effects of SCI on sexual intimacy in relation to a person’s developmental trajectory, the appropriate timing of sexual education, the need to expand conceptualizations of sexual intimacy, and the ways SCI may affect sexuality in later life. PMID:26122683
Veitch, Craig; Dew, Angela; Bulkeley, Kim; Lincoln, Michelle; Bundy, Anita; Gallego, Gisselle; Griffiths, Scott
2012-01-01
The disability sector encompasses a broad range of conditions and needs, including children and adults with intellectual and developmental disabilities, people with acquired disabilities, and irreversible physical injuries. Allied health professionals (therapists), in the disability sector, work within government and funded or charitable non-government agencies, schools, communities, and private practice. This article reports the findings of a qualitative study of therapist workforce and service delivery in the disability sector in rural and remote New South Wales (NSW), Australia. The aim was to investigate issues of importance to policy-makers, managers and therapists providing services to people with disabilities in rural and remote areas. The project gathered information via semi-structured interviews with individuals and small groups. Head office and regional office policy-makers, along with managers and senior therapists in western NSW were invited to participate. Participants included 12 policy-makers, 28 managers and 10 senior therapists from NSW government agencies and non-government organisations (NGOs) involved in providing services and support to people with disabilities in the region. Information was synthesised prior to using constant comparative analysis within and across data sets to identify issues. Five broad themes resonated across participants' roles, locations and service settings: (1) challenges to implementing policy in rural and remote NSW; (2) the impact of geographic distribution of workforce and clients; (3) workforce issues - recruitment, support, workloads, retention; (4) equity and access issues for rural clients; and (5) the important role of the NGO sector in rural service delivery and support. Although commitment to providing best practice services was universal, policy-related information transfer between organisations and employees was inconsistent. Participants raised some workforce and service delivery issues that are similar to those reported in the rural health literature but rarely in the context of allied health and disability services. Relatively recent innovations such as therapy assistants, information technology, and trans-disciplinary approaches, were raised as important service delivery considerations within the region. These and other innovations were expected to extend the coverage provided by therapists. Non-government organisations played a significant role in service delivery and support in the region. Participants recognised the need for therapists working for different organisations, in rural areas, to collaborate both in terms of peer support and service delivery to clients.
Political ideology affects energy-efficiency attitudes and choices
Gromet, Dena M.; Kunreuther, Howard; Larrick, Richard P.
2013-01-01
This research demonstrates how promoting the environment can negatively affect adoption of energy efficiency in the United States because of the political polarization surrounding environmental issues. Study 1 demonstrated that more politically conservative individuals were less in favor of investment in energy-efficient technology than were those who were more politically liberal. This finding was driven primarily by the lessened psychological value that more conservative individuals placed on reducing carbon emissions. Study 2 showed that this difference has consequences: In a real-choice context, more conservative individuals were less likely to purchase a more expensive energy-efficient light bulb when it was labeled with an environmental message than when it was unlabeled. These results highlight the importance of taking into account psychological value-based considerations in the individual adoption of energy-efficient technology in the United States and beyond. PMID:23630266
Current practices and future opportunities for policy on climate change and invasive species.
Pyke, Christopher R; Thomas, Roxanne; Porter, Read D; Hellmann, Jessica J; Dukes, Jeffrey S; Lodge, David M; Chavarria, Gabriela
2008-06-01
Climate change and invasive species are often treated as important, but independent, issues. Nevertheless, they have strong connections: changes in climate and societal responses to climate change may exacerbate the impacts of invasive species, whereas invasive species may affect the magnitude, rate, and impact of climate change. We argue that the design and implementation of climate-change policy in the United States should specifically consider the implications for invasive species; conversely, invasive-species policy should address consequences for climate change. The development of such policies should be based on (1) characterization of interactions between invasive species and climate change, (2) identification of areas where climate-change policies could negatively affect invasive-species management, and (3) identification of areas where policies could benefit from synergies between climate change and invasive-species management.
Political ideology affects energy-efficiency attitudes and choices.
Gromet, Dena M; Kunreuther, Howard; Larrick, Richard P
2013-06-04
This research demonstrates how promoting the environment can negatively affect adoption of energy efficiency in the United States because of the political polarization surrounding environmental issues. Study 1 demonstrated that more politically conservative individuals were less in favor of investment in energy-efficient technology than were those who were more politically liberal. This finding was driven primarily by the lessened psychological value that more conservative individuals placed on reducing carbon emissions. Study 2 showed that this difference has consequences: In a real-choice context, more conservative individuals were less likely to purchase a more expensive energy-efficient light bulb when it was labeled with an environmental message than when it was unlabeled. These results highlight the importance of taking into account psychological value-based considerations in the individual adoption of energy-efficient technology in the United States and beyond.
Psychological impact of the animal-human bond in disaster preparedness and response.
Hall, Molly J; Ng, Anthony; Ursano, Robert J; Holloway, Harry; Fullerton, Carol; Casper, Jacob
2004-11-01
The authors present an overview of the impact of the animal-human bond on disaster management and highlight the need to further examine the relationship of animals and humans in disaster response. The human connection to animals influences compliance with individual and community evacuation plans. Search and rescue teams with canine units confront physical and emotional demands that affect both handler and animal. The culling of animal populations on a scale such as occurred during the recent foot-and-mouth epidemic in the United Kingdom affects every member of rural society. Livestock farmers and their families endure enormous emotional losses, and veterinarians and government officials who must implement these programs suffer as well. A familiarity with and understanding of these issues is important for psychiatrists and other mental health professionals who are involved in disaster preparedness and response.
Assessing Public Issues Knowledge and Needs of Extension Agents in Florida
ERIC Educational Resources Information Center
Gay, Keegan D.; Owens, Courtney T.; Lamm, Alexa J.; Rumble, Joy N.
2017-01-01
It has been argued that to remain relevant in today's society, Extension must expand its role to provide public issues education. We conducted a web-based survey to determine whether Extension agents in Florida were prepared to deal with contentious issues. Survey respondents identified issues affecting their clientele, levels of frequency with…
Outcomes of the 2015 World Radiocommunication Conference for Aeronautical Spectrum and Applications
NASA Technical Reports Server (NTRS)
Kerczewski, Robert J.; Jonasson, Loftur
2016-01-01
At the conclusion of a nearly four year study cycle following the closing of the 2012 World Radiocommunication Conference (WRC-12), the 2015 WRC in November of 2015 considered a number of agenda items and issues relevant to systems and spectrum allocations supporting communications, navigation and surveillance for the operation of civil aviation. Among a number of WRC-15 agenda items and issues, the key agenda items affecting civil aviation included: unmanned aircraft systems use of the Fixed Satellite Service for command and control communications; global flight tracking; new allocations to International Mobile Telecommunications (IMT); and protection of the Fixed Satellite Service to support safe operation of aircraft. A number of other agenda items affecting or potentially affecting civil aviation were also addressed by WRC-15. In this paper we describe the outcomes of WRC-15 for these civil aeronautical-relevant issues. We then outline the civil aviation-related agenda items and issues that will be considered at the upcoming 2019 WRC.
Primary empathy deficits in frontotemporal dementia.
Baez, Sandra; Manes, Facundo; Huepe, David; Torralva, Teresa; Fiorentino, Natalia; Richter, Fabian; Huepe-Artigas, Daniela; Ferrari, Jesica; Montañes, Patricia; Reyes, Pablo; Matallana, Diana; Vigliecca, Nora S; Decety, Jean; Ibanez, Agustin
2014-01-01
Loss of empathy is an early central symptom and diagnostic criterion of the behavioral variant frontotemporal dementia (bvFTD). Although changes in empathy are evident and strongly affect the social functioning of bvFTD patients, few studies have directly investigated this issue by means of experimental paradigms. The current study assessed multiple components of empathy (affective, cognitive and moral) in bvFTD patients. We also explored whether the loss of empathy constitutes a primary deficit of bvFTD or whether it is explained by impairments in executive functions (EF) or other social cognition domains. Thirty-seven bvFTD patients with early/mild stages of the disease and 30 healthy control participants were assessed with a task that involves the perception of intentional and accidental harm. Participants were also evaluated on emotion recognition, theory of mind (ToM), social norms knowledge and several EF domains. BvFTD patients presented deficits in affective, cognitive and moral aspects of empathy. However, empathic concern was the only aspect primarily affected in bvFTD that was neither related nor explained by deficits in EF or other social cognition domains. Deficits in the cognitive and moral aspects of empathy seem to depend on EF, emotion recognition and ToM. Our findings highlight the importance of using tasks depicting real-life social scenarios because of their greater sensitivity in the assessment of bvFTD. Moreover, our results contribute to the understanding of primary and intrinsic empathy deficits of bvFTD and have important theoretical and clinical implications.
Primary empathy deficits in frontotemporal dementia
Baez, Sandra; Manes, Facundo; Huepe, David; Torralva, Teresa; Fiorentino, Natalia; Richter, Fabian; Huepe-Artigas, Daniela; Ferrari, Jesica; Montañes, Patricia; Reyes, Pablo; Matallana, Diana; Vigliecca, Nora S.; Decety, Jean; Ibanez, Agustin
2014-01-01
Loss of empathy is an early central symptom and diagnostic criterion of the behavioral variant frontotemporal dementia (bvFTD). Although changes in empathy are evident and strongly affect the social functioning of bvFTD patients, few studies have directly investigated this issue by means of experimental paradigms. The current study assessed multiple components of empathy (affective, cognitive and moral) in bvFTD patients. We also explored whether the loss of empathy constitutes a primary deficit of bvFTD or whether it is explained by impairments in executive functions (EF) or other social cognition domains. Thirty-seven bvFTD patients with early/mild stages of the disease and 30 healthy control participants were assessed with a task that involves the perception of intentional and accidental harm. Participants were also evaluated on emotion recognition, theory of mind (ToM), social norms knowledge and several EF domains. BvFTD patients presented deficits in affective, cognitive and moral aspects of empathy. However, empathic concern was the only aspect primarily affected in bvFTD that was neither related nor explained by deficits in EF or other social cognition domains. Deficits in the cognitive and moral aspects of empathy seem to depend on EF, emotion recognition and ToM. Our findings highlight the importance of using tasks depicting real-life social scenarios because of their greater sensitivity in the assessment of bvFTD. Moreover, our results contribute to the understanding of primary and intrinsic empathy deficits of bvFTD and have important theoretical and clinical implications. PMID:25346685
Pio Borges Menezes, Rodrigo; Maria de Souza Antunes, Adelaide
2005-04-01
The growing importance of technical regulation affecting the use and sale of chemical products is a topic of interest not only for the chemical industry, but also for governments, nongovernmental organizations, consumers, and interested communities. The results of such regulation on behalf of the environment, health and safety of individuals, as well as its economic effects on industrial activity, are well understood in the United States and recently in the European Union. In less developed countries, however, the general level of public understanding of these issues is still minimal. It is common knowledge that the so-called "regulatory asymmetry" between countries at different levels of development contributes to the establishment of technical barriers to trade. Such asymmetries, however, also have other impacts: the displacement of polluting industrial sectors to countries which have less demanding regulations, the concentration of unsafe and harmful environmental conditions in certain parts of the globe, and the competitive disadvantage for industries located in countries where control is more rigid. This study analyses information on a wide range of technical regulations issued by World Trade Organization (WTO) members, and focuses on those regulations that affect the chemical industry. This information is available through the WTO Enquiry Points, organizations created in each country to administrate the Technical Barriers to Trade Agreement (TBT). This article consists of an analysis of 4,301 notifications of technical regulations by WTO member states in the 7-year period following the establishment of the WTO in 1995. Starting from this mass of information, 585 notifications that affect the circulation or use of chemical products were isolated. Of this group, 71% refer to only 15 countries. This group of notifications was further classified according to their motivation (the environment, health, safety), by the type of product affected (medications, fuels, hazardous products, etc.), by the type of country where it was established (developed, emerging or developing) and the existing conformity assessment mechanism (prohibition, licenses, certification, labeling, etc.). Beyond identifying tendencies in specific industrial sectors, the notifications studied here reach more than 100 chemical products, substances, preparations and other materials, which are subject to various levels of restrictions in different parts of the globe because of their composition or adverse reactions during their life cycles.
Ponsford, B J; Barlow, D
1999-01-01
This research reviews the factors affecting the pricing or rate schedules of home health care agencies. A large number of factors affect costs and thus rate structures. The major factors include reimbursement structures with accompanying discount structures, administrative burdens, and risks. Channel issues include bargaining power, competition, and size. Staffing issues affect pricing and product through the provider level, productivity, and quality outcomes. Physician and patient issues include quality concerns and choices. These factors are discussed in light of overall marketing strategy and the interaction of pricing with other marketing controllables such as product, place/distribution, and promotion. Economic and accounting principles are also reviewed with consideration to understanding direct and indirect costs in order to enable negotiators to effectively price health care services.
Mirabile, Marco; Boccuni, Fabio; Gagliardi, Diana; Rondinone, Bruna Maria; Iavicoli, Sergio
2014-07-01
This study explores the way the publication of a National White Book on health and safety risks that affect workers in jobs involving Nanotechnologies and Nanomaterials influenced the key Italian stakeholders attitude toward this issue and identifies the standpoints and priorities shared among researchers and stakeholders to develop a policy framework to address this issue. The study not only highlights some important assumptions (i.e. the acknowledgment by the key stakeholders of the need for actions and the identification of objectives which can gain a wide consensus) for the establishment of a policy community that sustains the development of a policymaking process on the issue but, through the interaction between stakeholders and OSH researchers, it also identifies some in nuce proposals that represent the starting point for policy interventions aimed at meeting the needs of both stakeholders and scientific community. Results obtained in terms of clarification of interests at stake, identification of potential areas of consensus and level of key national actors' engagement achieved, show the potentialities of adopting a knowledge based and inclusive approach to policy-making to address the issue of prevention and management of health and safety risks related to technological innovation within a framework of scientific uncertainty. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Horvath, Susanne E; Daum, Günther
2013-10-01
A unique organelle for studying membrane biochemistry is the mitochondrion whose functionality depends on a coordinated supply of proteins and lipids. Mitochondria are capable of synthesizing several lipids autonomously such as phosphatidylglycerol, cardiolipin and in part phosphatidylethanolamine, phosphatidic acid and CDP-diacylglycerol. Other mitochondrial membrane lipids such as phosphatidylcholine, phosphatidylserine, phosphatidylinositol, sterols and sphingolipids have to be imported. The mitochondrial lipid composition, the biosynthesis and the import of mitochondrial lipids as well as the regulation of these processes will be main issues of this review article. Furthermore, interactions of lipids and mitochondrial proteins which are highly important for various mitochondrial processes will be discussed. Malfunction or loss of enzymes involved in mitochondrial phospholipid biosynthesis lead to dysfunction of cell respiration, affect the assembly and stability of the mitochondrial protein import machinery and cause abnormal mitochondrial morphology or even lethality. Molecular aspects of these processes as well as diseases related to defects in the formation of mitochondrial membranes will be described. Copyright © 2013 Elsevier Ltd. All rights reserved.
Ecological implications of behavioural syndromes.
Sih, Andrew; Cote, Julien; Evans, Mara; Fogarty, Sean; Pruitt, Jonathan
2012-03-01
Interspecific trait variation has long served as a conceptual foundation for our understanding of ecological patterns and dynamics. In particular, ecologists recognise the important role that animal behaviour plays in shaping ecological processes. An emerging area of interest in animal behaviour, the study of behavioural syndromes (animal personalities) considers how limited behavioural plasticity, as well as behavioural correlations affects an individual's fitness in diverse ecological contexts. In this article we explore how insights from the concept and study of behavioural syndromes provide fresh understanding of major issues in population ecology. We identify several general mechanisms for how population ecology phenomena can be influenced by a species or population's average behavioural type, by within-species variation in behavioural type, or by behavioural correlations across time or across ecological contexts. We note, in particular, the importance of behavioural type-dependent dispersal in spatial ecology. We then review recent literature and provide new syntheses for how these general mechanisms produce novel insights on five major issues in population ecology: (1) limits to species' distribution and abundance; (2) species interactions; (3) population dynamics; (4) relative responses to human-induced rapid environmental change; and (5) ecological invasions. © 2012 Blackwell Publishing Ltd/CNRS.
NASA Astrophysics Data System (ADS)
Lustig, Harry
2000-04-01
Although the American Physical Society was created for the interchange of scientific ideas, the call to the founding meeting included the observation that the organization "could not fail to have an important influence in all matters affecting the interest of physicists". However for most of its history APS did not behave like "just another interest group in American society". Instead, at the beginning, it limited itself to such successful initiatives as the creation of the Bureau of Standards and such unsuccessful ones as adoption of the metric system. After World War II, speaking out on behalf of the freedom of science and scientists, such as Astin, Condon, and Oppenheimer, became important. In the 1970's, pushed by members, the Society became more "political", sponsoring sessions and studies on defense issues, taking a stand for the Equal Rights Amendment and creating the Panel on Public Affairs and the Forum on Physics and Society. Only in the last fifteen years has the APS unabashedly lobbied for the economic interests of physics and physicists. Adopting this new, if unavoidable role may have unintended consequences for the willingness and effectiveness of APS in speaking out on other public issues.
NASA Astrophysics Data System (ADS)
Sabino, André; Poseiro, Pedro; Rodrigues, Armanda; Reis, Maria Teresa; Fortes, Conceição J.; Reis, Rui; Araújo, João
2018-03-01
The run-up and overtopping by sea waves are two of the main processes that threaten coastal structures, leading to flooding, destruction of both property and the environment, and harm to people. To build early warning systems, the consequences and associated risks in the affected areas must be evaluated. It is also important to understand how these two types of spatial information integrate with sensor data sources and the risk assessment methodology. This paper describes the relationship between consequences and risk maps, their role in risk management and how the HIDRALERTA system integrates both aspects in its risk methodology. It describes a case study for Praia da Vitória Port, Terceira Island, Azores, Portugal, showing that the main innovations in this system are twofold: it represents the overtopping flow and consequent flooding, which are critical for coastal and port areas protected by maritime structures, and it works also as a risk assessment tool, extremely important for long-term planning and decision-making. Moreover, the implementation of the system considers possible known variability issues, enabling changes in its behaviour as needs arise. This system has the potential to become a useful tool for the management of coastal and port areas, due to its capacity to effectively issue warnings and assess risks.
NASA Astrophysics Data System (ADS)
Sabino, André; Poseiro, Pedro; Rodrigues, Armanda; Reis, Maria Teresa; Fortes, Conceição J.; Reis, Rui; Araújo, João
2018-04-01
The run-up and overtopping by sea waves are two of the main processes that threaten coastal structures, leading to flooding, destruction of both property and the environment, and harm to people. To build early warning systems, the consequences and associated risks in the affected areas must be evaluated. It is also important to understand how these two types of spatial information integrate with sensor data sources and the risk assessment methodology. This paper describes the relationship between consequences and risk maps, their role in risk management and how the HIDRALERTA system integrates both aspects in its risk methodology. It describes a case study for Praia da Vitória Port, Terceira Island, Azores, Portugal, showing that the main innovations in this system are twofold: it represents the overtopping flow and consequent flooding, which are critical for coastal and port areas protected by maritime structures, and it works also as a risk assessment tool, extremely important for long-term planning and decision-making. Moreover, the implementation of the system considers possible known variability issues, enabling changes in its behaviour as needs arise. This system has the potential to become a useful tool for the management of coastal and port areas, due to its capacity to effectively issue warnings and assess risks.
Reporting Physical Activity: Perceptions and Practices of Australian Media Professionals.
Smith, Ben J; Bonfiglioli, Catriona M F
2015-08-01
Advocacy informed by scientific evidence is necessary to influence policy and planning to address physical inactivity. The mass media is a key arena for this advocacy. This study investigated the perceptions and practices of news media professionals reporting physical activity and sedentariness to inform strategic communication about these issues. We interviewed media professionals working for major television, radio, newspaper and online news outlets in Australia. The interviews explored understandings of physical activity and sedentariness, attributions of causality, assignment of responsibility, and factors affecting news reporting on these topics. Data were thematically analyzed using NVivo. Physical inactivity was recognized as pervasive and important, but tended to be seen as mundane and not newsworthy. Sedentariness was regarded as more novel than physical activity, and more likely to require organizational and environment action. Respondents identified that presenting these issues in visual and engaging ways was an ongoing challenge. Physical activity researchers and advocates need to take account of prevailing news values and media practices to improve engagement with the news media. These include understanding the importance of novelty, narratives, imagery, and practical messages, and how to use these to build support for environmental and policy action.
Balancing game universes for playing without sight or hearing.
Westin, Thomas; Furöstam, Malin; Yasasindhu, Roy; Norberg, Lena; Wiklund, Mats; Mozelius, Peter
2015-01-01
Equal access to cultural activities is important for inclusion and computer gaming is one of the most common activities in digital culture. However, many people with impairments are excluded from participating. While parallel game universes (PGUs) provide a method to achieve equal access, the question is: how can a balanced collaborative real-time game be designed with the help of PGU for playing without sight or hearing? Balance is a central concept in game design and is important to avoid perceived cheating or disadvantages due to individual or environmental differences. The question was examined with a design science approach, where a game prototype was created in two iterations with a structured design method and evaluated using interviews and observations. In this first step of a more long-term study, ten experienced gamers without impairments were selected with purposive sampling to provide relevant data through simulation of temporary impairments or environmental issues, which can affect many or all gamers. By sorting out these issues first, later testing with actual blind and deaf gamers can focus on more specific issues for each group. The ten participants played either without sight or hearing. The results confirm the use of PGUs for creating a balanced experience but also finds that while multiplayer feel is not optimal, it is a reasonable trade-off for universal access for blind and deaf being able to play together. The results also show that a help system and equal understanding of the game play between the blind and deaf players are important aspects to achieve game balance. Further research should be done involving actual blind and deaf gamers, and similar evaluations of game balance should be conducted with users having other types of impairments.
Potential impact of antimicrobial resistance in wildlife, environment and human health
Radhouani, Hajer; Silva, Nuno; Poeta, Patrícia; Torres, Carmen; Correia, Susana; Igrejas, Gilberto
2014-01-01
Given the significant spatial and temporal heterogeneity in antimicrobial resistance distribution and the factors that affect its evolution, dissemination, and persistence, it is important to highlight that antimicrobial resistance must be viewed as an ecological problem. Monitoring the resistance prevalence of indicator bacteria such as Escherichia coli and enterococci in wild animals makes it possible to show that wildlife has the potential to serve as an environmental reservoir and melting pot of bacterial resistance. These researchers address the issue of antimicrobial-resistant microorganism proliferation in the environment and the related potential human health and environmental impact. PMID:24550896
NASA Technical Reports Server (NTRS)
Savin, D. W.; Badnell, N. R.; Bartsch, T.; Brandau, C.; Chen, M. H.; Grieser, M.; Gwinner, G.; Hoffknecht, A.; Kahn, S. M.; Linkemann, J.
2000-01-01
Iron L-shell ions (Fe XVII to Fe XXIV) play an important role in determining the line emission and thermal and ionization structures of photoionized gases. Existing uncertainties in the theoretical low temperature dielectronic recombination (DR) rate coefficients for these ions significantly affects our ability to model and interpret observations of photoionized plasmas. To help address this issue, we have initiated a laboratory program to produce reliable low temperature DR rates. Here, we present some of our recent results and discuss some of their astrophysical implications.
Harolds, Jay A
2014-09-01
The business and governance aspects of a practice are important factors in considering employment. These issues affect the income, quality, harmony, and stability of the group. The job seeker should ask how the group is organized and try to assess how well it is led. This includes observing the efficiency and quality of the clinical operation, seeing how well people get along and how helpful they are to each other, learning about the future plans of the group and how they were determined, and learning about the billing operation.
Worldwide Emerging Environmental Issues Affecting the U.S. Military. August 2009
2009-08-01
Period 1993–2008………………….………………………………………...…11 6.2 International Framework Needed to Address Governance Gap over Geoengineering…..11 6.3 Including...to the discovery that using boron nitride nanotubes in desalination filters allows four times faster water flow, yielding a much faster and more...of having to import more than a quarter of their rice, wheat, and maize by 2050. “If nothing is done, you are going to get an increase in social
Antimicrobial resistance—a threat to the world’s sustainable development
Jasovský, Dušan; Littmann, Jasper; Zorzet, Anna; Cars, Otto
2016-01-01
This commentary examines how specific sustainable development goals (SDGs) are affected by antimicrobial resistance and suggests how the issue can be better integrated into international policy processes. Moving beyond the importance of effective antibiotics for the treatment of acute infections and health care generally, we discuss how antimicrobial resistance also impacts on environmental, social, and economic targets in the SDG framework. The paper stresses the need for greater international collaboration and accountability distribution, and suggests steps towards a broader engagement of countries and United Nations agencies to foster global intersectoral action on antimicrobial resistance. PMID:27416324
USGS Toxic Substances Hydrology Program, 2010
Buxton, Herbert T.
2010-01-01
The U.S. Geological Survey (USGS) Toxic Substances Hydrology Program adapts research priorities to address the most important contamination issues facing the Nation and to identify new threats to environmental health. The Program investigates two major types of contamination problems: * Subsurface Point-Source Contamination, and * Watershed and Regional Contamination. Research objectives include developing remediation methods that use natural processes, characterizing and remediating contaminant plumes in fractured-rock aquifers, identifying new environmental contaminants, characterizing new and understudied pesticides in common pesticide-use settings, explaining mercury methylation and bioaccumulation, and developing approaches for remediating watersheds affected by active and historic mining.
Research on geological hazard identification based on deep learning
NASA Astrophysics Data System (ADS)
Zhu, Cheng; Cheng, Tao
2018-05-01
Geological hazards such as landslides, debris flows and collapses are potential hazards affecting the safety of nearby roads and people. Land and Resources Bureau and other relevant departments to undertake the responsibility of prevention and control of geological disasters, an important body, how to deal with the characteristics of sudden geological disasters in the region, according to pre-established emergency measures quickly and accurately survey, is an important issue to be solved. Based on the analysis of the types and effects of typical geological disasters, this paper studies the relevant methods of identifying typical geological disasters through artificial neural networks, and proposes and designs intelligent geological survey methods and systems based on deep learning to provide relevant departments such as Land and Resources Bureau Related Mountain Geological Survey and Information Support.
Post-disaster housing reconstruction and social inequality: a challenge to policy and practice.
Oliver-Smith, A
1990-03-01
In post-disaster reconstruction the social aspects of housing provision are important for the success of both emergency shelters and permanent housing, particularly in settlements that have been permanently relocated or entirety rebuilt. The social dimensions of housing reconstruction after disaster are discussed in the context of the long-term effects of reconstruction after the Yungay, Peru Earthquake-Avalanche of 1970. Consideration of these issues presents questions regarding the tension between continuity and change in affected populations, the importance of pre-disaster socio-economic patterns for reconstruction and the criteria used for assessing the success of post-disaster reconstruction and development projects. The author contends that post-disaster housing reconstruction must avoid rebuilding structures which reflect, sustain and reproduce patterns of inequality and exploitation.
Grindlay, Guillermo; Mora, Juan; Gras, Luis; de Loos-Vollebregt, Margaretha T C
2011-04-08
The analysis of wine is of great importance since wine components strongly determine its stability, organoleptic or nutrition characteristics. In addition, wine analysis is also important to prevent fraud and to assess toxicological issues. Among the different analytical techniques described in the literature, atomic spectrometry has been traditionally employed for elemental wine analysis due to its simplicity and good analytical figures of merit. The scope of this review is to summarize the main advantages and drawbacks of various atomic spectrometry techniques for elemental wine analysis. Special attention is paid to interferences (i.e. matrix effects) affecting the analysis as well as the strategies available to mitigate them. Finally, latest studies about wine speciation are briefly discussed. Copyright © 2011 Elsevier B.V. All rights reserved.
Optimization-based decision support to assist in logistics planning for hospital evacuations.
Glick, Roger; Bish, Douglas R; Agca, Esra
2013-01-01
The evacuation of the hospital is a very complex process and evacuation planning is an important part of a hospital's emergency management plan. There are numerous factors that affect the evacuation plan including the nature of threat, availability of resources and staff the characteristics of the evacuee population, and risk to patients and staff. The safety and health of patients is of fundamental importance, but safely moving patients to alternative care facilities while under threat is a very challenging task. This article describes the logistical issues and complexities involved in planning and execution of hospital evacuations. Furthermore, this article provides examples of how optimization-based decision support tools can help evacuation planners to better plan for complex evacuations by providing real-world solutions to various evacuation scenarios.
Lindkvist, Pille; Johansson, Eva; Hylander, Ingrid
2015-02-05
The outcome of HIV treatment has dramatically improved since the introduction of antiretroviral therapy. Studies confirm that if treatment of HIV is initiated when the immune system is not severely affected by the virus the prognosis for the outcome is significantly better. There is also evidence that many immigrants come late for their first HIV test. If found to be HIV positive, and if the immune system is already significantly affected, this will compromise the treatment outcome. This study was performed in an attempt to understand the barriers for early HIV testing in a migrant population from Ethiopia and Eritrea in Stockholm, Sweden. Participants were theoretically sampled and consisted of individuals who had immigrated from Ethiopia and Eritrea. Data were collected using 14 focus group discussions and seven semi-structured interviews. The analysis was performed according to a Grounded Theory approach using the paradigm model. Denial and fear of knowing one's HIV status dominated all aspects of behavior in relation to HIV. The main strategy was a "fogging" of the issue of HIV. People were said to not want to know because this would bring social isolation and exclusion, and it was often believed that treatment did not help. This attitude had strong roots in their culture and past experiences that were brought along to the new country and maintained within the immigrant community. The length of time spent in Sweden seemed to be an important factor affecting the "fogging of the HIV issue". In bridging the gap between the two cultures, Swedish authorities need to find ways to meet the needs of both earlier and newly arrived immigrants as well as the second generation of immigrants. This will require adjusting and updating the information that is given to these different sub-groups of Ethiopian and Eritrean immigrants. Appropriate access to healthcare for a diverse population obviously requires more than simply providing the healthcare services.
76 FR 40777 - Interim Enforcement Policy for Certain Fire Protection Issues
Federal Register 2010, 2011, 2012, 2013, 2014
2011-07-12
... Certain Fire Protection Issues AGENCY: Nuclear Regulatory Commission. ACTION: Policy statement; revision... Enforcement Policy on enforcement discretion for certain fire protection issues to extend the enforcement... policy affects licensees that are transitioning to use the National Fire Protection Association Standard...
Jones-Bitton, Andria; Gustafson, Diana L; Butt, Kelly; Majowicz, Shannon E
2016-01-05
Highly publicized water supply problems highlight the importance of safe drinking water to the public. Boil water advisories (BWAs) are an important precautionary measure meant to protect public health by ensuring drinking water safety. Newfoundland and Labrador, Canada is a prime location for exploring public notification practices and adherence to recommendations as there were a total of 215 BWAs, affecting 6 % of the provincial population, in 145 communities between April 2006 and March 2007 when data for the present study were collected. Residents who received household water from a public water supply were randomly selected for a telephone interview. Collected data included participants' notification of boil water advisory, satisfaction with information provided, and their adherence to recommendations. Most participants learned that a BWA had been issued or lifted in their community through radio, television, or word of mouth. BWAs were issued for a range of operational reasons. Almost all participants who had experienced a BWA reported wanting more information about the reasons a BWA had been issued. Low adherence to water use recommendations during a BWA was common. This study is first to report on public adherence to boil water advisory recommendations in Canada. The findings raise public health concerns, particularly given the high number of BWAs issued each year. Further studies in partnership with community stakeholders and government decision-makers responsible for overseeing public water systems are needed to assess the perceptions of BWAs, the reasons for non-adherence, and to identify information dissemination methods to increase information uptake and public adherence with acceptable uses of public drinking water during a BWA.
Cai, Tommaso; Mazzoli, Sandra; Lanzafame, Paolo; Caciagli, Patrizio; Malossini, Gianni; Nesi, Gabriella; Wagenlehner, Florian M E; Köves, Bela; Pickard, Robert; Grabe, Magnus; Bjerklund Johansen, Truls E; Bartoletti, Riccardo
2016-01-05
Asymptomatic bacteriuria (ABU) is a common clinical condition that often leads to unnecessary antimicrobial use. The reduction of antibiotic overuse for ABU is consequently an important issue for antimicrobial stewardship and to reduce the emergence of multidrug resistant strains. There are two issues in everyday urological practice that require special attention: the role of ABU in pre-operative prophylaxis and in women affected by recurrent urinary tract infections (rUTIs). Nowadays, this is the time to think over our practice and change our way of thinking. Here, we aimed to summarize the current literature knowledge in terms of ABU management in patients undergoing urological surgery and in patients with rUTIs. In the last years, the approach to patient with ABU has changed totally. Prior to all surgical procedures that do not enter the urinary tract, ABU is generally not considered as a risk factor, and screening and treatment are not considered necessary. On the other hand, in the case of all procedures entering the urinary tract, ABU should be treated in line with the results of a urine culture obtained before the procedure. In patients affected by rUTIs, ABU can even have a protective role in preventing symptomatic recurrence, particularly when Enterococcus faecalis (E. faecalis) has been isolated.
Trade in health-related services.
Smith, Richard D; Chanda, Rupa; Tangcharoensathien, Viroj
2009-02-14
The supervision of a domestic health system in the context of the trade environment in the 21st century needs a sophisticated understanding of how trade in health services affects, and will affect, a country's health system and policy. This notion places a premium on people engaged in the health sector understanding the importance of a comprehensive outlook on trade in health services. However, establishment of systematic comparative data for amounts of trade in health services is difficult to achieve, and most trade negotiations occur in isolation from health professionals. These difficulties compromise the ability of a health system to not just minimise the risks presented by trade in health services, but also to maximise the opportunities. We consider these issues by presenting the latest trends and developments in the worldwide delivery of health-care services, using the classification provided by the World Trade Organization for the General Agreement on Trade in Services. This classification covers four modes of service delivery: cross-border supply of services; consumption of services abroad; foreign direct investment, typically to establish a new hospital, clinic, or diagnostic facility; and the movement of health professionals. For every delivery mode we discuss the present magnitude and pattern of trade, main contributors to this trade, and key issues arising.
Walking the California County Lines with Pesticides on the ...
California has numerous aquatic threatened and endangered species and there is evidence that these species may be affected by non-target pesticide runoff. Modeling can play an important role in assessing the impact of pesticides but it requires complete data on pesticide use, monitoring data, and complex issues with land use. Using two small urban land use areas in Folsom and Roseville, California, we were able to overcome these issues using monitoring data from the California Department of Pesticide Regulation with monthly county use data from the California Pesticide Use database, and aerial photography for land use characterization. Using the U.S. Environmental Protection Agency (US EPA) Pesticide Water Calculator model, we successfully reproduced the overall magnitude of pyrethroids detected, frequency of extreme concentrations, and mean and median concentrations. This was a first step in estimating the proportion and location of pesticide contamination from urban areas in the Central Valley of California that may affect threatened and endangered fish. Validation was accomplished by adjacent watersheds, while performance was evaluated statistically and graphically. From this work, we recommend a joint US EPA/State of California citizen-science initiative involving homeowners with watershed-based tracking of their pesticide use; exploration of the use of homeowner/storeowner anecdotal information; and development of a Smart Phone App to enable interested par
Material and Device Stability in Perovskite Solar Cells.
Kim, Hui-Seon; Seo, Ja-Young; Park, Nam-Gyu
2016-09-22
Organic-inorganic halide perovskite solar cells have attracted great attention because of their superb efficiency reaching 22 % and low-cost, facile fabrication processing. Nevertheless, stability issues in perovskite solar cells seem to block further advancements toward commercialization. Thus, device stability is one of the important topics in perovskite solar cell research. In the beginning, the poor moisture resistivity of the perovskite layer was considered as a main problem that hindered further development of perovskite solar cells, which encouraged engineering of the perovskite or protection of the perovskite by a buffer layer. Soon after, other parameters affecting long-term stability were sequentially found and various attempts have been made to enhance intrinsic and extrinsic stability. Here we review the recent progresses addressing stability issues in perovskite solar cells. In this report, we investigated factors affecting stability from material and device points of view. To gain a better understanding of the stability of the bulk perovskite material, decomposition mechanisms were investigated in relation to moisture, photons, and heat. Stability of full device should also be carefully examined because its stability is dependent not only on bulk perovskite but also on the interfaces and selective contacts. In addition, ion migration and current-voltage hysteresis were found to be closely related to stability. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.
What Should Space Be Used For? Physical and Political Guidelines
NASA Astrophysics Data System (ADS)
Grego, Laura
2005-04-01
Space has long been important to the commercial, civil scientific, and military sectors, serving essential missions like communications, environmental monitoring and astronomical research, early warning of missile attack, and precision navigation. However, rhetoric, official planning documents, and funded military research programs show that the current administration has a vision for space that significantly departs from long-held norms. This new vision includes four additional missions for satellites: 1) ballistic missile defense, 2) attacking targets on the ground 3) protecting other satellites, and 4) denying other users the ability to operate in space. Such a dramatic change deserves a thorough vetting. The discussion can be organized into three main types of issues: The first are international and strategic issues, such as how space weaponization may affect national and international security and stability; and, in space, what are the roles of weapons versus treaties and cooperation? Second: how useful would space actually be for these four proposed military missions? The laws of physics and the current state of technology will strongly limit what orbiting craft can do. And third: how may these new uses of space affect other current and future users of space? And what are the proper guidelines for the equitable use and longterm stewardship of space?
Variables of job satisfaction in medical assistant profession.
Duma, Olga-Odetta; Roşu, Solange Tamara; Manole, M; Manole, Alina; Constantin, Brânduşa
2013-01-01
To identify the key favorable issues, showing a high degree of job satisfaction, and also the adverse issues that may affect the work performance among medical assistants. This research is a type of inquiry-based opinion survey carried out by administering a self-managed, anonymous questionnaire, consisting of five sections with 25 items. The study group included 175 medical assistants from all specialties, working in public hospitals in the city of Iasi, who answered the questionnaires. A number of 167 subjects have responded, the return rate being of 95.4%. The respondents were asked to indicate the amount of agreement or disagreement on a typical five-level Likert scale. The study has identified some positive aspects: positive perception of the medical assistant profession (76.6%); concern about personal growth and career development (86.3%); good rel ationships established with other colleagues (71.2%), and some negative aspects: inappropriate work conditions and equipments (70%); the income compared to the volume of work was perceived by majority as an important source of dissatisfaction (80.8%); willingness to work abroad (53.9%). The findings of the present research focused on the variables of job satisfaction in the medical assistant profession and should be a real concern for managers, because the job dissatisfaction may affect the employee's productivity.
Rayleigh-Taylor and Richtmyer-Meshkov Instabilities in Turbulent Regime
NASA Astrophysics Data System (ADS)
Dimonte, G.
1998-11-01
The Rayleigh-Taylor instability (RTI) and its shock driven analog, the Richtmyer-Meshkov instability (RMI), affect a wide variety of important phenomena from sub-terrainian to astrophysical environments. The ``fluids" are equally varied from plasmas and magnetic fields to elastic-plastic solids. In most applications, the instabilities occur with a complex acceleration history and evolve to a highly nonlinear state, making the theoretical description formidable. We will link the fluid and plasma regimes while describing the theoretical issues and basic experiments in different venues to isolate key physics issues. RMI experiments on the Nova laser investigate the affects of compressibility with strong radiatively driven shocks (Mach > 10) in near solid density plasmas of sub-millimeter scale. The growth of single sinusoidal and random 3-D perturbations are measured using backlit radiography. RTI experiments with the Linear Electric Motor (LEM) are conducted with a variety of acceleration (<< 10^4 m/s^2) histories and fluids of 10 cm scale. Turbulent RTI experiments with high Reynolds number liquids show self-similar growth which is characterized with laser induced fluorescence. LEM experiments with an elastic-plastic material (yogurt) exhibit a critical wavelength and amplitude for instability. The experimental results will be compared with linear and nonlinear theories and hydrodynamic simulations.
Ruxrungtham, Kiat; Brown, Tim; Phanuphak, Praphan
HIV (ie, HIV-1) epidemics in Asia show great diversity, both in severity and timing. But epidemics in Asia are far from over and several countries including China, Indonesia, and Vietnam have growing epidemics. Several factors affect the rate and magnitude of growth of HIV prevalence, but two of the most important are the size of the sex worker population and the frequency with which commercial sex occurs. In view of the present state of knowledge, even countries with low prevalence of infection might still have epidemics affecting a small percentage of the population. Once HIV infection has become established, growing needs for care and treatment are unavoidable and even the so-called prevention-successful countries of Thailand and Cambodia are seeing burgeoning care needs. The manifestations of HIV disease in the region are discussed with the aim of identifying key issues in medical management and care of HIV/AIDS. In particular, issues relevant to developing appropriate highly active antiretroviral treatment programmes in the region are discussed. Although access to antiretroviral therapy is increasing globally, making it work effectively while simultaneously expanding prevention programmes to stem the flow of new infections remains a real challenge in Asia. Genuine political interest and commitment are essential foundations for success, demanding advocacy at all levels to drive policy, mobilise sufficient resources, and take effective action.
Effect of Reacting Surface Density on the Overall Graphite Oxidation Rate
DOE Office of Scientific and Technical Information (OSTI.GOV)
Chang H. Oh; Eung Kim; Jong Lim
2009-05-01
Graphite oxidation in an air-ingress accident is presently a very important issue for the reactor safety of the very high temperature gas cooled-reactor (VHTR), the concept of the next generation nuclear plant (NGNP) because of its potential problems such as mechanical degradation of the supporting graphite in the lower plenum of the VHTR might lead to core collapse if the countermeasure is taken carefully. The oxidation process of graphite has known to be affected by various factors, including temperature, pressure, oxygen concentration, types of graphite, graphite shape and size, flow distribution, etc. However, our recent study reveals that the internalmore » pore characteristics play very important roles in the overall graphite oxidation rate. One of the main issues regarding graphite oxidation is the potential core collapse problem that may occur following the degradation of graphite mechanical strength. In analyzing this phenomenon, it is very important to understand the relationship between the degree of oxidization and strength degradation. In addition, the change of oxidation rate by graphite oxidation degree characterization by burn-off (ratio of the oxidized graphite density to the original density) should be quantified because graphite strength degradation is followed by graphite density decrease, which highly affects oxidation rates and patterns. Because the density change is proportional to the internal pore surface area, they should be quantified in advance. In order to understand the above issues, the following experiments were performed: (1)Experiment on the fracture of the oxidized graphite and validation of the previous correlations, (2) Experiment on the change of oxidation rate using graphite density and data collection, (3) Measure the BET surface area of the graphite. The experiments were performed using H451 (Great Lakes Carbon Corporation) and IG-110 (Toyo Tanso Co., Ltd) graphite. The reason for the use of those graphite materials is because their chemical and mechanical characteristics are well identified by the previous investigations, and therefore it was convenient for us to access the published data, and to apply and validate our new methodologies. This paper presents preliminary results of compressive strength vs. burn-off and surface area density vs. burn-off, which can be used for the nuclear graphite selection for the NGNP.« less