Sample records for ines study prevention

  1. [Number of suicides in Spain: differences between data from the Spanish Statistical Office and the Institutes of Legal Medicine].

    PubMed

    Giner, Lucas; Guija, Julio A

    2014-01-01

    To be able to prevent suicides, The exact magnitude of suicides must be known in order to prevent them. There is evidence that data provided on the number of suicides by the Spanish Statistical Office (Instituto Nacional de Estadística [INE]) differs from that identified by forensic pathologists. This paper aims to determine whether the INE data are to the same as those recorded by the agencies responsible for conducting autopsies in Spain (IML), and calculate the number of missing cases. IML were requested to provide the number of suicides in a five year period (2006-2010) and this was compared with those offered by INE in its site. A new rate of suicides per 100,000 was obtained and used to calculate the number of suicides in Spain. For every year of the studied period, the number of suicides reported by the INE was lower than that obtained directly from the IML. Using the highest annual suicide rate registered by province and the total, a count was obtained of identified suicides that for some reason had not been recorded in the INE or the IML data. Based on these figures, the mean rate of suicides per 100,000 was 0.97 (SD 0.10) higher than official INE data, which indicates a mean loss of 443.86 (SD 46.72) cases reported each year. Possible factors that may influence the missing recorded cases are discussed. According to the results, there is a discrepancy between INE and IML about the number of suicides in Spain. Neither of the two sources can be considered more reliable than the other. Copyright © 2013 SEP y SEPB. Published by Elsevier España. All rights reserved.

  2. Association between homocyst(e)ine levels and risk of vascular events.

    PubMed

    Kaplan, Eugene D

    2003-03-01

    Homocyst(e)ine is a novel risk factor in vascular disease. First observations of vascular lesions in children with high blood homocyst(e)ine levels due to severe inborn enzyme deficiencies led to the hypothesis that elevated blood homocyst(e)ine levels might be a risk factor for vascular disease. A substantial body of evidence on the role of the homocyst(e)ine in the development of coronary and carotid artery disease, myocardial infarction, stroke, deep vein thrombosis and other disorders has been accumulated over the last 30 years. Cross-sectional and case-control studies provide initial and the strongest support for the hypothesis, followed by results from the prospective cohorts. Infrequent cases of homozygous mutations of the key enzymes in the homocyst(e)ine metabolism chain are able to produce extreme homocyst(e)inemia and early vascular lesions. More frequently, heterozygous enzyme mutations and deficiencies of folate and vitamins B6 and B12 cause mild to moderate homocyst(e)inemia, which is still strongly associated with the increased risk of vascular events. Elevated homocyst(e)ine levels may be effectively managed with adequate folate, B12 and B6 intake in doses comparable to or above FDA recommendations. Whether correction of elevated homocyst(e)ine levels with vitamins is helpful in prevention and treatment of vascular events remains unknown and is under investigation in ongoing clinical trials (VISP, VITATOPS). No consensus on homocyst(e)ine management is available at the present time.

  3. Tyrosinase inhibition due to interaction of homocyst(e)ine with copper: the mechanism for reversible hypopigmentation in homocystinuria due to cystathionine beta-synthase deficiency.

    PubMed

    Reish, O; Townsend, D; Berry, S A; Tsai, M Y; King, R A

    1995-07-01

    Deficiency of cystathionine beta-synthase (CBS) is a genetic disorder of transsulfuration resulting in elevated plasma homocyst(e)ine and methionine and decreased cysteine. Affected patients have multisystem involvement, which may include light skin and hair. Reversible hypopigmentation in treated homocystinuric patients has been infrequently reported, and the mechanism is undefined. Two CBS-deficient homocystinuric patients manifested darkening of their hypopigmented hair following treatment that decreased plasma homocyst(e)ine. We hypothesized that homocyst(e)ine inhibits tyrosinase, the major pigment enzyme. The activity of tyrosinase extracted from pigmented human melanoma cells (MNT-1) that were grown in the presence of homocysteine was reduced in comparison to that extracted from cells grown without homocysteine. Copper sulfate restored homocyst(e)ine-inhibited tyrosinase activity when added to the culture cell media at a proportion of 1.25 mol of copper sulfate per 1 mol of DL-homocysteine. Holo-tyrosinase activity was inhibited by adding DL-homocysteine to the assay reaction mixture, and the addition of copper sulfate to the reaction mixture prevented this inhibition. Other tested compounds, L-cystine and betaine did not affect tyrosinase activity. Our data suggest that reversible hypopigmentation in homocystinuria is the result of tyrosinase inhibition by homocyst(e)ine and that the probable mechanism of this inhibition is the interaction of homocyst(e)ine with copper at the active site of tyrosinase.

  4. Tyrosinase inhibition due to interaction of homocyst(e)ine with copper: the mechanism for reversible hypopigmentation in homocystinuria due to cystathionine beta-synthase deficiency.

    PubMed Central

    Reish, O; Townsend, D; Berry, S A; Tsai, M Y; King, R A

    1995-01-01

    Deficiency of cystathionine beta-synthase (CBS) is a genetic disorder of transsulfuration resulting in elevated plasma homocyst(e)ine and methionine and decreased cysteine. Affected patients have multisystem involvement, which may include light skin and hair. Reversible hypopigmentation in treated homocystinuric patients has been infrequently reported, and the mechanism is undefined. Two CBS-deficient homocystinuric patients manifested darkening of their hypopigmented hair following treatment that decreased plasma homocyst(e)ine. We hypothesized that homocyst(e)ine inhibits tyrosinase, the major pigment enzyme. The activity of tyrosinase extracted from pigmented human melanoma cells (MNT-1) that were grown in the presence of homocysteine was reduced in comparison to that extracted from cells grown without homocysteine. Copper sulfate restored homocyst(e)ine-inhibited tyrosinase activity when added to the culture cell media at a proportion of 1.25 mol of copper sulfate per 1 mol of DL-homocysteine. Holo-tyrosinase activity was inhibited by adding DL-homocysteine to the assay reaction mixture, and the addition of copper sulfate to the reaction mixture prevented this inhibition. Other tested compounds, L-cystine and betaine did not affect tyrosinase activity. Our data suggest that reversible hypopigmentation in homocystinuria is the result of tyrosinase inhibition by homocyst(e)ine and that the probable mechanism of this inhibition is the interaction of homocyst(e)ine with copper at the active site of tyrosinase. Images Figure 1 PMID:7611281

  5. A neurotransmitter transporter encoded by the Drosophila inebriated gene

    PubMed Central

    Soehnge, Holly; Huang, Xi; Becker, Marie; Whitley, Penn; Conover, Diana; Stern, Michael

    1996-01-01

    Behavioral and electrophysiological studies on mutants defective in the Drosophila inebriated (ine) gene demonstrated increased excitability of the motor neuron. In this paper, we describe the cloning and sequence analysis of ine. Mutations in ine were localized on cloned DNA by restriction mapping and restriction fragment length polymorphism (RFLP) mapping of ine mutants. DNA from the ine region was then used to isolate an ine cDNA. In situ hybridization of ine transcripts to developing embryos revealed expression of this gene in several cell types, including the posterior hindgut, Malpighian tubules, anal plate, garland cells, and a subset of cells in the central nervous system. The ine cDNA contains an open reading frame of 658 amino acids with a high degree of sequence similarity to members of the Na+/Cl−-dependent neurotransmitter transporter family. Members of this family catalyze the rapid reuptake of neurotransmitters released into the synapse and thereby play key roles in controlling neuronal function. We conclude that ine mutations cause increased excitability of the Drosophila motor neuron by causing the defective reuptake of the substrate neurotransmitter of the ine transporter and thus overstimulation of the motor neuron by this neurotransmitter. From this observation comes a unique opportunity to perform a genetic dissection of the regulation of excitability of the Drosophila motor neuron. PMID:8917579

  6. Combined intensive nutrition education and micronutrient powder supplementation improved nutritional status of mildly wasted children on Nias Island, Indonesia.

    PubMed

    Inayati, Dyah A; Scherbaum, Veronika; Purwestri, Ratna C; Wirawan, Nia N; Suryantan, Julia; Hartono, Susan; Bloem, Maurice A; Pangaribuan, Rosnani V; Biesalski, Hans K; Hoffmann, Volker; Bellows, Anne C

    2012-01-01

    To assess the impact of intensive nutrition education (INE) with or without the provision of micronutrient powder (MNP) on the nutritional status of mildly wasted children in Nias, Indonesia, two groups of mildly wasted (>=-1.5 to <-1.0 WHZ) children aged >=6 to <60 months in the Church World Service (CWS) project areas were assigned by village randomization to receive INE (n=64) or INE+MNP (n=51) in a weekly program. Another two groups of mildly wasted children who were living at a clear distance from INE and INE+MNP villages were selected to receive a monthly non-intensive nutrition education program (NNE) with or without MNP (n=50 both respectively). WHZ, weight, height, haemoglobin (Hb) level, and morbidity data were assessed at admission, during the study, and at individual discharge. Children's weight gain (g/kg body weight/day) was highest in INE+MNP group (2.2±2.1), followed by INE (1.1±0.9), NNE+MNP (0.3±0.5) and NNE (0.3±0.4) group. In both MNP intervention groups (INE+MNP, NNE+MNP), supplements significantly increased Hb value (g/L) of respective children (10.0±10.0; p<0.001 and 3.0±8.0; p<0.05 respectively). Proportion of children who reached discharge criterion was highest among the INE+MNP (70.6%; n=36), followed by INE (64.1%; n=41), NNE+MNP (26.0%; n=13), and NNE (20.0%; n=10) groups (p<0.001). Shortest length of stay until recovery was observed among children in the INE+MNP group (29.9 days), followed by INE (40.0 days), NNE+MNP (80.6 days), and NNE (86.2 days) respectively (p<0.001). Weekly intensive nutrition education supported by MNP supplementation produced the best results regarding weight gain and haemoglobin status of mildly wasted children.

  7. Expression of key ion channels in the rat cardiac conduction system by laser capture microdissection and quantitative real-time PCR.

    PubMed

    Ou, Yan; Niu, Xiao-lin; Ren, Fu-xian

    2010-09-01

    The objective of this study was to investigate the molecular basis of the inferior nodal extension (INE) in the atrioventricular junctional area that accounts for arrhythmias. The INE was separated from the adult rat heart by laser capture microdissection. The mRNA expression of ion channels was detected by quantitative real-time PCR. Hierarchical clustering was used to demonstrate clustering of expression of genes in sections. The mRNA expression of HCN4, Ca(v)3.1 and Ca(v)3.2 was high in the INE, atrioventricular node and sino-atrial node, and that of Ca(v)3.2 high in Purkinje fibres. Although the expression of HCN1 and Ca(v)1.3 was low in the rat heart, it was relatively higher in the INE, atrioventricular node and sino-atrial node than in right atrial and right ventricular (working) myocytes. Both HCN2 and Ca(v)1.2 were expressed at higher levels in working myocytes than in nodal tissues and in the INE. Hierarchical clustering analysis demonstrated that the expression of the HCN and calcium channels in INE was similar to that in the slow-response automatic cells and different from that in working myocytes and Purkinje fibres. The expression of HCN and calcium channels in the INE of the adult rat heart is similar to that of slow-response automatic cells and provides a substrate for automatic phase 4 depolarization in cells.

  8. Influence of folic acid, pyridoxal phosphate and cobalamin on plasma homocyst(e)ine levels and the susceptibility of low-density lipoprotein to ex-vivo oxidation.

    PubMed

    Weiss, N; Feussner, A; Hailer, S; Spengel, F A; Keller, C; Wolfram, G

    1999-10-15

    Mild hyperhomocyst(e)inaemia is a risk factor for atherosclerotic vascular disease. In-vitro studies have shown that autooxidation of homocyst(e)ine is accompanied by the generation of oxygen radicals. This may lead to oxidative modification of low-density lipoproteins (LDL) and promote atherosclerotic vascular lesions. In male patients with peripheral arterial occlusive disease we determined fasting and post methionine load homocyst(e)ine levels by high performance liquid chromatography and the susceptibility of their LDL particles to ex-vivo oxidation by continously measuring the conjugated diene production induced by incubation with copper ions. Oxidation resistance (expressed as lag time), maximal oxidation rate, and extent of oxidation (expressed of total diene production) of LDL from patients with normal or mildly elevated homocyst(e)ine levels did not differ significantly. Folic acid, pyridoxal phosphate and cobalamin supplementation significantly decreased plasma homocyst(e)ine levels in hyperhomocyst(e)inaemic patients. This went along with a significant decrease in the extent of LDL oxidation and additionally increased HDL-cholesterol levels. The clinical relevance of these findings for the long-term course of atherosclerotic vascular disorders has to be determined by intervention studies.

  9. Does Faculty Incivility in Nursing Education Affect Emergency Nursing Practice?

    NASA Astrophysics Data System (ADS)

    Stokes, Pamela

    Incivility in nursing education is a complicated problem which causes disruptions in the learning process and negatively affects future nursing practice. This mixed method research study described incivility as well as incivility's effects through extensive literature review and application of a modified Incivility in Nursing Education (INE) survey. The INE included six demographic items, four quantitative sections, and five open-ended questions. The survey examined emergency nurses' perceptions of incivility and how the experience affected their personal nursing practice. The INE was initially tested in a 2004 pilot study by Dr. Cynthia Clark. For this research study, modifications were made to examine specifically emergency nurse's perceptions of incivility and the effects on their practice. The population was a group of nurses who were members of the emergency nurses association in a Midwestern state. In the quantitative component of the Incivility in Nursing Education (INE) survey, the Likert scale questions indicated that the majority of the participants reported witnessing or experiencing the uncivil behaviors. In the qualitative section of the INE survey, the participants reported that although they have not seen incivility within their own academic career, they had observed faculty incivility with nursing students when the participants were assigned as preceptors as part of their emergency nursing practice.

  10. Protection by imidazol(ine) drugs and agmatine of glutamate-induced neurotoxicity in cultured cerebellar granule cells through blockade of NMDA receptor

    PubMed Central

    Olmos, Gabriel; DeGregorio-Rocasolano, Nuria; Regalado, M Paz; Gasull, Teresa; Boronat, M Assumpció; Trullas, Ramón; Villarroel, Alvaro; Lerma, Juan; García-Sevilla, Jesús A

    1999-01-01

    This study was designed to assess the potential neuroprotective effect of several imidazol(ine) drugs and agmatine on glutamate-induced necrosis and on apoptosis induced by low extracellular K+ in cultured cerebellar granule cells.Exposure (30 min) of energy deprived cells to L-glutamate (1–100 μM) caused a concentration-dependent neurotoxicity, as determined 24 h later by a decrease in the ability of the cells to metabolize 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazoliumbromide (MTT) into a reduced formazan product. L-glutamate-induced neurotoxicity (EC50=5 μM) was blocked by the specific NMDA receptor antagonist MK-801 (dizocilpine).Imidazol(ine) drugs and agmatine fully prevented neurotoxicity induced by 20 μM (EC100) L-glutamate with the rank order (EC50 in μM): antazoline (13)>cirazoline (44)>LSL 61122 [2-styryl-2-imidazoline] (54)>LSL 60101 [2-(2-benzofuranyl) imidazole] (75)>idazoxan (90)>LSL 60129 [2-(1,4-benzodioxan-6-yl)-4,5-dihydroimidazole] (101)>RX821002 (2-methoxy idazoxan) (106)>agmatine (196). No neuroprotective effect of these drugs was observed in a model of apoptotic neuronal cell death (reduction of extracellular K+) which does not involve stimulation of NMDA receptors.Imidazol(ine) drugs and agmatine fully inhibited [3H]-(+)-MK-801 binding to the phencyclidine site of NMDA receptors in rat brain. The profile of drug potency protecting against L-glutamate neurotoxicity correlated well (r=0.90) with the potency of the same compounds competing against [3H]-(+)-MK-801 binding.In HEK-293 cells transfected to express the NR1-1a and NR2C subunits of the NMDA receptor, antazoline and agmatine produced a voltage- and concentration-dependent block of glutamate-induced currents. Analysis of the voltage dependence of the block was consistent with the presence of a binding site for antazoline located within the NMDA channel pore with an IC50 of 10–12 μM at 0 mV.It is concluded that imidazol(ine) drugs and agmatine are neuroprotective against glutamate-induced necrotic neuronal cell death in vitro and that this effect is mediated through NMDA receptor blockade by interacting with a site located within the NMDA channel pore. PMID:10455281

  11. Mail-Based Intervention for Sarcopenia Prevention Increased Anabolic Hormone and Skeletal Muscle Mass in Community-Dwelling Japanese Older Adults: The INE (Intervention by Nutrition and Exercise) Study.

    PubMed

    Yamada, Minoru; Nishiguchi, Shu; Fukutani, Naoto; Aoyama, Tomoki; Arai, Hidenori

    2015-08-01

    The aim of the Intervention by Nutrition and Exercise (INE) study was to investigate the effects of a mail-based intervention for sarcopenia prevention on muscle mass and anabolic hormones in community-dwelling older adults. A cluster-randomized controlled trial. This trial recruited community-dwelling adults aged 65 years and older in Japan. The 227 participants were cluster randomized into a walking and nutrition (W/N) group (n = 79), a walking (W) group (n = 71), and a control (C) group (n = 77). We analyzed the physical and biochemical measurements in this substudy. Six months of mail-based intervention (a pedometer-based walking program and nutritional supplementation). The skeletal muscle mass index (SMI) using the bioelectrical impedance data acquisition system, biochemical measurements, such as those of insulinlike growth factor (IGF-1), dehydroepiandrosterone sulfate (DHEA-S), and 25-hydroxy vitamin D (25[OH]D), as well as frailty, were assessed by the Cardiovascular Health Study criteria. Participants in the W/N and W groups had significantly greater improvements in SMI, IGF-1, and 25(OH)D (P < .05) than those in the C group. Participants in the W/N group had significantly greater improvements in DHEA-S (P < .05) than in the other groups. These effects were more pronounced in frail, older adults. These results suggest that the mail-based walking intervention of the remote monitoring type for sarcopenia prevention can increase anabolic hormone levels and SMI in community-dwelling older adults, particularly in those who are frail. Copyright © 2015 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

  12. The Facebook Paradox: Effects of Facebooking on Individuals’ Social Relationships and Psychological Well-Being

    PubMed Central

    Hu, Xiaomeng; Kim, Andrew; Siwek, Nicholas; Wilder, David

    2017-01-01

    Research suggests that Facebooking can be both beneficial and detrimental for users’ psychological well-being. The current study attempts to reconcile these seemingly mixed and inconsistent findings by unpacking the specific effects of Facebooking on users’ online–offline social relationship satisfaction and psychological well-being. Using structural equation modeling, pathways were examined between Facebook intensity, online–offline social relationship satisfaction, perceived social support, social interaction anxiety, and psychological well-being. Personality differences on each of those paths were also assessed. Employing a sample of 342 American university students, results indicated that intensive Facebooking was positively associated with users’ psychological well-being through online social relationship satisfaction, and simultaneously negatively linked to users’ psychological well-being through offline social relationship satisfaction. Multiple group analyses revealed that the linkage between perceived social support and psychological well-being was stronger for introverts than for extraverts. Our findings indicate that the benefits or detriments of Facebooking are contingent upon both personality characteristics and online–offline social contexts. PMID:28197114

  13. Intensive nutrition education with or without supplementary feeding improves the nutritional status of moderately-malnourished children in Bangladesh.

    PubMed

    Roy, S K; Fuchs, G J; Mahmud, Zeba; Ara, Gulshan; Islam, Sumaya; Shafique, Sohana; Akter, Syeda Sharmin; Chakraborty, Barnali

    2005-12-01

    This prospective randomized trial was carried out to test the efficacy of a specific intervention for reducing the extent of their malnutrition and to change behaviour of mothers relating to child-feeding practices, care-giving, and health-seeking practices under the Bangladesh Integrated Nutrition Project (BINP). The study was conducted in rural Bangladesh among 282 moderately-malnourished (weight-for-age between 61% and 75% of median of the National Center for Health Statistics standard) children aged 6-24 months. Mothers of the first intervention group received intensive nutrition education (INE group) twice a week for three months. The second intervention group received the same nutrition education, and their children received additional supplementary feeding (INE+SF group). The comparison group received nutrition education from the community nutrition promoters twice a month according to the standard routine service of BINP. The children were observed for a further six months. After three months of interventions, a significantly higher proportion of children in the INE and INE+SF groups improved (37% and 47% respectively) from moderate to mild or normal nutrition compared to the comparison group (18%) (p < 0.001). At the end of six months of observation, the nutritional status of children in the intervention groups improved further from moderate to mild or normal nutrition compared to the comparison group (59% and 86% vs 30%, p < 0.0001). As the intensive nutrition education and supplementation given were highly effective, more children improved from moderate malnutrition to mild or normal nutritional status despite a higher incidence of morbidity. The frequency of child feeding and home-based complementary feeding improved significantly (p < 0.001) in both the intervention groups after three months of interventions and six months of observation. Body-weight gain was positively associated with age, length-for-age, weight-for-length, frequency of feeding of khichuri, egg, and potato (p < 0.05). Ability of mothers to identify malnutrition improved from 15% to 99% in the INE group and from 15% to 100% in the INE+SF group, but reduced from 24% to 21% in the comparison group. Use of separate feed pots, frequency of feeding, and cooking of additional complementary feeds improved significantly in the INE and INE+SF groups compared to the comparison group after three months of interventions and six months of observation. It can be concluded from the findings of the study that intensive nutrition education significantly improves the status of moderately-malnourished children with or without supplementary feeding.

  14. Indoor nature exposure (INE): a health-promotion framework.

    PubMed

    Mcsweeney, J; Rainham, D; Johnson, S A; Sherry, S B; Singleton, J

    2015-03-01

    Engaging in outdoor nature-based spaces has significant positive physiological and psychological health benefits. Although the integration of nature into indoor spaces is rarely considered a health-promoting tool, it may be an effective method for increasing nature engagement in a largely urbanized world. This paper presents an overview of indoor nature exposure (INE) by summarizing the current evidence of INE through the use of a scoping methodology. Results show that INE can be a health-promoting tool through the interaction of nature-based stimuli and individual characteristics (e.g. gender, age). Moreover, the results of the current literature need to be interpreted with consideration to methodological issues, such as the lack of participant characteristics, the issue of exposure realism and little qualitative data to highlight individual experiences. The scoping review process allowed for the summation of results and for a framework to be created in order to better understand how INE is facilitated. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  15. Thermal neutron radiative capture on cadmium as a counting technique at the INES beam line at ISIS: A preliminary investigation of detector cross-talk.

    PubMed

    Festa, G; Grazzi, F; Pietropaolo, A; Scherillo, A; Schooneveld, E M

    2017-12-01

    Experimental tests are presented that assess the cross-talk level among three scintillation detectors used as neutron counters exploiting the thermal neutron radiative capture on Cd. The measurements were done at the INES diffractometer operating at the ISIS spallation neutron source (Rutherford Appleton Laboratory, UK). These tests follow a preliminary set of measurements performed on the same instrument to study the effectiveness of this thermal neutron counting strategy in neutron diffraction measurements, typically performed on INES using squashed 3 He filled gas tubes. The experimental data were collected in two different geometrical configurations of the detectors and compared to results of Monte Carlo simulations, performed using the MCNP code. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Systemic Manifestations in Pyridox(am)ine 5'-Phosphate Oxidase Deficiency.

    PubMed

    Guerriero, Réjean M; Patel, Archana A; Walsh, Brian; Baumer, Fiona M; Shah, Ankoor S; Peters, Jurriaan M; Rodan, Lance H; Agrawal, Pankaj B; Pearl, Phillip L; Takeoka, Masanori

    2017-11-01

    Pyridoxine is converted to its biologically active form pyridoxal-5-phosphate (P5P) by the enzyme pyridox(am)ine 5'-phosphate oxidase and serves as a cofactor in nearly 200 reactions in the central nervous system. Pyridox(am)ine 5'-phosphate oxidase deficiency leads to P5P dependent epilepsy, typically a neonatal- or infantile-onset epileptic encephalopathy treatable with P5P or in some cases, pyridoxine. Following identification of retinopathy in a patient with pyridox(am)ine 5'-phosphate oxidase deficiency that was reversible with P5P therapy, we describe the systemic manifestations of pyridox(am)ine 5'-phosphate oxidase deficiency. A series of six patients with homozygous mutations of PNPO, the gene coding pyridox(am)ine 5'-phosphate oxidase, were evaluated in our center over the course of two years for phenotyping of neurological and systemic manifestations. Five of six were born prematurely, three had anemia and failure to thrive, and two had elevated alkaline phosphatase. A movement disorder was observed in two children, and a reversible retinopathy was observed in the most severely affected infant. All patients had neonatal-onset epilepsy and were on a continuum of developmental delay to profound encephalopathy. Electroencephalographic features included background slowing and disorganization, absent sleep features, and multifocal and generalized epileptiform discharges. All the affected probands carried a homozygous PNPO mutation (c.674 G>T, c.686 G>A and c.352G>A). In addition to the well-described epileptic encephalopathy, pyridox(am)ine 5'-phosphate oxidase deficiency causes a range of neurological and systemic manifestations. A movement disorder, developmental delay, and encephalopathy, as well as retinopathy, anemia, and failure to thrive add to the broadening clinical spectrum of P5P dependent epilepsy. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. Characterization of a neutron imaging setup at the INES facility

    NASA Astrophysics Data System (ADS)

    Durisi, E. A.; Visca, L.; Albertin, F.; Brancaccio, R.; Corsi, J.; Dughera, G.; Ferrarese, W.; Giovagnoli, A.; Grassi, N.; Grazzi, F.; Lo Giudice, A.; Mila, G.; Nervo, M.; Pastrone, N.; Prino, F.; Ramello, L.; Re, A.; Romero, A.; Sacchi, R.; Salvemini, F.; Scherillo, A.; Staiano, A.

    2013-10-01

    The Italian Neutron Experimental Station (INES) located at the ISIS pulsed neutron source (Didcot, United Kingdom) provides a thermal neutron beam mainly used for diffraction analysis. A neutron transmission imaging system was also developed for beam monitoring and for aligning the sample under investigation. Although the time-of-flight neutron diffraction is a consolidated technique, the neutron imaging setup is not yet completely characterized and optimized. In this paper the performance for neutron radiography and tomography at INES of two scintillator screens read out by two different commercial CCD cameras is compared in terms of linearity, signal-to-noise ratio, effective dynamic range and spatial resolution. In addition, the results of neutron radiographies and a tomography of metal alloy test structures are presented to better characterize the INES imaging capabilities of metal artifacts in the cultural heritage field.

  18. Crise convulsive chez les abuseurs de Tramadol et caféine: à propos de 8 cas et revue de la littérature

    PubMed Central

    Maiga, Djibo Douma; Seyni, Houdou; Sidikou, Amadou; Azouma, Alfazazi

    2012-01-01

    Nous rapportons Huit cas de crises convulsives diagnostiquées comme maladie épileptique après ingestion de Tramadol et d'autres substances psychotropes dont la Caféine dans une région ou maladie épileptique et addiction au café sont fréquentes. L'objectif de ce travail était d'informer les praticiens sur le risque de convulsion lié à la consommation du Tramadol seul ou en association avec d'autres psychotropes en s'appuyant sur les données de la littérature. Il s'agissait d'une étude rétrospective et exhaustive de patients vus en consultation ambulatoire pour crise convulsive et consommation de Tramadol et de caféine de janvier à mai 2012. Les données collectées étaient les caractéristiques sociodémographiques et de la consommation de Tramadol. Le diagnostic de crise convulsive a été posé sur les renseignements obtenus à l'anamnèse. Tous les patients ont été soumis à un examen neurologique et aux critères de dépendance du Diagnostic and Statistical Manual of Mental Disorders (DSMIV)-R par rapport à leur consommation de Tramadol. Nous n'avons pas trouvé dans la littérature médicale de cas de consommation concomitante de Tramadol et de Caféine. Les données expérimentales suggèrent une action synergique du Tramadol et de la Caféine sur la douleur et le seuil épileptogène. Nos observations plaident également en faveur d'une synergie d'action de ces deux molécules dans la survenue des crises convulsives. La fréquence des crises convulsives suite à une intoxication par le Tramadol et la caféine est susceptible d'augmenter en Afrique en raison du mésusage croissant de ces substances. Une étude comparative usagers de Tramadol associé à la Caféine et usagers du Tramadol seul devrait permettre d’évaluer le risque. PMID:23308329

  19. Comparison of sympathetic nerve responses to neck and forearm isometric exercise

    NASA Technical Reports Server (NTRS)

    Steele, S. L. Jr; Ray, C. A.

    2000-01-01

    PURPOSE: Although the autonomic and cardiovascular responses to arm and leg exercise have been studied, the sympathetic adjustments to exercise of the neck have not. The purpose of the present study was twofold: 1) to determine sympathetic and cardiovascular responses to isometric contractions of the neck extensors and 2) to compare sympathetic and cardiovascular responses to isometric exercise of the neck and forearm. METHODS: Muscle sympathetic nerve activity (MSNA), mean arterial pressure (MAP), and heart rate were measured in nine healthy subjects while performing isometric neck extension (INE) and isometric handgrip (IHG) in the prone position. After a 3-min baseline period, subjects performed three intensities of INE for 2.5 min each: 1) unloaded (supporting head alone), 2) 10% maximal voluntary contraction (MVC), and 3) 30% MVC, then subjects performed two intensities (10% and 30% MVC) of IHG for 2.5 min. RESULTS: Supporting the head by itself did not significantly change any of the variables. During [NE, MAP significantly increased by 10 +/- 2 and 31 +/- 4 mm Hg and MSNA increased by 67 +/- 46 and 168 +/- 36 units/30 s for 10% and 30% MVC, respectively. IHG and INE evoked similar responses at 10% MVC, but IHG elicited higher peak MAP and MSNA at 30% MVC (37 +/- 7 mm Hg (P < 0.05) and 300 +/- 48 units/30 s (P < 0.01) for IHG, respectively). CONCLUSIONS: The data indicate that INE can elicit marked increases in MSNA and cardiovascular responses but that it evokes lower peak responses as compared to IHG. We speculate that possible differences in muscle fiber type composition, muscle mass, and/or muscle architecture of the neck and forearm are responsible for these differences in peak responses.

  20. Metastatic neuroblastoma in infants: are survival rates excellent only within the stringent framework of clinical trials?

    PubMed

    Di Cataldo, A; Agodi, A; Balaguer, J; Garaventa, A; Barchitta, M; Segura, V; Bianchi, M; Castel, V; Castellano, A; Cesaro, S; Couselo, J M; Cruz, O; D'Angelo, P; De Bernardi, B; Donat, J; de Andoin, N G; Hernandez, M I; La Spina, M; Lillo, M; Lopez-Almaraz, R; Luksch, R; Mastrangelo, S; Mateos, E; Molina, J; Moscheo, C; Mura, R; Porta, F; Russo, G; Tondo, A; Torrent, M; Vetrella, S; Villegas, J A; Viscardi, E; Zanazzo, G A; Cañete, A

    2017-01-01

    SIOPEN INES protocol yielded excellent 5-year survival rates for MYCN-non-amplified metastatic neuroblastoma. Patients deemed ineligible due to lack or delay of MYCN status or late registration were treated, but not included in the study. Our goal was to analyse survival at 10 years among the whole population. Italian and Spanish metastatic INES patients' data are reported. SPSS 20.0 was used for statistical analysis. Among 98 infants, 27 had events and 19 died, while 79 were disease free. Five- and 10-year event-free survival (EFS) were 73 and 70 %, and overall survival (OS) was 81 and 74 %, respectively. MYCN status was significant for EFS, but not for OS in multivariate analysis. The survival rates of patients who complied with all the inclusion criteria for INES trials are higher compared to those that included also not registered patients. Five-year EFS and OS for INES 99.2 were 87.8 and 95.7 %, while our stage 4s population obtained 78 and 87 %. Concerning 99.3, 5-year EFS and OS were 86.7 and 95.6 %, while for stage 4 we registered 61 and 68 %. MYCN amplification had a strong impact on prognosis and therefore we consider it unacceptable that many patients were not studied for MYCN and probably inadequately treated. Ten-year survival rates were shown to decrease: EFS from 73 to 70 % and OS from 81 to 74 %, indicating a risk of late events, particularly in stage 4s. Population-based registries like European ENCCA WP 11-task 11 will possibly clarify these data.

  1. CLUTO - A Clustering Toolkit

    DTIC Science & Technology

    2002-04-23

    poach m ine disast ti earthquak alum...center energi batteri qtag frnew lin am end pjg volcano itag x insur loss ban cn tp eleph satellit electr m ount gentlem an leo rep ash m ine disast ti...relief speaker pre center energi batteri qtag frnewlin amend pjg volcano itag x insur loss ban cn tp eleph satellit electr mount gentleman leo rep

  2. Adaptive Neural Control for Space Structure Vibration Suppression.

    DTIC Science & Technology

    1996-08-01

    based implementations is the subject of the next chapter. 17 ANC Final Report Kam VdI k (~k)A .. loco[ Excitation --Control ON 1 15 20 25 30 Figure 2...must’write something to the update register to cause ~ 1* a conversion. * #def ine MODE OxOOOO 1* Keep things in range * #def ine NAXDA 2048 #define DASENS

  3. Ink-native electrophoresis: an alternative to blue-native electrophoresis more suitable for in-gel detection of enzymatic activity.

    PubMed

    Kaneko, Keisuke; Sueyoshi, Noriyuki; Kameshita, Isamu; Ishida, Atsuhiko

    2013-09-15

    Blue-native electrophoresis (BNE) is a useful technique for analyzing protein complexes, but the Coomassie brilliant blue (CBB) dye used in BNE often hampers in-gel detection of enzymatic activity. Here we report an improved method, termed ink-native electrophoresis (INE), in which Pelikan 4001 fountain pen ink is used as a charge-shifting agent instead of CBB. INE is more suitable than BNE for in-gel detection of protein kinase activity after polyacrylamide gel electrophoresis (PAGE), and its performance in protein complex separation is comparable to that of conventional BNE. INE may provide a powerful tool to isolate and analyze various protein complexes. Copyright © 2013 Elsevier Inc. All rights reserved.

  4. The W(h)ine Club: Women Finding Joy in Academic Work

    ERIC Educational Resources Information Center

    Selepe, Mosa; Grobler, Christa; Dicks, Emsie; Oldewage-Theron, Wilna

    2012-01-01

    The W(h)ine Club is a multidisciplinary women's research team which has been working together for the past 10 years. The idea for this Viewpoint piece grew as we participated in a Women in Research programme. The aim of the programme was to improve academic publications among women. A group of us in the programme found ourselves repeatedly…

  5. The De-Genderization of Knowledge Production: The Case of Sor Juana Ines de la Cruz.

    ERIC Educational Resources Information Center

    Salazar, Norma

    1994-01-01

    All societies have official knowledge. Life of Sor Juana Ines de la Cruz, 17th-century nun and literary genius, illustrates who discovers knowledge is more important than what knowledge is promulgated. Real issue was not what Sor Juana wrote but whether nun or woman should engage in producing and publishing knowledge. Her efforts have inspired…

  6. Performance of the Santa Ines breed raised on pasture in semiarid tropical regions and factors that explain trait variation.

    PubMed

    de Farias Jucá, Adriana; Faveri, Juliana Cantos; Melo Filho, Geraldo Magalhães; de Lisboa Ribeiro Filho, Antônio; Azevedo, Hymerson Costa; Muniz, Evandro Neves; Pinto, Luís Fernando Batista

    2014-10-01

    This study aimed to evaluate sex, the number of lambs per birth, and the family effects on production traits in the Santa Ines breed of sheep by estimating the least square means and coefficient of variance for those traits. A total of 484 lambs were evaluated for the following traits: weight at birth, at weaning, and at 240 days of age; weight gain during the pre-weaning and post-weaning periods; height, width, and length of different body regions; and rib eye area and fat thickness between the 12th and 13th ribs. We observed coefficients of variation higher than 10 % for several traits. Generally, males were larger than females (P < 0.05), while lambs from single and double births were larger than lambs from triple births (P < 0.05). Family effect was significant (P < 0.05) for most traits and explained the highest percentage of residual variance. The results showed good development of Santa Ines sheep, especially during the pre-weaning period but no in post-weaning. Our study also showed that there is an effect of sex, birth type, and family, which must be included in any statistical model for the estimation of least square means and residual variance in ANOVA.

  7. Processus ultra-rapides associés à la dynamique d'émission de la protéine GFP

    NASA Astrophysics Data System (ADS)

    Didier, P.; Guidoni, L.; Schwalbach, G.; Bigot, J.-Y.

    2002-06-01

    La protéine GFP (Green Fluorescent Protein) est un marqueur très efficace, utilisable en milieu vivant. La spectroscopie femtoseconde est particulièrement bien adaptée pour comprendre les mécanismes d'émission de cette protéine, étant donné la rapidité des processus de transfert mis en jeu. Nous-présentons des résultats sur la dynamique spectro-temporelle d'émission du mutant GFPuv résolue à l'échelle de la centaine de femtosecondes. Une transition Raman à 3300 cm^{-1} ainsi que la dynamique d'etablissement du gain avec un temps caractéristique d'environ 1.5 ps ont été mis en évidence.

  8. Surface Observation Climatic Summaries (SOCS) for Volk Field ANGB, Wisconsin.

    DTIC Science & Technology

    1989-05-01

    LIMIT(S), EITHER SEPARATELY OR IN ANY C󈧒RINATI"Pl. TOTALS PROGRESS FROM RIGHT Tl LEFT AND PRUM BOTTOM1 T2 TOP. TOJ OETER Iljt CEILINS ALINE, REFER TO...THE cATREME7 RIGTHAND CO]LUMN (ZER? VISI3ILITY). TO DETERM’INE VISIBI1LITY ALINE, R’EFER TO THE BOTTOM ROW (ZEkO CEILINGS). OETER 𔃾INE THE P9F THAT

  9. Study on environmental indices and heat tolerance tests in hair sheep.

    PubMed

    Seixas, L; de Melo, C B; Menezes, A M; Ramos, A F; Paludo, G R; Peripolli, V; Tanure, C B; Costa Junior, J B G; McManus, C

    2017-06-01

    The ability to predict the effects of climatic factors on animals and their adaptability is important for livestock production. The aim of the present study was to analyze whether existing indices are suitable for evaluating heat stress in Santa Ines and Morada Nova sheep, which are locally adapted hair sheep breeds from northeastern Brazil, and if the limits used to classify thermal stress are suitable for these breeds. Therefore, climatic, physiological, and physical parameters, as well as thermographic images, were collected in 26 sheep, 1 1/2 years old, from two genetic groups (Santa Ines 12 males and 4 females; Morada Nov. 7 males and 3 females) for 3 days in both morning (4:00 a.m.) and afternoon (2:00 p.m.) with six repetitions, totalizing 156 repetitions. Statistical analysis included correlations and broken-line regressions. Iberia and Benezra indices were the tolerance tests that best correlated with the assessed parameters. High correlations between environmental indices and rectal or skin surface temperatures was observed, which indicates that these indices can be used for Santa Ines and Morada Nova sheep raised in central Brazil. However, some indicative values of thermal discomfort are different from the existing classification. Therefore, in order to classify appropriately, the model used needs to be carefully studied, because these classifying values can vary according to the species and model. Further research is necessary to establish indicators of thermal stress for sheep breeds raised in the region.

  10. Farewell to a legendary mission : ESA to hand over the IUE archive to the world scientific community

    NASA Astrophysics Data System (ADS)

    2000-03-01

    The IUE Archive, storing two decades of ultraviolet astronomy, has become a historical reference. It contains more than 110 000 spectra from observations that in most cases cannot be repeated, and is an excellent source for studying variable phenomena. The long time-lapse covered and the stability of the instrument have enabled astronomers to witness events they never thought they would, such as the metamorphosis of a very old star into a beautiful planetary nebula: a hot central star surrounded by glowing gas and dust. The IUE archive was the first astronomical archive accessible online -- back in 1985, when the World Wide Web did not even exist-- and has been a key catalyst for science: it has triggered the publication of 3 600 articles in refereed journals so far, and a whole generation of astrophysicists have used IUE data at some stage. During IUE's lifetime the archive was managed by ESA, from the Villafranca Satellite Tracking Station near Madrid (Spain). But not any longer. The IUE archive will now belong to the world scientific community. ESA has created INES (IUE Newly Extracted Spectra), a distribution system that allows IUE data to be accessed faster and more easily from non-ESA national hosts throughout the world, managed entirely by local experts. INES maintenance costs are minimal, and the system is designed for ready incorporation of whatever innovations might come in the future. "The INES system and its data guarantee that future generations of astronomers will be able to use IUE data as much as they want, regardless of whether they know about the technicalities of the mission or whether there is an improvement in archive technology. And the distributed structure is better adapted to changes in user needs than a single archive centre", says Antonio Talavera from the Laboratory for Space Astrophysics and Theoretical Physics (LAEFF), based at Villafranca. "ESA has created INES using a minimalist engineering approach for the world scientific community, and has made it to last. INES is easy to use and easy to upgrade, and LAEFF in Spain is proud to serve as the hub for the whole world". The INES Principal Centre is at the LAEFF, owned by INTA, the Spanish National Institute for Aerospace Technology. This centre, with a data mirror at the CADC in Victoria (Canada), holds the complete database and provides information not available from national hosts. So far 17 national hosts (listed below) have come online. Together they form with the Principal Centre an efficient and highly reliable distribution system for the community. The whole process of data retrieval is fully automated and totally transparent to the end user. This distributed structure avoids localised connectivity problems and guarantees availability of data. The release of INES will be celebrated on 21 March with a ceremony at the ESA/VILSPA Satellite Tracking Station in Villafranca near Madrid (see attached agenda and accreditation form). At various other national hosts the release of the INES system will also be celebrated by local academic and demonstration events on different dates. FOOTNOTE ON IUE SATELLITE The ESA/NASA/UK IUE spacecraft, launched in January 1978, became the first space observatory facility available to the whole astronomical community. It marked the beginning of UV astronomy, a field for which space telescopes are essential because UV light does not reach the Earth's surface. By the time IUE was switched off, in September 1996 --14 years later than originally planned -- IUE had changed the view astronomers had of the universe. Among many other findings, IUE discovered the auroras in Jupiter; detected for the first time the halo in our galaxy --a large amount of very hot matter in the outskirts of the Milky Way (the halo); and measured the size of a black hole in the core of an active galaxy.

  11. Ingestive Behavior and Nitrogen Balance of Confined Santa Ines Lambs Fed Diets Containing Soybean Hulls

    PubMed Central

    Bastos, Milena Patrícia Viana; de Carvalho, Gleidson Giordano Pinto; Pires, Aureliano José Vieira; Silva, Robério Rodrigues; Filho, Antônio Eustáquio; dos Santos, Edileusa de Jesus; Chagas, Daiane Maria Trindade; Barroso, Daniele Soares; Filho, George Abreu

    2014-01-01

    The objective of this study was to assess the effect of substituting corn with soybean hulls on the ingestive behavior and nitrogen balance of Santa Ines lambs. A total of 25 lambs with an initial body weight of 20±2 kg at approximately six months of age, sheltered individually in stalls (1.10 m×1.0 m), considering an entirely casual experimental delineation. Soybean hulls were substituted for corn at 0, 250, 500, 750, and 1,000 g/kg of dry matter (DM). The time spent feeding, ruminating, masticating, and resting was not affected by the substitution of corn with soybean hulls. In fact, the feeding efficiency in g DM/h and the rumination efficiency in g DM/bolus increased linearly with soybean hull substitution in the feed. Although the nitrogen balance was not altered by the use of soybean hulls as a substitute for corn in the diets of Santa Ines lambs, the N ingested and N digested expressed in g/d, N retained as a percentage of that ingested, and N retained as a percentage of that digested displayed quadratic behavior. In conclusion, corn can be substituted with soybean hulls up to 1,000 g/kg of dry matter in the concentrate, without changing the ingestive behavior and nitrogen balance. PMID:25049922

  12. Treatment of Neuropathic Pain after SCI with a Catalytic Oxidoreductant

    DTIC Science & Technology

    2014-10-01

    Ashcraft,1 Ping Fan,4 Dewhirst, M. W.,1 David S. Warner,2 Zeljko Vujaskovic,4 Ines Batinic-Haberle1 and Ivan Spasojevic,6* Departments of Radiation...Subcontract project management and oversee the mouse SCI induction OTHER FUNDING SUPPORT DUKE NAME IVAN SPASOJEVICK, PH.D. PROJECT ROLE CO-I...Fan,4 Dewhirst, M. W.,1 David S. Warner,2 Zeljko Vujaskovic,4 Ines Batinic-Haberle1 and Ivan Spasojevic,6* Departments of Radiation Oncology,1

  13. Western Foreign Fighters in Syria: An Empirical Analysis of Recruitment and Mobilization Mechanisms

    DTIC Science & Technology

    2015-06-01

    Malet, Foreign Fighters, 5. 16 Ibid., 4–6. 17 See for example Ines von Behr, Anaïs Reding , Charlie Edwards, and Luke Gribbon, “Radicalization in the...summary see Ines von Behr, Anaïs Reding , Charlie Edwards, and Luke Gribbon, “Radicalization in the Digital Era: The Use of the Internet in 15 Cases of...12; <http://www.lexisnexis.com.libproxy.nps.edu/hottopics/lnacademic> [April 11, 2015]. 134 von Behr, Reding , Edwards, and Gribbon

  14. Joint Force Quarterly. Issue 38, 3rd Quarter, July 2005

    DTIC Science & Technology

    2005-07-01

    Officer’s Club, I might have said, “the best” (or something equally brilliant and punch worthy). But he was genu - inely interested, and we talked a bit...worthy). But he was genu - inely interested, and we talked a bit about military aviation. I wanted to hear about his experiences, so I steered the...because spouses deserve special treatment, but because DOD must retain its best people. Who Spouses Are and What They Want Two common stereotypes of

  15. Evidence for polymetamorphic garnet growth in the Çine (southern Menderes) Massif, Western Turkey

    NASA Astrophysics Data System (ADS)

    Baker, C. B.; Catlos, E. J.; Sorensen, S. S.; Çemen, I.; Hancer, M.

    2008-07-01

    Garnet-based thermobarometry is often used to develop models for the evolution of the Menderes Massif, a key Aegean metamorphic core complex. Here we present X-ray element maps and high-contrast backscattered electron (BSE) and cathodoluminescence (CL) images from a garnet-bearing rock from the Çine (southern Menderes) Massif. The images document a polymetamorphic history as plagioclase and garnet grains show distinct cores and rims. The sample contains matrix monazite in reaction with allanite. The garnet in the sample is likely not in equilibrium with its matrix minerals. This is evidenced by BSE images that document compositional variability in both core and rim zoning and tracks of bright streaks extending from rim to core. We propose that some garnet that is now present in the Menderes Massif formed due to collision during Cambro-Ordovician and may have recrystallized during subsequent collisional and extensional events. These processes led to non-equilibrium compositions and can result in spurious pressure-temperature (P-T) calculations. To establish the feasibility of the P-T estimates of rocks from the Çine Massif for input into tectonic models for the region, more than one sample from single outcrops should be analyzed. Rocks within the Çine Massif have been suggested to display inverted metamorphism, an increase in T towards structurally higher levels. Based on the garnet documented here, we propose that the inverted metamorphism may be a consequence of apparent P-T rather than a real phenomenon.

  16. The INeS study: prevention of multiple pregnancies: a randomised controlled trial comparing IUI COH versus IVF e SET versus MNC IVF in couples with unexplained or mild male subfertility.

    PubMed

    Bensdorp, Alexandra J; Slappendel, Els; Koks, Carolien; Oosterhuis, Jur; Hoek, Annemieke; Hompes, Peter; Broekmans, Frank; Verhoeve, Harold; de Bruin, Jan Peter; van Weert, Janne Meije; Traas, Maaike; Maas, Jacques; Beckers, Nicole; Repping, Sjoerd; Mol, Ben W; van der Veen, Fulco; van Wely, Madelon

    2009-12-18

    Multiple pregnancies are high risk pregnancies with higher chances of maternal and neonatal mortality and morbidity. In the past decades the number of multiple pregnancies has increased. This trend is partly due to the fact that women start family planning at an increased age, but also due to the increased use of ART.Couples with unexplained or mild male subfertility generally receive intrauterine insemination IUI with controlled hormonal stimulation (IUI COH). The cumulative pregnancy rate is 40%, with a 10% multiple pregnancy rate.This study aims to reveal whether alternative treatments such as IVF elective Single Embryo Transfer (IVF e SET) or Modified Natural Cycle IVF (MNC IVF) can reduce the number of multiple pregnancy rates, but uphold similar pregnancy rates as IUI COH in couples with mild male or unexplained subfertility. Secondly, the aim is to perform a cost effective analyses and assess treatment preference of these couples. We plan a multicentre randomised controlled clinical trial in the Netherlands comparing six cycles of intra-uterine insemination with controlled ovarian hyperstimulation or six cycles of Modified Natural Cycle (MNC) IVF or three cycles with IVF-elective Single Embryo Transfer (eSET) plus cryo-cycles within a time frame of 12 months.Couples with unexplained subfertility or mild male subfertility and a poor prognosis for treatment independent pregnancy will be included. Women with anovulatory cycles, severe endometriosis, double sided tubal pathology or serious endocrine illness will be excluded.Our primary outcome is the birth of a healthy singleton. Secondary outcomes are multiple pregnancy, treatment costs, and patient experiences in each treatment arm. The analysis will be performed according tot the intention to treat principle. We will test for non-inferiority of the three arms with respect to live birth. As we accept a 12.5% loss in pregnancy rate in one of the two IVF arms to prevent multiple pregnancies, we need 200 couples per arm (600 couples in total). Determining the safest and most cost-effective treatment will ensure optimal chances of pregnancy for subfertile couples with substantially diminished perinatal and maternal complications. Should patients find the most cost-effective treatment acceptable or even preferable, this could imply the need for a world wide shift in the primary treatment. Current Controlled Trials ISRCTN 52843371.

  17. Analysis of Indonesian educational system standard with KSIM cross-impact method

    NASA Astrophysics Data System (ADS)

    Arridjal, F.; Aldila, D.; Bustamam, A.

    2017-07-01

    The Result of The Programme of International Student Assessment (PISA) on 2012 shows that Indonesia is on 64'th position from 65 countries in Mathematics Mean Score. The 2013 Learning Curve Mapping, Indonesia is included in the 10th category of countries with the lowest performance on cognitive skills aspect, i.e. 37'th position from 40 countries. Competency is built by 3 aspects, one of them is cognitive aspect. The low result of mapping on cognitive aspect, describe the low of graduate competences as an output of Indonesia National Education System (INES). INES adopting a concept Eight Educational System Standards (EESS), one of them is graduate competency standard which connected directly with Indonesia's students. This research aims is to model INES by using KSIM cross-impact. Linear regression models of EESS constructed using the accreditation national data of Senior High Schools in Indonesia. The results then interpreted as impact value on the construction of KSIM cross-impact INES. The construction is used to analyze the interaction of EESS and doing numerical simulation for possible public policy in the education sector, i.e. stimulate the growth of education staff standard, content, process and infrastructure. All simulations of public policy has been done with 2 methods i.e with a multiplier impact method and with constant intervention method. From numerical simulation result, it is shown that stimulate the growth standard of content in the construction KSIM cross-impact EESS is the best option for public policy to maximize the growth of graduate competency standard.

  18. Modélisation de la dynamique de la chaîne peptidique des protéines en solution par RMN à travers les couplages dipolaires

    NASA Astrophysics Data System (ADS)

    Bouvignies, G.; Bernadó, P.; Blackledge, M.

    2005-11-01

    L'activité d'une protéine est liée non seulement à sa structure, mais également à sa dynamique, et il est important de connaître la nature de ses mouvements pour comprendre sa fonction biologique. La résonance magnétique nucléaire est particulièrement utile pour étudier la dynamique d'une molécule en solution sur une gamme de temps de corrélation très large. En particulière, la relaxation des spins 15N ou 13C donne accès aux mouvements moléculaires avec les temps caractéristiques entre les dizaines de picosecondes et le temps de corrélation rotationelle de la molécule (autour de 10ns pour une protéine monomérique de 20 kD à 300 K). Les vitesses de relaxation dépendent de la flexibilité de chaque site, et peuvent être caractérisé en termes d'amplitude et de temps caractéristique locale. La précision de ces paramètres et sa compréhension en termes de fonction exigent que la réorientation globale de la molécule soit correctement prise en compte. Ces méthodes expérimentales, qui seront présentées ici brièvement, font maintenant partie de la panoplie d'expériences appliquées dans l'étude de la relation structure-dynamique d'une protéine et ses partenaires. Néanmoins les mouvements plus lents, entre la nano et la milliseconde, sont plus difficiles à étudier, et il y a très peu d'information disponible sur la nature de la dynamique de la chaîne peptidique dans cette gamme de temps par RMN. Très récemment de nouvelles méthodologies ont été proposées, basées sur l'alignement préférentiel d'une protéine par rapport au champ magnétique, induit par dissolution de la molécule dans un cristal liquide très dilué. Dans ces conditions les changements conformationels sur des temps caractéristique plus lents (jusqu'au millisecondes) peuvent être étudiés. Nous présenterons cette technique, et quelques résultats, comparant la dynamique rapide (ps-ns), et plus lente le long de la chaîne peptidique de quatre protéines.

  19. Alternations in burial and exhumation along the Selimiye (Kayabükü) shear zone in the Menderes Massif from detailed garnet pressure-temperature paths

    NASA Astrophysics Data System (ADS)

    Kelly, E. D.; Atakturk, K. R.; Catlos, E. J.; Lizzadro-McPherson, D. J.; Cemen, I.; Lovera, O. M.

    2015-12-01

    Pressure-temperature (P-T) paths derived from garnet chemical zoning and supported by thermal modeling record alternating burial and exhumation during Main Menderes Metamorphism in western Turkey. We studied six rocks along the Selimiye (Kayabükü) shear zone, three from the footwall (Çine nappe) and three from the hanging wall (Selimiye nappe). The shear zone bounds the southern Menderes Massif metamorphic core complex and has been suggested to record compression followed by extension. The rocks are lower-amphibolite facies garnet-bearing metapelites with nearly identical mineral suites. Retrograde overprinting hinders classical thermobarometry; to overcome this, preserved chemical zoning in garnet combined with a G-minimization approach was used to construct detailed P-T paths (e.g., 50 points in some paths). During continuous temperature increase, the Çine nappe paths show increasing, decreasing, and then increasing pressure (an N-shaped path) ending at 7-8 kbar and ~565-590 °C. The Selimiye nappe paths show a single increase in P-T ending at ~7.3 kbar and ~580 °C. Similar bulk-rock compositions in all samples and the separation by the shear zone suggest that garnets grew during distinct events in each nappe. The timing of garnet growth, and thus the P-T paths, is currently undetermined, as monazite inclusions in garnet appear secondary and complicated by excess common Pb. The Çine nappe N-shaped path describes alternations in burial and exhumation, possibly due to thrust motion along the shear zone. To demonstrate the physical plausibility of the P-T paths, a 2-D finite difference solution to the diffusion-advection equation was applied. The results of the thermal modeling suggest that thrusting, denudation, and renewed thrusting would produce similar changes in P-T to the N-shaped path. Thus, the Çine nappe N-shaped P-T path appears to record a gap in thrust motion along the Selimiye (Kayabükü) shear zone prior to ultimate unroofing of the massif.

  20. A PILOT STUDY TO EVALUATE METHODS FOR THE ASSESSMENT OF EXPOSURE OF SMALL CHILDREN TO PESTICIDES IN THE RESIDENTIAL ENVIRONMENT

    EPA Science Inventory

    A pilot study was conducted to evaluate methods of assessment of exposure of infants and toddlers to pesticide residues around the household. ine homes with children aged six months to five years were selected on the basis of pesticide indoor and outdoor use. ouse dust was collec...

  1. "The Students Do Not Know Why They Are Here": Education Decision-Making for Syrian Refugees

    ERIC Educational Resources Information Center

    Karam, Fares J.; Monaghan, Christine; Yoder, Paul J.

    2017-01-01

    This case study, conducted collaboratively between education scholars and education practitioners, describes and analyses the ways in which Syrian refugee teachers and an NGO are developing and implementing non-formal education (NFE) programming in three refugee settlements in Lebanon. Utilising the INEE Minimum Standards for Education in…

  2. Inhibition of monoamine oxidase A and B activities by imidazol(ine)/guanidine drugs, nature of the interaction and distinction from I2-imidazoline receptors in rat liver

    PubMed Central

    Ozaita, Andrés; Olmos, Gabriel; Assumpció Boronat, M; Miguel Lizcano, José; Unzeta, Mercedes; García-Sevilla, Jesús A

    1997-01-01

    I2-Imidazoline sites ([3H]-idazoxan binding) have been identified on monoamine oxidase (MAO) and proposed to modulate the activity of the enzyme through an allosteric inhibitory mechanism (Tesson et al., 1995). The main aim of this study was to assess the inhibitory effects and nature of the inhibition of imidazol(ine)/guanidine drugs on rat liver MAO-A and MAO-B isoforms and to compare their inhibitory potencies with their affinities for the sites labelled by [3H]-clonidine in the same tissue. Competition for [3H]-clonidine binding in rat liver mitochondrial fractions by imidazol(ine)/guanidine compounds revealed that the pharmacological profile of the interaction (2 - styryl - 2 - imidazoline, LSL 61112>idazoxan>2 - benzofuranyl - 2 - imidazoline, 2-BFI=cirazoline>guanabenz>oxymetazoline>>clonidine) was typical of that for I2-sites. Clonidine inhibited rat liver MAO-A and MAO-B activities with very low potency (IC50s: 700 μM and 6 mM, respectively) and displayed the typical pattern of competitive enzyme inhibition (Lineweaver-Burk plots: increased Km and unchanged Vmax values). Other imidazol(ine)/guanidine drugs also were weak MAO inhibitors with the exception of guanabenz, 2-BFI and cirazoline on MAO-A (IC50s: 4–11 μM) and 2-benzofuranyl-2-imidazol (LSL 60101) on MAO-B (IC50: 16 μM). Idazoxan was a full inhibitor, although with rather low potency, on both MAO-A and MAO-B isoenzymes (IC50s: 280 μM and 624 μM, respectively). Kinetic analyses of MAO-A inhibition by these drugs revealed that the interactions were competitive. For the same drugs acting on MAO-B the interactions were of the mixed type inhibition (increased Km and decreased Vmax values), although the greater inhibitory effects on the apparent value of Vmax/Km than on the Vmax value indicated that the competitive element of the MAO-B inhibition predominated. Competition for [3H]-Ro 41-1049 binding to MAO-A or [3H]-Ro 19-6327 binding to MAO-B in rat liver mitochondrial fractions by imidazol(ine)/guanidine compounds revealed that the drug inhibition constants (Ki values) were similar to the IC50 values displayed for the inhibition of MAO-A or MAO-B activities. In fact, very good correlations were obtained when the affinities of drugs at MAO-A or MAO-B catalytic sites were correlated with their potencies in inhibiting MAO-A (r=0.92) or MAO-B (r=0.99) activity. This further suggested a direct drug interaction with the catalytic sites of MAO-A and MAO-B isoforms. No significant correlations were found when the potencies of imidazol(ine)/guanidine drugs at the high affinity site (pKiH, nanomolar range) or the low-affinity site (pKiL, micromolar range) of I2-imidazoline receptors labelled with [3H]-clonidine were correlated with the pIC50 values of the same drugs for inhibition of MAO-A or MAO-B activity. These discrepancies indicated that I2-imidazoline receptors are not directly related to the site of action of these drugs on MAO activity in rat liver mitochondrial fractions. Although these studies cannot exclude the presence of additional binding sites on MAO that do not affect the activity of the enzyme, they would suggest that I2-imidazoline receptors represent molecular species that are distinct from MAO. PMID:9222546

  3. Mississippi and Louisiana Estuarine Areas. Freshwater Diversion to Lake Pontchartrain Basin and Mississippi Sound. Feasibility Study. Volume 4. Public Views and Responses.

    DTIC Science & Technology

    1984-04-01

    looked at carefully. He said he recognized the dieback in the Louisiana marshes because of levee systems and the displacement of fishermen after seeing...noted these systems were created and Ined by great river systems like the Mississippi and Amazon Rivers. - huition to productivity extends far out to

  4. Coordinated Noninvasive Studies (CNS) Project

    DTIC Science & Technology

    1988-11-01

    It Is used to "label’ (e.g., glucose labelled with an isotope of carbon), autoradlography can used to study metabolism (e.g., uptake of dopamIne In...defined dysfunctions, Such as autism and dementia, and to obtain detailed Information regarding brain function even In subjects who cannot actively...man. Ann NY Acad Sc 508: 1-537. Courchesne E (In press) Cerebellar changes In autism . In J Swann and A Messer (Eds) Disorders of the developing

  5. Topical Meeting on Microphysics of Surfaces, Beams, and Adsorbates Held at Santa Fe, New Mexico on 4-6 February 1985.

    DTIC Science & Technology

    1985-12-18

    during excimer laser ablation. Results are %%% Study on the Mechanism of Ion-Assisted Etching, F. H. M. correlated with interferometric measurements of...report on real time interferometric measurements of free electron density and laser induced .,- fluorescence studies of atoms and molecules in the...compared with morphology exam- Ined with Nomarski micrographs and SEM. In addition, the struc- ture and composition of the deposited lines were analysed

  6. Syntax, Semantics, and Speech

    DTIC Science & Technology

    1975-04-01

    D.R. Reddy (ed.), Academic Press (1975). \\h \\ i: LJ r- I. I. 0 i bbN Heport No. 3067 bolt Beranek and Newman Ine S. mm he directi...context is tne type ^ at trie ielt -nanu gie nonterrainai nonempty string pe 3 grammars, more restricted u in generative cnaracterized by 1...Collins, A. (eds.) Academic Press, (in press [23] wewell , A. et al . ( 1973) Speech Understanoing Systems: tlinal heport of a Study Group. North

  7. Vehicle Armor Structure and Testing for Future Combat System

    DTIC Science & Technology

    2013-06-03

    Attached Hose ........................................................................ 45  Figure 2.9-4: Time-Temperature Results for Test 3 in Table 2.9...is within t at allow the er to perform h hoses that ed hoses is Figure 2. he chamber chamber to the enviro attach to the shown in Fig 9-1...nd Attache stron Mach d Hose ine UNCLASSIFIED UNCLASSIFIED 46 Thermal studies were conducted to determine the time required to subject

  8. [Completeness of mortality statistics in Navarra, Spain].

    PubMed

    Moreno-Iribas, Conchi; Guevara, Marcela; Díaz-González, Jorge; Álvarez-Arruti, Nerea; Casado, Itziar; Delfrade, Josu; Larumbe, Emilia; Aguirre, Jesús; Floristán, Yugo

    2013-01-01

    Women in the region of Navarra, Spain, have one of the highest life expectancies at birth in Europe. The aim of this study is to assess the completeness of the official mortality statistics of Navarra in 2009 and the impact of the under-registration of deaths on life expectancy estimates. Comparison of the number of deaths in Navarra using the official statistics from the Instituto Nacional de Estadística (INE) and the data derived from a multiple-source case-finding: the electronic health record, Instituto Navarro de Medicina Legal and INE including data that they received late. 5,249 deaths were identified, of which 103 were not included in the official mortality statistics. Taking into account only deaths that occurred in Spain, which are the only ones considered for the official statistics, the completeness was 98.4%. Estimated life expectancy at birth in 2009 descended from 86.6 years to 86.4 in women and from 80.0 to 79.6 years in men, after correcting for undercount. The results of this study ruled out the existence of significant under-registration of the official mortality statistics, confirming the exceptional longevity of women in Navarra, who are in the top position in Europe with a life expectancy at birth of 86.4 years.

  9. Feeding sunflower cake from biodiesel production to Santa Ines lambs: Physicochemical composition, fatty acid profile and sensory attributes of meat

    PubMed Central

    Nascimento, Thiago Vinicius Costa; Oliveira, Vinicius da Silva; Ribeiro, Rebeca Dantas Xavier

    2018-01-01

    The aim of this study was to determine the effect of the inclusion of sunflower cake in the diets of lambs on meat quality. Forty male, uncastrated Santa Ines lambs with an initial average body weight of 20.9 ± 0.41 kg were used in a completely randomized design with four treatments. The lambs were fed 500 g/kg hay and 500 g/kg concentrate (corn, soybean meal, urea, ammonium sulfate and sunflower cake) in their diet, and the experimental treatments were 0, 10, 20, and 30% sunflower cake inclusion (DM basis). The inclusion of sunflower cake in the diet did not affect (P > 0.05) the content of ash and protein, overall acceptance, or sensory aroma of the lamb meat. Total lipids and moisture content of the longissimus lumborum muscle increased linearly (P ≤ 0.05) with sunflower cake inclusion. The C16:0, ΣSFA, ΣMUFA:ΣSFA ratio, Δ–9 desaturase enzyme and atherogenicity index in the longissimus lumborum muscle decreased linearly (P ≤ 0.05) with sunflower cake inclusion in lamb diets, whereas a linear increase occurred (P ≤ 0.05) in C12:0, C18:0, ΣMUFA, ΣPUFA, ΣPUFA:ΣSFA and ΣPUFA:ΣMUFA ratios, Σn–6, Σn–3, desirable fatty acids, h:H index, elongase activity, and flavor, tenderness and juiciness sensory qualities in lamb meat. Among the panelists, the highest preference (35.9%) was for meat with 30% sunflower cake inclusion in the diet. Sunflower cake up to 30% of total DM can be included in the diet of Santa Ines lambs, because lipid nutritional quality and the sensory qualities of the lamb meat increase, in addition to improvement in nutraceutical compounds, such as the CLA content, and in the AI, PUFA:SFA and PUFA:MUFA ratios, desirable fatty acids content and h:H ratio, which are beneficial to the health of consumers. PMID:29304058

  10. An Approach for Implementing a Microcomputer Based Report Origination System in the Ada Programming Language

    DTIC Science & Technology

    1983-03-01

    Decision Tree -------------------- 62 4-E. PACKAGE unitrep Action/Area Selection flow Chart 82 4-7. PACKAGE unitrep Control Flow Chart...the originetor wculd manually draft simple, readable, formatted iressages using "-i predef.ined forms and decision logic trees . This alternative was...Study Analysis DATA CCNTENT ERRORS PERCENT OF ERRORS Character Type 2.1 Calcvlations/Associations 14.3 Message Identification 4.? Value Pisiratch 22.E

  11. Advantages of Environmental Scanning Electron Microscopy in Studies of Microorganisms

    DTIC Science & Technology

    1993-01-01

    external structures, cultures of Aspergillus sp. and Cunninghamella sp. but details of cytoplasmic organization were lacking were maintained on corn meal ... agar . (Fig. 7). Uncoated, freeze-dried Euglena sp. cells exam- ined with either ESD or BSE detectors did not exhibit Specimen Preparation for ESEM...approximately Agar plugs from sporulating cultures of Cunning- 1.0 pLm in diameter (Fig. 23). Many of the vesicles ap- hamella sp., Mucor sp., and Aspergillus

  12. National Airspace Review. Change 1.

    DTIC Science & Technology

    1985-01-01

    Horn Ausociation (NBAAI Regional Air)ine Association (RAAI Martin Macy Martin Macv Martin Macy Expenmental Aircraft Asao atlon (EAAI Andrew Procop ...Andrew Procop Andrew Procop Helicooter Association Internationl (HAl) Glenn Leister Vernice Robichaud Glenn Lester Air Traffic Control Association. Inc

  13. Biomedical Studies with the Free Electron Laser

    DTIC Science & Technology

    1989-05-15

    absorbed only b\\, pigment in the retinal epithelium cant differences waere noted hwenthe !eions -,ro- and b,, hemoelobin. Thes e tatur-s are present...of Monoaspartyl Chlorin e6 and Diaspartyl Chlorin e6 for Photodynamic Therapy’-. W. Gregorn, Roberts,’ Fuu- Yau Shiau,’ J. S. Nelson,3 Kevin M. Smith...chlorins weearo- Then copLCarayed to the cmpounds inePSuldted no shetown) waere effectiv pihothse noazspay oude60rimaiv Teing isghl o mpons wth asingdue ptao

  14. Mechanistic Studies of Superplasticity of Structural Ceramics

    DTIC Science & Technology

    1992-02-01

    green compact, with a higher density and and most of Ine heavier transition-metal fewer defects and agglomerates, has a cations of the third row, is very...between 60% to 65% of the theoretical defects is merely one which mediates the above solid "elec- density. Samples of 2Y-TZP and other TZPs were prepared...trolyte," although any tendency toward binding between similarly, except for a smaller dopant concentration ot 0.6% point defects and dopants to form

  15. Alterations of Mental Status and Thyroid Hormones after Thermal Injury

    DTIC Science & Technology

    1985-01-01

    steroid, dopamine, or iodine treatment . At to weeks before death, this association N~ing~ndependent ofeach sa pling, the level of obtundation (LO...was deter ined on treatment with drugs dcting on mental s as or thyroi func- a 6-point scale from normal to deep coma. Whereas initially low tion. (J...other types of nonthyroidal illnes,. of wounds were performed when indicated. Treatment did not (NTI) (4, 5). Previous studies of a variety of NTI

  16. The Microbubble or the Microparticle?

    EPA Science Inventory

    Decompression sickness (DCS) has long been attributed to physical forces exerted by inert gas bubbles that may form in tissues, resulting in vascular occlusion and tissue disruption. Bubble formation occurs when a decrease in ambient pressure exceeds the rate at which soluble ine...

  17. [Coding Causes of Death with IRIS Software. Impact in Navarre Mortality Statistic].

    PubMed

    Floristán Floristán, Yugo; Delfrade Osinaga, Josu; Carrillo Prieto, Jesus; Aguirre Perez, Jesus; Moreno-Iribas, Conchi

    2016-08-02

    There are few studies that analyze changes in mortality statistics derived from the use of IRIS software, an automatic system for coding multiple causes of death and for the selection of the underlying cause of death, compared to manual coding. This study evaluated the impact of the use of IRIS in the Navarre mortality statistic. We proceeded to double coding 5,060 death certificates corresponding to residents in Navarra in 2014. We calculated coincidence between the two encodings for ICD10 chapters and for the list of causes of the Spanish National Statistics Institute (INE-102) and we estimated the change on mortality rates. IRIS automatically coded 90% of death certificates. The coincidence to 4 characters and in the same chapter of the CIE10 was 79.1% and 92.0%, respectively. Furthermore, coincidence with the short INE-102 list was 88.3%. Higher matches were found in death certificate of people under 65 years. In comparison with manual coding there was an increase in deaths from endocrine diseases (31%), mental disorders (19%) and disease of nervous system (9%), while a decrease of genitourinary system diseases was observed (21%). The coincidence at level of ICD10 chapters coding by IRIS in comparison to manual coding was 9 out of 10 deaths, similar to what is observed in other studies. The implementation of IRIS has led to increased of endocrine diseases, especially diabetes and hyperlipidaemia, and mental disorders, especially dementias.

  18. DIP1 modulates stem cell homeostasis in Drosophila through regulation of sisR-1.

    PubMed

    Wong, Jing Ting; Akhbar, Farzanah; Ng, Amanda Yunn Ee; Tay, Mandy Li-Ian; Loi, Gladys Jing En; Pek, Jun Wei

    2017-10-02

    Stable intronic sequence RNAs (sisRNAs) are by-products of splicing and regulate gene expression. How sisRNAs are regulated is unclear. Here we report that a double-stranded RNA binding protein, Disco-interacting protein 1 (DIP1) regulates sisRNAs in Drosophila. DIP1 negatively regulates the abundance of sisR-1 and INE-1 sisRNAs. Fine-tuning of sisR-1 by DIP1 is important to maintain female germline stem cell homeostasis by modulating germline stem cell differentiation and niche adhesion. Drosophila DIP1 localizes to a nuclear body (satellite body) and associates with the fourth chromosome, which contains a very high density of INE-1 transposable element sequences that are processed into sisRNAs. DIP1 presumably acts outside the satellite bodies to regulate sisR-1, which is not on the fourth chromosome. Thus, our study identifies DIP1 as a sisRNA regulatory protein that controls germline stem cell self-renewal in Drosophila.Stable intronic sequence RNAs (sisRNAs) are by-products of splicing from introns with roles in embryonic development in Drosophila. Here, the authors show that the RNA binding protein DIP1 regulates sisRNAs in Drosophila, which is necessary for germline stem cell homeostasis.

  19. JPRS Report, Soviet Union, Political Affairs.

    DTIC Science & Technology

    1988-11-30

    initiatives have been born and ideas have matured, and everyday routine work has been carried on to render genuine—and I stress, genu - ine...among workers, in the collective. In my opinion this is hampered quite simply by the customary and unfortunately persistent stereotypical attitude

  20. Counterinsurgency

    DTIC Science & Technology

    2006-12-15

    may use these narratives to mobi- lize the population. 3-51. Other cultural forms include ritual and symbols. A ritual is a stereotyped sequence of...investigations or legal actions. 8-46. In the case of claims for damages allegedly caused by counterinsurgents, legal reviews show genu - inely wronged people

  1. Nursing regimens: effects on body condition, return to postpartum ovarian cyclicity in Santa Ines ewes, and performance of lambs.

    PubMed

    Ascari, I J; Alves, A C; Pérez, J R O; Lima, R R; Garcia, I F F; Nogueira, G P; Junqueira, F B; Castro, T R; Aziani, W L B; Alves, N G

    2013-08-01

    The effects of nursing regimens on the body condition, onset of ovarian cyclicity postpartum and weaning weight of lambs were assessed in Santa Ines ewes. Thirty-two ewes were blocked according to parity, number of lambs, and body weight at lambing and within each block randomly allocated to treatments: continuous nursing (CN), controlled nursing (CN2) with two daily feedings for an hour after the 10th day postpartum, or early weaning (EW) with total separation from the lambs after the 10th day. The animals were evaluated from the 12th day postpartum until the first estrus or until 60th day. The dry matter and nutrients intake did not differ among treatments (P>0.05) but did differ over time (P<0.01). The weight, body condition score, serum concentrations of non-esterified fatty acids and prolactin, the percentages of ewes in estrus, of ewes that ovulated within 60th day and had ovulation silent, the period from lambing to estrus, ovulation and follicle with a diameter ≥5mm and the maximum follicular diameter did not differ (P>0.05) among the treatments. The percentage of ovulation until 30th day was greater (P<0.05) in the EW group. The percentage of short luteal phases was higher in the CN2 and EW groups (P=0.07) and normal luteal phases were higher in the CN group (P=0.01). Lamb weight weaning was lower in the EW group (P<0.05). It is possible to use CN to obtain lambing periods less than eight months in Santa Ines ewes, with the advantages of simpler management and higher lamb weaning weights. Copyright © 2013 Elsevier B.V. All rights reserved.

  2. Strategic Risk Assessment: Where We Are and How We Got There

    DTIC Science & Technology

    1990-04-06

    understanding an ill-de ined problem.ŗ The challenge for the designers of a risk assessment methodology was that the process selected must consider the objective...STRATEGIC RISK ASSESSMENT: WHERE WE ARE AND HOW WE GOT THERE BY LIEUTENANT COLONEL JOHN B. McDOUGLE, SC DlSTRIBUTION STATEMENT A: Approved for publiC...ACCESSION NO.! 1 RECIPIENT’S CATALOG NUMBER 4. TITLE (and Subtitle) -. TYPE OF REPORT 6 PERIOD COVERED Strategic Risk Assessment: Where We Are Study Project

  3. Efficacy of Intravenous Cobinamide Versus Hydroxocobalamin or Control for Treatment of Severe Hydrogen Sulfide Toxicity in a Swine

    DTIC Science & Technology

    2016-05-18

    Hydroxocobalamin or Control for Treatment of Severe Hydrogen Sulfide Toxicity In A Swine presented at/published to SURF Conference, San Antonio, TX 20 May 2016...approval.) Intravenous versus intramuscular cobinamide compared to intravenous sal ine (control) in the treatment of acute, survivable, hydrogen ...severe hydrogen sulfide toxici ty in a swine (Sus Sci 7. FUNDING RECEIVED FOR THIS STUDY? IZJ YES 0 NO FUNDING SOURCE:59th CRD O&M Funds 8. DO YOU NEED

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

    Li, Xinhua; Zhang, Da; Liu, Bob, E-mail: bliu7@mgh.harvard.edu

    Purpose: The knowledge of longitudinal dose distribution provides the most direct view of the accumulated dose in computed tomography (CT) scanning. The purpose of this work was to perform a comprehensive study of dose distribution width and energy absorption with a wide range of subject sizes and beam irradiated lengths. Methods: Cumulative dose distribution along the z-axis was calculated based on the previously published CT dose equilibration data by Li, Zhang, and Liu [Med. Phys. 40, 031903 (10pp.) (2013)] and a mechanism for computing dose on axial lines by Li, Zhang, and Liu [Med. Phys. 39, 5347–5352 (2012)]. Full widthmore » at half maximum (FWHM), full width at tenth maximum (FWTM), the total energy (E) absorbed in a small cylinder of unit mass per centimeter square about the central or peripheral axis, and the energy (E{sub in}) absorbed inside irradiated length (L) were subsequently extracted from the dose distribution. Results: Extensive results of FWHM, FWTM, and E{sub in}/E were presented on the central and peripheral axes of infinitely long PMMA (diameters 6–50 cm) and water (diameters 6–55 cm) cylinders with L < 100 cm. FWHM was greater than the primary beam width only on the central axes of large phantoms and also with L ranging from a few centimeter to about 33 cm. FWTM generally increased with phantom diameter, and could be up to 32 cm longer than irradiated length, depending on L, phantom diameter and axis, but was insensitive to phantom material (PMMA or water). E{sub in}/E increased with L and asymptotically approached unity for large L. As phantom diameter increased, E{sub in}/E generally decreased, but asymptotically approached constant levels on the peripheral axes of large phantoms. A heuristic explanation of dose distribution width results was presented. Conclusions: This study enables the reader to gain a comprehensive view of dose distribution width and energy absorption and provides useful data for estimating doses to organs inside or beyond the irradiated region. The dose length product (DLP) presented by CT scanners is equal to neither E nor E{sub in}. Both E and E{sub in} can be evaluated using the equations and results presented in this paper and are robust with both constant and variable tube current scanning techniques.« less

  5. The Coast Artillery Journal. Volume 74, Number 1, January 1931

    DTIC Science & Technology

    1931-01-01

    as a matter of esprit de corps. THE COAST ARTILLERY JOURNAL Men De ...Corps. This committee exam- ined the constitutions of other sef\\"ice associations and ah;o conl’idered the helpful suggf’Stions madr by man~- officf’l’s

  6. The COROT ground-based archive and access system

    NASA Astrophysics Data System (ADS)

    Solano, E.; González-Riestra, R.; Catala, C.; Baglin, A.

    2002-01-01

    A prototype of the COROT ground-based archive and access system is presented here. The system has been developed at LAEFF and it is based on the experience gained at Laboratorio de Astrofisica Espacial y Fisica Fundamental (LAEFF) with the INES (IUE Newly Extracted System) Archive.

  7. Information Network Development.

    ERIC Educational Resources Information Center

    Mahon, F. V.

    The International Bureau of Education (IBE) and Unesco, together with their member states, are faced with the task of implementing a proposed network--the International Network for Educational Information (INED)--for the better use of information resources for educational development. This review of issues that need to be considered in the…

  8. 22 CFR 171.17 - Waiver or reduction of fees.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... significantly to public understanding of the operations or activities of the Government and is not primarily in....e., whether the disclosure is likely to contribute to an understanding of government operations or... understanding of government operations or activities. (2) In order to determine whether disclosure of the...

  9. Occurrence of Mesopostnotal Setae and Scales in the Family Culicidae

    DTIC Science & Technology

    1990-09-01

    protoculic- ines and protosabethines located in warm tropical areas of Gondwana, the southern part of Pangea . With the split up of Gondwana, taxa...Laurasia, the northern part of Pangea . For those without the Mpn character that evolved in the tropics or on Gondwana, their non-association with

  10. The New Great Game in Muslim Central Asia

    DTIC Science & Technology

    1996-01-01

    and maci]ine tools, petrol - chemicals, agro-processing and textiles. ’’~ 14 THE NEW GREAT GAME IN MUSLIM CENTRAL ASIA Kazakhstan is well endowed...Algeria, Tunisia , and Morocco---are keeping a wary eye. But at the popular level, this pan-Islmnism has the potential to attract a considerable amount of

  11. Some physical approaches to protein folding

    NASA Astrophysics Data System (ADS)

    Bascle, J.; Garel, T.; Orland, H.

    1993-02-01

    To understand how a protein folds is a problem which has important biological implications. In this article, we would like to present a physics-oriented point of view, which is twofold. First of all, we introduce simple statistical mechanics models which display, in the thermodynamic limit, folding and related transitions. These models can be divided into (i) crude spin glass-like models (with their Mattis analogs), where one may look for possible correlations between the chain self-interactions and the folded structure, (ii) glass-like models, where one emphasizes the geometrical competition between one- or two-dimensional local order (mimicking α helix or β sheet structures), and the requirement of global compactness. Both models are too simple to predict the spatial organization of a realistic protein, but are useful for the physicist and should have some feedback in other glassy systems (glasses, collapsed polymers .... ). These remarks lead us to the second physical approach, namely a new Monte-Carlo method, where one grows the protein atom-by-atom (or residue-by-residue), using a standard form (CHARMM .... ) for the total energy. A detailed comparison with other Monte-Carlo schemes, or Molecular Dynamics calculations, is then possible; we will sketch such a comparison for poly-alanines. Our twofold approach illustrates some of the difficulties one encounters in the protein folding problem, in particular those associated with the existence of a large number of metastable states. Le repliement des protéines est un problème qui a de nombreuses implications biologiques. Dans cet article, nous présentons, de deux façons différentes, un point de vue de physicien. Nous introduisons tout d'abord des modèles simples de mécanique statistique qui exhibent, à la limite thermodynamique, des transitions de repliement. Ces modèles peuvent être divisés en (i) verres de spin (éventuellement à la Mattis), où l'on peut chercher des corrélations entre les interactions intrachaîne et la structure repliée, (ii) verres, où l'on met l'accent sur la compétition géométrique entre l'ordre local uni- ou bi-dimensionnel (qui modèle les structures en hélices α ou en feuillets β), et la contrainte globale de compacité. Ces deux types de modèles sont trop simples pour l'étude de vraies protéines, mais ils devraient s'appliquer dans le domaine de la transition vitreuse, des polymères collapsés,... La deuxième voie d'étude est une méthode Monte-Carlo, où on fait croître la protéine atome par atome (ou résidu par résidu), à l'aide d'une forme donnée de l'énergie totale de la protéine (CHARMM, ... ). Cette méthode peut être alors comparée aux autres méthodes numériques; nous comparons ainsi nos résultats avec des calculs de dynamique moléculaire pour le cas des poly-alanines. Cette double approche est une bonne illustration des difficultés que l'on rencontre dans le problème du repliement des protéines (nombreux états métastables, ... ).

  12. A Productivity Enhancement Study of the FMSO (Fleet Material Support Office) Software Effort.

    DTIC Science & Technology

    1983-11-01

    Project management 20.~~~~~4 AUSTRAC’ *I**ne- eeee~ Iffteeee.sit aiftneilt by ble ninbee) This report presents the results of a productivity enhance...they a _-o.a: tc ouz=..e.s. it is -he opinion of the authors that FISO is weli managed and that employee morale is genarally goDd, bum tnat the or...Syszem that will suppcrt comput-r progriaming work, documen- tation and software management . h :his should be a / unified system (all parts of it cin

  13. New Bedford Harbor Superfund Project, Acushnet River Estuary Engineering Feasibility Study of Dredging and Dredged Material Disposal Alternatives. Report 11. Evaluation of Conceptual Dredging and Disposal Alternatives

    DTIC Science & Technology

    1989-07-01

    Y -- ma ma"o DIVIDENDS~~ 13ATUR -P 313ARM CORPS OF ENGINEERS A D z-. - N K 4 F~~ 1 /V. E C 7- GENERAL NOTES: - Soundtags are in fget a td t enths aid...usoAdter ine stae. Til %format ion depicted on these saps represents Ihq results of surveyjs made on the dates ihdica ted Ogu Ce on Iy .e Couasderedtas

  14. MX Siting Investigation. Geotechnical Evaluation. Verification Study - Ralston Valley, Nevada. Volume II. Geotechnical Data.

    DTIC Science & Technology

    1980-06-15

    A3d). A4 Playa and Lacustrine Deposits - Deposits occurring in modern, active playas (A4) or in either inactive playas or older lake beds and abandoned...some f ine gravel 2 1 3403 3 4 vertical Smedium usal 2 10 de tnse GRAVELLY SAND,* brown *f ins to coarse, mell graded ,slightly moist ,sub- 12 o... lima 11𔄀-1 5 of ? - nRm NATIONAL, INS. 47 AFV-O1 -3 FN-TR-27-RV PERCENT FINER BY WEIGHT SAMPLE INTERVAL STANDARD SIEVE OPENING U S STAIIOA

  15. Natural conception rates in couples with unexplained or mild male subfertility scheduled for fertility treatment: a secondary analysis of a randomized controlled trial.

    PubMed

    van Eekelen, R; Tjon-Kon-Fat, R I; Bossuyt, P M M; van Geloven, N; Eijkemans, M J C; Bensdorp, A J; van der Veen, F; Mol, B W; van Wely, M

    2018-05-01

    What is the natural conception rate over the course of 12 months in couples with unexplained or mild male subfertility who are scheduled for fertility treatment and have a predicted unfavourable prognosis for natural conception? The natural conception rate over the course of 12 months in couples who were allocated to treatment was estimated to be 24.5% (95% CI: 20-29%). After starting treatment, couples often perceive unsuccessful cycles as evidence of definitive failure even though they are still able to conceive naturally in between and after treatment. The magnitude of the natural conception rate for couples who chose to commence treatment is unknown, as is whether the calculated prognosis before commencing treatment is still applicable. We performed a secondary analysis of a randomized controlled trial including couples with unexplained or mild male subfertility and an unfavourable prognosis for natural conception. Couples were allocated to either three cycles IVF with single embryo transfer (SET), six cycles of IVF in a modified natural cycle (MNC) or six cycles of IUI with controlled ovarian hyperstimulation (IUI-COH). The detailed data collection in this trial allowed us to study the conception rates in periods that couples were not receiving treatment. We split the dataset into periods during which couples were treated and periods during which they were not treated. Couples could conceive naturally in the periods before, in between and after treatment cycles. The outcome was ongoing pregnancy, thus natural conception rate refers to natural conception leading to ongoing pregnancy. We performed a Cox proportional hazards analysis with female age, duration of subfertility and a time-varying covariate with four categories: IVF-SET, IVF-MNC, IUI-COH and no treatment. We used this Cox model to estimate the natural conception rate over 12 months of no treatment. Out of 602 included couples, there were 342 ongoing pregnancies, of which 77 (23%) resulted from natural conception. The estimated natural conception rate over 12 months was 24.5% (95% CI: 20-29%) on cohort level. Estimated rates for female age varying between 18 and 38 years and duration of subfertility between 1 and 3 years ranged from 22 to 35%. We considered couples at risk for natural conception when not receiving treatment, whereas they might not have had periovulatory sexual intercourse. As couples were scheduled for treatment, it is possible that these couples were less inclined to try to conceive naturally, potentially leading to an underestimation of their natural conception rate if they kept trying to conceive. Couples with unexplained subfertility who are about to start fertility treatment, still have about a one in four chance of ongoing pregnancy due to natural conception over 12 months. This information can add to the counselling of couples who commenced fertility treatment after failed cycles and to emphasize not to cease their natural attempts. The INeS trial was supported by a grant from ZonMW, the Dutch Organization for Health Research and Development (120620027), and a grant from Zorgverzekeraars Nederland, the Dutch association of health care insurers (09-003). The funders had no role in study design, collection, analysis and interpretation of the data. B.W.M. is supported by a NHMRC Practitioner Fellowship (GNT1082548). B.W.M. reports consultancy for ObsEva, Merck and Guerbet. No other potential conflicts of interest reported. The INeS trial was registered at the Dutch trial registry (NTR 939).

  16. General MacArthur’s Strategic Success During the Early Months of the Korean War

    DTIC Science & Technology

    2012-05-17

    Command, Component Headquarters , Strategic Planning, Operation Chrom ite, Task Force Smith, Carl von Clausewitz, Anto ine- Henri Jom ini 16...Liddell B.H. Hart, Strategy (New York: Praeger, 1967), 324 -26. 20 combined arms to attain an objective (ultimate objective) similar to Liddell-Hart’s

  17. IN VITRO EFFECTS OF PARTICULATE MATTER ON AIRWAY EPITHELIAL CELLS ISOLATED FROM CONCENTRATED AIR PARTICLES-EXPOSED SPONTANEOUS HYPERTENSIVE RATS

    EPA Science Inventory

    In vitro effects of particulate matter on airway epithelial cells isolated from concentrated air particles-exposed spontaneous hypertensive rats

    Ines Pagan, Urmila Kodavanti, Paul Evansky, Daniel L Costa and Janice A Dye. U.S. Environmental Protection Agency, ORD, National...

  18. Interservice Procedures for Instructional Systems Development. Phase 1. Analyze

    DTIC Science & Technology

    1975-08-01

    exertion. 3. Kneeling or squatting . 4. Unusually cramped position. 5. Environmental conditions 1, Tropical environment. that influence task 2. Arctic...rerwuaiiiin s it tructiuna! settinqt s. -.--- No ruYle-s cni be stated that prescribe a Fi ’ spc ifir settiri for a Lask. Ho,.-ver, _"t B luidel&ines are given

  19. Using Web-Based Interactive Multimedia to Supplement Traditional Teaching Methods: A Pilot Program for Medical Training of Non-Medical Personnel

    DTIC Science & Technology

    2005-03-01

    41 E. TRA INING SO LUTIO NS O NLINE .................................................. 42 1. Navy Learning...in relation to the technology and skill set. Since we know our audience, and are not, say, launching a new product into a market area, we can take a

  20. The Hero(ine) on a Journey: A Postmodern Conceptual Framework for Social Work Practice

    ERIC Educational Resources Information Center

    Dybicz, Phillip

    2012-01-01

    Narrative therapy, the strengths perspective, and solution-focused therapy are 3 prominent examples of social work practices heavily informed by social constructionism. Yet getting students from understanding theory to applying theory can often be challenging. This article offers a conceptual framework to aid students in the application of social…

  1. 76 FR 6756 - Recommendations Regarding Modifications to the Concentration Limit on Large Financial Companies

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-08

    ... the extent to which the concentration limit would affect financial stability, moral hazard in the..., and the cost and availability of credit and other financial services to households and businesses in...(e)(2). Although the Council expects the impact of the concentration limit on moral hazard...

  2. Vibrations et relaxations dans les molécules biologiques. Apports de la diffusion incohérente inélastique de neutrons

    NASA Astrophysics Data System (ADS)

    Zanotti, J.-M.

    2005-11-01

    Le présent document ne se veut pas un article de revue mais plutôt un élément d'initiation à une technique encore marginale en Biologie. Le lecteur est supposé être un non spécialiste de la diffusion de neutrons poursuivant une thématique à connotation biologique ou biophysique mettant en jeu des phénomènes dynamiques. En raison de la forte section de diffusion incohérente de l'atome d'hydrogène et de l'abondance de cet élément dans les protéines, la diffusion incohérente inélastique de neutrons est une technique irremplaçable pour sonder la dynamique interne des macromolécules biologiques. Après un rappel succinct des éléments théoriques de base, nous décrivons le fonctionnement de différents types de spectromètres inélastiques par temps de vol sur source continue ou pulsée et discutons leurs mérites respectifs. Les deux alternatives utilisées pour décrire la dynamique des protéines sont abordées: (i)l'une en termes de physique statistique, issue de la physique des verres, (ii) la seconde est une interprétation mécanistique. Nous montrons dans ce cas, comment mettre à profit les complémentarités de domaines en vecteur de diffusion et de résolution en énergie de différents spectromètres inélastiques de neutrons (temps de vol, backscattering et spin-écho) pour accéder, à l'aide d'un modèle physique simple, à la dynamique des protéines sur une échelle de temps allant d'une fraction de picoseconde à quelques nanosecondes.

  3. [Changes in processed food expenditure in the population of Metropolitan Santiago in the last twenty years].

    PubMed

    Crovetto, Mirta; Uauy, Ricardo

    2012-03-01

    During recent decades household incomes have increased steadily, leading to changes in dietary habits and food expenditure. To report changes in household food expenditure focusing on trends in processed food across income quintiles in Metropolitan Santiago. Information obtained from the Fourth (1986-1987), Fifth (1996-1997) and Sixth National Institute of Statistics (INE) Surveys (2006-2007) were used. Food expenditure data over the study periods was extracted from household expenditure surveys (HES) after verifying and adjusting food prices registered by the INE to current 2007 prices. Absolute food expenditure over the study period increased for all groups; the largest increase was found in lowest income quintiles; however, the proportion of total family budget spent on food decreased in all groups. The largest increases in food expenditure corresponded to sweetened beverages, processed fruit juices, alcoholic drinks, ready meals and "eating out". Expenditure on fish rose slightly whereas the absolute spending on legumes, eggs and oils decreased. Expenditure in processed food as percentage of total food expenditure increased from 42% to 57% of total for mean household. For the 2nd quintile it rose from 31% to 48% and for the lowest quintile increased from 53% to 68% over the three decades (1987-2007). Changes were greatest in energy rich processed foods such as bread, pastries, confectioneries and granulated sugar. These particular foods are of high energy density and contain high amounts of saturated fat, sodium and added sugars. These results confirm that food consumption patterns over the past decades have progressively departed from the recommended dietary guidelines given by national and international health organizations.

  4. The Queen's Two Bodies: Sor Juana and New Spain's Vicereines

    ERIC Educational Resources Information Center

    Thomas, George Anthony

    2009-01-01

    The work of Sor Juana Ines de la Cruz contains many examples of positive representations of the Queens of Spain and the Vicereines of New Spain. These poetic portraits serve to counter the primarily misogynistic portrayals of ruling women of the seventeenth century. Most importantly, Sor Juana increased the visibility of the vicereine in colonial…

  5. SNAC: San Mateo Nutrition Activity Curriculum. "Swing Into Nutrition" (Staff In-Service Guide and Staff Workbook).

    ERIC Educational Resources Information Center

    San Mateo City Elementary School District, CA.

    This inservice training guide on nutrition activities for preschool and elementary school teachers consists of 14 lesson plans for two workshops and more than 20 related instructional handouts that can be copied for teachers. The first workshop for teachers provides a rationale for nutrition education ine elementary curriculum as well as…

  6. Prostanoid Production by Lipopolysaccharide-Stimulated Kupffer Cells

    DTIC Science & Technology

    1985-05-01

    RONALD D. NELSONJt RUDOLPH J. ROETHEL, B.S.,t AND MITCHELL P. FINK, M.D.t *lrored Fores~ Radiwhwlogy Research Instt ute, . ineNcerIi’nv Bethesda. Var viand ...Multip~ le system 19. Knook, D. L., and Sleyster. E. Ch. Preparation and organ failure. Suv.k. C/in North-I ier. 63: 315, 1993. characterization of

  7. Development of Optimum Theoretical Warhead Design Criteria

    DTIC Science & Technology

    1976-12-01

    d11 iipl 7(I d Ld TheeC ~ desity veocityl metail Lqa tin rqiStec. ~~i~i~ f’Iqain5t tl-G IHC e( j Ut io ti T cnhe relorittenquateioin now tbevoimbes: a...cvelopment arid Education Conmmand, Quantico Mobility Support Division, Major Thorp (1) Waj (aiecs Division, Mai ine Coips Landing Forc 1)cvelopment

  8. 26 CFR 1.410(b)-7 - Definition of plan and rules governing plan disaggregation and aggregation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... year. (e) Determination of plans in testing group for average benefit percentage test—(1) In general... qualifiedseparatelineofbu5ine55 basis. The plans in the testing group used to determine whether Plan F satisfies the average..., DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Pension, Profit-Sharing, Stock...

  9. 26 CFR 1.410(b)-7 - Definition of plan and rules governing plan disaggregation and aggregation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... same plan year. (e) Determination of plans in testing group for average benefit percentage test—(1) In... qualifiedseparatelineofbu5ine55 basis. The plans in the testing group used to determine whether Plan F satisfies the average..., DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED) Pension, Profit...

  10. Superheroes and Transformers: Rethinking Teach for America's Leadership Models

    ERIC Educational Resources Information Center

    Trujilo, Tine; Scott, Janelle

    2014-01-01

    Interviews with a broad swath of current and former Teach For America alumni and current corps members reveal a decided preference for school leaders whose personality traits are akin to superhero/ines--charismatic, courageous, demanding--and who have a tendency to try to usher in greater student achievement via primarily managerial agendas,…

  11. A Contribution to the Evidence of the Scale Validity of the PISA Test. (Technical Report IEIA-INEE)

    ERIC Educational Resources Information Center

    Tristan-Lopez, Agustin; Mendoza-Gonzalez, Liliana; Diaz-Gutierrez, Maria Antonieta; Flores-Vazquez, Gustavo; Solis-Gonzalez, Roberto; Canales-Sanchez, Damian; Morelos-Mora, Placido; de la C. Hernandez, Yesenia

    2008-01-01

    The international OECD PISA [Programme for International Assessment] 2006 test focused on the performance of Sciences of 15 years old students. The unsatisfactory results from Mexico were submitted to analysis, including multilevel models, to explain the origin of their deficiencies. It was clear that a differential functioning behavior or a…

  12. Fighting the Russians in Winter: Three Case Studies (Leavenworth Papers, Number 5)

    DTIC Science & Technology

    1981-12-01

    e z s aya elve les rther e e nth ey led ro eir ilroad itions l l- e i lery, inly 75- s ned ite ssians. ey centrated l e ops ey ld e rom...ines een aya e ad itions, ter e rning ree ttalions e oscow iment lanked e lies e rth e pted ture o - s ro e . ieutenant kovsky, e ite...cal e ents s practical, tain itional ts e paign rthern ssia a rant tention r eir nical s. t aya llied t oops lived i erted ilroad cars. he i pro

  13. Return to the Drum: Teaching among the Dene in Canada's North.

    ERIC Educational Resources Information Center

    Morris, Miggs Wynne

    This book portrays two personal journeys--the author's and that of the Sahtuot'ine of Great Bear Lake in the Northwest Territories (Canada). The author's journey began when, as a young teacher in 1965, she accepted a teaching position in the small isolated community of Fort Franklin in the Northwest Territories. The first part of the book…

  14. Proof of the Feasibility of Coherent and Incoherent Schemes for Pumping a Gamma-Ray Laser

    DTIC Science & Technology

    1993-08-31

    Eq. (1) as functions of the It was the purpose of the work reported here to exam . end-point energies of the irradiating spectra showed very ine the...34 lTam isomeric populations into freely radiating states. Reported values (Collins et al. 1990) are summarized in table I ard shown schematically in figure

  15. An Historical Perspective on Coordinating Education Post-Conflict: Biopolitics, Governing at a Distance, and States of Exception

    ERIC Educational Resources Information Center

    Sobe, Noah W.

    2007-01-01

    This article analyzes a 1944 publication entitled "International Relief in Action 1914-1943: Selected Records with Notes" alongside the 2004 standards for education in emergencies that were developed by INEE (the Inter-Agency Network for Education in Emergencies). In doing so, the author aims to reveal how biological life, expectations of…

  16. Scalable and Manageable Storage Systems

    DTIC Science & Technology

    2000-12-01

    Despite our long- distance relationship, my brothers and sisters, Charfeddine, Amel, Ghazi, Hajer, Nabeel , and Ines overwhelmed me with more love and...that enable storage sys - tems to be more cost-effectively scalable. Furthermore, the dissertation proposes an approach to ensure automatic load...and addresses three key technical challenges to making storage sys - tems more cost-effectively scalable and manageable. 1.2 Dissertation research The

  17. Evolution in boron-based GEM detectors for diffraction measurements: from planar to 3D converters

    NASA Astrophysics Data System (ADS)

    Albani, Giorgia; Perelli Cippo, Enrico; Croci, Gabriele; Muraro, Andrea; Schooneveld, Erik; Scherillo, Antonella; Hall-Wilton, Richard; Kanaki, Kalliopi; Höglund, Carina; Hultman, Lars; Birch, Jens; Claps, Gerardo; Murtas, Fabrizio; Rebai, Marica; Tardocchi, Marco; Gorini, Giuseppe

    2016-11-01

    The so-called ‘3He-crisis’ has motivated the neutron detector community to undertake an intense R&D programme in order to develop technologies alternative to standard 3He tubes and suitable for neutron detection systems in future spallation sources such as the European spallation source (ESS). Boron-based GEM (gas electron multiplier) detectors are a promising ‘3He-free’ technology for thermal neutron detection in neutron scattering experiments. In this paper the evolution of boron-based GEM detectors from planar to 3D converters with an application in diffraction measurements is presented. The use of 3D converters coupled with GEMs allows for an optimization of the detector performances. Three different detectors were used for diffraction measurements on the INES instrument at the ISIS spallation source. The performances of the GEM-detectors are compared with those of conventional 3He tubes installed on the INES instrument. The conceptual detector with the 3D converter used in this paper reached a count rate per unit area of about 25% relative to the currently installed 3He tube. Its timing resolution is similar and the signal-to-background ratio (S/B) is 2 times lower.

  18. Interleukin-1β protects astrocytes against oxidant-induced injury via an NFκB-dependent upregulation of glutathione synthesis

    PubMed Central

    He, Yan; Jackman, Nicole A.; L.Thorn, Trista; Vought, Valarie E.; Hewett, Sandra J.

    2015-01-01

    Astrocytes produce and export the antioxidant glutathione (GSH). Previously, we found that interleukin-1β (IL-1β) enhanced the expression of astrocyte system xc−, the transporter that delivers the rate-limiting substrate for GSH synthesis —cyst(e)ine. Herein, we demonstrate directly that IL-1β mediates a time-dependent increase in extracellular GSH levels in cortical astrocyte cultures, suggesting both enhanced synthesis and export. This increased GSH production was blocked by inhibition of nuclear factor κB (NFκB) activity but not by inhibition of p38 MAPK. To determine whether this increase could provide protection against oxidative stress, the oxidants tert-butyl hydroperoxide (tBOOH) and ferrous sulfate (FeSO4) were employed. IL-1β treatment prevented the increase in reactive oxygen species produced in astrocytes following tBOOH exposure. Additionally, the toxicity induced by tBOOH or FeSO4 exposure was significantly attenuated following treatment with IL-1β, an effect reversed by concomitant exposure to L-buthionine-S,R-sulfoximine (BSO), which prevented the IL-1β-mediated rise in GSH production. IL-1β failed to increase GSH or to provide protection against t-BOOH toxicity in astrocyte cultures derived from IL-1R1 null mutant mice. Overall, our data indicate that under certain conditions IL-1β may be an important stimulus for increasing astrocyte GSH production, and potentially, total antioxidant capacity in brain, via an NFκB-dependent process. PMID:25880604

  19. Standardizing Chaos: A Neo-Institutional Analysis of the INEE Minimum Standards for Education in Emergencies, Chronic Crises and Early Reconstruction

    ERIC Educational Resources Information Center

    Bromley, Patricia; Andina, Marina

    2010-01-01

    Violent conflict and humanitarian disasters such as floods, famines, or tsunamis, have existed since the start of human history. However, it is only recently that education in these emergency situations has emerged as a visible organizational field. We aim to use a unique theoretical application of sociological neo-institutionalism to explain the…

  20. Worthy Women of Chile: What Role Did They Play? Fulbright-Hays Summer Seminar Abroad Program 1995 (Chile).

    ERIC Educational Resources Information Center

    Hertzberg, Ruth A.

    This paper describes the lives of some notable women in the history of Chile from the time of the conquistadors to the present. The significant women described in the paper include: (1) Ines de Suarez (accompanied Pedro de Validivia in 1544); (2) Micaela Bastidas Puyucahua (wife of Incan leader Jose Gabriel Tupac Amaru, about 1780); (3) Gabriela…

  1. Psychological and Organizational Climate: Dimensions and Relationships

    DTIC Science & Technology

    1977-03-07

    SPSYCHOLOGICAL AND ON IZATIONAL CUMATE: DIESINSAND RELATINSI’ K0 A. P. INES L . R. JAMES REPWIINO 77-12 N(AVAL HEALTH RESEARCH CENTER SAN DIEGO...CALIFORNIA 92152 a NAVAL MEDICAL RESEARCH AND DEVELOPMENT COMMAND BhEThESDA1 MARYLAND Psychological and Organizational Climate: Dimensions and...Relationships Allan P. Jones Naval Health Research Center San Diego, California 92152 and Lawrence R. James Institute of Behavioral Research Texas Christian

  2. Activated FGFR2 as a Viable Therapeutic Target in a Subset of Ovarian Cancers

    DTIC Science & Technology

    2009-07-01

    Geneticin 163 in the presence of 5 ng/m l IL-3 for 14 days, a nd then mainta ined un der sele ction in RPMI 164 supplemented with 10% FBS, 50 nM beta...from FGFR2c t o FGFR2b is 214 currently unknown. Functional studi es have shown that a neut ralizing antibody to FGF7 can 215 partially inhibit DNA...and ovarian cancer . Mol Cell Endocrinol 362 l2000;167: 77-87. 363 [26] White KE, Cabral JM, Davi s SI, F ishburn T, E vans W E, Ichi kawa S, Fields

  3. Identification of Small Molecule Inhibitors of microRNA Involved in Chemoresistance and Cancer Stem Cells for Ovarian Cancer Intervention

    DTIC Science & Technology

    2012-03-01

    respectively, the com pounds that overcom e the effects of m iR-19a/b and m iR-221/222 on the luciferase activity will be considered as candida tes of...Chellappan SP , Haura EB, Cheng JQ. IKBKE is induced by S TAT3 and tobacco carcinogen and determ ines chemosensitivity in n on-small cell lung cancer

  4. Countermeasures to Hazardous Chemicals,

    DTIC Science & Technology

    1989-04-01

    Chemical Engineers (AIChE), 3. Hazardous Materials Advisery, Council (HMAC), (not the same as the Memphis/Shelby County HMAC), 4. American Petroleum...retired chemical engineers , will volunteer to avos t the I wcal communities in their pl. ining efforts. S1i !NSTITrTE OF HAZARDOUS MATERIALS MANAGEMENT The... chemicals may be considered to be a man-made wind. Such large gas volumes can be produced by blowcr equipment incorporating surplus jet engines . Such blowers

  5. The Pathogenesis and Therapy of Combined Radiation Injury

    DTIC Science & Technology

    2006-10-01

    17 Table 7. Effects of Different Biological Respose Modifiers on Blood Cell Recovery After C o m b ined Inju ry...16 Table 7. Effects of Different Biological Respose Modifiers on Blood Cell Recovery After Combined Injury. Group 7 days 14 days 21 days 30 days...injury may become self -de- structive, and may be capable of explaining (in part) the more severe out- comes of combined injuries compared with acute

  6. PEOPLE’S LIBERATION ARMY AFTER NEXT

    DTIC Science & Technology

    2000-08-01

    machine tools and workforce training), and, above all, money (to support the modernization of Chinese factories and product l ines)—but also “software...shipbuilding capacity. This overcapacity is exacerbated by an endemic lack of sufficient capital. The government often does not have enough money to put...arms industries reportedly are among biggest money -losers.110 As a result, most SOEs are burdened with 30 considerable debt, much of which is

  7. The Airpower Advantage in Future Warfare: The Need for Strategy

    DTIC Science & Technology

    2007-12-01

    political situation which gener- ates war and therefore warfare, foreign and domestic; the social- cultural ideologies , attitudes, habits of mind, and...the ideological rivalries that contributed so powerfully to interstate rivalry, ambition, and anxiety are all but defunct, save only in two respects...instead to fit that still improving competence into a truly holistic approach to warfare. That approach, in its turn, needs to fit into a genu - inely

  8. Endocrinological Responses to the Administration of Nicotine: Interactions with Drug Initiation, Conditioned Effects, and Conditions of Stress

    DTIC Science & Technology

    1984-01-27

    j ec t i on in dogs and o ther species (Kiser , Booher & Wat ts , 1956; N a r i t a , Shiba ta , Waki , Egashira fi Suzuki , 1973) produce an...Narita, Shibata, Waki & Egashira, 1973), i t was found that intravenous nicot ine (0.1 mg/kg) produced an increase in the secretion of 17-OH 2 1 c o r

  9. Design of a Hypermedia-Based Educating System for the Construction of Knowledge

    DTIC Science & Technology

    1989-09-01

    the variety they confront, promote short-term learning . This thesis provides the required background for developing an educating system which promotes...an effective educating system stems frm ever-increasing requirements for learning . Ine Total Quality Management (TQM) program, a Department of Defense...Japan has realized that best efforts ’nly pay off when the workforce is properly educated . Learning has become a pivotal element in the Japanese

  10. Modulators of Response to Tumor Necrosis-related Apoptosis Inducing Ligand (TRAIL) Therapy in Ovarian Cancer

    DTIC Science & Technology

    2011-05-01

    inhibitor staurospor- ine and increased hyperosmolar stress ( sorbitol ). MTS assays assess cell viability over a relatively short term and thus are not...doses of etoposide, MS-275, oxamflatin, doxorubicin, MG132, UV, temozolomide, 5-FU, staurosporine or sorbitol as indicated followed by MTT assay to...Meeting, PA), 5-Fluorouracil (5-FU), Doxorubicin Hydro- chloride, Etoposide, Oxamflatin, Temozolomide, Sorbitol , MS- 275, and Staurosporine (Sigma, St

  11. Tourism, Tolerance, or Hospitality? An Assessment of a Native/Non-Native, Urban/Rural Youth Exchange Program between Fort Good Hope, NWT, and East Vancouver, BC

    ERIC Educational Resources Information Center

    Hern, Matt

    2009-01-01

    This article considers and assesses a youth exchange project between two community-based youth centers: The Purple Thistle Centre in East Vancouver, British Columbia, and the K'asho Got'ine Youth Centre in Fort Good Hope, Northwest Territories. Both centers serve primarily low-income youth, but after that the similarities are very few. The…

  12. Operation REDWING

    DTIC Science & Technology

    1956-08-10

    cables was made end of each working day, all oil cases had to be early in the program. Preliminary estimates of drained, flushed, and refilled. Men...spread footings 4 feet below machine tw e scientific load. Separate rach- grade. However, at each of the two proposed ines were uthe to obtain good...to the cables extending from the termyinal cabinet pro-Itransformer was supplied through an oil fuse vided timing signals for Station 1:336,04

  13. Evaluation of the Retinal Vasculature in Hypertension and Chronic Kidney Disease in an Elderly Population of Irish Nuns.

    PubMed

    McGowan, Amy; Silvestri, Giuliana; Moore, Evelyn; Silvestri, Vittorio; Patterson, Christopher C; Maxwell, Alexander P; McKay, Gareth J

    2015-01-01

    Chronic kidney disease (CKD) and hypertension are global public health problems associated with considerable morbidity, premature mortality and attendant healthcare costs. Previous studies have highlighted that non-invasive examination of the retinal microcirculation can detect microvascular pathology that is associated with systemic disorders of the circulatory system such as hypertension. We examined the associations between retinal vessel caliber (RVC) and fractal dimension (DF), with both hypertension and CKD in elderly Irish nuns. Data from 1233 participants in the cross-sectional observational Irish Nun Eye Study (INES) were assessed from digital photographs with a standardized protocol using computer-assisted software. Multivariate regression analyses were used to assess associations with hypertension and CKD, with adjustment for age, body mass index (BMI), refraction, fellow eye RVC, smoking, alcohol consumption, ischemic heart disease (IHD), cerebrovascular accident (CVA), diabetes and medication use. In total, 1122 (91%) participants (mean age: 76.3 [range: 56-100] years) had gradable retinal images of sufficient quality for blood vessel assessment. Hypertension was significantly associated with a narrower central retinal arteriolar equivalent (CRAE) in a fully adjusted analysis (P = 0.002; effect size = -2.16 μm; 95% confidence intervals [CI]: -3.51, -0.81 μm). No significant associations between other retinal vascular parameters and hypertension or between any retinal vascular parameters and CKD were found. Individuals with hypertension have significantly narrower retinal arterioles which may afford an earlier opportunity for tailored prevention and treatment options to optimize the structure and function of the microvasculature, providing additional clinical utility. No significant associations between retinal vascular parameters and CKD were detected.

  14. Towards Efficient Supercomputing: Searching for the Right Efficiency Metric

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

    Hsu, Chung-Hsing; Kuehn, Jeffery A; Poole, Stephen W

    2012-01-01

    The efficiency of supercomputing has traditionally been in the execution time. In early 2000 s, the concept of total cost of ownership was re-introduced, with the introduction of efficiency measure to include aspects such as energy and space. Yet the supercomputing community has never agreed upon a metric that can cover these aspects altogether and also provide a fair basis for comparison. This paper exam- ines the metrics that have been proposed in the past decade, and proposes a vector-valued metric for efficient supercom- puting. Using this metric, the paper presents a study of where the supercomputing industry has beenmore » and how it stands today with respect to efficient supercomputing.« less

  15. Survey - Monomethylhydrazine Propellant/Material Compatibility

    DTIC Science & Technology

    1977-07-01

    MMH, UDMH . Crack growth susceptibility is related to contamination levels of water and carbon dioxide. VII. CONCLUSIONS Based upon the findings of the...per liter Density , grams per 0.870 to 9.874 milliliter at 25’C (770F) Table 2. Monomethylhydrazine Propellant Survey Requirements Constituent, Property...0 en ~ 14 Table 6. Summiary of Properties of 6 Monome-thylhydra7ine Propellant6 Chemical name: methyihydrazine Chemical formula : CH 3N2H 3 Formula

  16. Will Smart Pricing Finally Take Off?

    DTIC Science & Technology

    2014-10-01

    attributes the idea to Nicholas Negroponte even earlier. Their prediction has come true, yet almost everyone thinks that the floods of video they consume ...well as many other competitive industries, whether online search, or Internet commerce , understand well. If users don’t get their web search results in...ED 5f. WORK UNIT NUMBER UI 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Indiana University 901 E . 10th St. Bloomington, IN 47401 8

  17. The Melting of Natural Snowflakes Suspended in a Vertical Wind Tunnel.

    DTIC Science & Technology

    1982-06-01

    during the melting process is also recorded by cameras A newly developed valve controls the airflow in the chamber while ma n ining the air conditions...12 3.2. Position of Camera System within the Coldroom ..... ... 14 3.3. Schematic Illustration of the Photographic System . . . 15 3.4...apparatus satisfying the majority of the above mentioned criteria. As the snowflake fell into the apparatus, it would pass a camera /stroboscope arrangement

  18. ESP (External-Stores Program) - A Pilot Computer Program for Determining Flutter-Critical External-Store Configurations. Volume 1. User’s Manual,

    DTIC Science & Technology

    1985-02-01

    li’Lii El. IE F INE ,UT 1 = K MM. * GET, NAST484/UN=SYSTEM. E(EGIN, ,NAST464. PFL, 160000, RED’UCE(-). LINKI , L~DDEDDD Figure A-I1 Typical Control-Card...initiated via Che LINKI statement, in which the second term is the input data file. The permanent file name KMDM, shown in conjunction with local file

  19. The Kurdish Nationalist Movement and External Influences.

    DTIC Science & Technology

    1980-12-01

    ine 40u e awee 04011 of 0..00&W NOW edm0e0 IV uesa Kurds, Kurdish Nationalism, Kurdish Revolts, Kurdish Political Parties, Mullah Mustafa Barzani...revolts, leaders, Kurdish political evolution, and the roles which local and non-Middle-Eastern countries have played in Kurdish national S1473 tveal@N o...revolts, leaders, Kurdish political evolution, and the roles which local and non-Middle-Eastern countries have played in Kurdish national development. The

  20. Symposium on Turbulent Shear Flows (8th) Held in Munich, Germany on 9-11 September 1991. Volume 1. Sessions 1-18

    DTIC Science & Technology

    1991-09-01

    understood Y/8 - thraut its growth. self-prewrvng, and decay stage in 1II(-) ilC = detail The lare-scale horsesho vortex kept its ciroercy until the ed of...K li (fe undarmnta) Azast.5, serlyr A, .1,yse p..0 Fil1 h vraino moenu thckes In siniianl whene thea Ine beamc pas n touho the treg lo Aan th cetroth

  1. Advanced On-the-Job Training System: System Specification

    DTIC Science & Technology

    1990-05-01

    3.1.5.2.10 Evaluation Subsystem spotfor the Traking Devopment and Deliery Subsystem ..... 22 3.1.5.2.11 TrIning Development=dDelivery Subsystem sL...e. Alsys Ada compiler f. Ethernet Local Area Network reference manual(s) g. Infotron 992 network reference manual(s) h. Computer Program Source...1989 a. Daily check of mainframe components, including all elements critical to support the terminal network . b. Restoration of mainframe equipment

  2. Public understanding of cigarette smoke constituents: three US surveys.

    PubMed

    Brewer, Noel T; Morgan, Jennifer C; Baig, Sabeeh A; Mendel, Jennifer R; Boynton, Marcella H; Pepper, Jessica K; Byron, M Justin; Noar, Seth M; Agans, Robert P; Ribisl, Kurt M

    2016-09-01

    The Tobacco Control Act requires public disclosure of information about toxic constituents in cigarette smoke. To inform these efforts, we studied public understanding of cigarette smoke constituents. We conducted phone surveys with national probability samples of adolescents (n=1125) and adults (n=5014) and an internet survey with a convenience sample of adults (n=4137), all in the USA. We assessed understanding of cigarette smoke constituents in general and of 24 specific constituents. Respondents commonly and incorrectly believed that harmful chemicals in cigarette smoke mostly originate in additives introduced by cigarette manufacturers (43-72%). Almost all participants had heard that nicotine is in cigarette smoke, and many had also heard about carbon monoxide, ammonia, arsenic and formaldehyde. Less than one-quarter had heard of most other listed constituents being in cigarette smoke. Constituents most likely to discourage respondents from wanting to smoke were ammonia, arsenic, formaldehyde, hydrogen cyanide, lead and uranium. Respondents more often reported being discouraged by constituents that they had heard are in cigarette smoke (all p<0.05). Constituents with names that started with a number or ended in 'ene' or 'ine' were less likely to discourage people from wanting to smoke (all p<0.05). Many people were unaware that burning the cigarette is the primary source of toxic constituents in cigarette smoke. Constituents that may most discourage cigarette smoking have familiar names, like arsenic and formaldehyde and do not start with a number or end in ene/ine. Our findings may help campaign designers develop constituent messages that discourage smoking. 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/.

  3. [Characteristics and health status of homeless women born in France and abroad: Results of Insee-Ined 2012 survey].

    PubMed

    Gomes do Espirito Santo, M-E; Perrine, A-L; Bonaldi, C; Guseva-Canu, I

    2018-03-01

    French national surveys among the homeless population in 2001 and 2012 provided a general description of the homeless beneficiaries of medical and social aids. However, given the increasing number of women in this population, mostly born abroad and accompanied by their children, a descriptive study of homeless women according to the fact of being born in France or abroad was conducted. A probability sample of 1470 French-speaking homeless women was recruited for the Insee-Ined 2012 survey. Socio-demographic characteristics, life trajectories, work and employment over the last 12 months, perceived health, reported morbidity, use of care and medical coverage have been described, comparing homeless women born abroad with those born in France. Homeless women are young (median age=34 y.), often single (55%), without a partner (71%) and often accompanied by children (52%). The vast majority (60%) reported no salary during the previous 12 months. Housing conditions were less precarious in women born in France, but these women had a more difficult life history, a more unfavorable perception of their health status, and a higher frequency of chronic health problems. Homeless women born abroad seemed to have more precarious conditions of life and more difficulties to access aids and medical coverage. Overall, despite a relatively good availability of medical insurance, homeless women, regardless of the place of birth, often reported health problems, which were not treated. This study suggests that homeless women often have to deal with chronic health problems that are not treated. Homeless women born abroad are characterized by more precarious living conditions that women born in France. Although younger, with an overall favorable perception of their health and declaring less often an addiction, their general state of health appears to be as fragile as for women born in France. Actions towards homeless women should be implemented to promote their access to care. Copyright © 2017. Published by Elsevier Masson SAS.

  4. Carcass of Dead Policies: The Irrelevance of NATO

    DTIC Science & Technology

    2003-01-01

    busyness ” that provide the lifeblood of institutions trying to justify their exis- tence. At the same time, the theological mantra changed . Since there was... change was taking place in the post-Cold War security environment. In 1949, a genu- ine, measurable security threat justified NATO for all its members. Now...has changed so fundamentally that it has outgrown NATO-type alliances. For the first time in about 1,800 years, there is no world-class threat to or

  5. Propulsion Requirements for Space-Station Erection

    DTIC Science & Technology

    1959-01-26

    CUO%N2,Q+lO%NO) U-OETA ha-iktcnqewudb naifcoy Pevchloryi fluoride Ilydrazine hetsn tehiu wol eusaifcoy Chlorine Trifluoride tHydra~ine m*U- The third...thereby altering the enthalpy Probably the most widely used technique change of the reaction . The pressure also influ- for chamber-wall cooling is...a small amount of hydrazine is decomposed, 15 Btu/ft 2 -hr-degF for the heat-transfer coef- and the hot decomposition gases are passed ficient, and a

  6. Development of Individual Equipment Requirements for the Afghan National Army Needs Improvement

    DTIC Science & Technology

    2012-05-25

    Secur n Security F Communic t of the Isla ency Managemen ining Missio ion Comman nal Clothin operation I TACOM L Frequency eb site of th rts or...of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and...conta or fax (571 Deputy Ins by fax (571 of Inspecto General for F25-04 ity Forces orces Fund ations-Electr mic Republ t Command n-Afghanis d

  7. The Struggle for Unity and Authority in Islam: Reviving the Caliphate?

    DTIC Science & Technology

    2007-09-01

    Iran and groups such as Hamas, for example, are centralist and often totalitarian. From the Islamists’ perspective, Islam is an ideology of state...widespread. It is true that there is a genu - ine yearning for unity and mutual cooperation among African Mus- lims, but this should not be confused...crisis free, but the crises there are not inspired by external ideology . Rather they are the product of the complex ma- trices that have characterised

  8. Effect of Halogen-Treated Water on Micronutrients in Military Ration Beverages

    DTIC Science & Technology

    1989-05-01

    60 C 10Ine 0.6 -. 0 coo 7 0 C Iodine -A- coo41 0 0 C*e Iodine 0 so so so 120 160 180 210 240 Time (min) Colic . OWngL) I- S00004 2600 ist 0 s0 s0 to 120...weight basis. (MIL-C-3031G dated 24 Jun 1981). Sugar Not more than 45 % Cream substitute, dry (Cremora) Not less than 35 % Nonfat dry milk (solids)l_

  9. Policy Dilemmas in Brazil-Africa Relations,

    DTIC Science & Technology

    1982-01-22

    drive was described by Ambassador Paulo Tarso Flecha de Lima, head of the Foreign Ministry’s Commercial Promotion SeTion: "One of the decisive plays of...now seeing Erssilia, Rio de Janeiro, and Sac Paulc for the first time find a largely canitalist model, widespread foreign investment, and a level of...Tress as having suggested that Brazil mediate in some fashion in the dispute over Namibian in- - :nderen.ence. The gove rnent de : ineJ on the basis Cf

  10. The Utilization of People-Related Navy RDT&E (Research, Development, Test, and Evaluation): Fiscal Year 1978

    DTIC Science & Technology

    1979-04-01

    Results mt •EVrABLUSH TRAINING OBJECTIVES s$ First. the different requirements to be met by an DSVELOPO ThXrINE MEASUMENT ACM performance measurement...engineering Program Element 63722N. guidelines in designing displays, one of the experi- mental innovations of this project will make future Approach and...zation of People-Related RDT&E, published in May decrease motivation and impair efficiency. 1978. 40 Delays in providing initial documentation and in

  11. CTC Sentinel. Volume 7, Issue 6, June 2014

    DTIC Science & Technology

    2014-06-01

    go to Syria, it depressed them a lot. They were somehow religiously distant…but they could not refuse me, nonetheless! This is what Allah called...ISIL produced video, Saleel al Sawarim 4 (Clanging of the Swords 4). A YouTube channel for Al- banian foreign fighters carries a five minute video...the Dawla Islamiya YouTube channel . 44 The video featured a speaker outl ining the unit ’s support for the head of the ISIL, surrounded by

  12. Nuclear Strategy and National Style. Volume 1. Main Report.

    DTIC Science & Technology

    1981-07-31

    been sensitive to potential American casualties--as befits a country genu - inely dominated by the idea that government is a necessary evil charged 73 L...more from cultural stereotyping (what kind of a country, performing what kind of roles, is the United States?)--and from real-time fine-tuned...United States is fundamentally a very macho country. Gary Cooper in High Noon and George C. Scott in [and as] Patton may have been cultural stereotypes

  13. HAN (Hydroxylammonium Nitrate) Based Liquid Gun Propellants: Physical Properties

    DTIC Science & Technology

    1987-11-01

    are obsolete UNCLASSIF IED UNCLASS IF IED 18. SUBJECT TERMS (con’t) Triethanolammonium Nitrate TEAN 19. ABSTRACT (con’t) The effect of the molecular...were synthesized and their viscosities and nsi1t9 deter,-ine.0d as a function of temperature. The results clearly show the effects of hydrogen bonding...on the physical properties. Surface tension and vapor pressure have been determined and an equation of state that accurately describes the effect of

  14. Modeling Respiratory Gas Dynamics in the Aviator’s Breathing System. Volume 2. Appendices

    DTIC Science & Technology

    1994-05-01

    Rideout, at at. Dfference-Differentlat Equations for Fluid C... Flow in Distensible Tubes. IEEE Transactions on Bio-Medlcat C... Enginhering. Vot INE-14...McGraw-Hill; 1970; Chapter 13: 433-450. 12. Astrand, PO; Saltin, B. Oxygen uptake during the first minutes of heavy muscular exercise. J Appl Physiol...1802-1814; 1986. 233. Linehan, JH; Haworth, ST; Nelin, LD; Krenz, GS; Dawson, CA. A Simple Distensible Vessel Model for Interpreting Pulmonary

  15. DRAW: Molecule Drawing Program Version 2.00

    DTIC Science & Technology

    1989-07-01

    MP199 PLOT SETLAB DORTEP HELP MV PLOTS SETTRM DRAW HQRII NAAPSE PLTXY SETVEC DRELIM INFO NAARC PRIME SIMBOL EDIT DRCRD NACICI PROJ SPARE EDITAD LA50...MM MOVES MV MYORTEP MYPRELIM NORM NUMBUR PiXES PLOTS PLTXY PRIME PROJ RADIAL - 68 - SUBROUTINES Page B-3 RDBYTE SCRIBE SEARC SIMBOL SPARE STOR TABLE...LAP500 DORTEP DRELIM SEAKC SIMBOL GIPRD LCLEAN WRITE VTLINE - 70- SUBROUT INES Page B-5 COMMON: DENSTY DISPLY COMMON: DEVICE DRAWII NAPRIN COMMON: DISPLY

  16. [Induced abortion and labor activity. Reflections for discussion].

    PubMed

    Orjuela-Ramírez, María E

    2012-06-01

    The induced abortion is a global phenomenon that according to various authors respond to socially constructed patterns of behavior and where they influence social realities of each country. This phenomenon requires the information necessary to understand the complex process leading to the decision of women to opt for abortion and able to understand the social, economic and health that can explain this requirement. For this purpose is presented for discussion, some considerations on voluntary abortion and labor activity of women who opt for this practice, with special mention of the situation in Spain. The arguments are supported by statistical analysis of the voluntary interruption of pregnancy (IVE) reported by the Ministry of Health and Social Policy, participation of women in the labor market in Spain obtained from the National Statistics Institute (INE), the research results on the association between employment status of women and voluntary termination of pregnancy and comprehensive review of scientific literature on the different perspectives of the approach of voluntary abortion. Analysis deserves special importance of women's work activity as a possible factor in the decision of women to terminate their pregnancies, a variable that has been identified in most of the investigations as a socioeconomic condition for women who choose for that alternative, considering that pregnancy interferes with the employment of women or, rather, prevents them from use.

  17. Avant-Propos

    NASA Astrophysics Data System (ADS)

    Ollivier, J.; Farhi, E.; Ferrand, M.; Benoit, M.

    2005-11-01

    L'École Thématique “Neutrons et Biologie” s'est tenue du 22 au 26 Mai 2004 à Praz/Arly (Haute-Savoie, France), dans le cadre des 12 èmes Journees de la Diffusion Neutronique de la Societe Française de Neutronique. Cette école a ete organisee avec le concours financier du CNRS (formation permanente), du Laboratoire Léon Brillouin (CEA Saclay), de la region Rhône-Alpes, du conseil général de Haute-Savoie et de l'Université Joseph Fourier de Grenoble. Une cinquantaine de participants, dont une vingtaine d'intervenants, ont largement contribué à la réussite de l'École. D'un point de vue scientifique, l'École s'est déclinée en sept sessions thématiques majeures: - une première session introductive a été consacrée à une revue globale des méthodes biophysiques ayant un fort impact pour l'étude de la structure et de la dynamique des macromolécules biologiques (J. Parello). Un accent tout particulier à été apporté pour décrire les neutrons en tant que composante importante de la panoplie des techniques couramment utilisées en biophysique moléculaire (J. Schweitzer). - une session dédiée aux mesures dynamiques par diffusion incohérente de neutrons a été largement developpée. Qu'ils s'agissent de vibrations et de relaxations moléculaires dans les protéines (J.M. Zanotti), de dynamique globale des protéines (G. Zaccaï), ainsi que de dynamique de l'eau d'hydratation (F. Gabel), de nombreux exemples ont permis d'illustrer la pertinence des neutrons pour étudier la dynamique fonctionnelle des protéines sur l'échelle de temps picosecond nanoseconde. L'analyse des données de diffusion inélastique de neutrons ne peut se passer de modélisation théorique analytique des propriétés dynamique des biomolécules (D. Bicout). - une large place avait été réservée aux études structurales en biologie. Cette troisième session a rassemblé des contributions en diffusion aux petits angles de neutrons pour l'étude structurale en solution (D. Lairez), en réflectométrie de neutrons pour l'étude de systèmes des membranes ou de protéines en interaction avec des membranes (G. Fragneto), ainsi qu'en diffraction de fibres appliquée à l'étude de l'ADN (T. Forsyth). - les simulations de dynamique moléculaire constituent une méthode théorique unique pour étudier, au niveau atomique, les mouvements internes des macromolécules biologiques, que ce soit à l'équilibre (G. Kneller, S. Crouzy) ou hors équilibre (B. Gilquin). Les trajectoires de dynamique moléculaire s'étendent aujourd'hui à la centaine de nanosecondes, et peuvent être de ce fait utilisées par certains programmes pour calculer les observables expérimentales fournies par la diffusion de neutrons (G. Kneller, T. Hinsen). - l'ouverture des neutrons à des techniques instrumentales permettant d'approcher, d'une part, des états hors-équilibre par le biais d'études cinétiques couplées à des mélanges rapides pour des études de croissance de phases (I. Grillo) ou de repliement de protéines, d'autre part, des conditions expérimentales extrèmes (hautes-pressions, M. Plazanet), nous ont semblé constituer des émergences prometteuses. À ce titre, une revue sur le repliement des protéines (V. Forge) a précisé l'importance de nombreuses techniques (fluorescence intrinsèque, dichroïsme, infra-rouge, RMN) dans le domaine, tout en permettant d'entrevoir l'intérêt des études par neutrons. - en marge des sessions purement “neutrons”, il nous semblait important de pouvoir présenter des techniques et méthodes souvent reconnues comme très complémentaires des neutrons, en privilégiant un volet “études structurales” et un volet “études dynamiques”. Côté méthodes dynamiques, la RMN (M. Blackledge) a été positionnée comme une technique permettant d'étudier la flexibilité moléculaire sur des echelles de temps plus lentes (ms). Côté méthodes structurales, la bio-cristallographie des RX appliquée à l'études des structures virales (P. Gouet) a permis de mettre en évidence des aspects complémentaires entre RX et neutrons, et de souligner les avantages et inconvenients respectifs de ces techniques. - l'École Thématique s'est achevée par une session commune avec les Journées Rossat-Mignod, au cours de laquelle J. Helliwell a établi une revue comparative RX/neutrons sur les développements récents en bio-cristallographie des protéines, suivi de deux presentations portant sur la dynamique incohérente et cohérente de systèmes membranaires (F. Natali, M. Rheinstadter). Contrairement aux années précédentes, le contenu de cet ouvrage se veut davantage refléter les applications des neutrons en biologie et biophysique moléculaire, en se reportant à des travaux scientifiques précis, plutôt que d'être constitué d'un recueil de cours, certes trés pédagogiques, mais quelquefois trop éloignés de l'expérience. Nous espérons que ce choix saura satisfaire le lecteur et encourager de nouveaux biologistes à utiliser les neutrons dès que possible pour leurs systèmes d'intérêt. Bonne lecture et bonnes manips !!!!

  18. International Conference on Stiff Computation Held at Park City, Utah on April 12, 13 and 14, 1982.

    DTIC Science & Technology

    1983-05-31

    algorithm should be designed which can analyse a system description and find out for the user ~to which class of problems his system belongs... Dove...processors designed to implement aspecific solution process. yrne: IEE floating point chip design " used by INE and others is an example (Xahan)...the...hardware speciaList has designed his computer such that the paraL#L features can be addressed convenientLy and !! ’) efficientLy, and 4;) the software

  19. Robust Team-Optimal and Leader-Follower Policies for Decision Making in C3 (Command, Control and Communications) Systems.

    DTIC Science & Technology

    1984-07-01

    edition , Moscow: Nooka Publishing Co.. 1977; toelith translation of the Ilt edition : t ine with a specific cost structure, we have obtained Functional...651-666, September 1981. [131 L. W. Kantorovich and G. P. Akilov, Functional Analysis, 2nd edition , Moscow: Nauka Publishing Co., 1977; English...translation of the ist edition : Functional Analysis in Normed Spaces, New York: MacMillan, 1964. [14] J. Marschak and R. Radner, Economic Theory of Teams

  20. Rare Gas Halide (RGH) Kinetics.

    DTIC Science & Technology

    1988-02-01

    foil anid centered around the nominal lasing axis. Liquid- hhla% or ot the electron densit\\ iii these de’.ices, nit rogen -cooled HgCd~c detectors ...is the diffierent Io in ping 1CImeclii sis s’ hich exist in discharge la- elimination of ambiguous interpretation of the detector sig,- secrs aiid the...in c-bewam pin I1ped NC I provides enough intform at ion to determ ine the sign of the Z ,a,, mlixtures, phase shift. The output from tile detectors

  1. Fourth Year Status Report. Computerized Training Systems Project. Project ABACUS.

    DTIC Science & Technology

    1976-08-01

    in 7 9. PERFORMING ORGANIZATION NAME AND ADOMEN ,,, 10. PROGRAM ELEMENT. PROJECT , TASK US Army Tra ining Support Center A R E A S WORK UNIT NUMBERS...transp ired during the fourth year of Project ABACUS, the A rmy ’s program for the development of a Computerized Training System. It inc l udes a...have transpired durlnq the fourth year of Project ABACUS, the Army ’s program for the developmen t o~ aprototype Computer i zed Training System. It

  2. Design of the AFGL Prototype Long Baseline Tiltmeter.

    DTIC Science & Technology

    1985-08-29

    331 row Design of the AFGL Prototype Long Baseline Tiltmeter Ik KENNETH 0. POHLIG, ILt, USAF SCHARINE KIRCHOFF ~ 29 August 1985 ilL Approved for... Tiltmeter 9ATRT,rI,f,’, Kent 0. ,se." 11A de’. I, , andIl ,,,,’.cho, Shr seso eliltrCoic s andEC ineEae and -1- res th oue cssema isd inlded. Reslt ofoc...aubr twoda ts arer described. theeina prototyp elnba lie tiltmetershows ah hdpedneupns temper~ature variation. Trhis must be eliminated if the tiltmeter

  3. Archaeological Investigations at Sites 45-OK-287 and 45-OK-288, Chief Joseph Dam Project, Washington.

    DTIC Science & Technology

    1984-01-01

    Table C-1. Distribution of butchering marks and evidence of burning by element .. ....... ....... ....... .. 258 xvii9. LIST OF PLATES Plate 1-1. 45-OK...the vicinity of the Omak Trench. Till forms the terrace on which the site Is located, and glaclolacustrIne sediments of two ! -ages exposed In the...the site were exposed In fewer excavation units, but they have a finer grain size and greater proportion of angular cobbles, deriving from the bedrock

  4. Iron Deficiency Anemia, Active Component, U.S. Armed Forces, 2002-2011

    DTIC Science & Technology

    2012-07-01

    loss from acute trauma or chronic conditions such as uter- ine leiomyomas, as well as inadequate body iron stores due to an iron poor diet or...avoidance of red meat, vegetarianism ) may fail to deliver sufficient amounts of iron to replace losses. High levels of consumption of coffee and...and inflammation. Am J Clin Nutr. 2010;92(1):93- 100. 16. Health AL, Skeaff CM, Williams S, et al. The role of blood loss and diet in the etiology

  5. Conformal Surface Coatings to Enable High Volume Expansion Li-Ion Anode Materials

    DTIC Science & Technology

    2010-07-12

    the formation of a metastable amor - phous alloy, sustaining up to 4.4 Li+ per Si.[2] Transition metal oxides undergo a conversion reaction at lower...in Figure 1a. The ele - mental composition of the circular area labeled P1 was exam- ined using energy dispersive X-ray spectroscopy (EDS) to verify...electrodes were of a 70:10:20 composition active material (AM): acetylene black ( AB ): binder (PVDF) and subjected to 250 8C heat treatment. For

  6. National Program for Inspection of Non-Federal Dams. Knox Mill Dam (ME 00276), Megunticook River Basin, Camden, Maine. Phase I Inspection Report.

    DTIC Science & Technology

    1978-08-01

    been furnished the owner, Camden Water & Power Co., 33 Mechanic Street, ..... a ine 0,-43. Co-ies of this report will be made available to the public...gn Branch Engineering Division SAUL CO ER, Member Chief, Water Control Branch Engineering Division APPROVAL RECOMMENDED: JOE B. FRYAR Chief...Camden Water & Power Co. 33 Mechanic Street Camden, Maine 04843 Tne Camden Water and Power Company is an affiliate of Knox Woolen Mills Company. f

  7. Genotoxicity of Dyes Present in Colored Smoke Munitions.

    DTIC Science & Technology

    1986-07-07

    Salmonella bacteria with and without S-9 ..... .......... 32 10. Mutagenic activity of Disperse Red 15 in TA-1538 stain of Salmonella bacteria with and...0.50 4 𔃾 4 MNNG 0 05 - . ..... I . ~*- A191 735 GENOTOXICITY OF DYES PRESENT IN COLORED SMOKE MUNITIONS 2/2 I (U) L VELACE BIOMEDICAL AND ENVIRONMENTAL...for the Salmonella I mutagenicity test. Mutat. Res. 113:173-215. i Perry, P. and S. wolr. 1974. New gieinsa ineLhod for differential staining I of

  8. Short Time Elevated Temperature Tensile Properties and Notch Toughness of Some Chromium-Iron Alloys

    DTIC Science & Technology

    1957-06-07

    toughness of matcrials A, B, and C was determined by using subsize V-notch Charpy Specimens, 1 inch long by 0.197 inch square prepared with their...elevated temperature tensile tests and V-notch Charpy imapact tests of som recently developed alloys with 4O,’a and 50,,1 ohromiuma are presented in this...lengths parallel to the longitudinal uxis of the alloy bars. In addition, some standard size V-notch Charpy specimens waro mach-ined from material B, for

  9. Conference on Dynamics of Cholinergic Function: Acetylcholine in Health, Disease and Aging Held at Oglebay Park, West Virginia on 31 October-4 November 1983.

    DTIC Science & Technology

    1984-04-01

    aziridinium ion (ChM Az), was used as a probe as we have shown previously this compound can act as a selective and irreversible inhibitor of sodium...relatively selective antagonist of muscarinic receptors in the central nervous system (Dahlbom et.al., Life Sci. 5, 1625, 1966). We have used this compound...phosphoinositide response are distinguished by their sensitivity to agonists and responsiveness to oxotremor- ine. The use of these " selective

  10. Investigation of Sand-Cement Grouts

    DTIC Science & Technology

    1960-09-01

    I -IEN NO Isis Table 1 InvestiiatLon of Sand-Cement Crouts Data on Lhe Physical Properties of the inely Divided Mineral Admixt)res Blaine Specific...Itoi, tuicrlt.nel, Caiftrnia; fl1; aish, Illinois; ;1iaricito, California; Lo’ss, Yisniasi~pi; bentornitoe, Wy~caing. Physical drnta for the raateriais...increase i’: tne a.cunt of .anj th-?t coul be puiped. As the diatomite had a specific ,i’face about 1C tines that of the loe33, it would appear that this

  11. Multiple Scattering Treatment for Use in the LOWTRAN and FASCODE Models

    DTIC Science & Technology

    1986-04-07

    Subroutines MSRAD, FLXADD, and ALEVEL and functions BETABS and PLANCK were added. Ine main program has been altered to allow the path geometry...body radiance for a particular wavenumber and temperature in units of Wcn-2 sterad- 1 /cm- 1 , while subroutine ALEVEL returns the layer number corre...and G. M. Wing (1960) J. Math . Phys., 1, 280. Ben-Shalom, A., B. Barzilia, D. Cabib, A. D. Devir, S. G. Lipson and U. P. o.C Oppenheim (1980) Applied

  12. Symposium of the Guidance and Control Panel (47th) on Guidance and Control of Unmanned Air Vehicles Held in Letterman Army Institute of Research, Presidio of San Francisco, California on 4-7 October 1988

    DTIC Science & Technology

    1988-10-01

    methods which could be used for unma-,d vehicle 4uoance ad oh-board Snsorls that could be used for target location et-. Ine final two taers of this sessior...automated, which in hardware and wnich in software are funoamen ta ’- t y5 ion process and methodologies rot making these decisions are of the xtmost i-- wace

  13. On Idiosyncratic Systems. Part I. Idiosyncratic Systems. Part II. On Being Creative with Computer Aided Design.

    DTIC Science & Technology

    1977-03-31

    the machine properly infer his graphical intentions. The graphics are presumed to be a mixture of projective geometry ( the inter- H section of planes ...conditions lecture to the Societe de Psychologie in Paris most conducive ; nor for the psychological explana— (quoted in Ghiselin [17]) Henri Poincare ...information pro- more wit h frustration than accomplishment. His air vided , the individual will attempt to fi;;d a new planes , submar ines and d i v e r t

  14. A 52 Kilodalton Protein Vaccine Candidate for Francisella tularensis

    DTIC Science & Technology

    2004-12-01

    du vaccin vivant F. tularensis (LVS). Soixante pourcent (60%) des souris vaccindes ont survdcu la dose ltale multiple alors que toutes les souris non...le lysat des cellules de cultures vivantes du vaccin vivant F. tularensis. Plusieurs composants de Francisella tularensis ont dt6 identifids par cet...antiserum. Le s6rum de souris provenant de souris vaccin6es avec F. tularensis non- vivant n’a pas identifid ces composants. A partir de ces prot6ines

  15. U. S. Naval Forces, Vietnam Monthly Historical Summary for December 1966

    DTIC Science & Technology

    1967-02-15

    the northwest tip of Cu Lao May, three and one half miles southeast of Can Tho. The sampan Ignored halls and warning shots and continued to evade...machine gun. The patrol cleared the area to the southeast , returning fire as it withdrew. PBRs 86 and 97 joined the engagement and came under fire from...the south bank» ine four PBRs then stood by to the southeast of the kill zone as the Cang Long sub-sector artillery battery fired eight rounds of

  16. Installation Restoration Program. Phase 1. Records Search Andrews AFB. Maryland

    DTIC Science & Technology

    1985-06-01

    red to silvery-qrey, functions ma a conf ining bed. Formation. ~Va plastics thin lonses of pole gray silt. Ann"a Formation. ye (0-210 sand, qrsenieh...the Nanjemoy Formation (a clayey glauconi- tic sand, two to thirty feet thick) and the Marlboro Clay (a plastic clay with silt partings, two to... plastics , empty 55-gallon drums, waste lumber, tires, pipes, and hospital wastes such as unused needles and chemical reagents. In the past, Site D-4 was

  17. Beyond the Paths of Heaven. The Emergence of Space Power Thought

    DTIC Science & Technology

    1999-09-01

    more practical. In any event, the United States will have to develop i t s space doc t r ine under the assumpt ion tha t the adversary...will have some space information access, or in the words of the next author , we wi l l have to proceed under the assump- t ion that “ the...sa te l l i tes , an unders tanding of changes within the mil i tary space community, or an analysis of the space control mission. In

  18. On Frequency Offset Estimation Using the iNET Preamble in Frequency Selective Fading Channels

    DTIC Science & Technology

    2014-03-01

    ASM fields; (bottom) the relationship between the indexes of the received samples r(n), the signal samples s(n), the preamble samples p (n) and the short...frequency offset estimators for SOQPSK-TG equipped with the iNET preamble and operating in ISI channels. Four of the five estimators exam - ined here are...sync marker ( ASM ), and data bits (an LDPC codeword). The availability of a preamble introduces the possibility of data-aided synchro- nization in

  19. Human Signatures for Personnel Detection

    DTIC Science & Technology

    2010-09-14

    work\\ TESIS \\prueba.avi’); switch videoinfo.ImageType case ’truecolor’ video=aviread(’C:\\MATLAB\\R2006a\\work\\ TESIS \\prueba.avi’); case...8217indexed’ video=aviread(’C:\\MATLAB\\R2006a\\work\\ TESIS \\prueba.avi’); video=ind2rgb(video); end 4.1.2 Color to Grayscale Converter The conversion from...algorithm. • Maximum errors for both GTSig and the lattice Boltzmann method were confined to the corners where fthe temperature is ill de ined Numerical

  20. Consolidation of Military Pay and Personnel Functions (Copper). Volume II

    DTIC Science & Technology

    1978-05-01

    Inclusi Log In 3815 Sign 3815 To T.S ToPage 11-15-A12 1 1 -1-AlICOPPER From Pago 11-15-All Log 11TL In UTL Control Log From Page 11-15-AIO Today’s saing...and Annota 381 for Inclusi 381 Il-S-ll To Page 11-15-A12 i11-15_Al INE TK T38T SUflLUEOT From Page I1-15-All Log UTL In UTL Control Log Fro Po Pa 9 I-5

  1. INtensive versus Standard Ambulatory Blood Pressure Lowering to Prevent Functional DeclINe In The ElderlY (INFINITY)

    PubMed Central

    White, William B.; Marfatia, Ravi; Schmidt, Julia; Wakefield, Dorothy B.; Kaplan, Richard F.; Bohannon, Richard W.; Hall, Charles B.; Guttmann, Charles R.; Moscufo, Nicola; Fellows, Douglas; Wolfson, Leslie

    2012-01-01

    Reductions in mobility and cognitive function linked to accrual of brain microvascular disease related white-matter hyperintensities(WMH) on magnetic resonance imaging (MRI) canoccur in older hypertensive patients in as little as 2 years. We have designed a trial evaluating two levels of ambulatory BP control in individuals with normal or mildly impaired mobility and cognition who have detectable cerebrovascular disease (>0.5% WMH fraction of intracranial volume) on functional outcomes. The study is a prospective randomized, open-label trial with blinded endpoints, inpatients ages 75 and older with elevated 24-h systolic BP (≥145 mmHg in the untreated state) who do not have unstable cardiovascular disease, heart failure or stroke. The primary and key secondary outcomes in the trial are: change from baseline in mobility and cognitive function and damage to brain white matter as demonstrated by accrual of WMH volume and changes indiffusion tensor imaging.Approximately 300 patients will be enrolled and 200 randomized to one of two levels of ambulatory BP control (intensive to achieve a goal 24-hour systolic BP of ≤ 130 mmHg or standard to achieve a goal 24-hour systolic BP of ≤ 145 mmHg) for a total of 36 months using similar antihypertensive regimens. The analytical approach provides 85% power to show a clinically meaningful effect in differences in mobility accompanied by quantitative differences in WMH between treatment groups. The INFINITY trial is the first to guide antihypertensive therapy using ambulatory BP monitoring rather than clinic BP to reduce cerebrovascular disease. PMID:23453090

  2. La biogenèse des mélanosomes

    PubMed Central

    Delevoye, Cédric; Giordano, Francesca; van Niel, Guillaume; Raposo, Graça

    2012-01-01

    Les mélanocytes situés à la base de l’épiderme produisent des mélanosomes qui sont transférés aux kératinocytes pour assurer la pigmentation de l’épiderme et sa photoprotection contre les rayons ultraviolets. Les mélanosomes, organites apparentés aux lysosomes, sont le lieu de synthèse et de stockage d’un pigment, la mélanine. Leur formation dépend de protéines mélanosomales qui transitent par les voies de biosynthèse et d’endocytose et exploitent les mécanismes moléculaires du trafic intracellulaire. Les acteurs moléculaires impliqués dans le transport des protéines mélanosomales et la biogenèse des mélanosomes sont la cible de mutations dans des maladies génétiques accompagnées d’hypopigmentation comme l’albinisme et les maladies lysosomales. Les études menées sur les mélanocytes issus de souris modèles de ces maladies permettent de comprendre certaines des étapes-clés de la mélanogenèse ainsi que les dysfonctionnements associés à ces pathologies. De plus, décrypter la mélanogenèse facilite également la compréhension d’autres processus physiologiques, comme l’illustrent les similitudes inattendues avec l’amyloïdogenèse dans les maladies neurodégénératives. PMID:21382323

  3. Evolutionarily Conserved, Growth Plate Zone-Specific Regulation of the Matrilin-1 Promoter: L-Sox5/Sox6 and Nfi Factors Bound near TATA Finely Tune Activation by Sox9 ▿

    PubMed Central

    Nagy, Andrea; Kénesi, Erzsébet; Rentsendorj, Otgonchimeg; Molnár, Annamária; Szénási, Tibor; Sinkó, Ildikó; Zvara, Ágnes; Thottathil Oommen, Sajit; Barta, Endre; Puskás, László G.; Lefebvre, Veronique; Kiss, Ibolya

    2011-01-01

    To help uncover the mechanisms underlying the staggered expression of cartilage-specific genes in the growth plate, we dissected the transcriptional mechanisms driving expression of the matrilin-1 gene (Matn1). We show that a unique assembly of evolutionarily conserved cis-acting elements in the Matn1 proximal promoter restricts expression to the proliferative and prehypertrophic zones of the growth plate. These elements functionally interact with distal elements and likewise are capable of restricting the domain of activity of a pancartilaginous Col2a1 enhancer. The proximal elements include a Pe1 element binding the chondrogenic L-Sox5, Sox6, and Sox9 proteins, a SI element binding Nfi proteins, and an initiator Ine element binding the Sox trio and other factors. Sox9 binding to Pe1 is indispensable for functional interaction with the distal promoter. Binding of L-Sox5/Sox6 to Ine and Nfib to SI modulates Sox9 transactivation in a protein dose-dependent manner, possibly to enhance Sox9 activity in early stages of chondrogenesis and repress it at later stages. Hence, our data suggest a novel model whereby Sox and Nfi proteins bind to conserved Matn1 proximal elements and functionally interact with each other to finely tune gene expression in specific zones of the cartilage growth plate. PMID:21173167

  4. Earthquake-Induced Liquefaction of Confined Soil Zones: A Centrifuge Study

    DTIC Science & Technology

    1992-11-01

    TITLE.AND SUBTITLE - ’ S. FUNDING NUMBERS ,0a 77,4 E A’V1Pl*"’rrv’ý, oF 6. AUTHOR($) ~ ~? .~4’~0 A) LA- " 4bd ’.i 4 -𔃻SA4 7. PERFORMING ORGANIZATION...cntruc~t~io~ In td tlit tinl, Iaiiknlilt Ia111(1 filial 5i1tulrattol u,.was -lricd out after Phase 11 eolistrlttlolu \\’it5 toitliplctett. 1ot ur t...50.0 -A 0 A 0 A0 A 5.0 ~~~T YL! - HPT - FRN CU L -won VA20 P74 1 ý4 -1 r 20.8 2iNE 2EOD <p 27.6.4 A’v5. 1024 ,a~a poin~ts per Iransdurer, p-; td fter

  5. An Economic Feasibility Study on the Space-Based Production of Methane Gas from Human Waste through Aerobic Digestion for Use as an Orbit Maintenance Propellant.

    DTIC Science & Technology

    1985-12-01

    TEMP, PEOPLE / It VoaeSolids Inese Volume I l Retention Time[ Methane Generated (Eqns 1 r 2, Figure 61 k,_:E OHC Convert, zFgu 9 MethIne Vol 4to Mas...other in the event of a system failure. Table III reflects the redundancy in the’U equipment and additional spare components. 6..1 ’,t 61 TABLE III Cost...1.09 4.00 27.7q D!ESTE ’JLUME 57.748 9.473 41,27 71.16 4.08 78.62 107 , ji * *0 e e .4 S.\\ * ’’ TEMP 35C PqEg;l I -0 D , D, m :𔃻,𔄁 I JM jM T’ P

  6. Variations au cours de la journée de l'incorporation in vivo de la leucine tritiée dans les protéines du cervelet et du cerveau du jeune rat normal et hypothyroïdien. Daily variations of the in vivo [3H] leucine incorporation into the cerebellar and cerebral proteins of the normal and hypothyroid young rat [(author's transl)].

    PubMed

    Dainat, J; Rebière, A

    1978-02-15

    In the normal and hypothyroid 6-day-old rat, the specific radioactivity (RSA) and the relative RSA (ratio of the RSA to the [3H] lecine concentration of the acido soluble phase) of the cerebral and cerebellar proteins, changes during the day synchronally. They show a maximum at 15.00 h and a minimum at 0.300 h. At all stages studied, these values are significantly lower in the hyothyroid animals than in normal ones.

  7. Two Outer Membrane Proteins Contribute to Caulobacter crescentus Cellular Fitness by Preventing Intracellular S-Layer Protein Accumulation

    DOE PAGES

    Overton, K. Wesley; Park, Dan M.; Yung, Mimi C.; ...

    2016-09-23

    Surface layers, or S-layers, are two-dimensional protein arrays that form the outermost layer of many bacteria and archaea. They serve several functions, including physical protection of the cell from environmental threats. The high abundance of S-layer proteins necessitates a highly efficient export mechanism to transport the S-layer protein from the cytoplasm to the cell exterior.Caulobacter crescentusis unique in that it has two homologous, seemingly redundant outer membrane proteins, RsaF aand RsaF b, which together with other components form a type I protein translocation pathway for S-layer export. These proteins have homology toEscherichia coliTolC, the outer membrane channel of multidrug effluxmore » pumps. Here we provide evidence that, unlike TolC, RsaF aand RsaF bare not involved in either the maintenance of membrane stability or the active export of antimicrobial compounds. Rather, RsaF aand RsaF bare required to prevent intracellular accumulation and aggregation of the S-layer protein RsaA; deletion of RsaF aand RsaF bled to a general growth defect and lowered cellular fitness. Using Western blotting, transmission electron microscopy, and transcriptome sequencing (RNA-seq), we show that loss of both RsaF aand RsaF bled to accumulation of insoluble RsaA in the cytoplasm, which in turn caused upregulation of a number of genes involved in protein misfolding and degradation pathways. These findings provide new insight into the requirement for RsaF aand RsaF bin cellular fitness and tolerance to antimicrobial agents and further our understanding of the S-layer export mechanism on both the transcriptional and translational levels inC. crescentus. IMPORTANCEDecreased growth rate and reduced cell fitness are common side effects of protein production in overexpression systems. Inclusion bodies typically form inside the cell, largely due to a lack of sufficient export machinery to transport the overexpressed proteins to the extracellular environment. This phenomenon can conceivably also occur in natural systems. As one example of a system evolved to prevent intracellular protein accumulation, our study demonstrates thatCaulobacter crescentushas two homologous outer membrane transporter proteins that are involved in S-layer export. This is an interesting case study that demonstrates how bacteria can evolve redundancy to ensure adequate protein export functionality and maintain high cellular fitness. Moreover, we provide evidence that these two outer membrane proteins, although being the closestC. crescentushomologs to TolC inE. coli, do not process TolC functionality inC. crescentus.« less

  8. Two Outer Membrane Proteins Contribute to Caulobacter crescentus Cellular Fitness by Preventing Intracellular S-Layer Protein Accumulation

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

    Overton, K. Wesley; Park, Dan M.; Yung, Mimi C.

    ABSTRACT Surface layers, or S-layers, are two-dimensional protein arrays that form the outermost layer of many bacteria and archaea. They serve several functions, including physical protection of the cell from environmental threats. The high abundance of S-layer proteins necessitates a highly efficient export mechanism to transport the S-layer protein from the cytoplasm to the cell exterior.Caulobacter crescentusis unique in that it has two homologous, seemingly redundant outer membrane proteins, RsaF aand RsaF b, which together with other components form a type I protein translocation pathway for S-layer export. These proteins have homology toEscherichia coliTolC, the outer membrane channel of multidrugmore » efflux pumps. Here we provide evidence that, unlike TolC, RsaF aand RsaF bare not involved in either the maintenance of membrane stability or the active export of antimicrobial compounds. Rather, RsaF aand RsaF bare required to prevent intracellular accumulation and aggregation of the S-layer protein RsaA; deletion of RsaF aand RsaF bled to a general growth defect and lowered cellular fitness. Using Western blotting, transmission electron microscopy, and transcriptome sequencing (RNA-seq), we show that loss of both RsaF aand RsaF bled to accumulation of insoluble RsaA in the cytoplasm, which in turn caused upregulation of a number of genes involved in protein misfolding and degradation pathways. These findings provide new insight into the requirement for RsaF aand RsaF bin cellular fitness and tolerance to antimicrobial agents and further our understanding of the S-layer export mechanism on both the transcriptional and translational levels inC. crescentus. IMPORTANCEDecreased growth rate and reduced cell fitness are common side effects of protein production in overexpression systems. Inclusion bodies typically form inside the cell, largely due to a lack of sufficient export machinery to transport the overexpressed proteins to the extracellular environment. This phenomenon can conceivably also occur in natural systems. As one example of a system evolved to prevent intracellular protein accumulation, our study demonstrates thatCaulobacter crescentushas two homologous outer membrane transporter proteins that are involved in S-layer export. This is an interesting case study that demonstrates how bacteria can evolve redundancy to ensure adequate protein export functionality and maintain high cellular fitness. Moreover, we provide evidence that these two outer membrane proteins, although being the closestC. crescentushomologs to TolC inE. coli, do not process TolC functionality inC. crescentus.« less

  9. Two Outer Membrane Proteins Contribute to Caulobacter crescentus Cellular Fitness by Preventing Intracellular S-Layer Protein Accumulation

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

    Overton, K. Wesley; Park, Dan M.; Yung, Mimi C.

    Surface layers, or S-layers, are two-dimensional protein arrays that form the outermost layer of many bacteria and archaea. They serve several functions, including physical protection of the cell from environmental threats. The high abundance of S-layer proteins necessitates a highly efficient export mechanism to transport the S-layer protein from the cytoplasm to the cell exterior.Caulobacter crescentusis unique in that it has two homologous, seemingly redundant outer membrane proteins, RsaF aand RsaF b, which together with other components form a type I protein translocation pathway for S-layer export. These proteins have homology toEscherichia coliTolC, the outer membrane channel of multidrug effluxmore » pumps. Here we provide evidence that, unlike TolC, RsaF aand RsaF bare not involved in either the maintenance of membrane stability or the active export of antimicrobial compounds. Rather, RsaF aand RsaF bare required to prevent intracellular accumulation and aggregation of the S-layer protein RsaA; deletion of RsaF aand RsaF bled to a general growth defect and lowered cellular fitness. Using Western blotting, transmission electron microscopy, and transcriptome sequencing (RNA-seq), we show that loss of both RsaF aand RsaF bled to accumulation of insoluble RsaA in the cytoplasm, which in turn caused upregulation of a number of genes involved in protein misfolding and degradation pathways. These findings provide new insight into the requirement for RsaF aand RsaF bin cellular fitness and tolerance to antimicrobial agents and further our understanding of the S-layer export mechanism on both the transcriptional and translational levels inC. crescentus. IMPORTANCEDecreased growth rate and reduced cell fitness are common side effects of protein production in overexpression systems. Inclusion bodies typically form inside the cell, largely due to a lack of sufficient export machinery to transport the overexpressed proteins to the extracellular environment. This phenomenon can conceivably also occur in natural systems. As one example of a system evolved to prevent intracellular protein accumulation, our study demonstrates thatCaulobacter crescentushas two homologous outer membrane transporter proteins that are involved in S-layer export. This is an interesting case study that demonstrates how bacteria can evolve redundancy to ensure adequate protein export functionality and maintain high cellular fitness. Moreover, we provide evidence that these two outer membrane proteins, although being the closestC. crescentushomologs to TolC inE. coli, do not process TolC functionality inC. crescentus.« less

  10. Histologic Changes Caused by Application of Lewisite Analogs to Mouse Skin and Human Skin Xenografts

    DTIC Science & Technology

    1985-01-01

    CLASSIICATION OF THIS PAGE (Nh..1 DO&a Eatat1d UNCLAS8inED S6CURmTV CLASSISCATION OP THIS PA•r(em Daf EMo* skin grafts : 1) epidermal cellular nuclear...microscopy. Under light microscopy, we observed the following changes In PDA-treated human skin grafts : I) epidermal cellular nuclear degeneration (apparent...needed. (Oe such model is ti-e human skin grafted athymic nude mouse (4,5). This animal model was recently established at LAIR. PhenyLdichLoroarsine (PDA

  11. Simulation of Critical Materials Resource Strategies. Volume 4. Appendix D - Data Base through Scenario 47.

    DTIC Science & Technology

    1983-09-13

    CALEt ’,!IA . . 10 0. 9Y2 1. 087 1 -- _ " 24 C .. -7 4 70 2 5 -:91 - TCTAL 021; . 0 COMPOS I TE IMFRTANCE (LC : 2: TIN ACIOUNT % OF C:OM’O’-:I TE I...NE&’ CALET -ONIA D T I 5 G_ J ’I T A M A t4 : ’: ""L L:: ,AUS TRAL I A FYF. ETHFLt 0. 55 FI’_ IFINE’= C:L T FINLANDr.. EN ".. . 1 GREECE .CEL 16 -:W YU

  12. Summary of Meteorological Observations, Surface (SMOS), Lakehurst, New Jersey.

    DTIC Science & Technology

    1984-08-01

    8aq 1,qo 1,37 1.82 2o 𔄃 2o2S 1,52 1.2 ° 071 -7 c ,s ISt 60o1 i( e73 954 195 1.0 P2 1o, 7 0-. o .73- 7.- .9z .A .63 09e .25 1. ,4 3.97 .36 1.51 1.57...NC PERCENTAGE FREQUENCY OF WIND DIRECTION AND SPEED (FROM HOURLY OBSERVATIONS) ’,-7 . L ’Li u R %T. 1:J ’ JAI, STATOR STATOR MASS TIANS *MTN LL inE

  13. Hydrodynamic Interactions during Launch and Recovery of a Small Boat from a Ship in a Seaway

    DTIC Science & Technology

    2014-11-28

    during launch and recovery. The RHIB is based on a Zodiac H935, with properties given in Table 1 when loaded with 12 person- nel. Figure 1 shows the hull...and recovery of a small craft from a larger ship, wave-induced motions of the larger ship will influence dy- namic loads on the crane. The motions of... the small craft will be a major determinant of the safety of onboard personnel. This paper exam- ines wave-induced motions during launch and recovery

  14. Nonlinear Scattering of Acoustic Waves by Vibrating Obstacles.

    DTIC Science & Technology

    1983-06-01

    2xB’(x) - 2(v+l)B(x). (A40) As a first example of this general form, we let f(x) e-X 2 . [This is the usual weighting function used in the orthogonality ... Some examples involving Laguerre functions. We nov consider integrals of the general forim where L,(x) is the Laguerre function of order v, and f(x...phenomena Integrals 20. ABSTRACT (ContiIne an reverse sle if 009000MY and Ideitfy 67 6l4k rom’ ") The problem of the generation of sum- and difference

  15. USAF Summer Faculty Research Program. 1981 Research Reports. Volume II.

    DTIC Science & Technology

    1981-10-01

    Research Associate 17 (A) Spect roscop i( Analysis anld Opt. i n1iZaLtol on 1 Di. Larry R. Dalton the oxygen/ I od ine Chemica (tILase r and (8...theory appear in Fig. 7 where the inverse temper- ature dependence reflects the dominant influence of the van der Waals 2.7 attraction. Note that the...colinear geometry. Coltrin obtains a 13 depth of 6.9 kcal/mol vs. 2.7 kcal/mol obtained by Wilkins. Thus we expect more Coltrin trajectories to form van der

  16. IL-6 Receptor Isoforms and Ovarian Cancer Progression

    DTIC Science & Technology

    2010-10-01

    carcinoma cell ines, respectively, were obtained from merican Type Culture Collection (Man- ssas, VA). Cells were maintained in Dul- ecco’s Modified...tien IL6R hist stra (ind trans 010L6R. Cross -reactivity between human rican Journal of Obstetrics & Gynecology 1.e3 a o T 5 g m S D w t R T l a 1 c ( m...allele of IL-6ra (Il6rafl/+) were first crossed with FLPe+/+ mice (38) to delete the FRT-flanked Neo cassette in the targeting vector. Progeny with

  17. Assessment of the Appropriateness of Inpatient Mental Health Services at Naval Hospital Camp Pendleton Given the Global War on Terrorism Environment

    DTIC Science & Technology

    2006-06-01

    assumption of similar rates is based on no vast advances in inpatient mental health sciences in the past five years that would decrease utilization, as...admission rates that were used to forecast demand. The assumption of similar rates is based on no vast advances in inpatient mental health sciences in...E 0 0 , C0CflC Q_ _ a__ a)_ ~ . SMe Nam: INaval HoptlCamp Pendton11111 InritathIv Name: Ilvlaino nain etlHat tNC All fnaricia results ame fully

  18. Forecasting Device Effectiveness. Volume 2. Procedures

    DTIC Science & Technology

    1985-06-01

    about individual tasks is used to sup- port the fotul ratings. DEFT III. At this level of analysis, the analyst uses 11 rating scales to estimate...real world or are they sust’ined at unreal levels in the training environment? The third scale r3tes how much practice the trainee will have in the...real world ’ I., F. MIMflMfl MM/ MMPMMIMMHrnMN MHIMMIMIHMN/fMhMMM flMhlMlflMMfMM l!"MMt~MWfl l o 20 1) 40 5(0 6() 70 8O 9.’ 1, ,, 0 = None; the

  19. Team Training for Command and Control Systems: Recommendations for Application of Current Technology.

    DTIC Science & Technology

    1982-04-01

    thle Uniteid Sih Coeriiient inicurs no responsibilit% or any obligation whI at soever. The fact that thle Goeere’n t m ~ay hiave formul a ted or in a...I- 4. TITLE (and Subtitle) S. TYPE OF REPORT & PERIOD COVERED "I’.\\ M TRAINING FOR COMMANI) AN) CONTROL SYSTEMS: Final RI FCOMMENI)ATIONS FOR...I.. & IlollingsisorthI. S.R. Terin tra ining for comn od and control s .s/eiii: Recin ncinaVn~ m . r rfsei’riII program. AFfiRL-IT-82-8. Wright

  20. The Dirigible: A Catalyst for Resource Exploitation in Remote Areas?

    DTIC Science & Technology

    1985-04-01

    ir’ship (26’.: 13). .. Hybrid . A he ,vi er than air vehiLile which Lomb nes.’-. s.tar~ it (gas) anrid cly ,mi L (pro~pel 1er s, jet e, g ines ) li ft...another test with a hybrid airship (8:.33). TABLE 1. - Airships Rejected p The three remaining airships will be discussed next. All arc? hybrid LTAs...heavy-lift markets. (Drawing at Appendix 3.) The Cyclo-Crane is a hybrid aircraft utilizing aerostatic lift from a helium filled centerbody to support

  1. Terrorist Criminal Pipelines and Criminalized States: Emerging Alliances

    DTIC Science & Technology

    2011-06-01

    experience, it lauds radical Islam (as well as past terrorists such as Ilich Ramírez Sánchez, better known as “Carlos the Jackal ”)35 for helping to expand...Miami Herald, November 11, 2005. 36 Ian James, “Chavez Praises Carlos the Jackal ,” Associated Press, November 21, 2009, available at <www...independent.co.uk/news/world/americas/chavez-praises-carlos-the- jackal -1825135.html>. teRRoRISt-cRIMInal PIPelIneS and cRIMInalIzed StateS 32 | FeatuReS PRISM 2, no

  2. Automation of IED Threat Emplacement for Training Scenarios

    DTIC Science & Technology

    2012-03-01

    t C om bi ne p ro ce ss in g H ea t m ap pi ng Find all roads X X Find roads travelled...a 2011-134 Fi nd b y ro ut e as se ss m en t C om bi ne p ro ce ss in g wledge proce égé and then rd terminolog shared. Mu t a gravel...he route is de elRoadSeg1, ined items. fined ’ and DRDC Tor Based on G G T T G The

  3. Terminal Ballistic Application of Hydrodynamic Computer Code Calculations.

    DTIC Science & Technology

    1977-04-01

    F1’T.D—AO*I 065 BALLISTIC RESEARCH LABS ABnoflN PR0VIM eRotic j~o NTERMiNAL BALLISIIC APPLICATION OF HYDRODYNAMIC C~I~~U7ER COVE CA—ET C(U) I APR 77...this short- coming of the code, design solutions using a combined calculational and empirical design procedure were tried . 18 --- - -- -- - --- -rn...In this calculation , the exp losive was conf ined on its periphery by a steel casing. The calculated liner shape is shown at 18 m icroseconds af

  4. Minutes of the Explosives Safety Seminar (16th), Held at the Diplomat Hotel, Hollywood, Florida on 24-26 September 1974. Volume I

    DTIC Science & Technology

    1974-09-26

    now a better format . Accompanied by the various Board Members, we have climbed in and out of igloos, magr’.ines, ships, and shore stations. I...east igloo. Permanent deflections of the order of several inches, accompanied by yield-line formation , were noted in some of the surviving headwalls. On...8217Aie Pentagon, Pown 3D 1089 Washington, D.C. 20301 216 No4E A meners Dr. Joseph H. W!Lain, President Washington College Chestertcwn, Maryland 21620

  5. Emergency Destruction of Information Storing Media

    DTIC Science & Technology

    1987-12-01

    22311-1772 IDA Log No. HO 86-30948 DEFINM~ONS IDA paMae Me folelwig isaes We inpu Me ed No WOOL Reput- Mr m ine uulas wd meet l aesbtmudirsil Prrel IDA...repelswpt plab ek iW bu atr* Weekeeie wwk. Papers e slee l urn Sd massdwAiedselaler le Sees apeatd rIlerA poperI@P I rsese jeereal. Munuruilum Reports...significantly from their commercial counterparts. 3 ................hr e a I~~~e~~~h ’ogy ~... ... .-.. /t : iii’~~i!:i~~i: ii"!: l : ... ............. l

  6. Issues in Afloat Command Control: The Computer-Commander Interface

    DTIC Science & Technology

    1979-03-01

    LEVEL NAVAL POSTGRADUATE SCHOOL Monterey, California SEP 1 1979 Jl THESIS SC ISSUES IN AFLOAT COMMAND CONTROL: LUJ THE COMPUTER-COMMANDER INTERFACE...jJ./Hurley I?. DISORIUUO" AN ST A TEMENT e . ur.o i .AN As i, ’a’ P",M,,nI_..I ,, T. TA4R IS.2 SUPLMNTR NOTUES Naval Postgraduate School ,Monterey...California 93940 Naval Postgraduate School Monterey, California 93940 8d1u ..... . 1. ThRisa thesiCs exAM•ines afloat command €.. ,1. Scn CUtTr CLASS

  7. Investigation of Methods to Eliminate Voltage Delay in Li/SOCl2 Cells.

    DTIC Science & Technology

    1980-05-01

    of storage at 550C the surface was completely covered with cubic crystals averaging about 8 pim on an edge (Figure 24). The lithium surface stored at...completely covered with cubic crystals, showing no smooth undercoating at all (Figure 25). The average crystal diameter was approximately 3.3 pim , with a...used. ithi timl acgu ire0d A Ci yst al I me surt ace, oil dr n torage at elevated temlper aI Ite t. T[he out lace, showed ch[ ott ine by EPAC except

  8. OSRD Reports: Bibliography and Index of Declassified Reports Having OSRD Numbers

    DTIC Science & Technology

    1947-06-01

    Jln 191114. • sbp photo., dl.gra. HI $2.00 Ph $8.00. Bibliography OSRO 3312 Pll 12023 (1-831) The Psychological CO~POl𔃽t Ion. Mew York Info...tltl 16 ~ It fire control- n (a) tra inIng couru upon tlle lr vl.ual pra- flc l ncy. (Applied psychology plnll: lee- tlon and tra In Ing of rengeflnder...other. Ex_lnation of en8llV . atar ! el (0D-113: fitrn: "-119): Metallurgical elornlnlltlon of a tall "".,.;1 u,.bly ... d lending gear hydraulle

  9. Spatially resolved XRF, XAFS, XRD, STXM and IR investigation of a natural U-rich clay

    NASA Astrophysics Data System (ADS)

    Denecke, M. A.; Michel, P.; Schäfer, T.; Huber, F.; Rickers, K.; Rothe, J.; Dardenne, K.; Brendebach, B.; Vitova, T.; Elie, M.

    2009-11-01

    Combined spatially resolved hard X-ray μ-XRF and μ-XAFS studies using an X-ray beam with micrometer dimensions at the INE-Beamline for actinide research at ANKA and Beamline L at HASYLAB with those from scanning transmission soft X-ray microscopy (STXM) and synchrotron-based Fourier transform infrared microspectroscopy (μ-FTIR) recorded with beam spots in the nanometer range are used to study a U-rich clay originating from Autunian shales in the Permian Lodève Basin (France). This argillaceous formation is a natural U deposit associated with organic matter (bitumen). Results allow us to differentiate between possible mechanisms leading to U enrichment: likely U immobilization via reaction with organic material associated with clay mineral. Such investigations support development of reliable assessment of the long term radiological safety for proposed nuclear waste disposal sites.

  10. Global risk of radioactive fallout after major nuclear reactor accidents

    NASA Astrophysics Data System (ADS)

    Lelieveld, J.; Kunkel, D.; Lawrence, M. G.

    2012-05-01

    Major reactor accidents of nuclear power plants are rare, yet the consequences are catastrophic. But what is meant by "rare"? And what can be learned from the Chernobyl and Fukushima incidents? Here we assess the cumulative, global risk of exposure to radioactivity due to atmospheric dispersion of gases and particles following severe nuclear accidents (the most severe ones on the International Nuclear Event Scale, INES 7), using particulate 137Cs and gaseous 131I as proxies for the fallout. Our results indicate that previously the occurrence of INES 7 major accidents and the risks of radioactive contamination have been underestimated. Using a global model of the atmosphere we compute that on average, in the event of a major reactor accident of any nuclear power plant worldwide, more than 90% of emitted 137Cs would be transported beyond 50 km and about 50% beyond 1000 km distance before being deposited. This corroborates that such accidents have large-scale and trans-boundary impacts. Although the emission strengths and atmospheric removal processes of 137Cs and 131I are quite different, the radioactive contamination patterns over land and the human exposure due to deposition are computed to be similar. High human exposure risks occur around reactors in densely populated regions, notably in West Europe and South Asia, where a major reactor accident can subject around 30 million people to radioactive contamination. The recent decision by Germany to phase out its nuclear reactors will reduce the national risk, though a large risk will still remain from the reactors in neighbouring countries.

  11. Microscopie de fluorescence de protéines autofluorescentes uniques pour la biologie cellulaire

    NASA Astrophysics Data System (ADS)

    Cognet, Laurent; Coussen, Françoise; Choquet, Daniel; Lounis, Brahim

    In this paper we review the applicability of autofluorescent proteins for single-molecule imaging in biology. The photophysical characteristics of several mutants of the Green Fluorescent Protein (GFP) and those of DsRed are compared and critically discussed for their use in cellular biology. The alternative use of two-photon excitation at the single-molecule level or Fluorescence Correlation Spectroscopy is envisaged for the study of individual autofluorescent proteins. Single-molecule experiments performed in live cells using eGFP and preferably eYFP fusion proteins are reviewed. Finally, the first use at the single-molecule level of citrine, a more photostable variant of the eYFP is reported when fused to a receptor for neurotransmitter in live cells. To cite this article: L. Cognet et al., C. R. Physique 3 (2002) 645-656.

  12. Dredging Operations Technical Support Program. Design and Management of Dredged Material Containment Areas to Improve Hydraulic Performance.

    DTIC Science & Technology

    1987-06-01

    in chlorine contact chambers were not sensit ive to experimentil procedure, and ’"When the dye test was repeated on the same hsin undcr ident i ; I I...neither YA t 1idth nor Ienzth ar’ 1n t -r,1ined i u , nd i t ion, costs are , iunti , t ion I .< and N . ( u yen % and Iltl ;I<,, r[i,. hte used tc com...DREDGING OPERATIONS TECHNICAL SUPPORT PROGRAM TEHIA REPORT D-87-2 DESIGN AND MANAGEMENT OF DREDGED MATERIAL CONTAINMENT AREAS TO% N IMPROVE

  13. Ion transfer through solvent polymeric membranes driven by an exponential current flux.

    PubMed

    Molina, A; Torralba, E; González, J; Serna, C; Ortuño, J A

    2011-03-21

    General analytical equations which govern ion transfer through liquid membranes with one and two polarized interfaces driven by an exponential current flux are derived. Expressions for the transient and stationary E-t, dt/dE-E and dI/dE-E curves are obtained, and the evolution from transient to steady behaviour has been analyzed in depth. We have also shown mathematically that the voltammetric and stationary chronopotentiometric I(N)-E curves are identical (with E being the applied potential for voltammetric techniques and the measured potential for chronopotentiometric techniques), and hence, their derivatives provide identical information.

  14. Helicopter Electro-Optical System Display Requirements. 1. The Effects of CRT Display Size, System Gamma Function, and Terrain Type on Pilots’ Required Display Luminance

    DTIC Science & Technology

    1980-03-01

    full-color terrain model designed to 6 ,. .. ., CINE MA ICiINE h MRO FILM To’ N U Ix v M C CTMIRROR MONITOR FRESNEL REAR- PROJECTION SCREEN Z...ments of NOE flight, recorded on videotape. One segment was filmed at the Hunter-Liggett, Calif., ntilitary reservation, and the other segment was... filmed near Fort Rucker, Ala. The tapes were viewed by each participant pilot on the 13-cm and the 26-cm CRT displays. They could attenuate the display

  15. Sonar Based Navigation of an Autonomous Underwater Vehicle

    DTIC Science & Technology

    1994-06-01

    3.1.4 Obstacles that are not on the map are marked, known initial position. 35 Eommd Trejecay of AUV 25 Elied -Solid ine Actual :Dashed line 20, 15 I...actual trajectory. Efifets of Camn*= in do Pai~on of AUV. 20 15- 5- 0 S 10 15 20 25 30 35 Figure 3.16 The effects of currents in the trajectory of the...vehicle. 38 E~med T~MjMMa~ ofAUV 20Eadalmd 3affid one Actual :Dashed hMe 15- 0- 0 5 10 15 20 25 30 35 X (irn faet) Figure 3.17 Position estimation

  16. Demonstration of the Origin of Human Mast Cells from CD34+ Bone Marrow Progenitor Cells

    DTIC Science & Technology

    1991-03-01

    culture media sexi -ral tixixesovxer the agaxosc surf-~c. Total poured off, anid the reixiiig adherenxt cells were -cultured In cornm- cell counts were...ined bilue . Resi ills we-re explressed xis Itire percent Iage of cit her noxrmalx goat sern o xr gx xx IgGO (0,5 i, ’ ) I Ix at room cells st...hixIxri- aiixre - ;it ixialer lysis w%*is per-~- foxrmed ’loxverify the rcinxv~dl xIli- (1)2. (1119 ixx ("D2(1. 4A 17,oxr (𔃻)1. p it cells

  17. Field Artillery in Support of River Crossing Operations.

    DTIC Science & Technology

    1986-01-03

    and tactical levels alike, to the Anglo-American attitude of the Second World War and since. The Soviets recognize the importance of getting across...SSING , WORL -D IW, R II RUSSIAN AF L I" Y Yl R T T A F IC \\ *AVTI T 1 P. Y pnCTW 3 A~~A’JContinue on reverse if necess iry and identify Ly block...operations in World War II. Each army’s concept ai.d doctrifl( is oxa,’ined based on historical records and contemporary literature rCnd t: com-,pared( to

  18. Nitramine Propellant Erosivity - III.

    DTIC Science & Technology

    1980-12-01

    Commanld c r AFTN. I. Busut t i I US A rmy M i ,, i I (ommiiad W ., Awst in ATTN: R ( IUN1I -YI. R . Mont 1,ol11v rv Red st ollAc enaIAl~~ .iIington .1 .Sant...A-D-A96 878 ARMY ARMAMENT RESEARCHRAN4D EVELOPMENTUCOMMAND ABERO--ETC F/G 19/1 NITRAM INE PROPELLANT EROSII TY_ II.( ) DEC 80 R GEENE, B GROLLMAN, A...NIILER A RYE UNCLASSIFIED ARBRL - R -02278 SBIE D-E430 574 N11hEEE~EEn~hh~~E EohEEEohhEE... LEVEL TECHNICAL REPORT ARBRL-TR-02278 NITRAMINE PROPELLANT

  19. Management Principles to be Considered for Implementing a Data Base Management System Aboard U.S. (United States) Naval Ships under the Shipboard Non-Tactical ADP (Automated Data Processing) Program.

    DTIC Science & Technology

    1982-12-01

    Data Base Management System Aboard U.S. Naval Ships Under the Shipboard Non-tactical ADP Program by Robert Harrison Dixon December 1982 Thesis Advisor...OF REPORT a PERIOD COVIAOtt Management Principles to be Considered for Master’s Thesis Implementing a Data Base Management System December 1982 Aboard...NOTES is. KEY s0mas (Coelte on revrs side of 0..e..mp am iNe or "Neo 00111) Data Base Management System , DBMS, SNAP, SNAP I, SNAP II, Information

  20. Characterization of γ-ray background at IMAT beamline of ISIS Spallation Neutron Source

    NASA Astrophysics Data System (ADS)

    Festa, G.; Andreani, C.; Arcidiacono, L.; Burca, G.; Kockelmann, W.; Minniti, T.; Senesi, R.

    2017-08-01

    The environmental γ -ray background on the IMAT beamline at ISIS Spallation Neutron Source, Target Station 2, is characterized via γ spectroscopy. The measurements include gamma exposure at the imaging detector position, along with the gamma background inside the beamline. Present results are discussed and compared with previous measurements recorded at INES and VESUVIO beamlines operating at Target Station 1. They provide new outcome for expanding and optimizing the PGAA experimental capability at the ISIS neutron source for the investigation of materials, engineering components and cultural heritage objects at the ISIS neutron source.

  1. A Survey of State-of-the-Art LORAN-C Receivers.

    DTIC Science & Technology

    1984-06-01

    urvey/monitor, (T)ining, (Land, (O)therl h(inches). 7.6i N(inches). 7.5 D(inches). 12.6 VOLUM(cu.in.) 667 WEIGHT (lb): 18.1 TENP RANGE ( dog F): -67.170...Iaches): 2.8- W~inches): 12 VOLUM kv.ia.): 369 MuIGTY (2b): 6 TRW RANGS ( dog P): 3.*12z INPU VOLTACE: 4.5-50 OE RWQIRUNT (watts): g-12 DISPLAY TYPE: 2...Dinches). v4L0N(cu.in.)• WRIGHT (lb): 4.8 TEMP RANGE ( dog F): -4,+130 INPUT VOLTAGE: 10-45 POWER RRQUIRBNBNT (Watts): DISPLAY TYPE: A-N. LED, DOT

  2. An Algorithm to Automatically Generate the Combinatorial Orbit Counting Equations

    PubMed Central

    Melckenbeeck, Ine; Audenaert, Pieter; Michoel, Tom; Colle, Didier; Pickavet, Mario

    2016-01-01

    Graphlets are small subgraphs, usually containing up to five vertices, that can be found in a larger graph. Identification of the graphlets that a vertex in an explored graph touches can provide useful information about the local structure of the graph around that vertex. Actually finding all graphlets in a large graph can be time-consuming, however. As the graphlets grow in size, more different graphlets emerge and the time needed to find each graphlet also scales up. If it is not needed to find each instance of each graphlet, but knowing the number of graphlets touching each node of the graph suffices, the problem is less hard. Previous research shows a way to simplify counting the graphlets: instead of looking for the graphlets needed, smaller graphlets are searched, as well as the number of common neighbors of vertices. Solving a system of equations then gives the number of times a vertex is part of each graphlet of the desired size. However, until now, equations only exist to count graphlets with 4 or 5 nodes. In this paper, two new techniques are presented. The first allows to generate the equations needed in an automatic way. This eliminates the tedious work needed to do so manually each time an extra node is added to the graphlets. The technique is independent on the number of nodes in the graphlets and can thus be used to count larger graphlets than previously possible. The second technique gives all graphlets a unique ordering which is easily extended to name graphlets of any size. Both techniques were used to generate equations to count graphlets with 4, 5 and 6 vertices, which extends all previous results. Code can be found at https://github.com/IneMelckenbeeck/equation-generator and https://github.com/IneMelckenbeeck/graphlet-naming. PMID:26797021

  3. An empirical approach to estimate soil erosion risk in Spain.

    PubMed

    Martín-Fernández, Luis; Martínez-Núñez, Margarita

    2011-08-01

    Soil erosion is one of the most important factors in land degradation and influences desertification worldwide. In 2001, the Spanish Ministry of the Environment launched the 'National Inventory of Soil Erosion (INES) 2002-2012' to study the process of soil erosion in Spain. The aim of the current article is to assess the usefulness of this National Inventory as an instrument of control, measurement and monitoring of soil erosion in Spain. The methodology and main features of this National Inventory are described in detail. The results achieved as of the end of May 2010 are presented, together with an explanation of the utility of the Inventory as a tool for planning forest hydrologic restoration, soil protection, erosion control, and protection against desertification. Finally, the authors make a comparative analysis of similar initiatives for assessing soil erosion in other countries at the national and European levels. Copyright © 2011 Elsevier B.V. All rights reserved.

  4. Social-Cognitive Biases in Simulated Airline Luggage Screening

    NASA Technical Reports Server (NTRS)

    Brown, Jeremy R.; Madhavan, Poomima

    2011-01-01

    This study illustrated how social cognitive biases affect the decision making process of air1ine luggage screeners. Participants (n = 96) performed a computer simulated task to detect hidden weapons in 200 x-ray images of passenger luggage. Participants saw each image for two (high time pressure) or six seconds (low time pressure). Participants observed pictures of the "passenger" who owns the luggage . The "pre-anchor group" answered questions about the passenger before the luggage image appeared, the "post-snchor" group answered questions after the luggage appeared, and the "no-anchor group" answered no questions. Participants either stopped or did not stop the bag. and rated their confidence in their decision. Participants under high time pressure had lower hit rates and higher false alarms, Significant differences between the pre-, no-, and post-anchor groups were based on the gender and race of the passengers. Participants had higher false alarm rates in response to male than female passengers.

  5. Non-invasive characterisation of SIX Japanese hand-guards (tsuba)

    NASA Astrophysics Data System (ADS)

    Barzagli, Elisa; Grazzi, Francesco; Civita, Francesco; Scherillo, Antonella; Pietropaolo, Antonino; Festa, Giulia; Zoppi, Marco

    2013-12-01

    In this work we present a systematic study of Japanese sword hand-guards ( tsuba) carried out by means of non-invasive techniques using neutrons. Several tsuba from different periods, belonging to the Japanese Section of the Stibbert Museum, were analysed using an innovative approach to characterise the bulk of the samples, coupling two neutron techniques, namely Time of Flight Neutron Diffraction (ToF-ND) and Nuclear Resonance Capture Analysis (NRCA). The measurements were carried out on the same instrument: the INES beam-line at the ISIS spallation pulsed neutron source (UK). NRCA analysis allows identifying the elements present in the sample gauge volume, while neutron diffraction is exploited to quantify the phase distribution and other micro-structural parameters of the metal specimen. The results show that all samples are made of high-quality metal, either steel or copper alloy, with noticeable changes in composition and working techniques, depending on the place and time of manufacturing.

  6. Stability and Control of Tactical Missile Systems Held in Ankara (Turkey) on 9-12 May 1988

    DTIC Science & Technology

    1989-03-01

    basic body for the systematic tests consisted of a cylindrical body with an ogive nose 3.0 calibers long for a total body length of 12.5 calibers A...Portance et stabilittd d’un Aiulege (ogies / iei 4 cylindre ) A N - 2.8. Compareison celcul "Euler" eec 1 d~~w~~hR~~t -- x~ine CALCUL -EULERV OPUP...toujours repr~sentatifs de Ia r~alit6. Compte tenu des pr~cisions recher- ch~es, lea effets du montage, d’un jet propulsif, du nombre de Reynolds, ou de

  7. Word Frequency Analysis. MOS: 91S. Skill Levels 1 & 2.

    DTIC Science & Technology

    1981-05-01

    cZsGuIsr I Cl!5(S I Ol;..tCC. rB j!5PL&YCD I C Il ’S ’L I tIsFoSE I ’ Ln I TI f1 4 DlS.KJPT IVb I DIS:’ LVING 12 C!ST3KNCF I DIST!JCTIVE 2 Ul ST NU...41 V H 7 󈧐 WHICtH 4’ COWi3I ICENS 41 ST04DAftDS I, , - i 39 𔃻.GALZ INE 35 H 14 ;KI QfFcENCI S * 19 D.- 37 GWt j.. NE 37 CUr ?5 ’RAINING 34 GRID 34

  8. A Trapped Mercury 199 Ion Frequency Standard

    DTIC Science & Technology

    1981-12-01

    ing resul t t h a t could possibly be explained by a for tu i t ious cancel la t ion of t w o e f f ec t s : t h e second order doppler...h a t t h e helium cooling is e f f ec t ive . O the r e f f e c t s of t he helium include nar rower l ines and a la rger s ignal indicat...Desaintfuscien, K. Barjllet, J . Viennet, P. Pet i t , and C. Audoin, Appl. Phys. 24, 107 (1981). 4. R, Ifflaender and G. Werth; Metrologia 13, 167 (1977

  9. Neutron diffraction measurements on a reference metallic sample with a high-efficiency GEM side-on 10B-based thermal neutron detector

    NASA Astrophysics Data System (ADS)

    Pietropaolo, A.; Claps, G.; Fedrigo, A.; Grazzi, F.; Höglund, C.; Murtas, F.; Scherillo, A.; Schmidt, S.; Schooneveld, E. M.

    2018-03-01

    The upgraded version of the GEM side-on thermal neutron detector was successfully tested in a neutron diffraction experiment on a reference sample using the INES diffractometer at the ISIS spallation neutron source, UK. The performance of the new 10B4C-based detector is compared to that of a standard 3He tube, operating at the instrument as a part of the detectors assembly. The results show that the upgraded detector has a better resolution and an efficiency of the same order of magnitude of a 3He-based detector.

  10. National Dam Inspection Program. Perch Pond Dam (NDI ID Number PA-00135, DER ID Number 64-23), Delaware River Basin, Branch of Shehawken Creek, Wayne County, Pennsylvania. Phase I Inspection Report

    DTIC Science & Technology

    1981-08-01

    40L . 3 00 0. CLL LU W Ali CD 4* 41 z mc Ic -f-Q) EU; 14.) *U C jj o CA oU EPU 0 . to0 4 .) zO c06 -eN - 0 Cjuj c z *I.) M K L CUOLJ 4.) z4.) L U5 Z...a rusiword. miti.ogn to #livekommoem, not proved. SCatskill Formationl~kc/k 1 i.E Ifa brosominsh shalom End send- S ines: "nl,les mie. End vr .is

  11. Physics of High-Altitude Nuclear Burst Effects

    DTIC Science & Technology

    1977-12-01

    W., The Representation, Estimation and Design of Radar Signals, General Research Corp., TM -69 AD 822609L May, 1967. 1-17. Berkowitz, R. S. (ed...lerix l l e? ’.twevl Cle~tIVIiij 1! :111ut p l Ili .11)d it I S J)IOJj󈧅t ioII;I lo~ ~ ~ IIito.ciili yll~ tm dcnote, thle %ibrotional pu 1,t o01 tll...y( :IL’s’:o tao tm "::,,-l.,r\\ ," I "’ Oit tt -- S --Of6. I i l*.’l-Y is s.,2cial i zed to the case of motion alonig a streami1 ine The grA ert

  12. [Prevalence of Echinococcus granulosus determined with polymerase chain reaction in dogs in Aydın district].

    PubMed

    Kuru, Buket Boğa; Aypak, Süleyman; Aysul, Nuran

    2013-01-01

    In this study, it was aimed to determine the prevalence of E. granulosus in the Aydın district. Clean and fresh faeces samples were collected off the ground from owned dogs (n=100; 25 female, 75 male) with the range of 6-16 months old. These faeces samples were obtained in 13 villages from five different locations (Centre, Söke, Çine, Bozdoğan and Kuyucak) of the Aydın district. The prevalence of E. granulosus was investigated with PCR and prior to applications of molecular techniques, faeces samples were investigated with macroscopic and floatation methods E. granulosus was determined in only one dog (1%; 1/100) and Toxocara canis (11%), Ancylostoma caninum (%3), Taenia spp. (2%) and Capillaria spp. (1%) eggs were also identified. Current prevalence (1%) of E. granulosus in this study is lower than the other studies conducted in different parts of Turkey. Determination of E. granulosus with PCR in faeces without determining any parasites with either macroscopic or microscopic examinations could indicate the potential risk of dog faeces for animal owners, veterinarians and parasitology laboratory technicians.

  13. Development of consistent hazard controls for DOE transuranic waste operations

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

    Woody, W.J.

    2007-07-01

    This paper describes the results of a re-engineering initiative undertaken with the Department of Energy's (DOE) Office of Environmental Management (EM) in order to standardize hazard analysis assumptions and methods and resulting safety controls applied to multiple transuranic (TRU) waste operations located across the United States. A wide range of safety controls are historically applied to transuranic waste operations, in spite of the fact that these operations have similar operational characteristics and hazard/accident potential. The re-engineering effort supported the development of a DOE technical standard with specific safety controls designated for accidents postulated during waste container retrieval, staging/storage, venting, onsitemore » movements, and characterization activities. Controls cover preventive and mitigative measures; include both hardware and specific administrative controls; and provide protection to the facility worker, onsite co-located workers and the general public located outside of facility boundaries. The Standard development involved participation from all major DOE sites conducting TRU waste operations. Both safety analysts and operations personnel contributed to the re-engineering effort. Acknowledgment is given in particular to the following individuals who formed a core working group: Brenda Hawks, (DOE Oak Ridge Office), Patrice McEahern (CWI-Idaho), Jofu Mishima (Consultant), Louis Restrepo (Omicron), Jay Mullis (DOE-ORO), Mike Hitchler (WSMS), John Menna (WSMS), Jackie East (WSMS), Terry Foppe (CTAC), Carla Mewhinney (WIPP-SNL), Stephie Jennings (WIPP-LANL), Michael Mikolanis (DOESRS), Kraig Wendt (BBWI-Idaho), Lee Roberts (Fluor Hanford), and Jim Blankenhorn (WSRC). Additional acknowledgment is given to Dae Chung (EM) and Ines Triay (EM) for leadership and management of the re-engineering effort. (authors)« less

  14. Development of Retardation and Automatic Flotation System (R.A.F.T.)

    DTIC Science & Technology

    1980-07-07

    recovery search Category I Hazard -i ’tationE is necessary. Detailed assembly operations inhibited. Classification eck list must be implemented...VW.KIDD=E CYL.NDER.A AH2)SPRcDS 6IEE AH4 I -86 54 3 2 ECK SIR DESO!fr4VA mr= . . z -i * - = Ik r 075 i AITZ~~ R__ roARK:8 .L,,I CE AI FITTSKE Ew Eb~I A \\t...INER VOWE5 .-...... U-...... 13 1 N5ERT DOWEL F~~INE, FLUSH WITH To FITM1 SET3t INER DWE 6I LSHWT 5 REVISIONS Eck SYM DESCR-PtM DT AO A EAEL..Y RELE-A

  15. Polymorphisme de l'apolipoprotéine E dans la population du nord du Maroc: fréquence et influence sur les paramètres lipidiques

    PubMed Central

    Benyahya, Fatiha; Barakat, Amina; Ghailani, Naima; Bennani, Mohcine

    2013-01-01

    Introduction L'objectif de ce travail est de déterminer les fréquences alléliques et génotypiques des sites polymorphes situés dans le gène de l'apolipoprotéine E (apo E) ainsi que leur impact sur les paramètres cliniques et lipidiques dans un échantillon de la population du nord du Maroc cliniquement diagnostiqué ADH. Méthodes Le génotype de l'apo E a été analysé par séquençage direct chez 46 patients cliniquement diagnostiqués ADH selon les critères standards. Résultats Les fréquences des allèles epsilon 3, epsilon 2 et epsilon 4 ont été respectivement 78.3%, 2.2% et 19.6%. La fréquence de l'allèle epsilon 4 est très élevée chez la population du nord du Maroc en comparaison avec les populations des autres régions marocaines. Elle est similaire à celle rapportée dans les pays de l'Europe du nord. Les taux du cholestérol total, du cholestérol LDL ainsi que la présence des xanthomes et les maladies cardiovasculaires ne différent pas entre les génotypes de l'apoE. En revanche, les résultats ont montré une influence de l'allèle epsilon4 sur le taux des triglycérides chez les sujets obèses. Conclusion Le génotype de l'apoE ne peut expliquer le phénotype clinique et biochimique présenté par des patients du Nord du Maroc cliniquement diagnostiqués ADH. PMID:24396563

  16. Of Disasters and Dragon Kings: A Statistical Analysis of Nuclear Power Incidents and Accidents.

    PubMed

    Wheatley, Spencer; Sovacool, Benjamin; Sornette, Didier

    2017-01-01

    We perform a statistical study of risk in nuclear energy systems. This study provides and analyzes a data set that is twice the size of the previous best data set on nuclear incidents and accidents, comparing three measures of severity: the industry standard International Nuclear Event Scale, the Nuclear Accident Magnitude Scale of radiation release, and cost in U.S. dollars. The rate of nuclear accidents with cost above 20 MM 2013 USD, per reactor per year, has decreased from the 1970s until the present time. Along the way, the rate dropped significantly after Chernobyl (April 1986) and is expected to be roughly stable around a level of 0.003, suggesting an average of just over one event per year across the current global fleet. The distribution of costs appears to have changed following the Three Mile Island major accident (March 1979). The median cost became approximately 3.5 times smaller, but an extremely heavy tail emerged, being well described by a Pareto distribution with parameter α = 0.5-0.6. For instance, the cost of the two largest events, Chernobyl and Fukushima (March 2011), is equal to nearly five times the sum of the 173 other events. We also document a significant runaway disaster regime in both radiation release and cost data, which we associate with the "dragon-king" phenomenon. Since the major accident at Fukushima (March 2011) occurred recently, we are unable to quantify an impact of the industry response to this disaster. Excluding such improvements, in terms of costs, our range of models suggests that there is presently a 50% chance that (i) a Fukushima event (or larger) occurs every 60-150 years, and (ii) that a Three Mile Island event (or larger) occurs every 10-20 years. Further-even assuming that it is no longer possible to suffer an event more costly than Chernobyl or Fukushima-the expected annual cost and its standard error bracket the cost of a new plant. This highlights the importance of improvements not only immediately following Fukushima, but also deeper improvements to effectively exclude the possibility of "dragon-king" disasters. Finally, we find that the International Nuclear Event Scale (INES) is inconsistent in terms of both cost and radiation released. To be consistent with cost data, the Chernobyl and Fukushima disasters would need to have between an INES level of 10 and 11, rather than the maximum of 7. © 2016 The Authors Risk Analysis published by Wiley Periodicals, Inc. on behalf of Society for Risk Analysis.

  17. Wind-Tunnel Tests of Air Inlet and Outlet Openings on a Streamline Body

    DTIC Science & Technology

    1940-11-01

    e. , ko :3,%me 9_s +h.o stat- e -orossu_re of _’ ._c%_rn:zl "".: ._ ,_.ac o ,., zio;7 in the vicinit?r of the 0ooni_=.o _._., _.c.di _’:,._.......] ch...m!ine b,-’,,.d’_; were carr’.ed to 4:50 nJ.!es _qer Ko -Qr. ’_he t __%_ O? %x.:(" 0. .... __ _S were gtu o_:. ,-r:: oil _ _r miles per b.c_ro Th:’s...8217c,.’_u41:L:’zc; bo a’_ dis- - trib_._tion,, 0_0..-.,:.5_ ts.e :.7o:_’.:r,_:,r& . ........ :-or of ’ sko >qd::" zo r_orc- _’_C;.,’_.D0C]’"̂ .. _3

  18. Statistical Reproducibility of the Dynamic and Static Fatigue Experiments.

    DTIC Science & Technology

    1980-10-01

    82171a no 3 a s d e te rm-,I n ed7 from t Ynamic ’ra-,4-e 2x oe r imen. Figure 2. T-he c oeffic 4e nt o - v arari an ( C . o f .4eib L’ sIatce --ar a-:e...e rc lecnnique to aeterr-ine zne v~iidit of the assumptions. - .2 Static Fatioue Static -aticue tests entai- , the reDeatec measuremen- c - azure ...ress -ance ncreased, anc- tec.-ease: zs n :El ~ c a -amet: -7 4creas2c. -o r a ze sac, nC~e 3Es3 ra-.<e ~ D 3 s ar, c a s n amD-e , s e : ) rrc uCb c 0

  19. National Dam Safety Program. English Road Detention Facility Dam (Inventory Number NY 996), Lake Ontario Basin, New York. Phase I Inspection Report,

    DTIC Science & Technology

    1981-06-30

    ASSOCIATES S1466TIDO CKD DATE SUJECT SUS-SWGGT NO. OWNER PROJECT N"M 4 4 c L~c j~a~ L,1L l ~~ti .4 J 3𔄀’A A’~ O,, Vrf ~ 7%& /4 -MI 4 P <L- ,4e/ P" 0’vc 3...sand. 13’O" 7 VeryI derse brown wet lite i to .ine sand, traceI5 22 g2 4 Z 𔃻 1 18-𔃺"-1610" of silt.’ 18 h.8 6 , ,-81 S" 9 6𔃺"-8𔃺" t 7 17,6 1 20 12

  20. Phases of unstable conifolds

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

    Narayan, K.

    2007-03-15

    We explore the phase structure induced by closed string tachyon condensation of toric nonsupersymmetric conifold-like singularities described by an integral charge matrix Q=(n{sub 1}n{sub 2}-n{sub 3}-n{sub 4}), n{sub i}>0, iQ{sub i}{ne}0, initiated by Narayan [J. High Energy Phys. 03 (2006) 036]. Using gauged linear sigma model renormalization group flows and toric geometry techniques, we see a cascadelike phase structure containing decays to lower order conifold-like singularities, including, in particular, the supersymmetric conifold and the Y{sup pq} spaces. This structure is consistent with the Type II GSO projection obtained previously for these singularities. Transitions between the various phases of these geometriesmore » include flips and flops.« less

  1. A Method of Characteristics Computer Program for Three-Dimensional Supersonic Internal Flows

    DTIC Science & Technology

    1979-01-01

    t s a r e i n good a g r e e m e n t w i t h t h e r e s u l t s f r o m a w e l l - e s t a b l i s h e d c o m p u t e r p r o g r a m...of the Lockheed axlsymmetrlc MOC computer program (Ref. 6) which Is well verified and widely used. The results from the two programs are in good ...F ( INE IGHoEOe 2) RETURN 99 CON’f |NUE VlR[ TE( 61 7) STOP END CALL RNEXG CALL REAONE 54 AEDC-TR-78-68 21 SUSROUTI NE NEIGH

  2. Turbine Engine Variable Cycle Selection Program Summary.

    DTIC Science & Technology

    1977-04-01

    en Dee. Entered) 1 , ~~~~~~~~ DOCUMENTATION PAGE BEFORE COMPLETING F 4~ 4 I. ~~~~~~~~~~~~~~~~~~~~~ 2 . GOVT ACCESSION NO. 3- ~$ 1 .~~IENT ’S CATALOG...CONT ENTS SECTION PAGE 1 . INTRODUCTION 1 2 . PROGRAM APPROACH 2 3. FIGHTER ENGINE/AIRFRAME EVALUATION PROCEDURE 8 3.1 Input 9 3.2 Computation 9 3.3...Range of !‘:!~ nme t ric Mission ~)ash V a 1 ~1es 7 28 T5 ar a ~n ct r ic Eng ine C’ 1 — L r a c t o r i s t i c s 28 2 9 Thrust Lapse Comparisons 2

  3. Dietary choline requirement of juvenile hybrid striped bass.

    PubMed

    Griffin, M E; Wilson, K A; White, M R; Brown, P B

    1994-09-01

    Two experiments were conducted to estimate the dietary choline requirement and to determine the effects of dietary choline on liver lipid deposition in juvenile hybrid striped bass (Monrone saxatilis x M. chrysops). Experimental diets contained 0.73 g total sulfur amino acids/100 g diet (0.47 g methionine + 0.26 g cyst(e)ine/100 g diet), thus meeting, but not exceeding, the requirement. Graded levels of choline bitartrate in Experiment 1 and choline chloride in Experiment 2 were added to the basal diet, resulting in eight dietary treatments in each experiment. Dietary treatments were 0, 250, 500, 1000, 2000, 4000, 6000 and 8000 mg choline/kg dry diet. Diets were fed for 12 and 10 wk in Experiments 1 and 2, respectively. Dietary choline concentrations significantly affected weight gain, feed efficiency, survival and total liver lipid concentrations in each experiment. Weight gain and feed efficiency were greatest in fish fed 500 mg choline/kg dry diet as choline bitartrate. Total liver lipid concentrations were variable but tended to be lowest in fish fed diets containing at least 2000 mg choline/kg diet. Survival was significantly lower in the group of fish fed 8000 mg choline/kg diet supplied by choline bitartrate. Weight gain and feed efficiency were greatest and total liver lipid concentration was lowest in groups of fish fed at least 500 mg choline/kg diet as choline chloride; survival was unaffected by dietary treatment. Therefore, choline chloride seems to be a better source of dietary choline than choline bitartrate and 500 mg choline/kg diet is adequate for maximum weight gain and prevention of increased liver lipid concentration in juvenile hybrid striped bass.

  4. Medical Data Architecture Capabilities and Design

    NASA Technical Reports Server (NTRS)

    Middour, C.; Krihak, M.; Lindsey, A.; Marker, N.; Wolfe, S.; Winther, S.; Ronzano, K.; Bolles, D.; Toscano, W.; Shaw, T.

    2017-01-01

    Mission constraints will challenge the delivery of medical care on a long-term, deep space explorationmission. This type of mission will be restricted in the availability of medical knowledge, skills, procedures and resourcesto prevent, diagnose, and treat in-flight medical events. Challenges to providing medical care are anticipated, includingresource and resupply constraints, delayed communications and no ability for medical evacuation. The Medical DataArchitecture (MDA) project will enable medical care capability in this constrained environment.The first version of thesystem, called Test Bed 1, includes capabilities for automated data collection, data storage and data retrieval to provideinformation to the Crew Medical Officer (CMO). Test Bed 1 seeks to establish a data architecture foundation and developa scalable data management system through modular design and standardized interfaces. In addition, it will demonstrateto stakeholders the potential for an improved, automated, flow of data to and from the medical system over the currentmethods employed on the International Space Station (ISS). It integrates a set of external devices, software andprocesses, and a Subjective, Objective, Assessment, and Plan (SOAP) note commonly used by clinicians. Medical datalike electrocardiogram plots, heart rate, skin temperature, respiration rate, medications taken, and more are collectedfrom devices and stored in the Electronic Medical Records (EMR) system, and reported to crew and clinician. Devicesintegrated include the Astroskin biosensor vest and IMED CARDIAX electrocardiogram (ECG) device with INEED MDECG Glove, and the NASA-developed Medical Dose Tracker application.The system is designed to be operated as astandalone system, and can be deployed in a variety of environments, from a laptop to a data center. The system isprimarily composed of open-source software tools, and is designed to be modular, so new capabilities can be added. Thesoftware components and integration methods will be discussed.

  5. Reconstructing climate variability using tree rings and glacier fluctuations in the southern Chilean Andes

    NASA Astrophysics Data System (ADS)

    Aravena, Juan-Carlos

    This thesis investigates climate variability in southern South America (south of 40°S) during the last 400 years using instrumental data, tree rings and glacier fluctuations. The dominant spatial and temporal patterns of a network of 25 homogeneous instrumental rainfall records were analyzed and used to define four regional precipitation series (1950-2000): northwestern Patagonia, central Patagonia, Patagonian plains-Atlantic, and southern Patagonia. Time series analysis of these regional patterns shows marked decadal variability for northwestern and central Patagonia, 3-7 year oscillations for Patagonian plains-Atlantic region, and a strong biannual oscillatory mode for southern Patagonia. Regional rainfall appears to be strongly influenced by Antarctic circulation modes (Antarctic Oscillation Index) while the ENSO influence on rainfall variability is less evident. Highly significant correlation of precipitation on the west coast of Patagonia with the pressure gradient between the subtropical eastern Pacific and the high-latitude south eastern Pacific is confirmed. A new network of 18 tree-ring chronologies from Pilgerodendron uviferum, an endemic conifer, was developed from sites along the western flank of the southern Andes. Highly significant series inter-correlation values ranged between 0.44 and 0.629 while mean sensitivity values ranged between 0.186 and 0.252. The series have relatively few missing rings (0.77-0.12% in individual chronologies). The oldest Pilgerodendron sampled to date was 859 years old while the chronology length ranged between 239 and 633 years. Ring-width series are correlated with precipitation but there were difficulties developing strong precipitation/ring-width relationships for individual stations/sites. However, two regional rainfall reconstructions were developed based on the inverse correlation between Pilgerodendron radial growth and the precipitation of northwestern and southern Patagonia. The reconstruction for spring-early summer in northwestern Patagonia extends from AD 1600 to 2002, and only explains 14% of the variance in the instrumental record. The southern Patagonia summer-autumn precipitation reconstruction (1600 to 2000) explains 40% of the total variance. Both reconstructed series show oscillatory modes for periodicities between 2 and 4 years and between 20 and 40 years. Droughts recognized in the reconstructed northwestern Patagonia precipitation series coincide with several other precipitation reconstructions of south-central Chile and Argentina over the last 400 years. "Little Ice Age" glacier fluctuations were examined at Mount San Lorenzo (47°30'S) and Santa Ines Island (53°45'S) in southern Chile using dendroglaciologic, geomorphic and historical (documentary, photographic) evidence. At Mount San Lorenzo the glacial advances occurred between 1600 and the late 1800s-early 1900s. At Santa Ines Island, the oldest glacial advance is dated ca. AD 1675 at Alejandro Glacier. Minimum age estimates ca. AD 1758, 1840-45 and 1895-1910 are common to Alejandro and Beatriz glaciers suggesting synchronous glacial activity. Glaciers have been receding at both sites during the last half of the 20th century. Radiocarbon dates from peat at Beatriz Glacier on Santa Ines Island indicate that the seventeenth century advance was the most extensive in the last 5,300 years in this area. Comparison between these glacier histories and climatic reconstructions for the last 400 years shows that glaciers from both study areas respond to a combination of temperature and precipitation. Future work involving a multi-criteria approach to date these moraines should include examination of soils, volcanic tephras and lake deposits within moraines, together with other dating tools to improve the dating control of the glacier histories. Keywords. Precipitation, homogeneity analysis, atmospheric circulation, Pilgerodendron uviferum, tree rings, time series analysis, climate variability, Southern South America, glaciers, dendroglaciology, Little Ice Age.

  6. Assessment of fatigue load alleviation potential through blade trailing edge morphing

    NASA Astrophysics Data System (ADS)

    Tsiantas, Theofanis; Manolas, Dimitris I.; Machairas, Theodore; Karakalas, Anargyros; Riziotis, Vasilis A.; Saravanos, Dimitrios; Voutsinas, Spyros G.

    2016-09-01

    The possibility of alleviating wind turbine loads through blade trailing edge shape morphing is investigated in the present paper. Emphasis is put on analyzing the effect of the trailing edge flap geometry on load reduction levels. The choice of the shape deformation of the camber line as well as the chordwise and spanwise dimensions of the trailing edge flap are addressed. The analysis concerns the conceptual DTU 10 MW RWT. Aeroelastic control of loads is materialized through a standard individual flap controller. Furthermore, a comb ined individual pitch-flap controller is evaluated and found to present advantages compared to the flap only controller. Flapwise fatigue load reduction ranging from 10% to 20%, depending on wind velocity and configuration considered, is obtained. Better performance is achieved by the combined pitch-flap controller.

  7. Image-Based Approach to Mapping, Charting, and Geodesy.

    DTIC Science & Technology

    1982-02-01

    he..( reit- , st the .S Armyv I-npi ner Topographic Laboratories-, hll. Pi."ht inltete;(d inl de term ining the taipabil1i t ic e s nd 8 raotlhacho_...a.ve-ttor- bas-ed tipo I pi calIlIv t i l t ill-( I C I S) I (,r PiPC t; al p I( I i lt i ll (S fai-p i(%’ c t alI . , 1978’) , tr I F :TI, rt it I.,r...rt is to pr i de f 𔃻i : i t i t t he r in I ts of () Po r sei relit inidiui tic-d a t ,IllP. i n dir - ut t \\ Ii lisP Ordr l-P!U, Anit-odment Noe. 125

  8. Air Force Boom Event Analyzer Recorder (BEAR): Comparison with NASA Boom Measurement System

    DTIC Science & Technology

    1988-07-01

    Hemisphere Foam ined stee e ’/ To BEAR. V ib rat ionSeaainDsnc Isolated Nylon m icohn older 3/8ŕ - 18 Diameter Painted Steel Plate Figure 9. AAMRL...d3 0nw Fiur 2. 0 SFBom petrm omarso 38w 0 0- 0 In- WW LL. 0 In 0 to 0 to 0 to 0 to 0 N\\ N - - 0 0 m M OD D (M8 ZHII (SP) -13A3-1 vvnflNL33S 38flsOdX3...ONflos Figure 27. 8 PSF Clean Boom Spectrum Comparison 39 0 0)0LZO (0 < -r- a- U I 0 IL) zw _0 U.) (M1 to) 0 Ito 0 to) 0 to 0 to) 0 N~ N - 0 0 M ) CD O

  9. Interannual Variation of Sea Level in the South Atlantic Based on Satellite Altimetry

    NASA Astrophysics Data System (ADS)

    Grodsky, S. A.; Carton, J. A.

    2006-07-01

    13 years of altimeter month ly sea level ar e used to explore interannual variability of the South Atlantic. The strongest v ariability outside the eastern and western boundaries is conf ined to a relatively narrow zonally oriented band b etw een 35°S and 25°S, the Agulhas eddy corridor. On th eir way across th e South Atlantic th e Agulh as eddies g ain energy on the southern flank of the eddy corridor via baro tropic conversions by deceler ating the South Atlan tic Curren t. On interannual time scales the sea level in the corridor fluctu ates out of phase in the w est and east r evealing noticeab le v ariations of 10 cm amp litude at 4 to 5 year periods.

  10. CT dose equilibration and energy absorption in polyethylene cylinders with diameters from 6 to 55 cm

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

    Li, Xinhua; Zhang, Da; Liu, Bob, E-mail: bliu7@mgh.harvard.edu

    2015-06-15

    Purpose: ICRU Report No. 87 Committee and AAPM Task Group 200 designed a three-sectional polyethylene phantom of 30 cm in diameter and 60 cm in length for evaluating the midpoint dose D{sub L}(0) and its rise-to-the-equilibrium curve H(L) = D{sub L}(0)/D{sub eq} from computed tomography (CT) scanning, where D{sub eq} is the equilibrium dose. To aid the use of the phantom in radiation dose assessment and to gain an understanding of dose equilibration and energy absorption in polyethylene, the authors evaluated the short (20 cm) to long (60 cm) phantom dose ratio with a polyethylene diameter of 30 cm, assessedmore » H(L) in polyethylene cylinders of 6–55 cm in diameters, and examined energy absorption in these cylinders. Methods: A GEANT4-based Monte Carlo program was used to simulate the single axial scans of polyethylene cylinders (diameters 6–55 cm and length 90 cm, as well as diameter 30 cm and lengths 20 and 60 cm) on a clinical CT scanner (Somatom Definition dual source CT, Siemens Healthcare). Axial dose distributions were computed on the phantom central and peripheral axes. An average dose over the central 23 or 100 mm region was evaluated for modeling dose measurement using a 0.6 cm{sup 3} thimble chamber or a 10 cm long pencil ion chamber, respectively. The short (20 cm) to long (90 cm) phantom dose ratios were calculated for the 30 cm diameter polyethylene phantoms scanned at four tube voltages (80–140 kV) and a range of beam apertures (1–25 cm). H(L) was evaluated using the dose integrals computed with the 90 cm long phantoms. The resultant H(L) data were subsequently used to compute the fraction of the total energy absorbed inside or outside the scan range (E{sub in}/E or E{sub out}/E) on the phantom central and peripheral axes, where E = LD{sub eq} was the total energy absorbed along the z axis. Results: The midpoint dose in the 60 cm long polyethylene phantom was equal to that in the 90 cm long polyethylene phantom. The short-to-long phantom dose ratios changed with beam aperture and phantom axis but were insensitive to tube voltage. H(L) was insensitive to tube voltage and CT scanner model. As phantom diameter increased from 6 to 55 cm, E{sub in}/E generally decreased but asymptotically approached constant levels on the peripheral axes of large phantoms. The curve of E{sub in}/E versus scan length was almost identical to that of H(L). Similarly, E{sub out}/E increased with scan length and asymptotically approached the equilibrium for large scan lengths. E{sub out}/D{sub eq} was much less than the equilibrium length L{sub eq} where H(L) = 0.98, even with scan lengths much larger than L{sub eq}. Conclusions: The polyethylene phantom designed by ICRU Report No. 87 Committee and AAPM Task Group 200 is adequately long for assessing the midpoint dose and its equilibration in CT scanning. The short-to-long phantom dose ratios and the H(L) data provided in this paper allow easy evaluations of the midpoint dose, longitudinal dose distribution, and energy absorption in polyethylene phantoms. The results of dose equilibration and energy absorption presented herein may be insightful for the clinical CT scans with various subject sizes and scan lengths.« less

  11. High-temperature long-lasting stability assessment of a single-crystal diamond detector under high-flux neutron irradiation

    NASA Astrophysics Data System (ADS)

    Pilotti, R.; Angelone, M.; Marinelli, M.; Milani, E.; Verona-Rinati, G.; Verona, C.; Prestopino, G.; Montereali, R. M.; Vincenti, M. A.; Schooneveld, E. M.; Scherillo, A.; Pietropaolo, A.

    2016-11-01

    An innovative diamond detector layout is presented that is designed to operate at high temperature under intense neutron and gamma fluxes. It is made of a 500 μm “electronic grade” diamond film with 100 nm thick Ag metal contacts deposited onto each surface of the film by means of thermal evaporation. A 2 μ \\text{m} thick layer of 6LiF has been deposited on top of one of the two Ag contacts to make the detector sensitive to thermal neutrons. The device was tested at the ISIS spallation neutron source (Rutherford Appleton Laboratory, UK) using the INES beam line. The detector was continuously irradiated for 100 hours in vacuum (p = 10-5 \\text{mbar}) , exposed to a neutron flux of about 106 n cm-2 s-1 at a temperature T =150 ^\\circ \\text{C} . The aim of this experiment was to study the time dependence of the diamond detector performance while operating at high temperature under irradiation, providing a first experimental proof of reliable continuous operation for 100 hours at high temperature in a harsh environment.

  12. C-reactive protein level as a possible predictor for early postoperative ileus following elective surgery for colorectal cancer.

    PubMed

    Fujii, Takaaki; Sutoh, Toshinaga; Kigure, Wakako; Morita, Hiroki; Katoh, Toshihide; Yajima, Reina; Tsutsumi, Soichi; Asao, Takayuki; Kuwano, Hiroyuki

    2015-01-01

    Inflammatory reactions are par- tially responsible for postoperative ileus (POI). Serum C-reactive protein (CRP) is an acknowledged marker of inflammation. In this study the CRP response with respect to POI in elective colorectal surgery was exam- ined to define the role of serum CRP as an early predic- tor of POI. Three hundred eighty-three patients who underwent elective colorectal resection were identified for inclusion in this study. We defined early POI as that occurring within 30 days following the surgery. Thirty-five patients with POI were com- pared to a subgroup of 348 patients with an unevent- ful postoperative course, and the correlation between postoperative serum CRP levels and POI in colorectal surgery was investigated. In the univariate analysis, length of operation, surgical blood loss, and serum CRP were factors significantly associated with POI following colorectal surgery; however, these fac- tors lost their significance on multivariate analysis. Our results suggest that an increase in CRP levels alone is not a predictor for POI following surgery for colorectal surgery. Although inflammatory responses are known to contribute to the ileus, ad- ditional study is required to identify risk factors that would be more useful for prediction of POI.

  13. Refractory Materials for Flame Deflector Protection System Corrosion Control: Similar Industries and/or Launch Facilities Survey

    NASA Technical Reports Server (NTRS)

    Calle, Luz Marina; Hintze, Paul E.; Parlier, Christopher R.; Coffman, Brekke E.; Sampson, Jeffrey W.; Kolody, Mark R.; Curran, Jerome P.; Perusich, Stephen A.; Trejo, David; Whitten, Mary C.; hide

    2009-01-01

    A trade study and litera ture survey of refractory materials (fi rebrick. refractory concrete. and si licone and epoxy ablatives) were conducted to identify candidate replacement materials for Launch Complexes 39A and 398 at Kennedy Space Center (KSC). In addition, site vis its and in terviews with industry expens and vendors of refractory materials were conducted. As a result of the si te visits and interviews, several products were identified for launch applications. Firebrick is costly to procure and install and was not used in the si tes studied. Refractory concrete is gunnable. adheres well. and costs less 10 install. Martyte. a ceramic fi lled epoxy. can protect structural stccl but is costly. difficullto apply. and incompatible with silicone ablatives. Havanex, a phenolic ablative material, is easy to apply but is costly and requires frequent replacement. Silicone ablatives are ineJ[pensive, easy to apply. and perl'onn well outside of direct rocket impingement areas. but refractory concrete and epoxy ablatives provide better protection against direcl rocket exhaust. None of the prodUCIS in this trade study can be considered a panacea for these KSC launch complexes. but the refractory products. individually or in combination, may be considered for use provided the appropriate testing requirements and specifications are met.

  14. The National Shipbuilding Research Program. REAPS 5th Annual Technical Symposium Proceedings. Proceedings of the REAPS Technical Symposium (5th) Held in St. Louis, Missouri in June 27-28, 1978

    DTIC Science & Technology

    1978-06-01

    computer systems is their continual i n c o r p o r a t i o n o f a d d i t i o n a l f u n c t i o n s . Figure 2 represents this... o u t t h i s , on ly pa r t i a l ad hoc so lu t ions can be found. ( R e f e r e n c e 8 )- 4 3 WORLIMIDE SHIPBUILDING COMPUTER SYSTEMS ARE...and which i s ine f f i c i en t to support manually. Before in tegra t ion , th i s da ta f low requ i res manua l ( o r pe rhaps

  15. Non-traditional platinum compounds for improved accumulation, oral bioavailability, and tumor targeting.

    PubMed

    Lovejoy, Katherine S; Lippard, Stephen J

    2009-12-28

    The five platinum anticancer compounds currently in clinical use conform to structure-activity relationships formulated (M. J. Cleare and J. D. Hoeschele, Bioinorg. Chem., 1973, 2, 187-210) shortly after the discovery that cis-diamminedichloroplatinum(II), cisplatin, has antitumor activity in mice. These compounds are neutral platinum(II) species with two am(m)ine ligands or one bidentate chelating diamine and two additional ligands that can be replaced by water through aquation reactions. The resulting cations ultimately form bifunctional adducts on DNA. Information about the chemistry of these platinum compounds and correlations of their structures with anticancer activity have provided guidance for the design of novel anticancer drug candidates based on the proposed mechanisms of action. This article discusses advances in the synthesis and evaluation of such non-traditional platinum compounds, including cationic and tumor-targeting constructs.

  16. Biogeochemical variability of plants at native and altered sites, San Juan Basin, New Mexico

    USGS Publications Warehouse

    Gough, L.P.; Severson, R.C.

    1981-01-01

    The San Juan Basin is becoming a major energy resource region. The anticipated increase in strip mining for coal can be expected to alter the geochemical and biogeochemical environment. because such activities destroy the native vegetation communities, rearrange the rock strata, and disrupt natural soil development. This study investigated the variability in the biogeochemistry of native plant species at both undisturbed and altered sites and assessed the importance of the observed differences. Three studies are involved in this investigation: Study 1, the biogeochemical variability of native species found at sites throughout that part of the basin underlain by economically recoverable coal; Study 2, the biogeochemical variability of native species growing on soils considered favorable for use in the topsoiling of spoil areas; and Study 3, the biogeochemical variability of native species on rehabilitated sites at the San Juan coal mine. Summary statistics for concentrations of 35 elements (and ash yield) are reported in Study 1 for galleta grass, broom snakeweed, and fourwing saltbush. The concentrations of manganese, molybdenum, nickel, and uranium (and possibly iron and selenium) in galleta show regional patterns, with the highest values generally found in the south-central region and western edge of the study area. Differences in the concentration of elements between species was generally subtle (less than a factor of two) except for the following: ash yield of saltbush was two times that of the other plants; boron in snakeweed and saltbush was four times greater than in galleta; iron in galleta was two times greater than in saltbush; and, calcium, magnesium, potassium, phosphorus, and sulfur were generally highest in saltbush. Summary statistics (including the 95-percent expected range) for concentrations of 35 elements (and ash yield) are reported from Study 2 for galleta and broom snakeweed growing on the Sheppard, Shiprock, and Doak soil association. Significant regional (greater than 10 km) variation for aluminum, iron, sulfur, vanadium, and zirconium in galleta are reported; however, for most elements, a significant proportion of the variation in the data was measured locally (less than 0.1 km). This variation indicates that samples of galleta and snakeweed taken more than 10 km apart vary, in their element composition, little more than plants sampled as close together as 0.1 km. The concentrations of 35 elements (and ash yield) in alkali sacaton and fourwing saltbush, which were collected on a rehabilitation plot at the San Juan mine (Study 3), are compared with those of control samples of similar material from native sites from throughout the ,an Juan Basin. Concentrations of aluminum, arsenic, boron, cobalt, copper, fluorine, iron, lead, manganese, sodium, and uranium in samples of saltbush growing over spoil generally exceed the levels of these elements in control samples. For many elements, concentrations in mine samples are from two to five times higher 1 han concentrations in the control samples. Sodium concentrations i saltbush, however, were 100 times higher in mine samples than in control samples. This high concentration reflects a corresponding : OO-fold increase in the extractable sodium levels in spoil material s compared to C-horizon control samples. Sampled plants from the l1ine area, spaced relatively close together (5 m (meters) or less), vary greatly in their element compositions, apparently in response 1 J the heterogenous composition and element availability of the l1ine soils. Topsoiling to a depth of 20 cm (centimeters) does little to meliorate the uptake of elements from spoil by saltbush.

  17. Cancer mortality trends in Spain: 1980-2007.

    PubMed

    Cabanes, A; Vidal, E; Aragonés, N; Pérez-Gómez, B; Pollán, M; Lope, V; López-Abente, G

    2010-05-01

    Since the 1990s, there has been a downturn in mortality for specific types of tumour in Spain and other European countries. This article reports on the current situation of cancer mortality in Spain, as well as mortality trends over the period 1980-2007, and provides an overview of cancer mortality trends in Europe in recent years. Data were sourced from the National Statistics Institute (Instituto Nacional de Estadística - INE) and the World Health Organization mortality database. Mortality trends were studied using change-point Poisson regression models. All-cancer mortality decreased in both sexes from 1980 to 2007, owing to the fact that the tumours responsible for the highest number of deaths registered declining trends from the mid-1990s onwards. In men, mortality due to stomach and prostate cancer fell by >3% per annum in the last 10 years of the study period. In women, the largest contributions to the fall in cancer mortality were due to breast and colorectal cancers. In contrast, female mortality due to smoking-related cancers rose significantly. Within the European context, Spain's estimated 2005 mortality rates were intermediate for men and low for women. Cancer control is progressing in the right direction in Spain. Further interventions directed to reduce tobacco-related cancer mortality remain a priority, particularly for women.

  18. Experimental Studies of Compact Toroidal Plasma on BCTX

    NASA Astrophysics Data System (ADS)

    Morse, Edward C.; Coomer, Eric D.; Hartman, Charles W.

    1998-11-01

    The Berkeley Compact Toroid Experiment (BCTX) is a spheromak-type magnetically confined fusion confinement experiment. The plasma is formed using a Marshall gun and injected into a 70 cm diameter copper flux conserver. The BCTX device has an RF heating sy stem which can deliver twenty megawatts of RF power for 100 μs pulse length. The RF system operates at 450 MHz, and energy is coupled into the plasma by lower hybrid waves. The purpose of the experiment is to assess the energy-confining capability of the spheromak plasma configuration by using the RF power as a heat pulse and determining the decay rate of the plasma temperature following the heat pulse. Electron temperatures up to 150 eV have been measured in BCTX using Thomson scattering. Core dens ities have been measured with the Raman-calibrated Thomson system in the 2 arrow 5 × 10^14 per cc range. Other diagnostics include magnetic probes, a laser interferometer electron density measurement, three UV spectrometers for impurity l ine radiation, and an ion Doppler temperature measurement. Some data will be presented which shows the effects of an axial pinch being present in the device, giving the device a nonzero q at the wall.

  19. Industrial lasers in Japan

    NASA Astrophysics Data System (ADS)

    Karube, Norio

    1991-03-01

    I am to report on some aspects of industrial lasers in Japan. Mostly centering on the market. In Japan, the history of laser developnent is rather profound. And long. Ever since the first invention of the laser in this country in 1960. This is partly because of the fact that in Japan the spectroscopic studies of the ruby was very popular in the late 1950's. Ever since niost of the work has been done in the research laboratories of the industry, not in the universities or not in the governmental laboratories. And since that time our first activity was mainly centering on the basic research, but after that time we have the evolution of the technology. One of the features in Japan is that the activity of developement and research of laser technology from the very basic phase up to the present commercialization has been done by the same group of people, including ine. We had a national project which ended about six years ago which was sponsored by MITI. MITI is Ministry of International Trade and Industry in Japan. And because of this national project, the effect of this project had a very enlightening effect in Japan. And after that our Japanese laser market became very flourishing.

  20. Health profiles in people with intellectual developmental disorders.

    PubMed

    Folch-Mas, Anabel; Cortés-Ruiz, María José; Vicens Calderón, Paloma; Martínez-Leal, Rafael

    2017-01-01

    To better understand the health profiles of people with intellectual disability (ID), focusing on the variables that are associated with a poorer health status. Data were collected from the Survey on Disability, Personal Autonomy and Dependency (EDAD 2008) of the Spanish National Statistics Institute (INE). The health data of 2840 subjects with IDD were analyzed in order to verify the impact of different variables on their health profiles. People with severe and profound levels of IDD presented a higher number of medical diagnoses. At residence centers there was a larger proportion of individuals with a higher prevalence of chronic diseases and more severe conditions; age also was an important factor. The health profiles of individuals with IDD differ depending on the severity level of their IDD and their degree of institutionalization. Further research is needed to provide better health care for people with IDD.

  1. Environmental Impact Statement for BOMARC Missile Site, McGuire AFB, New Jersey. Volume 2. Public Hearings, Comments, and Consultation Letters. Appendices 2-1 through 2-6

    DTIC Science & Technology

    1992-05-22

    mwwOr kh" I amb m . i COh NO oO*Mm WII Mdhssosm t eu Sm MONLd ispom. "INOW N awo o d td ,1 0 e sk owasomm do ya Cmis Me ThmtU .111Nw dosd ckwfy W4...9We sb bbD Pf - ue my. ai misyss m k -dm ad IRS vr b 1s man cmm ato blb, Wman sinrn as m Air Fam. IOW Vow W k" atss adh do asmm wEwie miad go mo a my...rteutes end energy(lea"se) hus " td thse draft g5 su ta l lePuot ttesnt fur thu SUMibsile ine. saftre Alt r#_u le. Ste Jersey. end ma he. 0440e atuu Ce% bo I

  2. Non-Toxic Orbital Maneuvering System Engine Development

    NASA Technical Reports Server (NTRS)

    Green, Christopher; Claflin, Scott; Maeding, Chris; Butas, John

    1999-01-01

    Recent results using the Aestus engine operated with LOx/ethanol propellant are presented. An experimental program at Rocketdyne Propulsion and Power is underway to adapt this engine for the Boeing Reusable Space Systems Division non-toxic Orbital Maneuvering System/Reaction control System (OMS/RCS) system. Daimler-Chrysler Aerospace designed the Aestus as an nitrogen tetroxide/monomethyl hydrazine (NTO/MMH) upper-stage engine for the Ariane 5. The non-toxic OMS/RCS system's preliminary design requires a LOx/ethanol (O2/C2H5OH) engine that operates with a mixture ratio of 1.8, a specific impulse of 323 seconds, and fits within the original OMS design envelope. This paper describes current efforts to meet these requirements including, investigating engine performance using LOx/ethanol, developing the en-ine system sizing package, and meeting the vehicle operation parameters. Data from hot-fire testing are also presented and discussed.

  3. Kingsley Field, Klamath Falls, Oregon. Revised Uniform Summary of Surface Weather Observations (RUSSWO)

    DTIC Science & Technology

    1980-07-16

    oil 21 107 2.21 1.1 11 6301 1 ( i jDEC :ss 12 . 6.51 65 So 3.7 34.4 620 jANNUAL’ 8’.14.~34 2.o 1.51 2.21. .- - - 4. -A 0SFEA -~.151 (011 A) PRvious...33 34•40 41 -47 48.55 5:56 % WIND OIL SPEED NNE 2.0 1. .5 92 5.5 6.6__, NE o@ 6 °1 . 2 5 7N" ., I .2 -5.0 l INE 1 , 1 ol .8 3.3 E N9 ,6 ._ 1.9 4.6USE...WEATH4ER ALL___ -0a1 --- IF IOU1.i___ __ ___r d 7. a’ .9 . ’ . I ~ _ _j 2 ~ S a . . 104S .~ i 3 0 ad box__ so_ ’~ a ___ 13 2.5 3 201 .s oi- a-~ oil _I I

  4. COSAGE (Concepts Analysis Agency’s Combat Sample Generator) Analysis and Design Report. Volume 1.

    DTIC Science & Technology

    1984-04-29

    CM. C4UT.TI ON 12 5..j FUNCTION m2-. WLr 12 j -1 ---VUTINE w-fA.NEPT 112 5 3 ; CUTINE CA S. =V3L 1 1 5- P JU T loE z- 4 L 0Y.L C T FR S 11 55 P;ICESS... CUTINE PLAT.COUNT 5 -7 1 1 OUT I N PROX.CHiEOK 5 * 14ROUTINE Sw IT CH FrO 5 Figu, .- Modules Ranked by Functional IF Tests Conti nued 3-30 -SCIENCE...2 ; CUTIN -" ...CR T=CT 231 ;OUTI- = Kv .Ir UT T 232 UuTIN.-- Mi 3s.I~d3UT , 2 3 Z Ru T iiM d:’ 3 N-l 2". OUT:N .44 1’ ,1 L3i R OUT INE %4 l Nk 0 (3o

  5. Nurses across borders: foregrounding international migration in nursing history.

    PubMed

    Choy, Catherine Ceniza

    2010-01-01

    Although the international migration of nurses has played a formative role in increasing the racial and ethnic diversity of the health care labor force, nursing historians have paid very little attention to the theme of international migration and the experiences of foreign-trained nurses, A focus on international migration complements two new approaches in nursing history: the agenda to internationalize its frameworks, and the call to move away from "great women, great events" and toward the experiences of "ordinary" nurses. This article undertakes a close reading of the life and work of Filipino American nurse Ines Cayaban to reconceptualize nursing biography in an international framework that is attentive to issues of migration, race, gender, and colonialism. It was a Hannah keynote lecture delivered by the author on June 5, 2008, as part of the CAHN/ACHN (Canadian Association for the History of Nursing/Association Canadienne pour l'Histoire du Nursing) International Nursing History Conference.

  6. Runoff, sediment and nutrient exports from a Portuguese vineyard under integrated production

    NASA Astrophysics Data System (ADS)

    Ferreira, Carla; Abrantes, Nelson; Santos, Leisly; Serpa, Dalila; Keizer, Jacob; Ferreira, António

    2017-04-01

    Vineyard is one of the most important fruit crops in the world, and particularly in Portugal, where it represents 27% of permanent crops (INE, 2011). It has an unquestionable impact on Portuguese economy, due to direct impacts on primary sector, since it embodies 49% of drink industry sales and it is the seventh vegetable product best quoted (INE, 2015), but also due to indirect impacts on tourism. Although the economical relevance of vineyards, crop sustainability may be endangered due to land degradation. In the Mediterranean region, vineyards are reported as being the land use with highest erosion rates, threatening the long-term agricultural sustainability (Biddoccu et al., 2016). Several research studies have investigated runoff and erosion processes on vineyards, but relatively few focused on nutrient losses. This study aims to (i) quantify surface runoff, sediment and nutrient losses in a Portuguese vineyard managed under integrated production; (ii) relate these losses with rainfall pattern; and (iii) discuss the sustainability of vineyards under integrated production. The study was carried out in a commercial vineyard framed in the specialized wine region of Bairrada, in North-Central Portugal. The vineyard was managed with minimum tillage (non-inversion), performed once per year in some plant rows (changing every year), in order to maintain partial vegetation cover. Fertilization, mostly foliar, is performed twice per year (between May and July), according with integrated production regulations. The climate is Mediterranean but with a significant influence of the Atlantic Ocean. The average annual rainfall is 1077 mm and the average annual temperature is 15.7°C. The soil is a Calcaric Cambisol, with clay texture, and gentle slopes (<10%). Six runoff plots were installed (78-122 m2) in September 2012. The plots were naturally bounded by a path on the top and by plant strips on the sides. At the bottom of each plot, a collector grid was buried and connected to a 80-L tank. Overland flow was periodically (once per week, depending on rainfall pattern) quantified and sampled for suspended sediment (TSS) quantification and dissolved nutrient analyses: total phosphorus (TP), total nitrogen (TN) and nitrates (N-NO3). The study was performed from October 2012 until September 2014. Over the two years period, plot runoff coefficient ranged from 10.7% to 18.3%, but between monitoring periods it reached 46.4 - 57.1% during winter storms. Suspended sediment exports recorded 3.5-8.1 ton/ha/year. Nutrient losses in overland flow reached 0.7 - 3.4 Kg TP/ha/year, 3.1 - 11.1 Kg TN/ha/year and 0.3 - 0.5 Kg N- NO3/ha/year. Great export of sediments and nutrients are largely performed under storms in wettest conditions. These results highlight the great susceptibility of this kind of crops to land degradation and diffuse pollution, even with management practices concerned to minimize the environmental impacts, such as the ones involved in integrated production. Improved agricultural practices are required to mitigate land degradation and ensure long term crop sustainability in vineyards.

  7. Medical Data Architecture Project Capabilities and Design

    NASA Technical Reports Server (NTRS)

    Middour, C.; Krihak, M.; Lindsey, A.; Marker, N.; Wolfe, S.; Winther, S.; Ronzano, K.; Bolles, D.; Toscano, W.; Shaw, T.

    2017-01-01

    Mission constraints will challenge the delivery of medical care on a long-term, deep space exploration mission. This type of mission will be restricted in the availability of medical knowledge, skills, procedures and resources to prevent, diagnose, and treat in-flight medical events. Challenges to providing medical care are anticipated, including resource and resupply constraints, delayed communications and no ability for medical evacuation. The Medical Data Architecture (MDA) project will enable medical care capability in this constrained environment. The first version of the system, called "Test Bed 1," includes capabilities for automated data collection, data storage and data retrieval to provide information to the Crew Medical Officer (CMO). Test Bed 1 seeks to establish a data architecture foundation and develop a scalable data management system through modular design and standardized interfaces. In addition, it will demonstrate to stakeholders the potential for an improved, automated, flow of data to and from the medical system over the current methods employed on the International Space Station (ISS). It integrates a set of external devices, software and processes, and a Subjective, Objective, Assessment, and Plan (SOAP) note commonly used by clinicians. Medical data like electrocardiogram plots, heart rate, skin temperature, respiration rate, medications taken, and more are collected from devices and stored in the Electronic Medical Records (EMR) system, and reported to crew and clinician. Devices integrated include the Astroskin biosensor vest and IMED CARDIAX electrocardiogram (ECG) device with INEED MD ECG Glove, and the NASA-developed Medical Dose Tracker application. The system is designed to be operated as a standalone system, and can be deployed in a variety of environments, from a laptop to a data center. The system is primarily composed of open-source software tools, and is designed to be modular, so new capabilities can be added. The software components and integration methods will be discussed.

  8. Effect of multiple stress factors (thermal, nutritional and pregnancy type) on adaptive capability of native ewes under semi-arid environment.

    PubMed

    Dias E Silva, Tairon Pannunzio; Costa Torreão, Jacira Neves da; Torreão Marques, Carlo Aldrovandi; de Araújo, Marcos Jácome; Bezerra, Leílson Rocha; Kumar Dhanasekaran, Dinesh; Sejian, Veerasamy

    2016-07-01

    This study was conducted to evaluate the effect of multiple stress factors (thermal, nutritional and pregnancy type) on two different native track breeds of ewes as reflected by their adaptive capability under semi-arid environment. The multiple stressor experiment was conducted in twenty-four ewes (12 Santa Inês and 12 Morada Nova ewes). Both heat stress and pregnancy stress was common to all four groups. However, the animals were divided into further two groups within each breed on the basis of nutrition regimen. According the groupings were: Group 1 (Six Santa Ines ewes; heat stress; nutrition at 0.5% of BW; single pregnancy); Group 2 (Six Santa Ines ewes; heat stress; nutrition at 1.5% BW; twin pregnancy); groups Group 3 (Six Morada Nova ewes; heat stress; nutrition at 0.5% of BW; single pregnancy); Group 4 (Six Morada Nova ewes; heat stress; nutrition at 1.5% BW; twin pregnancy). All the animals in the experiment were pregnant. Heat stress was induced by exposing all animals to summer heat stress in outside environment while the nutritional regimen followed was at 0.5% and 1.5% level of body weight (BW) respectively in each breed. The experiment was conducted in a completely randomized design with two breeds, two nutritional treatments and two pregnancy types, 10 repetitions for physiological parameters and six for blood parameters, with repeated measures over time. Physiological parameters (respiratory rate, pulse rate and rectal temperature) were measured with the animals at rest in the morning and afternoon, 0600-0700 and 1300-1400h, respectively, every seven days. Blood samples were collected every 14d for determination of serum glucose, triglycerides, cholesterol, urea and creatinine. We found interaction effect between breed and pregnancy type on respiratory rate and rectal temperature with greater values in Santa Inês ewes than Morada Nova ewes. However, there was no significant fixed effect of pregnancy type and supplementation level on physiological responses of breeds. Environmental factor (period of the day) had influenced the physiological responses of ewes during all gestational period. Santa Inês ewes had greater serum glucose concentration at 105d and 120d of gestation compared to the Morada Nova ewes. Morada Nova ewes had greater concentrations of triglycerides, urea at 120d, 150d and also greater cholesterol at 105d, 135d and 150d of gestation compared with Santa Inês ewes. The present result indicates that thermal condition was most important factor that modified the physiological responses of ewes in a semi-arid tropical environment. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Epilepsy due to PNPO mutations: genotype, environment and treatment affect presentation and outcome

    PubMed Central

    Mills, Philippa B.; Camuzeaux, Stephane S.M.; Footitt, Emma J.; Mills, Kevin A.; Gissen, Paul; Fisher, Laura; Das, Krishna B.; Varadkar, Sophia M.; Zuberi, Sameer; McWilliam, Robert; Stödberg, Tommy; Plecko, Barbara; Baumgartner, Matthias R.; Maier, Oliver; Calvert, Sophie; Riney, Kate; Wolf, Nicole I.; Livingston, John H.; Bala, Pronab; Morel, Chantal F.; Feillet, François; Raimondi, Francesco; Del Giudice, Ennio; Chong, W. Kling; Pitt, Matthew

    2014-01-01

    The first described patients with pyridox(am)ine 5’-phosphate oxidase deficiency all had neonatal onset seizures that did not respond to treatment with pyridoxine but responded to treatment with pyridoxal 5’-phosphate. Our data suggest, however, that the clinical spectrum of pyridox(am)ine 5’-phosphate oxidase deficiency is much broader than has been reported in the literature. Sequencing of the PNPO gene was undertaken for a cohort of 82 individuals who had shown a reduction in frequency and severity of seizures in response to pyridoxine or pyridoxal 5’-phosphate. Novel sequence changes were studied using a new cell-free expression system and a mass spectrometry-based assay for pyridoxamine phosphate oxidase. Three groups of patients with PNPO mutations that had reduced enzyme activity were identified: (i) patients with neonatal onset seizures responding to pyridoxal 5’-phosphate (n = 6); (ii) a patient with infantile spasms (onset 5 months) responsive to pyridoxal 5’-phosphate (n = 1); and (iii) patients with seizures starting under 3 months of age responding to pyridoxine (n = 8). Data suggest that certain genotypes (R225H/C and D33V) are more likely to result in seizures that to respond to treatment with pyridoxine. Other mutations seem to be associated with infertility, miscarriage and prematurity. However, the situation is clearly complex with the same combination of mutations being seen in patients who responded and did not respond to pyridoxine. It is possible that pyridoxine responsiveness in PNPO deficiency is affected by prematurity and age at the time of the therapeutic trial. Other additional factors that are likely to influence treatment response and outcome include riboflavin status and how well the foetus has been supplied with vitamin B6 by the mother. For some patients there was a worsening of symptoms on changing from pyridoxine to pyridoxal 5’-phosphate. Many of the mutations in PNPO affected residues involved in binding flavin mononucleotide or pyridoxal 5’-phosphate and many of them showed residual enzyme activity. One sequence change (R116Q), predicted to affect flavin mononucleotide binding and binding of the two PNPO dimers, and with high residual activity was found in Groups (ii) and (iii). This sequence change has been reported in the 1000 Genomes project suggesting it could be a polymorphism but alternatively it could be a common mutation, perhaps responsible for the susceptibility locus for genetic generalized epilepsy on 17q21.32 (close to rs72823592). We believe the reduction in PNPO activity and B6-responsive epilepsy in the patients reported here indicates that it contributes to the pathogenesis of epilepsy. PMID:24645144

  10. IVF or IUI as first-line treatment in unexplained subfertility: the conundrum of treatment selection markers.

    PubMed

    Tjon-Kon-Fat, R I; Tajik, P; Zafarmand, M H; Bensdorp, A J; Bossuyt, P M M; Oosterhuis, G J E; van Golde, R; Repping, S; Lambers, M D A; Slappendel, E; Perquin, D; Pelinck, M J; Gianotten, J; Maas, J W M; Eijkemans, M J C; van der Veen, F; Mol, B W; van Wely, M

    2017-05-01

    Are there treatment selection markers that could aid in identifying couples, with unexplained or mild male subfertility, who would have better chances of a healthy child with IVF with single embryo transfer (IVF-SET) than with IUI with ovarian stimulation (IUI-OS)? We did not find any treatment selection markers that were associated with better chances of a healthy child with IVF-SET instead of IUI-OS in couples with unexplained or mild male subfertility. A recent trial, comparing IVF-SET to IUI-OS, found no evidence of a difference between live birth rates and multiple pregnancy rates. It was suggested that IUI-OS should remain the first-line treatment instead of IVF-SET in couples with unexplained or mild male subfertility and female age between 18 and 38 years. The question remains whether there are some couples that may have higher pregnancy chances if treated with IVF-SET instead of IUI. We performed our analyses on data from the INeS trial, where couples with unexplained or mild male subfertility and an unfavourable prognosis for natural conception were randomly allocated to IVF-SET, IVF in a modified natural cycle or IUI-OS. In view of the aim of this study, we only used data of the comparison between IVF-SET (201 couples) and IUI-OS (207 couples). We pre-defined the following baseline characteristics as potential treatment selection markers: female age, ethnicity, smoking status, type of subfertility (primary/secondary), duration of subfertility, BMI, pre-wash total motile count and Hunault prediction score. For each potential treatment selection marker, we explored the association with the chances of a healthy child after IVF-SET and IUI-OS and tested if there was an interaction with treatment. Given the exploratory nature of our analysis, we used a P-value of 0.1. None of the markers were associated with higher chances of a healthy child from IVF-SET compared to IUI-OS (P-value for interaction >0.10). Since this is the first large study that looked at potential treatment selection markers for IVF-SET compared to IUI-OS, we had no data on which to base a power calculation. The sample size was limited, making it difficult to detect any smaller associations. We could not identify couples with unexplained or mild male subfertility who would have had higher chances of a healthy child from immediate IVF-SET than from IUI-OS. As in the original trial IUI-OS had similar effectiveness and was less costly compared to IVF-SET, IUI-OS should remain the preferred first-line treatment in these couples. The study was supported by a grant from the Netherlands Organization for Health Research and Development, and a grant from the Netherlands' association of health care insurers. There are no conflicts of interest. The trial was registered at the Dutch trial registry (NTR939). © The Author 2017. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com

  11. Socioeconomic factors and cervical cancer mortality in Spain during the period 1989-1997.

    PubMed

    Morales Suarez-Varela, M M; Jiménez-López, M C; Llópis-González, A

    2004-01-01

    A study was made of cervical cancer (CC) mortality trends in Spain during the period 1989-1997 at National, Autonomous Community and Provincial levels, in relation to different socioeconomic factors. Data were obtained from the Spanish National Institute of Statistics (Instituto Nacional de Estadística, INE). The crude mortality rates were age-adjusted using the indirect method and Gross Domestic Product (GDP) as socioeconomic status (SES) indicator. National CC age-adjusted mortality rates have increasing slightly, varying from 3.09 deaths/100000 women in 1989 to 3.42 in 1996. The highest age-adjusted mortality rates corresponded to Seville, Palencia and Orense, with 4.13, 4.06 and 3.98 cases/100000 women, respectively. The lowest mortality rates were found in Las Palmas, Cantabria and Alicante with 2.63, 2.77 and 2.80 deaths/100000 women, respectively. A relative risk (RR) of 1.14 (95%CI: 0.98-1.32) ( P=0.048) was observed between the provinces with the lowest SES and highest mortality rate, and those with the highest SES and lowest mortality rate. The results of our study show a slight increasing trend in CC mortality rates in Spain during the period 1989-1997, and suggest that the variations among provinces and Autonomous Communities could be due to CC risk factors (SES related to human papillomavirus, parity, diet, etc.) and differences in early diagnosis.

  12. PPCP degradation by chlorine-UV processes in ammoniacal water: new reaction insights, kinetic modeling and DBP formation.

    PubMed

    Zhang, Ruochun; Meng, Tan; Huang, Ching-Hua; Ben, Weiwei; Yao, Hong; Liu, Ruini; Sun, Peizhe

    2018-06-15

    The combination of chlorine and UV (i.e. chlorine-UV process) has been attracting more attentions in recent years due to its ready incorporation into existing water treatment facilities to remove PPCPs. However, limited information is available on the impact of total ammonia nitrogen (TAN). This study investigated two model PPCPs, N,N-diethyl-3-toluamide (DEET) and caffeine (CAF), in the two stages of chlorine-UV process (i.e. chlorination and UV/chlor(am)ine) to elucidate the impact of TAN. During chlorination, the degradation of DEET and CAF was positively correlated with the overall consumption of total chlorine by TAN. Reactive nitrogen intermediates, including HNO/NO- and ONOOH/ONOO-, along with OH were identified as major contributors to the removal of DEET and CAF. During UV irradiation, DEET and CAF were degraded under UV/chlorine or UV/NH2Cl conditions. OH and Cl were the major reactive species to degrade DEET and CAF under UV/NH2Cl conditions, whereas OCl played a major role for degrading CAF under UV/chlorine conditions. Numerical models were developed to predict the removal of DEET and CAF under chlorination-UV process. Chlorinated disinfection byproducts were detected. Overall, this study presented kinetic features and mechanistic insights on the degradation of PPCPs under chlorine-UV process in ammoniacal water.

  13. Whole genome structural analysis of Caribbean hair sheep reveals quantitative link to West African ancestry

    PubMed Central

    Spangler, Gordon L.; Ilori, Moses Babatunde; Hanotte, Olivier; Kim, Eui-Soo; Sonstegard, Tad S.; Burke, Joan M.; Morgan, James L. M.; Notter, David R.; Van Tassell, Curtis P.

    2017-01-01

    Hair sheep of Caribbean origin have become an important part of the U.S. sheep industry. Their lack of wool eliminates a number of health concerns and drastically reduces the cost of production. More importantly, Caribbean hair sheep demonstrate robust production performance even in the presence of drug-resistant gastrointestinal nematodes, a rising concern to the industry. Despite the growing importance of hair sheep in the Americas their genetic origins have remained speculative. Prior to this report no genetic studies were able to identify a unique geographical origin of hair sheep in the New World. Our study clarifies the African and European ancestry of Caribbean hair sheep. Whole-genome structural analysis was conducted on four established breeds of hair sheep from the Caribbean region. Using breeds representing Africa and Europe we establish an objective measure indicating Caribbean hair sheep are derived from Iberian and West African origins. Caribbean hair sheep result from West African introgression into established ecotypes of Iberian descent. Genotypes from 47,750 autosomal single nucleotide polymorphism markers scored in 290 animals were used to characterize the population structure of the St. Croix, Barbados Blackbelly, Morada Nova, and Santa Ines. Principal components, admixture, and phylogenetic analyses results correlate with historical patterns of colonization and trade. These patterns support co-migration of these sheep with humans. PMID:28662044

  14. Is it necessary to assume an apartheid-like social structure in Early Anglo-Saxon England?

    PubMed

    Pattison, John E

    2008-11-07

    It has recently been argued that there was an apartheid-like social structure operating in Early Anglo-Saxon England. This was proposed in order to explain the relatively high degree of similarity between Germanic-speaking areas of northwest Europe and England. Opinions vary as to whether there was a substantial Germanic invasion or only a relatively small number arrived in Britain during this period. Contrary to the assumption of limited intermarriage made in the apartheid simulation, there is evidence that significant mixing of the British and Germanic peoples occurred, and that the early law codes, such as that of King Ine of Wessex, could have deliberately encouraged such mixing. More importantly, the simulation did not take into account any northwest European immigration that arrived both before and after the Early Anglo-Saxon period. In view of the uncertainty of the places of origin of the various Germanic peoples, and their numbers and dates of arrival, the present study adopts an alternative approach to estimate the percentage of indigenous Britons in the current British population. It was found unnecessary to introduce any special social structure among the diverse Anglo-Saxon people in order to account for the estimates of northwest European intrusion into the British population.

  15. Is it necessary to assume an apartheid-like social structure in Early Anglo-Saxon England?

    PubMed Central

    Pattison, John E

    2008-01-01

    It has recently been argued that there was an apartheid-like social structure operating in Early Anglo-Saxon England. This was proposed in order to explain the relatively high degree of similarity between Germanic-speaking areas of northwest Europe and England. Opinions vary as to whether there was a substantial Germanic invasion or only a relatively small number arrived in Britain during this period. Contrary to the assumption of limited intermarriage made in the apartheid simulation, there is evidence that significant mixing of the British and Germanic peoples occurred, and that the early law codes, such as that of King Ine of Wessex, could have deliberately encouraged such mixing. More importantly, the simulation did not take into account any northwest European immigration that arrived both before and after the Early Anglo-Saxon period. In view of the uncertainty of the places of origin of the various Germanic peoples, and their numbers and dates of arrival, the present study adopts an alternative approach to estimate the percentage of indigenous Britons in the current British population. It was found unnecessary to introduce any special social structure among the diverse Anglo-Saxon people in order to account for the estimates of northwest European intrusion into the British population. PMID:18430641

  16. Effect of Charged-Magnetic Grains in Protoplanetary Disks

    NASA Astrophysics Data System (ADS)

    Perry, Jonathan; Matthews, Lorin; Hyde, Truell

    Effects of Charged-Magnetic Grains in Protoplanetary Disks Jonathan, Perry, Lorin Swint Matthews, and Truell W. Hyde Center for Astrophysics, Space Physics, and Engi-neering Research, addressPlaceNamePlaceNameplaceBaylor StreetPlaceTypeUniversity, Stree-taddressOne Bear Place 97316 Waco, TX 76798 USA The interaction and growth of dust grains is an important process in early planetesimal formation. The structure of aggregates formed from dust depend largely on the initial properties within the dust population, whether the grains are charged or uncharged, magnetic or non-magnetic. Theoretical simulations exam-ining pair-wise interactions between aggregates indicate that charged magnetic grains exhibit different growth behavior than populations consisting of exclusively charged or exclusively mag-netic grains. This study extends that work to predict how charged-magnetic grains influence grain growth within a protoplanetary disk. An N-body simulation containing various mixtures of dust materials is used to examine the differences in dust coagulation in the presence of charged magnetic aggregates. The growth of the dust aggregates is analyzed to determine the effects that charged magnetic grains contribute to the evolution of the dust cloud. Comparison of the rate of aggregation as well as the dynamic exponent relating mass of a cluster to the elapsed time will both be discussed.

  17. Neuroimaging of the joint Simon effect with believed biological and non-biological co-actors

    PubMed Central

    Wen, Tanya; Hsieh, Shulan

    2015-01-01

    Performing a task alone or together with another agent can produce different outcomes. The current study used event-related functional magnetic resonance imaging (fMRI) to investigate the neural underpinnings when participants performed a Go/Nogo task alone or complementarily with another co-actor (unseen), whom was believed to be another human or a computer. During both complementary tasks, reaction time data suggested that participants integrated the potential action of their co-actor in their own action planning. Compared to the single-actor task, increased parietal and precentral activity during complementary tasks as shown in the fMRI data further suggested representation of the co-actor’s response. The superior frontal gyrus of the medial prefrontal cortex was differentially activated in the human co-actor condition compared to the computer co-actor condition. The medial prefrontal cortex, involved thinking about the beliefs and intentions of other people, possibly reflects a social-cognitive aspect or self-other discrimination during the joint task when believing a biological co-actor is present. Our results suggest that action co-representation can occur even offline with any agent type given a priori information that they are co-acting; however, additional regions are recruited when participants believe they are task-sharing with another human. PMID:26388760

  18. Neuroimaging of the joint Simon effect with believed biological and non-biological co-actors.

    PubMed

    Wen, Tanya; Hsieh, Shulan

    2015-01-01

    Performing a task alone or together with another agent can produce different outcomes. The current study used event-related functional magnetic resonance imaging (fMRI) to investigate the neural underpinnings when participants performed a Go/Nogo task alone or complementarily with another co-actor (unseen), whom was believed to be another human or a computer. During both complementary tasks, reaction time data suggested that participants integrated the potential action of their co-actor in their own action planning. Compared to the single-actor task, increased parietal and precentral activity during complementary tasks as shown in the fMRI data further suggested representation of the co-actor's response. The superior frontal gyrus of the medial prefrontal cortex was differentially activated in the human co-actor condition compared to the computer co-actor condition. The medial prefrontal cortex, involved thinking about the beliefs and intentions of other people, possibly reflects a social-cognitive aspect or self-other discrimination during the joint task when believing a biological co-actor is present. Our results suggest that action co-representation can occur even offline with any agent type given a priori information that they are co-acting; however, additional regions are recruited when participants believe they are task-sharing with another human.

  19. DOE-INES New Planet Bioenergy Technical Report Final Public Version 7-22-16

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

    Niederschulte, Mark; Russell, Kelly; Connors, Keith

    INEOS Bio and New Planet Energy Florida formed a joint venture company called INEOS New Planet BioEnergy (“INPB”) in 2009. This venture’s intent was to demonstrate at commercial scale INEOS Bio’s third-generation technology (the “Bio Process”) that converts a variety of lignocellulosic feedstocks into bioethanol and renewable electricity. INPB applied for and was awarded a $50,000,000 Department of Energy (“DOE”) grant in 2009 to support the construction of the commercial demonstration plant. The grant was a cost-sharing arrangement requiring at least 50% equity participation by the grantee. INPB completed construction of the Indian River BioEnergy Center in Vero Beach, Floridamore » in June, 2012. The facility is designed to produce 8 million gallons per year of fuel-grade bioethanol and 6MW of electrical power, with upwards of 2MW exported to the electrical grid. Construction of the Indian River BioEnergy Center was completed on-time and within its capital budget of $121 million.« less

  20. Geographic determinants of individual obesity risk in Spain: A multilevel approach.

    PubMed

    Raftopoulou, Athina

    2017-02-01

    This paper seeks to understand the determinants of individual body weight status and obesity risk in Spain by concurrently examining individual and regional characteristics. The data are drawn from the National Health Survey of Spain for the year 2011-2012 (INE-National Statistical Institute of Spain) and contain information for a representative sample of 12,671 adults across 50 provinces in Spain. A multilevel analysis is carried out to examine the determinants of individual weight status and obesity, controlling not only for the individual effects and those of the immediate environment but also for the broader setting to which individuals and their immediate environment belong. Our findings suggest that attributes from all three levels of analysis have an effect on individual weight status and obesity. Lack of green spaces and criminality taken as proxies of the social environment positively affect individual and women's BMI and obesity, respectively. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. The stratigraphy of the Steep Rock Group, N.W. Ontario, with evidence of a major unconformity

    NASA Technical Reports Server (NTRS)

    Wilks, M. E.; Nisbet, E. G.

    1986-01-01

    The Steep Rock Group is exposed 6 km north of Atikokan, 200 km west of Thunder Bay. It is situated on the southern margin of the Wabigoon Belt of the Archaean Superior Province, N. W. Ontario. Reinvestigation of the geology of the Group has shown that the Group lies unconformably on the Tonalite Complex to the east. This unconformity has been previously suspected, from regional and ine mapping but no conclusive outcrop evidence for its existence has as yet been published. The strike of the group, comprised of Basal Conglomerate, Carbonate Member, Ore Zone and Ashrock is generally north-northwest dipping steeply to the southwest. Of the 7 contacts between the Steep Rock Group and the Tonalite Complex, 3 expose the unconformity (The Headland, S. Roberts Pit, Trueman Point), and 4 are faulted. These three outcrops demonstrate unequivocally that the Steep Rock group was laid down unconformably on the underlying Tonalite Complex, which is circa 3 Ga old.

  2. Tumeur stromale du mésentère: une cause inhabituelle d'une masse abdominale

    PubMed Central

    Tarchouli, Mohamed; Bounaim, Ahmed; Boudhas, Adil; Ratbi, Moulay Brahim; Ndjota, Bobby Nguele; Ali, Abdelmounaim Ait; Sair, Khalid

    2015-01-01

    Les tumeurs stromales gastro-intestinales (GIST) sont les tumeurs mésenchymateuses les plus fréquentes du tractus digestif. Elles représentent une entité nosologique individualisée depuis la découverte de l'expression quasi-constante de la protéine c-Kit détectée par la coloration immunohistochimique de l'antigène CD117. Des tumeurs avec les mêmes caractéristiques morphologiques et immuno-phénotypiques peuvent rarement apparaître en dehors du tractus gastro-intestinal. Nous rapportons le cas d'une jeune patiente de 34 ans présentant une masse tumorale mésentérique se révélant être de nature stromale sans aucun contact avec la paroi intestinale. Il s'agit d'une localisation très rare des tumeurs stromales à laquelle il faut penser en préopératoire afin d'avoir une conduite thérapeutique adaptée et efficace. PMID:26327998

  3. Occurrence of Ergot and Ergot Alkaloids in Western Canadian Wheat and Other Cereals.

    PubMed

    Tittlemier, Sheryl A; Drul, Dainna; Roscoe, Mike; McKendry, Twylla

    2015-07-29

    A new method was developed to analyze 10 ergot alkaloids in cereal grains. Analytes included both "ine" and "inine" type ergot alkaloids. Validation of the method showed it performed with good accuracy and precision and that minor enhancement due to matrix effects was present during LC-MS/MS analysis, but was mitigated by use of an internal standard. The method was used to survey durum and wheat harvested in 2011, a year in which ergot infection was particularly widespread in western Canada. A strong linear relationship between the concentration of ergot alkaloids and the presence of ergot sclerotia was observed. In addition, shipments of cereals from 2010-2012 were also monitored for ergot alkaloids. Concentrations of total ergot alkaloids in shipments were lower than observed in harvest samples, and averaged from 0.065 mg/kg in barley to 1.14 mg/kg in rye. In shipments, the concentration of ergot alkaloids was significantly lower in wheat of higher grades.

  4. Your tooth it ain't so purty but it's gen-u-ine: Cole Porter's comic song "Snagtooth Gertie".

    PubMed

    Christen, Arden G; Christen, Joan A

    2010-01-01

    Cole Porter (1891-1964), an American musical icon, has been internationally acknowledged as one of the most cosmopolitan, sophisticated, elegant and influential composer-lyricists of the 20th century. Born in Indiana and raised in wealth and privilege, he attended both Yale and Harvard universities where he honed his song-writing skills. In his 800 tunes, many of which became smash hits, he blended fresh, witty, urbane and colloquial lyrics with catchy, singable melodies. He composed musical scores for both Broadway stage and Hollywood movies, but focused on the former. While Porter enjoyed penning comic songs, he rarely had them published. In 1946, Cole wrote the music and lyrics for a Broadway show entitled Around the World in Eighty Days. Deemed a failure, it closed after only 75 performances. One light-hearted ditty, "Snagtooth Gertie", which he composed for the show, was never used. The lyrics are presented for the first time in this paper.

  5. Comportement rhéologique des systèmes mixtes biopolymères / protéines

    NASA Astrophysics Data System (ADS)

    Rebiha, M.; Moulai-Mostefa, N.; Sadok, A. Hadj; Sabri, N.

    2005-05-01

    Dans ce travail, on s'est intéressé à l'étude des effets du caséinate de sodium et du xanthane sur les propriétés rhéologiques des solutions aqueuses, préparées suivant un plan d'expériences. Les caractéristiques mécaniques obtenues sont traduites par les coefficients du modèle rhéologique de Casson, en l'occurrence la contrainte seuil, τ 0, et la viscosité plastique, η _c. Ainsi, à l'issue de la modélisation en surface de réponses, il apparaît une interaction répulsive à l'échelle structurale entre le caséinate de sodium et le xanthane, traduite par un abaissement considérable de τ 0. Cet baissement de la rigidité peut conduire à une séparation de phases, phénomène conditionné par la viscosité limite de Casson,η _c.

  6. Évolution nycthémérale des composantes biochimiques du phytoplancton de la retenue du barrage Idriss premier (Fès, Maroc)

    NASA Astrophysics Data System (ADS)

    Bahhou, J.; Alaoui Mhamdi, M.

    1999-03-01

    The diel changes of the biochemical composition of the phytoplankton were studied in the Idriss first reservoir (located on the Inaouen river at thirty Km from the city of Fes, Morrocco) during September 1994. Several biomass and metabolic indicators (proteins, carbohydrates, lipids, chlorophyll a and primary production) were assessed every fourth hour over tow days (7, 8 and 9 September). Since the Protein/Carbohydrates ratio (P/C) is largely recognised as a good integrator of the metabolic functions of the cells, we examined its distribution pattern concomitantly with aforementioned parameters. The results demonstrated enhanced P/C ratios clearly indicating that nutrients were sufficiently available for growth. In addition, this index showed a diel significant variation with levels higher in the night than in the day. Moreover, these results suggest that phytoplankton species during the night used the day-synthesised carbohydrates to insure the cell metabolic functioning. The P/C presents relatively high values in proposition to the ones that have been recorded in temperate regions, and seems to be related to azotic inputs of the Inaouen river. Dans le but de parfaire nos connaissances sur le fonctionnement du sous écosystème phytoplancton, nous nous sommes intéressés à étudier son cycle nycthéméral et son métabolisme cellulaire dans la retenue du barrage Idriss premier. Cette dernière, construite sur l'Oued Inaouène, est située à une trentaine de Km de la ville de Fès. Au cours de ce cycle, les prélèvements ont été effectués selon une séquence temporelle de 4 heures pendant 48 heures, les 7, 8 et 9 septembre 1994. L'étude de l'évolution des composantes biochimiques des cellules phytoplanctoniques à savoir les protéines, les glucides et les lipides a permis de mettre en évidence des variations nycthémérales importantes. Ces variations sont d'autant plus importantes que les variations spatiales observées entre les profondeurs. De plus, le rapport protéines/glucides (P/G), reconnu comme un bon indicateur de l'état physiologique des algues, présente des valeurs plus élevées la nuit que le jour au niveau du fond du lac. Ce résultat suggère que le phytoplancton utilise les produits de réserve synthétisés le jour pour assurer le fonctionnement métabolique des cellules. De plus, les valeurs de ce rapport sont relativement élevées par rapport à celle enregistrées dans les régions tempérés et semblent être liées aux ressources azotées du milieu en particulier les apports de l'Oued Inaouène.

  7. Optimizing Drone Fertility With Spring Nutritional Supplements to Honey Bee (Hymenoptera: Apidae) Colonies.

    PubMed

    Rousseau, Andrée; Giovenazzo, Pierre

    2016-03-27

    Supplemental feeding of honey bee (Apis melliferaL., Hymenoptera: Apidae) colonies in spring is essential for colony buildup in northern apicultural regions. The impact of pollen and syrup feeding on drone production and sperm quality is not well-documented, but may improve fecundation of early-bred queens. We measured the impact of feeding sucrose syrup, and protein supplements to colonies in early spring in eastern Canada. Drones were reared under different nutritional regimes, and mature individuals were then assessed in regard to size, weight, and semen quality (semen volume, sperm count, and viability). Results showed significant increases in drone weight and abdomen size when colonies were fed sucrose and a protein supplement. Colonies receiving no additional nourishment had significantly less semen volume per drone and lower sperm viability. Our study demonstrates that feeding honey bee colonies in spring with sucrose syrup and a protein supplement is important to enhance drone reproductive quality. RÉSUMÉ: L'administration de suppléments alimentaires aux colonies de l'abeille domestique (Apis melliferaL., Hymenoptera: Apidae) au printemps est essentielle pour le bon développement des colonies dans les régions apicoles nordiques. L'impact de la supplémentation des colonies en pollen et en sirop sur la production des faux-bourdons et la qualité du sperme demeure peu documenté mais pourrait résulter en une meilleure fécondation des reines produites tôt en saison. Nous avons mesuré l'impact de la supplémentation en sirop et/ou en supplément de pollen sur les colonies d'abeilles tôt au printemps dans l'est du Canada. Les faux-bourdons ont été élevé sous différents régimes alimentaires et les individus matures ont ensuite été évalués pour leur taille, leur poids ainsi que la qualité de leur sperme (volume de sperme, nombre et viabilité des spermatozoïdes. Les résultats montrent une augmentation significative du poids et de la taille de l'abdomen des faux-bourdons élevés dans les colonies recevant des suppléments de sirop et de protéine. Les faux-bourdons élevés dans les colonies ne recevant aucun supplément alimentaire possédaient les plus petits volumes de sperme ainsi que la plus faible viabilité des spermatozoïdes. Notre étude démontre que la supplémentation alimentaire des colonies en sirop et en protéines au printemps est importante pour favoriser la qualité reproductive des faux-bourdons. © The Authors 2016. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  8. Differential regulation of cell proliferation in neurogenic zones in mice lacking cystine transport by xCT

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

    Liu, Richard R.; Brown, Craig E.; Brain Research Center, University of British Columbia, Vancouver, BC, V6T 1Z3

    2007-12-21

    The cystine/glutamate exchanger (xCT) supplies intracellular cyst(e)ine for the production of glutathione, a major cellular anti-oxidant. xCT is enriched in brain regions associated with neurogenesis. Previous studies have shown that the malfunction of this protein greatly attenuates cell proliferation in vitro and is associated with brain atrophy in vivo. Using mice that are homozygous for a function-blocking deletion in xCT (Sut mice), we examined in vivo the role of xCT in cell proliferation in neurogenic regions of the subventricular zone (SVZ) and denate gyrus (DG) in the adult brain. Our results indicate that a high level of cellular proliferation inmore » the adult brain persists even in the absence of functional xCT. Furthermore, in both young adult and middle-aged mice (3 and 11 months old), rates of SVZ cell proliferation were comparable between Sut and wild-type controls, although there was trend towards reduced proliferation in Sut mice (12% and 9% reduction, respectively). To our surprise, rates of cell proliferation in the DG were elevated in both 3- and 11-month-old Sut mice relative to controls (22% and 28% increase, respectively). These results demonstrate that xCT expression plays a role in regulating cellular proliferation in the DG, but not the SVZ of adult mice. Furthermore, unlike previous in vitro studies, our in vivo observations clearly indicate that xCT is not essential for ongoing cellular proliferation.« less

  9. Carcass characteristics and meat quality of lambs fed babassu cake (Orbignya speciosa) as a replacement for elephant grass silage.

    PubMed

    Luz, Janaina Barros; Alves, Kaliandra Souza; Mezzomo, Rafael; Ribeiro Dos Santos Neta, Ernestina; Gomes, Daiany Íris; Sampaio Oliveira, Luis Rennan; Silva, Josiane Costa; Ramos de Carvalho, Francisco Fernando

    2017-01-01

    The study aimed to evaluate the effect of the partial replacement of elephant grass silage with babassu cake (Orbignya speciosa) on the carcass characteristics and meat quality of feedlot lambs. Forty-five castrated male Santa Ines sheep (19.08 ± 0.41 kg) approximately 4 months old were distributed in a completely randomized design, with five treatments 0.0, 12.5, 25.0, 37.5 and 50 % (%DM) replacement of babassu cake with silage forming isoproteic diets formulated at a ratio of 40 % roughage to 60 % concentrate. All of the studied animals were slaughtered at the end of the experiment. The liver weights and yields increased with the inclusion of babassu cake. The weight of the shoulder increased from 2.31 to 2.61 kg, while the loin yield decreased from 7.38 to 6.64 % with the inclusion of babassu cake, both linearly. The body length, thoracic perimeter, rump perimeter and carcass compactness index showed high and positive correlations with the hot and cold carcass weights. The myofibrillar fragmentation index decreased linearly as a function of the inclusion level of babassu cake, but other quality variables were not affected. The replacement of up to 50 % of the elephant grass silage with babassu cake in the diet of lambs does not cause negative effects on carcass characteristics or meat quality.

  10. Fructose 1,6-biphosphate aldolase in the sera of Simmental young bulls Connection with the fattening capacity, muscle quantity and protein content.

    PubMed

    Križanović, D; Karadjole, I

    1993-01-12

    The activity of enzyme aldolase (ALD) was determined in the sera of Simmental young bulls, with the purpose to see whether there exists a relationship between the enzyme activity and fattening capacity and whether the ALD could be an indicator of the muscle quantity and protein content. Early ALD activity was correlated with slaughter weight and ADG in the last fattening month. The regression analysis suggests that young bulls with higher serum ALD acitivity at the start of the experiment had more total muscles and less bone in the analysed rib part. On the basis of ALD activity in the first fattening month it was possible to estimate protein and fat content in the MLD. ZUSAMMENFASSUNG: Fructose-1,6-biphosphat Aldolase beim Serum Simmentaler Jungbullen. Beziehung zwischen Mastfähigkeit, Muskelmenge und Proteingehalt Aldolase (ALD) Enzymtätigkeit im Serum von Simmentaler Jungbullen wurden in Hinblick auf eine Beziehung mit Mastfähigkeit, Muskelmenge und Proteingehalt untersucht. Es zeigt sich eine Korrelation zwischen früher ALD Aktivität und Schlachtgewicht und Tageszuwachs im Endmastmonat. Regressionsanalyse ergab, daß Jungbullen mit höherer ALD Aktivität bei Mastbeginn mehr Muskelanteil im m. longissimus dorsi und weniger Knochen besitzen. ALD Aktivität im ersten Mastmonat erlaubt Schätzung des Protein- und Fettgehalts im m. long, dorsi. RESUMEN: Fructosa 1,6-bifosfato aldolasa en el suero de los terneros simentales. Relatión con sus capacidades de ser cebados, su cantidad de músculos y el contenido de proteínas Con el fin de establecer la relación entre la actividad de enzimas y las capacidades durante el proceso de la ceba, asf como para precisar si el ALD puede servir como indicador de la cantidad de músculos y el contenido de proteinas, intentaba determinarse la actividad de los enzimas de aldolasa (ALD) en el suero de los terneros simentales. A base de la actividad indicial del ALD, es posible estimar el peso final de matadero y la crecencia diaria media durante el último mes de la ceba. Tras una análisis regresiva se ha probado que los terneros con una actividad mayor del ALD en el suero a principios del proceso de su ceba tienen más músculos en total en la parte de costillas y m. longissimus dorsi mientras que tienen menos huesos. A base de la actividad del ALD durante el primer mes de la ceba es posible estimar el contenido de proteinas y grasa en m. long, dorsi. RÉSUMÉ: Fructose 1.6-biphosphate aldolase dans le sérum des taurillons de Simmental. Le rapport entre l'aptitude à l'angraissement, la proportion des muscles et la teneur en protéines On a déterminé l'activité de l'enzyme aldolase (ALD) dans le sérum des taurillons de Simmental afin de vérifier s'il existait un rapport entre l'activité des enzymes et l'aptitude à l'engraissement et si l'ALD pouvait être indicatrice de la proportion de muscles et de la teneur en protéines. A la base de l'activité initiale de l'ALD, il est possible d'évaluer le poids de la carcasse et le gain quotidien moyen au cours du dernier mois d'engrais. Par analyse régressive, il a été établi que les taurillons à l'activité supérieure de l'ALD dans le sérum avaient au début de l'engrais plus de muscles au total dans la région costale et le m. longissimus dorsi et moins d'os. A la base de l'activité de l'ALD au cours du premier mois d'engrais il est possible d'évaluer la teneur en protéines et en graisse dans le muscle longissimus dorsi. 1993 Blackwell Verlag GmbH.

  11. Differences in phonetic discrimination stem from differences in psychoacoustic abilities in learning the sounds of a second language: Evidence from ERP research

    PubMed Central

    Mo, Lei

    2017-01-01

    The scientific community has been divided as to the origin of individual differences in perceiving the sounds of a second language (L2). There are two alternative explanations: a general psychoacoustic origin vs. a speech-specific one. A previous study showed that such individual variability is linked to the perceivers’ speech-specific capabilities, rather than the perceivers’ psychoacoustic abilities. However, we assume that the selection of participants and parameters of sound stimuli might not appropriate. Therefore, we adjusted the sound stimuli and recorded event-related potentials (ERPs) from two groups of early, proficient Cantonese (L1)-Mandarin (L2) bilinguals who differed in their mastery of the Mandarin (L2) phonetic contrast /in-ing/, to explore whether the individual differences in perceiving L2 stem from participants’ ability to discriminate various pure tones (frequency, duration and pattern). To precisely measure the participants’ acoustic discrimination, mismatch negativity (MMN) elicited by the oddball paradigm was recorded in the experiment. The results showed that significant differences between good perceivers (GPs) and poor perceivers (PPs) were found in the three general acoustic conditions (frequency, duration and pattern), and the MMN amplitude for GP was significantly larger than for PP. Therefore, our results support a general psychoacoustic origin of individual variability in L2 phonetic mastery. PMID:29176886

  12. Differences in phonetic discrimination stem from differences in psychoacoustic abilities in learning the sounds of a second language: Evidence from ERP research.

    PubMed

    Lin, Yi; Fan, Ruolin; Mo, Lei

    2017-01-01

    The scientific community has been divided as to the origin of individual differences in perceiving the sounds of a second language (L2). There are two alternative explanations: a general psychoacoustic origin vs. a speech-specific one. A previous study showed that such individual variability is linked to the perceivers' speech-specific capabilities, rather than the perceivers' psychoacoustic abilities. However, we assume that the selection of participants and parameters of sound stimuli might not appropriate. Therefore, we adjusted the sound stimuli and recorded event-related potentials (ERPs) from two groups of early, proficient Cantonese (L1)-Mandarin (L2) bilinguals who differed in their mastery of the Mandarin (L2) phonetic contrast /in-ing/, to explore whether the individual differences in perceiving L2 stem from participants' ability to discriminate various pure tones (frequency, duration and pattern). To precisely measure the participants' acoustic discrimination, mismatch negativity (MMN) elicited by the oddball paradigm was recorded in the experiment. The results showed that significant differences between good perceivers (GPs) and poor perceivers (PPs) were found in the three general acoustic conditions (frequency, duration and pattern), and the MMN amplitude for GP was significantly larger than for PP. Therefore, our results support a general psychoacoustic origin of individual variability in L2 phonetic mastery.

  13. Abstract Mindsets Increase Believability of Spatially Distant Online Messages

    PubMed Central

    Sungur, Hande; Hartmann, Tilo; van Koningsbruggen, Guido M.

    2016-01-01

    Growing evidence from online credibility research reveals that online users rely on heuristic processes to evaluate the credibility of online information. The current paper, which is based on the construal level theory (CLT), proposes that congruency between the psychological distance of a stimulus and the way it is mentally construed can act as a heuristic for believability. According to CLT, psychologically close (e.g., spatially, temporally, socially) stimuli are represented concretely whereas psychologically distant stimuli are represented abstractly. The level of mental construals and the psychological distance of information have been shown to influence people’s truth judgments in offline contexts. This study tests whether congruency between the construal level of people’s mindsets (abstract vs. concrete) and the psychological distance implied in an online message (far vs. close) enhances message believability. By partially confirming CLT predictions, we found that believability of an online news item about a distant location increased when people maintained an abstract mindset rather than a concrete one. The effect of a concrete mindset on believability was not significant for the close psychological distance condition. Our findings provide initial evidence that congruency between the construal level of people’s mindsets and psychological distance cues in online messages can act as a heuristic for believability. We discuss the potential of applying the CLT framework to the growing literature on online cognitive heuristics in the area of online information credibility. PMID:27468272

  14. [Disability leave and sick leave in Spain. 2016 legislative update].

    PubMed

    Vicente-Herrero, María Teófila; Terradillos-García, María Jesús; Capdevila-García, Luisa M; Ramírez-Íñiguez de la Torre, María Victoria; Aguilar-Jiménez, Encarna; Aguado-Benedí, María José; López-González, Angel Arturo; Torres-Alberich, José Ignacio

    2018-01-01

    In Spanish, the concepts of discapacidad (disability leave) and incapacidad (sick leave) jointly refer to the impairment of a person due to injuries, diseases or deficiencies that limit their activity in a social, personal or occupational field. However, this common link does not imply that both concepts are the same. Statistical data from INE (Instituto Nacional de Estadística: Statistic National Institute) show that Spain had in 2015 3.85 million persons with a disability (59.8% were women). Statistical data from 2015 from INSS (Instituto Nacional de Seguridad Social: Social Security National Institute) show high levels in the number of processes and in workers affected by temporary sick leave, with social costs to the social security system. Both concepts have been updated: about disability leave, Law 39/2006 adjusted terminology by avoiding the use of concepts with discriminating or pejorative connotation. Regarding sick leave, the Ley General de Seguridad Social (General Social Security Law)has been amended and came into effect in January, 2016. It is necessary to know and distinguish these aspects for a better administrative management, and a more oriented information to the affected patient.

  15. Recruitment and retention: factors that affect pericyte migration

    PubMed Central

    Aguilera, Kristina Y.

    2013-01-01

    Pericytes are critical for vascular morphogenesis and contribute to several pathologies, including cancer development and progression. The mechanisms governing pericyte migration and differentiation are complex and have not been fully established. Current literature suggests that platelet-derived growth factor/platelet-derived growth factor receptor-β, sphingosine 1-phosphate/endothelial differentiation gene-1, angiopoietin-1/tyrosine kinase with immunoglobulin-like and EGF-like domains 2, angiopoietin-2/tyros-ine kinase with immunoglobulin-like and EGF-like domains 2, transforming growth factor β/activin receptor-like kinase 1, transforming growth factor β/activin receptor-like kinase 5, Semaphorin-3A/Neuropilin, and matrix metalloproteinase activity regulate the recruitment of pericytes to nascent vessels. Interestingly, many of these pathways are directly affected by secreted protein acidic and rich in cysteine (SPARC). Here, we summarize the function of these factors in pericyte migration and discuss if and how SPARC might infuence these activities and thus provide an additional layer of control for the recruitment of vascular support cells. Additionally, the consequences of targeted inhibition of pericytes in tumors and the current understanding of pericyte recruitment in pathological environments are discussed. PMID:23912898

  16. Department of the Navy Justification of Estimates FY 1992/FY 1992 Budget Estimates Submitted to Congress February 1991, Operation and Maintenance, Navy. Book 2.

    DTIC Science & Technology

    1991-02-01

    LLI LALI IU - >~ -j w -. .. z ., . Iz - m < LLLI LL . 1 -j 01L oo= CC 0 z U.. 14) rowLI w a UmU..0 961V 9ZV--I e0ohozi in 1 01 1 00,01r0...n.&...en e...0 N . 0n a. f. O aj,, 0 t i..a n 4It . en *.i ci I! 1 .e r: 1di.. 0C-cr40 n t110 Il -o mni. -W w 42 n~r 0,’. nir w 𔃺 U 01 10 000000 0 - n 0.c in-e ..4...i in M -i I’i -4. Nt oia 011 0 0 0 0 1 4 I n ,e O 0 0 0 0 0 = 0 O10e e00 0.00 1 0 .. ..00 1 10 0, n 0 0 0 r aeiei..i1er in 10Non N-n0..4, 0010 z n

  17. Foliation boudinage

    NASA Astrophysics Data System (ADS)

    Arslan, Arzu; Passchier, Cees W.; Koehn, Daniel

    2008-03-01

    Foliation boudinage is a form of boudinage that develops in foliated rocks independent of lithology contrast. This paper describes foliation boudins from the Çine Massif in SW Turkey and the Furka Pass-Urseren Zone in central Switzerland. Four common types of foliation boudin structures can be distinguished in the field, named after vein geometries in their boudin necks in sections normal to the boudin axis: lozenge-, crescent-, X- and double crescent-type. The boudin necks are mostly filled with massive quartz in large single crystals, commonly associated with tourmaline, feldspar and biotite and in some cases with chlorite spherulites. The presence of blocky crystals and chlorite spherulites suggests that these veins formed as open, fluid-filled cavities during the initiation and development of foliation boudin structures, even in ductilely deforming gneiss at a depth of mid-crustal levels (7-10 kbar). The presence of cavities allowed the formation of closed fishmouth structures that are typical for many foliation boudins. The geometry of foliation boudin structures mainly depends on initial fracture orientation, propagation of the fracture during further deformation, and flow type in the wall rock.

  18. Regulation of Sulfate Assimilation in Plants

    PubMed Central

    Brunold, Christian; Schmidt, Ahlert

    1978-01-01

    When 0.5 mm cysteine is added to cultures of Lemna minor L. growing with sulfate as the sole sulfur source, there is a rapid 80% loss of extractable adenosine 5′-phosphosulfate sulfotransferase. This loss is accompanied by an inhibition of sulfate uptake; however, lack of sulfate is not responsible for the decreasing adenosine 5′-phosphosulfate sulfotransferase activity. Cultivation with cysteine causes an increase in the cyst(e)ine pool of L. minor. This fact taken together with the observed inactivation of adenosine 5′-phosphosulfate sulfotransferase in crude extracts by cysteine suggests that the cysteine pool is involved in the in vivo regulation of the enzyme. The activity of adenosine 5′-phosphosulfate sulfotransferase is restored within 24 hours after transfer to a culture medium without cysteine. This restoration is partially blocked by 6-methyl purine and actinomycin D and completely by cycloheximide. Cycloheximide added to cultures of L. minor L. causes a loss of extractable APSTase comparable to the one obtained with cysteine. This loss may be in part due to cysteine, since cycloheximide causes a pronounced increase in the cysteine pool of L. minor. PMID:16660289

  19. Space-time correlations in urban sprawl.

    PubMed

    Hernando, A; Hernando, R; Plastino, A

    2014-02-06

    Understanding demographic and migrational patterns constitutes a great challenge. Millions of individual decisions, motivated by economic, political, demographic, rational and/or emotional reasons underlie the high complexity of demographic dynamics. Significant advances in quantitatively understanding such complexity have been registered in recent years, as those involving the growth of cities but many fundamental issues still defy comprehension. We present here compelling empirical evidence of a high level of regularity regarding time and spatial correlations in urban sprawl, unravelling patterns about the inertia in the growth of cities and their interaction with each other. By using one of the world's most exhaustive extant demographic data basis--that of the Spanish Government's Institute INE, with records covering 111 years and (in 2011) 45 million people, distributed among more than 8000 population nuclei--we show that the inertia of city growth has a characteristic time of 15 years, and its interaction with the growth of other cities has a characteristic distance of 80 km. Distance is shown to be the main factor that entangles two cities (60% of total correlations). The power of our current social theories is thereby enhanced.

  20. A Novel Class of Bis- and Tris-Chelate Diam(m)inebis(dicarboxylato)platinum(IV) Complexes as Potential Anticancer Prodrugs

    PubMed Central

    Varbanov, Hristo P.; Göschl, Simone; Heffeter, Petra; Theiner, Sarah; Roller, Alexander; Jensen, Frank; Jakupec, Michael A.; Berger, Walter; Galanski, Markus; Keppler, Bernhard K.

    2015-01-01

    A novel class of platinum(IV) complexes of the type [Pt(Am)-(R(COO)2)2], where Am is a chelating diamine or two monodentate am(m)ine ligands and R(COO)2 is a chelating dicarboxylato moiety, was synthesized. For this purpose, the reaction between the corresponding tetrahydroxidoplatinum(IV) precursors and various dicarboxylic acids, such as oxalic, malonic, 3-methylmalonic, and cyclobutanedicarboxylic acid, was utilized. All new compounds were characterized in detail, using 1D and 2D NMR techniques, ESI-MS, FTIR spectroscopy, elemental analysis, TGA, and X-ray diffraction. Their in vitro cytotoxicity was determined in a panel of human tumor cell lines (CH1, SW480 and A549) by means of the MTT colorimetric assay. Furthermore, the lipophilicity and redox properties of the novel complexes were evaluated in order to better understand their pharmacological behavior. The most promising drug candidate, 4b (Pt(DACH)(mal)2), demonstrated low in vivo toxicity but profound anticancer activity against both the L1210 leukemia and CT-26 colon carcinoma models. PMID:25032896

  1. Typical and atypical phenotypes of PNPO deficiency with elevated CSF and plasma pyridoxamine on treatment.

    PubMed

    Ware, Tyson L; Earl, John; Salomons, Gajja S; Struys, Eduard A; Peters, Heidi L; Howell, Katherine B; Pitt, James J; Freeman, Jeremy L

    2014-05-01

    Pyridox(am)ine phosphate oxidase (PNPO) deficiency causes severe early infantile epileptic encephalopathy and has been characterized as responding to pyridoxal-5'-phosphate but not to pyridoxine. Two males with PNPO deficiency and novel PNPO mutations are reported and their clinical, metabolic, and video-electroencephalographic (EEG) findings described. The first child showed electro-clinical responses to pyridoxine and deterioration when pyridoxine was withheld. At last review, he has well-controlled epilepsy with pyridoxal-5'-phosphate monotherapy and an autism spectrum disorder. The second child had a perinatal middle cerebral artery infarct and a myoclonic encephalopathy. He failed to respond to pyridoxine but responded well to pyridoxal-5'-phosphate. At the age of 21 months he has global developmental delay and hemiparesis but is seizure-free with pyridoxal-5'-phosphate monotherapy. Plasma and cerebrospinal fluid pyridoxamine levels were increased in both children during treatment with pyridoxine or pyridoxal-5'-phosphate. These observations indicate that differential responses to pyridoxine and pyridoxal-5'-phosphate treatment cannot be relied upon to diagnose PNPO deficiency. © 2013 Mac Keith Press.

  2. Rising Temperatures and Dwindling Water Supplies? Perception of Climate Change Among Residents of the Spanish Mediterranean Tourist Coastal Areas

    NASA Astrophysics Data System (ADS)

    March, Hug; Saurí, David; Olcina, Jorge

    2014-01-01

    In this article, we discuss the results of a survey on the perception of climate change in the 14 "tourist zones" (as defined by the Spanish Statistical Institute, INE) that stretch from the French border to Gibraltar alongside the Spanish Mediterranean coast, including the Balearic Islands. Our sample consisted of 1,014 telephone interviews stratified according to the number of tourists staying in each zone. Respondents showed concern for the likely impacts of climate change on jobs and thought that climate change would reduce the economic activity of their areas. Responses were also pessimistic regarding future water availability but agreed with the development of alternative sources such as desalination and water re-use. Household size, educational levels, and employment tended to be the most significant statistical explanatory factors regarding attitudes toward climate change. Respondents in larger households (a variable not tested in the literature as far as we know), respondents with higher education, and respondents working for a wage tended to express more concerns than the rest.

  3. [Despite corrective measures, will there still be a lack of anaesthetists and intensive care physicians in France by 2020?].

    PubMed

    Pontone, S; Brouard, N

    2010-12-01

    the demographic decline in the Anaesthesia and Intensive Care practitioners predicted for 2020 may bring into question the speciality's vocation, and indeed peri-operative care as a whole in France. The objective of this study is to assess the French Anaesthetist and Intensive Care physicians' demographics in 2010, and predicted numbers for 2020 taking into account recently initiated corrective measures. data originating from the CFAR-SFAR-INED French medical demographics survey(1), the French General Medical Council, and various studies and projections published by the INED and the DREES(2) were collected and analysed. Factors were then identified that were likely to affect personnel numbers, speciality training requirements and the demand for patient care. french General Medical Council data is the most reliable and reports 9692 Anaesthetists and Intensive Care physicians practising regularly in France on the 1(st) of January 2009. Of those, 9,391 (96.9 %) were practising on the mainland. Personnel growth reduced due to the effect of specialist training selection procedures: the percentage of doctors entering Anaesthesia and Intensive Care training dropped from 12.7 % per year in 1960 to 1.5 % in 1990. Since 2002, personnel in regular practice dropped by 1.1 % per year. Relatively few doctors were leaving the profession, the decrease was due to the reduction in the numbers entering practice: 222 per year on average from 1988 through 2004, compared to 355 per year for the two preceding decades (1971 to 1987). Anaesthetists and Intensive Care physicians are growing older; the average age increased from 42.8 years of age in 1989 to 51 on the 1(st) of January 2009. Further evidence of this trend is that the number of practitioners less than fifty years of age continues to decrease; just 47.5 % in 2005 compared with 80 % in 1989. 5,139 anaesthetists between 50 and 64 years of age will leave the profession before 2020, over half (52.3 %) of the total practising in 2005. Practitioner density increased from 13.1 Anaesthetists and Intensive Care physicians per 100,000 inhabitants in 1989 to 16.2 in January2006. If only those in regular practice are considered, density is stable at 15.3 per 100,000 inhabitants as of 1(st)January2009. The most recent 2009 projections predict a 13 % decrease in the number of practitioners between 2006 and 2015, and a 16 to 20 % decrease by 2020. Initial projections in 1991 and further projections in 1999 predicted 50 % and 35 to 50 % decreases by 2020. Numerous factors could amplify this reduction in the absence of increased training efforts. These factors include population growth (+6 to 7 % by 2020), the increasing health care demands of an ageing population (+15 %), medical progress, the increasing feminisation of the medical workforce, projected retirements and reductions in migratory flows. despite increasing training throughput and increasing medical immigration, Anaesthetists and Intensive Care physicians in France are ageing noticeably and reducing in number. This foreshadows further personnel reductions in the future. A demographic catastrophe may well have been avoided; a more moderate reduction in personnel persists for 2020 with an ongoing risk of numerical inadequacy with respect to needs. This situation justifies a further increase in training throughput, along with adaptations in the provision of care, so as to ensure maintained care standards. 2010 Elsevier Masson SAS. All rights reserved.

  4. Nutrition transition in Chile: determinants and consequences.

    PubMed

    Albala, Cecilia; Vio, Fernando; Kain, Juliana; Uauy, Ricardo

    2002-02-01

    The purpose of this study was to analyse the determinants and consequences of the nutrition transition in Chile and describe the related health promotion policies. This is a descriptive, population-based study including data on demographic, diet, nutrition and biomedical related variables. Data came from the Food and Agriculture Organization (FAO), the National Institute of Statistics (INE), the Ministries of Planning, Health and Education surveillance systems, and national surveys. As malnutrition decreased during the 1980s, obesity increased rapidly in all age groups. In adults, currently about 25% of women are obese (body mass index >30 kg m(-2)); particularly those from low socio-economic levels. Among preschoolers, obesity is now 10% while in 6-year-old children it is 17.5% (weight/height greater than two standard deviations (>2SD) of the World Health Organization reference). Nutritional risk factors are prevalent, diet is changing to a 'Western diet' with an increasing fat consumption, and sedentarianism is constant in all groups. High blood pressure (>140/90) is greater than 10% in adults. Diabetes is increasing in urban areas, including in the indigenous population, and more than 40% of adults have a cholesterol level of more than 200 mg ml(-1). Promotion of healthy lifestyles is the main strategy to cope with this situation, particularly changing behaviour in food habits, physical activity and psychosocial factors. Changes in lifestyles will not only allow the prolonged life expectancy to be of better quality, but also will favour a decrease in the morbidity and mortality from chronic diseases, mainly cardiovascular diseases.

  5. Gastric Cancer Incidence Estimation in a Resource-Limited Nation: Use of Endoscopy Registry Methodology

    PubMed Central

    Dominguez, Ricardo L.; Crockett, Seth D.; Lund, Jennifer L.; Suazo, Lia P.; Heidt-Davis, Paris; Martin, Christopher; Morgan, Douglas R.

    2013-01-01

    Purpose Cancer epidemiology is challenging in developing nations, in the absence of reliable pathology-based cancer registries. Clinical experience suggests that the incidence of gastric cancer is high in Honduras, in contrast to the limited available national statistics at the time of study initiation (IARC GLOBOCAN 2002: males 15.2, females 10.8). We estimate the incidence of gastric cancer for Honduras using an endoscopy registry as a complimentary resource. Methods We conducted a retrospective analysis of incident noncardia gastric adenocarcinoma cases in Western Honduras for the period 2000–2009. This region is well circumscribed geopolitically with a single district hospital and established referral patterns, to provide a unique epidemiological niche to facilitate estimation of incidence rates. A prospective, comprehensive database of all endoscopy procedures from this hospital was utilized at the primary data source. The catchment area for gastroenterology services for the at-risk population was validated by calculating the overall endoscopy utilization rates for each municipality in western Honduras. Incident cases of gastric adenocarcinoma were determined by the endoscopic diagnosis. Pathology services are not financed by the Ministry of Health, and histology data was incorporated when available. Population statistics were obtained from the Honduras National Statistics Institute (INE). Age standardized incidence rates (ASIRs) were calculated using world standard population fractions. Results The catchment area for Western Honduras was validated with the municipality threshold of 30 endoscopies per 106 person-years, with inclusion of a total of 40 municipalities. In the Western Honduras catchment area, there were 670 incident cases (439 M, 231 F) of noncardia gastric adenocarcinoma during the study decade 2000–2009. Notably, 67 (10.0%) and 165 (24.6%) of cases were under the ages of 45 and 55, respectively. The case-finding rate was 5.1 endoscopies performed for each new diagnosis of gastric cancer. The ASIRs for the decade were 30.8 for males and 13.9 for females. Clinically, 60.3% of gastric cancers were Borrmann type 3 (ulcerated mass), and evidence of advanced disease with pyloric obstruction was common (35.2%). Subtypes by the Lauren classification were distributed among diffuse (56%), intestinal (34%) and indeterminate (9.9%), in subjects with available pathology (526/670). Conclusions The endoscopy procedure registry may serve as a complimentary data resource for gastric cancer incidence estimation in resource-limited nation settings wherein pathology services and cancer registries are absent. The results remain an underestimation in this setting due to the challenges of access-to-care and related factors. The methodology helps to more fully characterize the high incidence of gastric cancer in western Honduras and this region of Central America, and demonstrate the need for additional epidemiology research and interventions focused on prevention and treatment. PMID:23263776

  6. In vitro evaluation, in vivo quantification, and microbial diversity studies of nutritional strategies for reducing enteric methane production.

    PubMed

    Abdalla, Adibe Luiz; Louvandini, Helder; Sallam, Sobhy Mohamed Abdallah Hassan; Bueno, Ives Cláudio da Silva; Tsai, Siu Mui; Figueira, Antonio Vargas de Oliveira

    2012-06-01

    The main objective of the present work was to study nutritive strategies for lessening the CH(4) formation associated to ruminant tropical diets. In vitro gas production technique was used for evaluating the effect of tannin-rich plants, essential oils, and biodiesel co-products on CH(4) formation in three individual studies and a small chamber system to measure CH(4) released by sheep for in vivo studies was developed. Microbial rumen population diversity from in vitro assays was studied using qPCR. In vitro studies with tanniniferous plants, herbal plant essential oils derived from thyme, fennel, ginger, black seed, and Eucalyptus oil (EuO) added to the basal diet and cakes of oleaginous plants (cotton, palm, castor plant, turnip, and lupine), which were included in the basal diet to replace soybean meal, presented significant differences regarding fermentation gas production and CH(4) formation. In vivo assays were performed according to the results of the in vitro assays. Mimosa caesalpineaefolia, when supplemented to a basal diet (Tifton-85 hay Cynodon sp, corn grain, soybean meal, cotton seed meal, and mineral mixture) fed to adult Santa Ines sheep reduced enteric CH(4) emission but the supplementation of the basal diet with EuO did not affect (P > 0.05) methane released. Regarding the microbial studies of rumen population diversity using qPCR with DNA samples collected from the in vitro trials, the results showed shifts in microbial communities of the tannin-rich plants in relation to control plant. This research demonstrated that tannin-rich M. caesepineapholia, essential oil from eucalyptus, and biodiesel co-products either in vitro or in vivo assays showed potential to mitigate CH(4) emission in ruminants. The microbial community study suggested that the reduction in CH(4) production may be attributed to a decrease in fermentable substrate rather than to a direct effect on methanogenesis.

  7. Applicability of a Web-Based, Individualized Exercise Intervention in Patients With Liver Disease, Cystic Fibrosis, Esophageal Cancer, and Psychiatric Disorders: Process Evaluation of 4 Ongoing Clinical Trials.

    PubMed

    Pfirrmann, Daniel; Haller, Nils; Huber, Yvonne; Jung, Patrick; Lieb, Klaus; Gockel, Ines; Poplawska, Krystyna; Schattenberg, Jörn Markus; Simon, Perikles

    2018-05-22

    In the primary and secondary prevention of civilization diseases, regular physical activity is recommended in international guidelines to improve disease-related symptoms, delay the progression of the disease, or to enhance postoperative outcomes. In the preoperative context, there has been a paradigm shift in favor of using preconditioning concepts before surgery. Web-based interventions seem an innovative and effective tool for delivering general information, individualized exercise recommendations, and peer support. Our first objective was to assess feasibility of our Web-based interventional concept and analyze similarities and differences in a sustained exercise implementation in different diseases. The second objective was to investigate the overall participants' satisfaction with our Web-based concept. A total of 4 clinical trials are still being carried out, including patients with esophageal carcinoma scheduled for oncologic esophagectomy (internet-based perioperative exercise program, iPEP, study), nonalcoholic fatty liver disease (hepatic inflammation and physical performance in patients with nonalcoholic steatohepatitis, HELP, study), depression (exercise for depression, EXDEP, study), and cystic fibrosis (cystic fibrosis online mentoring for microbiome, exercise, and diet, COMMED, study). During the intervention period, the study population had access to the website with disease-specific content and a disease-specific discussion forum. All participants received weekly, individual tailored exercise recommendations from the sports therapist. The main outcome was the using behavior, which was obtained by investigating the log-in rate and duration. A total of 20 participants (5 from each trial) were analyzed. During the intervention period, a regular contact and a consequent implementation of exercise prescription were easily achieved in all substudies. Across the 4 substudies, there was a significant decrease in log-in rates (P<.001) and log-in durations (P<.001) over time. A detailed view of the different studies shows a significant decrease in log-in rates and log-in durations in the HELP study (P=.004; P=.002) and iPEP study (P=.02; P=.001), whereas the EXDEP study (P=.58; P=.38) and COMMED study (P=.87; P=.56) showed no significant change over the 8-week intervention period. There was no significant change in physical activity within all studies (P=.31). Only in the HELP study, the physical activity level increased steadily over the period analyzed (P=.045). Overall, 17 participants (85%, 17/20) felt secure and were not scared of injury, with no major differences in the subtrials. The universal use of the Web-based intervention appears to be applicable across the heterogonous collectives of our study patients with regard to age and disease. Although the development of physical activity shows only moderate improvements, flexible communication and tailored support could be easily integrated into patients' daily routine. iPEP study: ClinicalTrials.gov NCT02478996; https://clinicaltrials.gov/ct2/show/NCT02478996 (Archived by WebCite at http://www.webcitation.org/6zL1UmHaW); HELP study: ClinicalTrials.gov NCT02526732; http://www.webcitation.org/6zJjX7d6K (Archived by WebCite at http://www.webcitation.org/6Nch4ldcL); EXDEP study: ClinicalTrials.gov NCT02874833; https://clinicaltrials.gov/ct2/show/NCT02874833 (Archived by WebCite at http://www.webcitation.org/6zJjj7FuA). ©Daniel Pfirrmann, Nils Haller, Yvonne Huber, Patrick Jung, Klaus Lieb, Ines Gockel, Krystyna Poplawska, Jörn Markus Schattenberg, Perikles Simon. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 22.05.2018.

  8. Rapid residue analysis of oxathiapiprolin and its metabolites in typical Chinese soil, water, and sediments by a modified quick, easy, cheap, effective, rugged, and safe method with ultra high performance liquid chromatography and tandem mass spectrometry.

    PubMed

    Ju, Chao; Dong, Fengshou; Liu, Xingang; Wu, Xiaohu; Zhao, Huanhuan; Zheng, Yongquan; Xu, Jun

    2015-03-01

    A sensitive and effective method for the simultaneous determination of residues from a new fungicide, oxathiapiprolin, and its metabolites (IN-E8S72 and IN-WR791) in soil, water, and sediment, was developed using ultra high performance liquid chromatography with tandem mass spectrometry. Three compounds were extracted from water, soil, and sediment by using acetonitrile and different proportions of formic acid aqueous solution (1% v/v for water; 2% v/v for soil; and sediment), and were cleaned with octadecylsilane. The target compounds were determined within 5 min using an electrospray ionization source in the positive mode for oxathiapiprolin and in the negative mode for the two metabolites. The limits of quantification for all the three compounds were 0.1 μg/kg in water and 1 μg/kg in soil and sediment. Recovery studies were performed using three spiked levels (0.1, 1, and 10 μg/kg for water; 1, 10, and 50 μg/kg for soil and sediment). The overall average recoveries ranged from 64.8 to 112.7% with all intra- and interday relative standard deviation values below 19.4 and 19.1%, respectively. The method validation confirmed that the proposed method was convenient and reliable for determining residual oxathiapiprolin and its metabolites in soil, water, and sediments. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  9. Seismic-reflection and sidescan-sonar data collected off eastern Cape Cod, Massachusetts, during April 1979

    USGS Publications Warehouse

    Knebel, Harley J.

    1981-01-01

    The U.S. Geological Survey collected 98 line kilometers of single-channel seismic-reflection profiles and sidescan sonar records on the inner shelf of eastern Cape Cod, Massachusetts, during April 1979. The data were obtained during cruise NE-1-79 of the R/V NEECHO. The purposes of the survey were: (1) to study the development of barrier islands; (2) to document the frequency and rate of migration of inlets that breach barrier islands; and (3) to define the characteristics of shoreface ridges on a barrier island.he survey uti I ized two acoustic systems. Information about the bottom was obtained by using an EDO Western model 606 sidescan-sonar system (100 kHz). Profiles of the subbottom were collected by an EG&G Uni boom transducer (400-4,000 Hz) and a Del Norte streamer. Positional control for al I track! ines was provided by a shore-based Miniranger system and by LORAN-C.The quality of the records generally is very good. However, subbottom penetration did vary somewhat from place to place during the survey due to the nature of the bottom sediments and to the presence or absence of buried channels.The original records may be examined at the U.S. Geological Survey, Woods Hole, MA 02543. Microfilm copies of the data are avai I able for purchase from the National Geophysical pnd Solar-Terrestrial Data Center, NOAA/EDIS/NGSDC, Code D621, 325 Broadway, Boulder, CO 80303 (303-497-6338).

  10. The Evolving Field of Wound Measurement Techniques: A Literature Review.

    PubMed

    Khoo, Rachel; Jansen, Shirley

    2016-06-01

    Wound healing is a complex and multifactorial process that requires the involvement of a multidisciplinary approach. Methods of wound measurement have been developed and continually refined with the purpose of ensuring precision in wound measurement and documentation as the primary indicator of healing. This review aims to ascertain the efficacies of current wound area measurement techniques, and to highlight any perceived gaps in the literature so as to develop suggestions for future studies and practice. Med- line, PubMed, CliniKey, and CINAHL were searched using the terms "wound/ulcer measurement techniques," "wound assessment," "digi- tal planimetry," and "structured light." Articles between 2000 and 2014 were selected, and secondary searches were carried out by exam- ining the references of relevant articles. Only papers written in English were included. A universal, standardized method of wound as- sessment has not been established or proposed. At present, techniques range from the simple to the more complex - most of which have char- acteristics that allow for applicability in both rural and urban settings. Techniques covered are: ruler measurements, acetate tracings/contact planimetry, digital planimetry, and structured light devices. Conclu- sion. In reviewing the literature, the precision and reliability of digital planimetry over the more conventional methods of ruler measurements and acetate tracings are consistently demonstrated. The advent and utility of the laser or structured light approach, however, is promising, has only been analyzed by a few, and opens up the scope for further evaluation of this technique.

  11. Physical, chemical and sensorial parameters for lambs of different groups, slaughtered at different weights.

    PubMed

    Landim, Aline Vieira; Castanheira, Marlos; Fioravanti, Maria Clorinda Soares; Pacheco, Aline; Cardoso, Maximiliano Tadeu Memória; Louvandini, Helder; McManus, Concepta

    2011-08-01

    The object of this experiment was to study physicochemical and sensorial traits in the 11th and 13th ribs of 24 Santa Ines (SI), 24 1/2 Ile de France × 1/2 Santa Inês (ILE × SI) and 8 1/2 Texel × 1/2 Santa Inês (TE × SI), slaughtered at different weights (30, 35, 40 and 45 kg, respectively). Subjective measurements (marbling, colour and texture) were carried out on the Longissimus dorsi, as well as initial pH (0 h) and final pH (24 h) after slaughter. The experiment was in a 3 × 4 factorial design and analysed using general linear model and correlation procedures in SAS®. Breed group did not influence colour (3.32), shear force (3.57 kg-force (kgf)) or loss in cooking (24.05%) of the L. dorsi, but slaughter weight affected these, with stronger colour, tougher meat and greater loss in cooking as slaughter weight increased. For sensorial analysis, the L. dorsi were cut, identified and evaluated by 30 untrained judges using a linear scale. Significant differences were detected in preference (6.61 points), tenderness (6.32 points), succulence (6.33 points) and flavour (7.08 points) of the meat from different breed groups and slaughter weights. For preference, all meats were well accepted although the crossbred animals slaughtered at 45 kg were less acceptable.

  12. Silage or fresh by-product of peach palm as roughage in the feeding of lambs.

    PubMed

    dos Santos Cabral, Ícaro; Azevêdo, José Augusto Gomes; de Almeida, Flávio Moreira; Pereira, Luiz Gustavo Ribeiro; de Araújo, Gherman Garcia Leal; Nogueira, Abdon Santos; Souza, Lígia Lins; de Oliveira, Gisele Andrade; de Oliveira Filho, Carlos Alberto Alves

    2015-03-01

    The objective of this study was to evaluate intake and apparent digestibility of agro-industrial by-product of peach palm in diets for lambs. Twenty castrated, crossbred Santa Ines lambs, with average age of 150 days and body weight of 22.4 ± 3.4 kg, were distributed in a completely randomized design with four experimental diets composed of the following: fresh by-product of peach palm enriched with urea + ammonia sulfate (FU); fresh peach palm by-product + concentrate (FP); silage of peach palm by-product + concentrate (SP); and silage of peach palm by-product enriched with 15% of cornmeal + concentrate (SPC). Intake was recorded daily, and the digestibility coefficients were estimated with the internal marker indigestible acid detergent fiber (iADF). Diet FU resulted in the lowest intake and digestibility of the nutrients evaluated. Animals receiving diet FP showed higher intakes of dry matter (DM), organic matter (OM), crude protein (CP), neutral detergent fiber (NDF), total digestible nutrients (TDN), and digestible energy (DE) in relation to animals fed diets SP and SPC. Diets SP and SPC showed higher coefficients of digestibility of DM, OM, CP, and NDF than diet FP. Diet SP reduced the intakes of DM, OM, ether extract (EE), non-fibrous carbohydrate (NFC), TDN, and DE and the digestibility coefficients of DM, OM, and NFC as compared with diet SPC. Feedlot lambs fed a diet with fresh peach palm by-product + concentrate (diet FP) have higher nutrient intake.

  13. Radioactive release during nuclear accidents in Chernobyl and Fukushima

    NASA Astrophysics Data System (ADS)

    Nur Ain Sulaiman, Siti; Mohamed, Faizal; Rahim, Ahmad Nabil Ab

    2018-01-01

    Nuclear accidents that occurred in Chernobyl and Fukushima have initiated many research interests to understand the cause and mechanism of radioactive release within reactor compound and to the environment. Common types of radionuclide release are the fission products from the irradiated fuel rod itself. In case of nuclear accident, the focus of monitoring will be mostly on the release of noble gases, I-131 and Cs-137. As these are the only accidents have been rated within International Nuclear Events Scale (INES) Level 7, the radioactive release to the environment was one of the critical insights to be monitored. It was estimated that the release of radioactive material to the atmosphere due to Fukushima accident was approximately 10% of the Chernobyl accident. By referring to the previous reports using computational code systems to model the release rate, the release activity of I-131 and Cs-137 in Chernobyl was significantly higher compare to Fukushima. The simulation code also showed that Chernobyl had higher release rate of both radionuclides on the day of accident. Other factors affecting the radioactive release for Fukushima and Chernobyl accidents such as the current reactor technology and safety measures are also compared for discussion.

  14. Municipal distribution and trends in bladder cancer incidence in health area of León, Spain (1996-2010).

    PubMed

    del Canto, M; García-Martínez, L; Fernández-Villa, T; Molina, A J; Campanario, F; García-Sanz, M; López-Abente, G; Honrado, E; Martín-Sánchez, V

    2015-01-01

    Spain is a country where bladder cancer incidence and mortality rates are some of the highest in the world. The aim of this study is to know the incidence, trends and geographical distribution of bladder cancer in the health area of León. the new cases of bladder cancer (CIE-188) in patients residing in the health area of León and registered in the Hospital Tumor Registry of the Centro Asistencial Universitario in León (Spain) between 1996-2010 were included in this study. Triennial crude incidence and adjusted incidence rates to the worldwide and European population were calculated. Population data of the municipalities of Leon (Spain) were obtained from National Institute of Statistic of Spain (INE, Instituto Nacional de Estadística). Data were disaggregated by sex-groups and five-year age groups. Spatial distribution of smoothed municipal relative risks (RR) of bladder cancer was carried out using a Besag, York and Mollié model. Bayesian model were used to calculate the posterior probability (PP) of RR greater than one. 1.573 cases were included. Incidence rates standardized to European population increased among men from 20,8/100.000 (1996-98) to 33,1/100.000 (2006-2008) and among women these rates increased from 1,9/100.000 to 5,9/100.000 for the same period of time. No relevant differences were found in the municipal distribution of the incidences. bladder cancer incidence rates are high in the European context. Rising trends in incidence in both sexs, particularly in women are observed. Copyright © 2014 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  15. [Changes in household food and nutrient consumption in Metropolitan Santiago 1988-97 by income].

    PubMed

    Crovetto, Mirta; Uauy, Ricardo

    2010-09-01

    the rise in the prevalence of obesity, diabetes, and other risk factors for cardiovascular diseases and cancer observed in Chile over the past decades may be related to changes in dietary patterns of the population. to report changes in household apparent food-nutrients consumption (HAFNC) for Metropolitan Santiago-Chile 1988-97. the analysis is based on data from household expenditure surveys conducted by the Instituto Nacional de Estadísticas (INE) on a representative sample of the population to define changes in food prices. Information on food and drink purchases were grouped by specific items and expen-ditures standardized across the two surveys. HAFNC was determined based on unit consumed at home and out of home by the total group and by income quintile using national food composition tables. apparent energy consumption increased over the study period by 25%, this was mainly explained by increased consumption of meat and dairy (rich in saturated fats of animal origin) and of processed foods (fat spreads, sweets and pastries) and foods rich in added sugars (sugary drinks and juices). Dietary fiber derived from whole grains, legumes and cereals decreased. The HAFNC of items protective against nutrition related chronic diseases, such as vegetables, fruits and other fiber rich foods remained stable or frankly decreased (legumes and non-starchy vegetables) Fish and other marine foods rich in omega- 3 fats remained low. the changes in apparent food consumption patterns can be characterized by an increase in energy dense, fat and sugar rich foods with a low consumption of fi sh, whole grains, legumes, vegetables and fruits.

  16. The extension of the INCL model for simulation of shielding in space

    NASA Astrophysics Data System (ADS)

    Pedoux, Sophie; Cugnon, Joseph; Mancusi, Davide; Boudard, Alain; David, Jean-Christophe; Leray, Sylvie

    The energy spectrum of protons in cosmic rays has its maximum flux around 1 GeV but remains important for energies up to 20 GeV. Space radiation is also composed of helium nuclei (around 10(¡1damage in material and tissue. It has been shown that the Li`ge Intranuclear Cascade model (INCL), which will be briefly in-e troduced, reproduces fairly well a great deal of experimental data for nucleon-induced reactions in the 200 MeV to 2 GeV range [1], when coupled with the ABLA evaporation-fission code developed by K.-H. Schmidt [2]. It should be stressed that this agreement is achieved without adjustment of parameters in the INCL part. We will present three extensions of INCL4 that have been investigated in order to make the model useful for the study of space radiation transport. First, we will introduce its extension to nucleon-nucleus reactions at energies up to 15 GeV, which has been realized by including additional pion-production channels in collisions during the cascade. Second, we will describe the newly implemented coalescence mechanism for the emission of light charged particle and, finally, we will discuss how light ions can be accommodated as projectiles in INCL4. We will show some results and compare them with relevant experimental data. Implication for space radio-protection issues will be discussed. [1] A. Boudard, J. Cugnon, S. Leray and C. Volant, Phys. Rev. C66 (2002)044615 [2] J.-J. Gaimard and K.-H. Schmidt, Nucl. Phys. A531(1991)

  17. Helminthiasis characterization and anthelmintic efficacy for ewes and lambs raised in tropical semiarid region.

    PubMed

    Bastos, Gabriela Almeida; Fonseca, Leydiana Duarte; de Paiva Ferreira, Adriano Vinícius; Costa, Marco Aurélio Morais Soares; Silva, Maria Luiza França; de Oliveira Vasconcelos, Viviane; de Sousa, Rogério Marcos; Duarte, Eduardo Robson

    2017-06-01

    In this study the helminthiasis and anthelmintic effectiveness in ewes and lambs were evaluated in a semiarid region of Brazil. Twelve sheep farms were investigated using semi-structured questionnaires and fecal egg count (FEC) reduction test was employed to analyze the profile of anthelmintic resistance. Groups of at least 10 animals with FEC ≥ 300 were selected. After 12 h of fasting, homogeneous groups of lambs or ewes were treated with albendazole, levamisole moxidectin, or oxfendazole and control groups were not treated. Feces were collected before treatments and 14 days after, and larvae genera were identified after cuprocultures in both periods. Extensive grazing was the predominant creation system, using hybrid Santa Ines animals. The separation by age was promoted in 75% of herds; however, maternity pickets there were only in three farms. The strategic treatments were performed only in 8.4% of sheep farms and 16.6% used the anthelmintic efficacy test and alternated anthelmintic classes after 1 year. The initial FEC means for lambs were significantly higher than ewe FEC averages. For lamb tests, moxidectin and levamisole showed higher efficacy (p ≤ 0.05) than benzimidazoles. For ewe tests, moxidectin and levamisole showed efficiencies >75%. Haemonchus spp. and Trichostrongylus spp. were the most frequent nematodes before treatments and the genus Haemonchus was the most prevalent after anthelmintic treatments (p < 0.05). Variations of anthelmintic susceptibility were observed for categories and herds evaluated, which emphasizes the importance of the effectiveness tests for the choice of anthelmintics for ewes and lambs.

  18. Public understanding of cigarette smoke constituents: three US surveys

    PubMed Central

    Brewer, Noel T; Morgan, Jennifer C; Baig, Sabeeh A; Mendel, Jennifer R; Boynton, Marcella H; Pepper, Jessica K; Byron, M Justin; Noar, Seth M; Agans, Robert P; Ribisl, Kurt M

    2017-01-01

    Introduction The Tobacco Control Act requires public disclosure of information about toxic constituents in cigarette smoke. To inform these efforts, we studied public understanding of cigarette smoke constituents. Methods We conducted phone surveys with national probability samples of adolescents (n=1125) and adults (n=5014) and an internet survey with a convenience sample of adults (n=4137), all in the USA. We assessed understanding of cigarette smoke constituents in general and of 24 specific constituents. Results Respondents commonly and incorrectly believed that harmful chemicals in cigarette smoke mostly originate in additives introduced by cigarette manufacturers (43–72%). Almost all participants had heard that nicotine is in cigarette smoke, and many had also heard about carbon monoxide, ammonia, arsenic and formaldehyde. Less than one-quarter had heard of most other listed constituents being in cigarette smoke. Constituents most likely to discourage respondents from wanting to smoke were ammonia, arsenic, formaldehyde, hydrogen cyanide, lead and uranium. Respondents more often reported being discouraged by constituents that they had heard are in cigarette smoke (all p<0.05). Constituents with names that started with a number or ended in ‘ene’ or ‘ine’ were less likely to discourage people from wanting to smoke (all p<0.05). Discussion Many people were unaware that burning the cigarette is the primary source of toxic constituents in cigarette smoke. Constituents that may most discourage cigarette smoking have familiar names, like arsenic and formaldehyde and do not start with a number or end in ene/ine. Our findings may help campaign designers develop constituent messages that discourage smoking. PMID:27924009

  19. ANI-1: an extensible neural network potential with DFT accuracy at force field computational cost† †Electronic supplementary information (ESI) available. See DOI: 10.1039/c6sc05720a Click here for additional data file.

    PubMed Central

    Smith, J. S.

    2017-01-01

    Deep learning is revolutionizing many areas of science and technology, especially image, text, and speech recognition. In this paper, we demonstrate how a deep neural network (NN) trained on quantum mechanical (QM) DFT calculations can learn an accurate and transferable potential for organic molecules. We introduce ANAKIN-ME (Accurate NeurAl networK engINe for Molecular Energies) or ANI for short. ANI is a new method designed with the intent of developing transferable neural network potentials that utilize a highly-modified version of the Behler and Parrinello symmetry functions to build single-atom atomic environment vectors (AEV) as a molecular representation. AEVs provide the ability to train neural networks to data that spans both configurational and conformational space, a feat not previously accomplished on this scale. We utilized ANI to build a potential called ANI-1, which was trained on a subset of the GDB databases with up to 8 heavy atoms in order to predict total energies for organic molecules containing four atom types: H, C, N, and O. To obtain an accelerated but physically relevant sampling of molecular potential surfaces, we also proposed a Normal Mode Sampling (NMS) method for generating molecular conformations. Through a series of case studies, we show that ANI-1 is chemically accurate compared to reference DFT calculations on much larger molecular systems (up to 54 atoms) than those included in the training data set. PMID:28507695

  20. Carcass characteristics of lambs fed spineless cactus as a replacement for sugarcane.

    PubMed

    de Oliveira, Juliana Paula Felipe; de Andrade Ferreira, Marcelo; Alves, Adryanne Marjorie Souza Vitor; de Melo, Ana Caroline Cerqueira; de Andrade, Ida Barbosa; Urbano, Stela Antas; Suassuna, Juraci Marcos Alves; de Barros, Leonardo José Assis; de Barros Melo, Tobias Tobit

    2018-04-01

    Fresh sugarcane has been a new roughage source for ruminant's in semiarid regions, a function of the decline of sugar and alcohol industry in recent years. However, there is little data published regarding lambs fed sugarcane associated with spineless cactus. This study evaluated the effect of sugarcane replacement with spineless cactus (0%, 33%, 66%, and 100%) in the diet of Santa Inês lambs on carcass characteristics. Thirty-six non-castrated Santa Ines lambs at four months of age and an initial body weight of 22±2.3 kg were assigned in a randomized block design and slaughtered after 70 days of confinement. The effects of spineless cactus as a replacement for sugarcane in the diet of the lambs on the carcass characteristics, commercial cut weight and yield, leg tissue composition, and carcass measurements were studied. The study revealed quadratic behavior in slaughter body weight, and hot and cold carcass weight, with maximum values of 38.60, 18.60, and 18.11 kg and replacement levels of 40.18%, 44.42%, and 43.14%, respectively. The cold carcass yield presented an increasing linear behavior. The compactness index of carcass and leg presented a quadratic effect, with estimated maximal values of 0.28 and 0.57 kg/cm and replacement levels of 43.37% and 45.5%, respectively. The weights of commercial cuts of leg, loin, shoulder, and breast showed quadratic behavior, with maximum values of 2.79, 0.852, 1.46, and 1.30 kg and replacement levels of 49.5, 45.32, 39.0, and 40.7, respectively. For tissue composition, quadratic behavior was verified for leg weight, subcutaneous fat, and total fat. The replacement of sugarcane by spineless cactus at level 44% is recommended for finishing lambs considering that this level improved most of the carcass characteristics, weights, and yields of commercial cuts and leg tissue composition.

  1. [Changes in the consumption of dairy products, sugary drinks and processed juices in the Chilean population].

    PubMed

    Crovetto, Mirta M; Uauy, Ricardo

    2014-12-01

    Nowadays, Chilean population tends to replace or eat a lower amount of food with health protective properties and a higher proportion of unhealthy foodstuff. To describe and compare the intake of dairy products, sugary drinks and processed juices among Chileans. An analysis of data compiled from the Survey on Household Budget and Expenses carried out by the Chilean National Institute of Statistics (INE), using a representative sample of households. The sample was surveyed between 1987 and 2007. The analysis was performed for all households surveyed and for households belonging to the second (highest incomes) and fifth quintile (lowest incomes). The Chilean Food Guide and the international recommendations of the Institute of Medicine of the United States and the American Heart Association (in the case of sugars) were used as reference. Even though the intake of dairy products increased during the period of the survey, it was lower than the intake of sugary drinks and juices, which increased. Also, calcium recommendations were not covered. On the other hand, the intake of added sugars increased to figures over current recommendations. The intake of dairy products and calcium is below the recommended amounts established by international organisms, and added sugars intake is greater than the advisable levels recommended by international organisms.

  2. Expanding the donor pool: can the Spanish model work in the United States?

    PubMed

    Chang, George J; Mahanty, Harish D; Ascher, Nancy L; Roberts, John P

    2003-10-01

    Since the creation of the Organizacion Nacional de Trasplantes (ONT) in 1989, the organ donation rate in Spain has doubled. Although often attributed to improved donor recruitment efforts, this increase may also represent higher utilization of marginal donors. Therefore, age-related donor recruitment in Spain and the US was evaluated. Data from the ONT, the US Scientific Registry of Transplant Recipients (SRTR), the US Census Bureau, and the Tempus databank of Spain's Instituto Nacional de Estadistica (INE) were analyzed. Between 1989 and 1999, the number of donors in Spain increased from 14.3 to 33.7 per million population (pmp; 136% increase) compared with an increase in the US from 16.2 to 21.5 donors pmp (33%). The largest difference between Spain and the US in the increased number of donors was in the 45-year-old group, representing 30.3% of donors in Spain in 1999 (44 donors pmp). If the US increased its older donor rates to match Spain's, an incremental 1235 donors per year would be realized. The high Spanish organ donation rates are largely attributable to increased use of older donors. Utilizing similar proportions of older donors in the US would increase the donor pool by almost 40%.

  3. A comparison of quantum limited dose and noise equivalent dose

    NASA Astrophysics Data System (ADS)

    Job, Isaias D.; Boyce, Sarah J.; Petrillo, Michael J.; Zhou, Kungang

    2016-03-01

    Quantum-limited-dose (QLD) and noise-equivalent-dose (NED) are performance metrics often used interchangeably. Although the metrics are related, they are not equivalent unless the treatment of electronic noise is carefully considered. These metrics are increasingly important to properly characterize the low-dose performance of flat panel detectors (FPDs). A system can be said to be quantum-limited when the Signal-to-noise-ratio (SNR) is proportional to the square-root of x-ray exposure. Recent experiments utilizing three methods to determine the quantum-limited dose range yielded inconsistent results. To investigate the deviation in results, generalized analytical equations are developed to model the image processing and analysis of each method. We test the generalized expression for both radiographic and fluoroscopic detectors. The resulting analysis shows that total noise content of the images processed by each method are inherently different based on their readout scheme. Finally, it will be shown that the NED is equivalent to the instrumentation-noise-equivalent-exposure (INEE) and furthermore that the NED is derived from the quantum-noise-only method of determining QLD. Future investigations will measure quantum-limited performance of radiographic panels with a modified readout scheme to allow for noise improvements similar to measurements performed with fluoroscopic detectors.

  4. Simplified Approach to Predicting Rough Surface Transition

    NASA Technical Reports Server (NTRS)

    Boyle, Robert J.; Stripf, Matthias

    2009-01-01

    Turbine vane heat transfer predictions are given for smooth and rough vanes where the experimental data show transition moving forward on the vane as the surface roughness physical height increases. Consiste nt with smooth vane heat transfer, the transition moves forward for a fixed roughness height as the Reynolds number increases. Comparison s are presented with published experimental data. Some of the data ar e for a regular roughness geometry with a range of roughness heights, Reynolds numbers, and inlet turbulence intensities. The approach ta ken in this analysis is to treat the roughness in a statistical sense , consistent with what would be obtained from blades measured after e xposure to actual engine environments. An approach is given to determ ine the equivalent sand grain roughness from the statistics of the re gular geometry. This approach is guided by the experimental data. A roughness transition criterion is developed, and comparisons are made with experimental data over the entire range of experimental test co nditions. Additional comparisons are made with experimental heat tran sfer data, where the roughness geometries are both regular as well a s statistical. Using the developed analysis, heat transfer calculatio ns are presented for the second stage vane of a high pressure turbine at hypothetical engine conditions.

  5. [The characteristics of urinary tract infection with urosepsis].

    PubMed

    Oshida, Yuki; Hirashima, Osamu; Tanaka, Takamasa; Fujimoto, Takushi

    2014-09-01

    Urinary tract infections (UTIs) are frequently complicated with bacteremia. Many cases of this infection are diagnosed and treated by general practitioners. We retrospectively exam- ined the characteristics of UTIs presenting with urosepsis. We assigned 57 UTI patients into two groups according to the results of the blood cultures. Patients were admitted to the Department of General Practice at Sakai City Hospital from January 1, 2011 to December 31, 2011. We investigated the medical records retrospectively. 22 patients presented with urosepsis and 35 did not. Urosepsis in the patients was significantly associated with diabetes mellitus and ureteral stones (diabetes: 32 vs. 3%, p = 0.004; ureteral stone: 23 vs. 3%, p = 0.03). Nausea or vomiting and hydronephrosis were seen in about one half of the patients with urosepsis and were significantly more frequent (nausea or vomiting: 45 vs. 17%, p = 0.03; hydronephrosis: 36 vs. 11%, p = 0.04). Leukocytosis (white blood cell (WBC) count > 12,000/gL) or leukopenia (WBC count < 4,000 /μL) were significantly more frequent (68% vs. 29%) but no significant association was found between urosepsis and body temperature or C-reactive proteins. Nausea or vomiting, ureteral stones or hydronephrosis, diabetes mellitus and leukocytosis or leukopenia had significantly higher rates in the patients with urosepsis.

  6. [Biotechnology's macroeconomic impact].

    PubMed

    Dones Tacero, Milagros; Pérez García, Julián; San Román, Antonio Pulido

    2008-12-01

    This paper tries to yield an economic valuation of biotechnological activities in terms of aggregated production and employment. This valuation goes beyond direct estimation and includes the indirect effects derived from sectorial linkages between biotechnological activities and the rest of economic system. To deal with the proposed target several sources of data have been used, including official data from National Statistical Office (INE) such us national accounts, input-output tables, and innovation surveys, as well as, firms' level balance sheets and income statements and also specific information about research projects compiled by Genoma Spain Foundation. Methodological approach is based on the estimation of a new input-output table which includes the biotechnological activities as a specific branch. This table offers both the direct impact of these activities and the main parameters to obtain the induced effects over the rest of the economic system. According to the most updated available figures, biotechnological activities would have directly generated almost 1,600 millions of euros in 2005, and they would be employed more than 9,000 workers. But if we take into account the full linkages with the rest of the system, the macroeconomic impact of Biotechnological activities would reach around 5,000 millions euros in production terms (0.6% of total GDP) and would be responsible, directly or indirectly, of more than 44,000 employments.

  7. Effect of Combination Therapy with Neuroprotective and Vasoprotective Agents on Cerebral Ischemia.

    PubMed

    Yang, Jiping; Yang, Bei; Xiu, Baoxin; Qi, Jinchong; Liu, Huaijun

    2018-05-01

    Because most tested drugs are active against only one of the damaging processes associated with stroke, other mechanisms may cause cellular death. Thus, a combination of protective agents targeting different pathophysiological mechanisms may obtain better effects than a single agent. The major objective of this study was to investigate the effect of combination therapy with vascular endothelial growth factor (VEGF) and nerve growth factor (NGF) after controlled ischemic brain injury in rabbits. Animals were randomly assigned to one of the following groups: sham group, saline-treated control group or NGF+VEGF-treated group. Animals received an intracerebral microinjection of VEGF and NGF or saline at 5 or 8 hours after ischemia. The two specified time points of administration were greater than or equal to the existing therapeutic time window for monoterapy with VEGF or NGF alone (3 or 5 hours of ischemia). Infarct volume, water content, neurological deficits, neural cell apoptosis and the expression of caspase-3 and Bcl-2 were measured. Compared with saline-treated controls, the combination therapy of VEGF and NGF significantly reduced infarct volume, water content, neural cell apoptosis and the expression of caspase-3, up-regulated the expression of Bcl-2 and improved functional recovery (both p<0.01) when administered 5 or 8 hours after ischemia. The earlier the administration the better the neuroprotection. These results showed that the combination therapy with VEGF and NGF provided neuroprotective effects. In addition, the time window of combination treatment should be at least 8 hours after ischemia, which was wider than monotherapy. RÉSUMÉ: Les effets d'une polythérapie combinant agents neuro-protecteurs et agents vasoprotecteurs dans les cas d'ischémie cérébrale. Contexte:Étant donné que la plupart des médicaments préalablement testés tendent à n'agir contre seulement un des processus de dommage associés aux AVC, il est possible que d'autres processus entraînent une mort cellulaire. À cet effet, il se pourrait qu'une combinaison d'agents protecteurs ciblant divers mécanismes physiopathologiques permette d'obtenir de meilleurs résultats qu'un simple agent. Après avoir suscité de façon contrôlée des lésions cérébrales ischémiques chez des lapins, l'objectif principal de la présente étude a donc été de se pencher sur l'impact d'une polythérapie combinant la protéine dite « facteur de croissance de l'endothélium vasculaire » (ou « VEGF » en anglais) avec le « facteur de croissance des nerfs » (ou « NGF » en anglais). Méthodes: Les animaux ont été attribués au hasard à l'un des groupes suivants : ceux ayant reçu un traitement fictif ; ceux, du groupe témoin, ayant bénéficié d'un traitement à base de solution saline ; et finalement ceux ayant été traités au moyen des VEGF et NGF. À noter que les lapins ont reçu une micro-injection intracérébrale de VEGF et de NGF ou de solution saline 5 heures ou 8 heures à la suite de leur AVC. Ces deux délais d'administration des VEGF et NGF sont équivalents ou supérieurs aux délais actuels d'administration des VEGF ou NGF à titre de monothérapie (3 heures ou 5 heures à la suite d'un AVC). Tant le volume des infarctus, le contenu en eau, les déficits neurologiques ainsi causés, l'apoptose des neurones que l'expression des protéases caspase 3 et des protéines Bcl-2 ont été mesurés. Résultats: Si on la compare au traitement à base de solution saline administré au groupe témoin, la polythérapie à base de VEGF et de NGF, lorsqu'administrée 5 heures ou 8 heures à la suite de l'AVC, a su réduire de façon notable le volume des infarctus, le contenu en eau, l'apoptose des neurones et l'expression des protéases caspase 3. Elle a également permis de réguler à la hausse l'expression des protéines Bcl-2 en plus d'entraîner une amélioration de la récupération fonctionnelle (p < 0,01 pour ces deux aspects). Ainsi donc, plus tôt l'on opte pour cette polythérapie, meilleure sera la neuroprotection encourue. Ces résultats démontrent que la polythérapie à base de VEGF et de NGF procure des effets neuroprotecteurs. Quant au délai d'administration de ce traitement combinatoire, il devrait être d'au moins 8 heures à la suite d'un AVC, ce qui est plus élevé que la monothérapie.

  8. [Divergent Trends in Suicide Mortality in Navarra and Spain: 2000-2015].

    PubMed

    Delfrade, Josu; Sayón-Orea, Carmen; Teijeira-Álvarez, Rafael; Floristán-Floristán, Yugo; Moreno-Iribas, Conchi

    2017-05-03

    The aim of this study was to know the suicide mortality rates in Navarra and Spain and to compare their time trends during the period 2000-2015. Suicide data were obtained from the Instituto Nacional de Estadística [INE], Spain’s National Statistics Institute. During all the period, the coding of cause of death in Navarra was carried out using data from forensic autopsies, while in some Spanish regions this process started after 2010. A Joinpoint time series regression model was used to assess the time trend and estimate the annual percent change [APC] of the rates by sex and 4 age groups. Suicide mortality in Spain showed a significant downward trend in the overall rate between 2000-2011 [APC of -1.93% in males and -2.19% in females] followed by a significant increase in 2012-2015 [APC: 3.65% in men and 7.60% in women]. No inflection points were observed in men aged 25-44 [APC:1.26%], 45-64 [APC: 1.63%], and women over 65 years [APC:-2.18%]. In Navarra, global rates in men showed a non significant decrease [APC:-1.56%] and a significant decrease in the group of men between 25-44 years [APC:-3.19%]. Among women we observed a non significant increase [APC: 0.74%]. The rise in overall suicide rates observed in Spain since 2011, that was not observed in Navarre, could be influenced by the improvements in coding methods in several Spanish regions. However, this could not explain the decrease observed during the all period in men aged 25-44, that was even larger in Navarra.

  9. Supplementation with Cashew Nut and Cottonseed Meal to Modify Fatty Acid Content in Lamb Meat.

    PubMed

    Pereira, Elzania S; Mizubuti, Ivone Y; Oliveira, Ronaldo L; Pinto, Andréa P; Ribeiro, Edson L A; Gadelha, Carla R F; Campos, Ana C N; Pereira, Marília F; Carneiro, Maria S S; Arruda, Paulo C; Silva, Luciano P

    2016-09-01

    This study evaluates the effect of cashew nut meal (CNM), whole cottonseed (WCS), and calcium salts of long-chain fatty acids (Ca-LCFA) on the fatty acid profiles of meat from hair lambs. Thirty-five 60-d-old, male, noncastrated Santa Ines lambs with an initial average body weight of 13.00 ± 1.80 kg were used in a randomized complete-block design with 7 blocks and 5 treatments. The experimental treatments consisted of a control diet (CON) without supplemental lipids and 4 test diets with different lipid supplements that were selected according to the degree of protection from ruminal hydrogenation and their polyunsaturated fatty acid richness. The tests diets included the following modifications: supplementation with WCS, supplementation with CNM, supplementation with both cottonseed and CNM (CSCNM), and supplementation with Ca-LCFA. The C18:1n9c content was highest in the meat of the animals fed the CNM diet (42.00%). The meat from lambs fed the WCS and Ca-LCFA diets had higher C18:0 contents (25.23 and 22.80%, respectively). The C16:1 content was higher in the meat from the animals fed the CNM and CON diets (1.54 and 1.49%, respectively). C18:2c9t11 concentration was higher in the meat from the animals fed the Ca-LCFA and CNM diets. The estimated enzyme activity of Δ9-desaturase C18 was highest in the muscles of the lambs fed the CON, CNM, and CSCNM diets. The use of cashew nuts in the diet resulted in an increase in the C18:2c9t11 content of the lamb meat, which improved the nutritional characteristics of the fat. © 2016 Institute of Food Technologists®

  10. Feasibility of a knowledge translation CME program: Courriels Cochrane.

    PubMed

    Pluye, Pierre; Grad, Roland; Granikov, Vera; Theriault, Guyléne; Frémont, Pierre; Burnand, Bernard; Mercer, Jay; Marlow, Bernard; Arroll, Bruce; Luconi, Francesca; Légaré, France; Labrecque, Michel; Ladouceur, Roger; Bouthillier, France; Sridhar, Soumya Bindiganavile; Moscovici, Jonathan

    2012-01-01

    Systematic literature reviews provide best evidence, but are underused by clinicians. Thus, integrating Cochrane reviews into continuing medical education (CME) is challenging. We designed a pilot CME program where summaries of Cochrane reviews (Courriels Cochrane) were disseminated by e-mail. Program participants automatically received CME credit for each Courriel Cochrane they rated. The feasibility of this program is reported (delivery, participation, and participant evaluation). We recruited French-speaking physicians through the Canadian Medical Association. Program delivery and participation were documented. Participants rated the informational value of Courriels Cochrane using the Information Assessment Method (IAM), which documented their reflective learning (relevance, cognitive impact, use for a patient, expected health benefits). IAM responses were aggregated and analyzed. The program was delivered as planned. Thirty Courriels Cochrane were delivered to 985 physicians, and 127 (12.9%) completed at least one IAM questionnaire. Out of 1109 Courriels Cochrane ratings, 973 (87.7%) conta-ined 1 or more types of positive cognitive impact, while 835 (75.3%) were clinically relevant. Participants reported the use of information for a patient and expected health benefits in 595 (53.7%) and 569 (51.3%) ratings, respectively. Program delivery required partnering with 5 organizations. Participants valued Courriels Cochrane. IAM ratings documented their reflective learning. The aggregation of IAM ratings documented 3 levels of CME outcomes: participation, learning, and performance. This evaluation study demonstrates the feasibility of the Courriels Cochrane as an approach to further disseminate Cochrane systematic literature reviews to clinicians and document self-reported knowledge translation associated with Cochrane reviews. Copyright © 2012 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education.

  11. Análisis de la región de alta temperatura en las estrellas Be y estudio de sus propiedades y geometría

    NASA Astrophysics Data System (ADS)

    Torres, A. F.; Ringuelet, A. E.

    The aim of this study is to analyse the Hot Temperature Region (HTR) that surrounds the photospheres of Be stars. Consequently, we have chosen 54 Be stars of spectral types B0, B1, B2, B3, B8 and B9; the sample is representative of a considerable range of temperature. We have analysed different lines that originate in the HTR from archival IUE spectra reprocessed by the INES: He II λ1640, Si IV λλ1394, 1403 and Al III λλ1855, 1863. From the measured values, we derive several relations that provide information on the geometry and thermodynamical properties of the HTR. Our major findings can be summarised as follows: 1) The equivalent widths of the selected lines in the spectrum of the program stars persist with similar values through all v sin(i) inclinations. 2) The equivalent widths of the Si IV lines are well correlated with the kinetic energy expansion of the wind. This suggests that the dissipation of mechanical energy in the HTR is an important source of heating. 3) The He II lines formation region, which is located at the dense base of the wind, shows full spherical symmetry. 4) The formation region of Si IV lines is located in a low-density well-developed wind and it extends over very high latitudes (˜75o). 5) The Al III lines are formed in an elongated region which is the beginning of the cool envelope. The analysis followed in this work has been completely independent from any theoretical model. Consequently, these results will be useful for deciding whether the circunstellar envelope of Be stars has an ellipsoidal geometry or a disklike shape.

  12. Human exposure to polybrominated diphenyl ethers (PBDE), as evidenced by data from a duplicate diet study, indoor air, house dust, and biomonitoring in Germany.

    PubMed

    Fromme, Hermann; Körner, Wolfgang; Shahin, Nabil; Wanner, Antonia; Albrecht, Michael; Boehmer, Sigrun; Parlar, Harun; Mayer, Richard; Liebl, Bernhard; Bolte, Gabriele

    2009-11-01

    Polybrominated diphenyl ethers (PBDE) are used as flame retardants in a wide variety of products. As part of the Integrated Exposure Assessment Survey (INES), this study aimed to characterize the exposure of an adult German population using duplicate diet samples, which were collected daily over seven consecutive days, and indoor air and house dust measurements. Our study population consisted of 27 female and 23 male healthy subjects, aged 14-60 years, all of whom resided in 34 homes in southern Bavaria. In these 34 residences the air was sampled using glass fiber filters and polyurethane foams and the dust was collected from used vacuum cleaner bags. The median (95th percentile) daily dietary intake of six Tetra- to HeptaBDE congeners was 1.2 ng/kg b.w. (3.3 ng/kg b.w.) or 67.8 ng/day (208 ng/day) (calculated from the 7-day median values of each study subject). Concentrations in indoor air and dust (cumulative Tri- to DecaBDE congener readings) ranged from 8.2 to 477 pg/m(3) (median: 37.8 pg/m(3)) and 36.6 to 1580 ng/g (median: 386 ng/g), respectively. For some congeners, we identified a significant correlation between air and dust levels. The median (95th percentile) blood concentration of total Tetra- to HexaBDE congener readings was 5.6 (13.2)ng/g lipid. No significant sex differences were observed, but higher blood concentrations were found in younger participants. Using a simplified toxicokinetic model to predict the body burden from exposure doses led to results that were of the same order of magnitude as the measured blood concentrations. Based on these measurements and given our exposure assumptions, we estimated for the total tetra- to heptabrominated congener count an average (high) comprehensive total daily intake of 1.2 ng/kg b.w. (2.5 ng/kg b.w.). Overall, our results suggest that dietary exposure is the dominant intake pathway at least in our study population, responsible for 97% (average intake) and 95% (high intake) of the total intake of an adult population.

  13. Binding of [3H]MSX-2 (3-(3-hydroxypropyl)-7-methyl-8-(m-methoxystyryl)-1-propargylxanthine) to rat striatal membranes--a new, selective antagonist radioligand for A(2A) adenosine receptors.

    PubMed

    Müller, C E; Maurinsh, J; Sauer, R

    2000-01-01

    The present study describes the preparation and binding properties of a new, potent, and selective A(2A) adenosine receptor (AR) antagonist radioligand, [3H]3-(3-hydroxypropyl)-7-methyl-8-(m-methoxystyryl)-1-propargy lxanth ine ([3H]MSX-2). [3H]MSX-2 binding to rat striatal membranes was saturable and reversible. Saturation experiments showed that [3H]MSX-2 labeled a single class of binding sites with high affinity (K(d)=8.0 nM) and limited capacity (B(max)=1.16 fmol.mg(-1) of protein). The presence of 100 microM GTP, or 10 mM magnesium chloride, respectively, had no effect on [3H]MSX-2 binding. AR agonists competed with the binding of 1 nM [3H]MSX-2 with the following order of potency: 5'-N-ethylcarboxamidoadenosine (NECA)>2-[4-(carboxyethyl)phenylethylamino]-5'-N-ethylcarboxami doaden osine (CGS-21680)>2-chloroadenosine (2-CADO)>N(6)-cyclopentyladenosine (CPA). AR antagonists showed the following order of potency: 8-(m-bromostyryl)-3, 7-dimethyl-1-propargylxanthine (BS-DMPX)>1, 3-dipropyl-8-cyclopentylxanthine (DPCPX)>(R)-5, 6-dimethyl-7-(1-phenylethyl)-2-(4-pyridyl)-7H-pyrrolo[2, 3-d]pyrimidine-4-amine (SH-128)>3,7-dimethyl-1-propargylxanthine (DMPX)>caffeine. The K(i) values for antagonists were in accordance with data from binding studies with the agonist radioligand [3H]CGS21680, while agonist affinities were 3-7-fold lower. [3H]MSX-2 is a highly selective A(2A) AR antagonist radioligand exhibiting a selectivity of at least two orders of magnitude versus all other AR subtypes. The new radioligand shows high specific radioactivity (85 Ci/mmol, 3150 GBq/mmol) and acceptable nonspecific binding at rat striatal membranes of 20-30%, at 1 nM.

  14. Early adaption to the antarctic environment at dome C: consequences on stress-sensitive innate immune functions.

    PubMed

    Feuerecker, Matthias; Crucian, Brian; Salam, Alex P; Rybka, Ales; Kaufmann, Ines; Moreels, Marjan; Quintens, Roel; Schelling, Gustav; Thiel, Manfred; Baatout, Sarah; Sams, Clarence; Choukèr, Alexander

    2014-09-01

    Abstract Feuerecker, Matthias, Brian Crucian, Alex P. Salam, Ales Rybka, Ines Kaufmann, Marjan Moreels, Roel Quintens, Gustav Schelling, Manfred Thiel, Sarah Baatout, Clarence Sams, and Alexander Choukèr. Early adaption in the Antarctic environment at Dome C: Consequences on stress-sensitive innate immune functions. High Alt Med Biol 15:341-348, 2014.-Purpose/Aims: Medical reports of Antarctic expeditions indicate that health is affected under these extreme conditions. The present study at CONCORDIA-Station (Dome C, 3233 m) seeks to investigate the early consequences of confinement and hypobaric hypoxia on the human organism. Nine healthy male participants were included in this study. Data collection occurred before traveling to Antarctica (baseline), and at 1 week and 1 month upon arrival. Investigated parameters included basic physiological variables, psychological stress tests, cell blood count, stress hormones, and markers of innate immune functions in resting and stimulated immune cells. By testing for the hydrogen peroxide (H2O2) production of stimulated polymorphonuclear leukocytes (PMNs), the effects of the hypoxia-adenosine-sensitive immune modulatory pathways were examined. As compared to baseline data, reduced oxygen saturation, hemoconcentration, and an increase of secreted catecholamines was observed, whereas no psychological stress was seen. Upon stimulation, the activity of PMNs and L-selectin shedding was mitigated after 1 week. Endogenous adenosine concentration was elevated during the early phase. In summary, living conditions at high altitude influence the innate immune system's response. After 1 month, some of the early effects on the human organism were restored. As this early adaptation is not related to psychological stress, the changes observed are likely to be induced by environmental stressors, especially hypoxia. As hypoxia is triggering ATP-catabolism, leading to elevated endogenous adenosine concentrations, this and the increased catecholamine concentration might contribute to the early, but reversible downregulation of innate immune functions. This indicates the slope of innate immune adaptation to hypoxia.

  15. Prevention praised, cure preferred: results of between-subjects experimental studies comparing (monetary) appreciation for preventive and curative interventions

    PubMed Central

    2013-01-01

    Background 'An ounce of prevention is worth a pound of cure’ is a common saying, and indeed, most health economic studies conclude that people are more willing to pay for preventive measures than for treatment activities. This may be because most health economic studies ask respondents to compare preventive measures with treatment, and thus prompt respondents to consider other uses of resources. However, psychological theorizing suggests that, when methods do not challenge subjects to consider other uses of resources, curative treatment is favored over prevention. Could it be that while prevention is praised, cure is preferred? Methods In two experimental studies, we investigated, from a psychological perspective and using a between-subjects design, whether prevention or treatment is preferred and why. In both studies, participants first read a lung cancer prevention or treatment intervention scenario that varied on the prevention-treatment dimension, but that were the same on factors like 'costs per saved life’ and kind of disease. Then participants completed a survey measuring appreciation (general and monetary) as well as a number of potential mediating variables. Results Both studies clearly demonstrated that, when the design was between-subjects, participants had greater (general and monetary) appreciation for treatment interventions than for preventive interventions with perceived urgency of the intervention quite consistently mediating this effect. Differences in appreciation of treatment over preventive treatment were shown to be .59 (Study 1) and .45 (Study 2) on a 5-point scale. Furthermore, participants thought that health insurance should compensate more for the treatment than for preventive measures, differences of 16% (Study 1), and 22% (Study 2). When participants were asked to directly compare both interventions on the basis of a short description, they preferred the preventive intervention. Conclusion It appears that people claim to prefer prevention when they are asked to consider other use of resources, but otherwise they prefer treatment. This preference is related to perceived urgency. The preference for treatment may be related to the prevention-treatment dimension itself, but also to variations on other dimensions that are inherently linked to prevention and treatment (like different efficacy rates and costs per treatment). PMID:24344779

  16. Wavelength resolved neutron transmission analysis to identify single crystal particles in historical metallurgy

    NASA Astrophysics Data System (ADS)

    Barzagli, E.; Grazzi, F.; Salvemini, F.; Scherillo, A.; Sato, H.; Shinohara, T.; Kamiyama, T.; Kiyanagi, Y.; Tremsin, A.; Zoppi, Marco

    2014-07-01

    The phase composition and the microstructure of four ferrous Japanese arrows of the Edo period (17th-19th century) has been determined through two complementary neutron techniques: Position-sensitive wavelength-resolved neutron transmission analysis (PS-WRNTA) and time-of-flight neutron diffraction (ToF-ND). Standard ToF-ND technique has been applied by using the INES diffractometer at the ISIS pulsed neutron source in the UK, while the innovative PS-WRNTA one has been performed at the J-PARC neutron source on the BL-10 NOBORU beam line using the high spatial high time resolution neutron imaging detector. With ToF-ND we were able to reach information about the quantitative distribution of the metal and non-metal phases, the texture level, the strain level and the domain size of each of the samples, which are important parameters to gain knowledge about the technological level of the Japanese weapon. Starting from this base of data, the more complex PS-WRNTA has been applied to the same samples. This experimental technique exploits the presence of the so-called Bragg edges, in the time-of-flight spectrum of neutrons transmitted through crystalline materials, to map the microstructural properties of samples. The two techniques are non-invasive and can be easily applied to archaeometry for an accurate microstructure mapping of metal and ceramic artifacts.

  17. Taurine in pediatric nutrition: review and update.

    PubMed

    Gaull, G E

    1989-03-01

    Taurine was long considered an end product of the metabolism of the sulfur-containing amino acids, methionine and cyst(e)ine. Its only clearly recognized biochemical role had been as a substrate in the conjugation of bile acids. Taurine is found free in millimolar concentrations in animal tissues, particularly those that are excitable, rich in membranes, and generate oxidants. Various lines of evidence suggest one major nutritional role as protecting cell membranes by attenuating toxic substances and/or by acting as an osmoregulator. The totality of evidence suggests that taurine is nonessential in the rodent, it is an essential amino acid in the cat, and it is conditionally essential in man and monkey. Absence from the diet of a conditionally essential nutrient does not produce immediate deficiency disease but, in the long term, can cause problems. Taurine is now added to many infant formulas as a measure of prudence to provide improved nourishment with the same margin of safety for its newly identified physiologic functions as that found in human milk. Such supplementation can be justified by the finding of improved fat absorption in preterm infants and in children with cystic fibrosis, as well as by salutary effects on auditory brainstem-evoked responses in preterm infants. Experimental findings in animal models and in human cell models provide further justification for taurine supplementation of infant formulas.

  18. Comparison of Rumen Fluid pH by Continuous Telemetry System and Bench pH Meter in Sheep with Different Ranges of Ruminal pH

    PubMed Central

    Reis, Leonardo F.; Minervino, Antonio H. H.; Araújo, Carolina A. S. C.; Sousa, Rejane S.; Oliveira, Francisco L. C.; Rodrigues, Frederico A. M. L.; Meira-Júnior, Enoch B. S.; Barrêto-Júnior, Raimundo A.; Mori, Clara S.; Ortolani, Enrico L.

    2014-01-01

    We aimed to compare the measurements of sheep ruminal pH using a continuous telemetry system or a bench pH meter using sheep with different degrees of ruminal pH. Ruminal lactic acidosis was induced in nine adult crossbred Santa Ines sheep by the administration of 15 g of sucrose per kg/BW. Samples of rumen fluid were collected at the baseline, before the induction of acidosis (T 0) and at six, 12, 18, 24, 48, and 72 hours after the induction for pH measurement using a bench pH meter. During this 72-hour period, all animals had electrodes for the continuous measurement of pH. The results were compared using the Bland-Altman analysis of agreement, Pearson coefficients of correlation and determination, and paired analysis of variance with Student's t-test. The measurement methods presented a strong correlation (r = 0.94, P < 0.05) but the rumen pH that was measured continuously using a telemetry system resulted in lower values than the bench pH meter (overall mean of 5.38 and 5.48, resp., P = 0.0001). The telemetry system was able to detect smaller changes in rumen fluid pH and was more accurate in diagnosing both subacute ruminal lactic acidosis and acute ruminal lactic acidosis in sheep. PMID:24967422

  19. [Feen report on epilepsy in Spain].

    PubMed

    García-Ramos, R; García Pastor, A; Masjuan, J; Sánchez, C; Gil, A

    2011-11-01

    Epilepsy is a very common disease in Spain. There is a great lack of information on real epidemiological data and the patient impact of this disease. The objective of the Spanish Foundation for Neurological Diseases (FEEN) report is to collect epidemiological data, morbidity, mortality and costs of this disease in Spain. A search was carried out in Medline on publications up to 2010, as well as a review of data published by the Spanish National Statistics Institute (INE). There are about 400,000 patients with epilepsy in Spain. Approximately 5 -10% of the population will experience a seizure in their lifetime, and up to 20% of these will have recurrent seizures. Using hospital discharge report data, hospital admissions for epilepsy are around 35 patients per 100,000 patients. Mortality risk in epileptic patients is two or three times higher than in non-epileptics. The mean total annual cost of drug resistant epilepsy patient in Spain is 6,935 Euros. The total cost of epilepsy according to data from the year 2000 could be around 5% of the total health budget. It is very important to maintain disease registers. This initiative should be encouraged by the patient associations and scientific societies. This report confirms that epilepsy has a great social and health impact on the population. Copyright © 2011 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

  20. Individual dose due to radioactivity accidental release from fusion reactor.

    PubMed

    Nie, Baojie; Ni, Muyi; Wei, Shiping

    2017-04-05

    As an important index shaping the design of fusion safety system, evaluation of public radiation consequences have risen as a hot topic on the way to develop fusion energy. In this work, the comprehensive public early dose was evaluated due to unit gram tritium (HT/HTO), activated dust, activated corrosion products (ACPs) and activated gases accidental release from ITER like fusion reactor. Meanwhile, considering that we cannot completely eliminate the occurrence likelihood of multi-failure of vacuum vessel and tokamak building, we conservatively evaluated the public radiation consequences and environment restoration after the worst hypothetical accident preliminarily. The comparison results show early dose of different unit radioactivity release under different conditions. After further performing the radiation consequences, we find it possible that the hypothetical accident for ITER like fusion reactor would result in a level 6 accident according to INES, not appear level 7 like Chernobyl or Fukushima accidents. And from the point of environment restoration, we need at least 69 years for case 1 (1kg HTO and 1000kg dust release) and 34-52years for case 2 (1kg HTO and 10kg-100kg dust release) to wait the contaminated zone drop below the general public safety limit (1mSv per year) before it is suitable for human habitation. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. Think Tank: Identifying and Creating the Next Generation of Community-Based Cancer Prevention Studies | Division of Cancer Prevention

    Cancer.gov

    In late 2015, the NCI Division of Cancer Prevention convened cancer prevention research experts and stakeholders to discuss the current state of cancer prevention research, identify key prevention research priorities for the NCI, and identify studies that could be conducted within the NCI Community Oncology Research Program. Read the Cancer Prevention Research journal article

  2. Knowledge, practices and expectations of preventive care: a qualitative study of patients attending government general outpatient clinics in Hong Kong.

    PubMed

    Tam, Denise Y S; Lo, Yvonne Y C; Tsui, Wendy

    2018-05-09

    Evidence-based preventive care recommendations have been well established, but studies have persistently reported gaps between these recommendations and general practitioners' practices in providing preventive care. Many studies have explored factors that affect the delivery of preventive care from the perspectives of the practitioners, but relatively few have evaluated the patients' point of view. The purpose of this study was to explore patients' understanding of preventive care, the actions they were taking in terms of preventive health and their expectations from family doctors in providing preventive care. A qualitative study was conducted based on one-on-one in-depth interviews. Twenty-eight patients without chronic illnesses were purposively recruited from government general outpatient clinics in Hong Kong. The interviews took place between November 2013 and February 2014. The participants' knowledge of preventive care was limited, and their preventive practices were mostly restricted to healthy lifestyle practices. They rarely obtained individualised preventive care advice from doctors. Screening investigations were initiated after symptoms had already occurred, and the decision of what to check was arbitrary. Few of the participants knew what they wanted from their doctors in terms of preventive care. These findings show significant gaps between evidence-based preventive recommendations and patients' current knowledge and practice, and show the need for a wider spectrum of preventive care education and reliable sources to provide individualised and affordable preventive assessment and screening services. Most importantly, primary care providers must take a more proactive role to provide preventive services.

  3. An Empirical Case Study of a Child Sexual Abuse Prevention Initiative in Georgia

    ERIC Educational Resources Information Center

    Schober, Daniel J.; Fawcett, Stephen B.; Thigpen, Sally; Curtis, Anna; Wright, Renee

    2012-01-01

    Objective: This empirical case study describes Prevent Child Abuse Georgia's effort to prevent child sexual abuse (CSA) by educating communities throughout the state on supporting preventive behaviour. The initiative consisted of three major components: (1) dissemination of CSA prevention messages and materials; (2) a statewide helpline that…

  4. Attenuation of tolerance to opioid-induced antinociception and protection against morphine-induced decrease of neurofilament proteins by idazoxan and other I2-imidazoline ligands.

    PubMed

    Boronat, M A; Olmos, G; García-Sevilla, J A

    1998-09-01

    1. Agmatine, the proposed endogenous ligand for imidazoline receptors, has been shown to attenuate tolerance to morphine-induced antinociception (Kolesnikov el al., 1996). The main aim of this study was to assess if idazoxan, an alpha2-adrenoceptor antagonist that also interacts with imidazoline receptors, could also modulate opioid tolerance in rats and to establish which type of imidazoline receptors (or other receptors) are involved. 2. Antinociceptive responses to opioid drugs were determined by the tail-flick test. The acute administration of morphine (10 mg kg(-1), i.p., 30 min) or pentazocine (10 mg kg(-1), i.p., 30 min) resulted in marked increases in tail-flick latencies (TFLs). As expected, the initial antinociceptive response to the opiates was lost after chronic (13 days) treatment (tolerance). When idazoxan (10 mg kg(-1), i.p.) was given chronically 30 min before the opiates it completely prevented morphine tolerance and markedly attenuated tolerance to pentazocine (TFLs increased by 71-143% at day 13). Idazoxan alone did not modify TFLs. 3. The concurrent chronic administration (10 mg kg(-1), i.p., 13 days) of 2-BFI, LSL 60101, and LSL 61122 (valldemossine), selective and potent I2-imidazoline receptor ligands, and morphine (10 mg kg(-1), i.p.), also prevented or attenuated morphine tolerance (TFLs increased by 64 172% at day 13). This attenuation of morphine tolerance was still apparent six days after discontinuation of the chronic treatment with LSL 60101-morphine. The acute treatment with these drugs did not potentiate morphine-induced antinociception. These drugs alone did not modify TFLs. Together, these results indicated the specific involvement of I2-imidazoline receptors in the modulation of opioid tolerance. 4. The concurrent chronic (13 days) administration of RX821002 (10 mg kg(-1), i.p.) and RS-15385-197 (1 mg kg(-1), i.p.), selective alpha2-adrenoceptor antagonists, and morphine (10 mg kg(-1), i.p.), did not attenuate morphine tolerance. Similarly, the concurrent chronic treatment of moxonidine (1 mg kg(-1), i.p.), a mixed I(1)-imidazoline receptor and alpha2-adrenoceptor agonist, and morphine (10 mg kg(-1), i.p.), did not alter the development of tolerance to the opiate. These results discounted the involvement of alpha2-adrenoceptors and I(1)-imidazoline receptors in the modulatory effect of idazoxan on opioid tolerance. 5. Idazoxan and other imidazol(ine) drugs fully inhibited [3H]-(+)-MK-801 binding to N-methyl-D-aspartate (NMDA) receptors in the rat cerebral cortex with low potencies (Ki: 37-190 microM). The potencies of the imidazolines idazoxan, RX821002 and moxonidine were similar, indicating a lack of relationship between potency on NMDA receptors and ability to attenuate opioid tolerance. These results suggested that modulation of opioid tolerance by idazoxan is not related to NMDA receptors blockade. 6. Chronic treatment (13 days) with morphine (10 mg kg(-1), i.p.) was associated with a marked decrease (49%) in immunolabelled neurofilament proteins (NF-L) in the frontal cortex of morphine-tolerant rats, suggesting the induction of neuronal damage. Chronic treatment (13 days) with idazoxan (10 mg kg(-1)) and LSL 60101 (10 mg kg(-1)) did not modify the levels of NF-L proteins in brain. Interestingly, the concurrent chronic treatment (13 days) of idazoxan or LSL 60101 and morphine, completely reversed the morphine-induced decrease in NF-L immunoreactivity, suggesting a neuroprotective role for these drugs. 7. Together, the results indicate that chronic treatment with I2-imidazoline ligands attenuates the development of tolerance to opiate drugs and may induce neuroprotective effects on chronic opiate treatment. Moreover, these findings offer the I2-imidazoline ligands as promising therapeutic coadjuvants in the management of chronic pain with opiate drugs.

  5. An archive study of 18 old novae. I. The UV spectra

    NASA Astrophysics Data System (ADS)

    Selvelli, P.; Gilmozzi, R.

    2013-12-01

    Aims: We present an overview of the UV spectral properties of old novae as a class. The data and results of this paper, together with data from the outburst phases, will be utilized in a follow-up study to determine statistical properties and to investigate correlations among the physical parameters of the quiescent and eruptive phases. Methods: All the available IUE, HST, and FUSE archive data for 18 old novae were used to derive accurate and homogeneous estimates of the reddening from the 2175 Å extinction bump and to determine the intrinsic spectral energy distribution corresponding to the utilization of both existing extinction curves. We also measured all the emission and absorption lines. Results: We have found good agreement between spectra taken at different epochs and by different instruments, a clear indication of the near constancy of the SED on timescales of several years. With the possible exception of GK Per, the dereddened UV continua are represented well by a single-curve power-law distribution Fλ ∝ λ- α, with α in the range 0.32-2.55 for one curve and 0.35-2.88 for the other one. The extrapolation of the various UV power laws to the optical range yields values that are in good agreement with the V magnitudes. We interpret this result as evidence that the SED is dominated by the accretion disk in the UV and optical spectral regions. A detailed study of the emission spectrum has led to measuring and identifying more than one hundred features and to detecting several lines that are rather uncommon in other CVs and whose identification is uncertain. Based on INES data from the IUE satellite. Some of the data presented in this paper were obtained from the Multimission Archive at the Space Telescope Science Institute (MAST). Tables 2-7 and 10-14 are available in electronic form at http://www.aanda.orgThe final reduced spectra (FITS files) and full Table 2 are only available at the CDS via anonymous ftp to http://cdsarc.u-strasbg.fr (ftp://130.79.128.5) or via http://cdsarc.u-strasbg.fr/viz-bin/qcat?J/A+A/560/A49

  6. Youth empowerment solutions for violence prevention.

    PubMed

    Reischl, Thomas M; Zimmerman, Marc A; Morrel-Samuels, Susan; Franzen, Susan P; Faulk, Monique; Eisman, Andria B; Roberts, Everett

    2011-12-01

    The limited success of youth violence prevention interventions suggests that effective prevention needs to address causes at multiple levels of analysis and empower youth in developing and implementing prevention programs. In this article, we review published studies of youth violence prevention efforts that engage youth in developing or implementing violence prevention activities. The reviewed studies suggest the promise of youth empowerment strategies and the need for systematic outcome studies of empowerment programs. After reviewing empowerment theory applied to youth violence prevention programs, we present a case study of the Youth Empowerment Solutions (YES) for Peaceful Communities program. YES engages middle-school youth in an after-school and summer program that includes a culturally tailored character development curriculum and empowers the youth to plan and implement community improvement projects with assistance from adult neighborhood advocates. The case study focuses on outcome evaluation results and presents evidence of the YES program effects on community-level outcomes (eg, property improvements, violent crime incidents) and on individual-level outcomes (eg, conflict avoidance, victimization). The literature review and the case study suggest the promise of engaging and empowering youth to plan and implement youth violence prevention programs.

  7. An ounce of prevention ... what are the returns? Second edition, 1999.

    PubMed

    Messonnier, M L; Corso, P S; Teutsch, S M; Haddix, A C; Harris, J R

    1999-04-01

    Because human and financial resources are limited, health efforts must focus on prevention strategies that yield the most benefit for the investment. Many current strategies identified in the literature offer opportunities to promote health at a reasonable cost. To present a literature-based review of evidence demonstrating that prevention can be an effective and wise use of resources through CDC's An Ounce of Prevention ... What Are the Returns? Second Edition. Systematic review of cost-effectiveness literature for a selected group of prevention strategies. Prevention strategies relevant to the U.S. population. Data indicate that the health conditions considered can be addressed through prevention strategies that are either cost effective or cost saving. An Ounce of Prevention ... What Are the Returns? Second Edition can be used to conveniently access information on prevention strategies, the diseases and injuries they address, and their cost effectiveness. It also complements other comprehensive prevention guides. However, limitations of the available cost-effectiveness studies indicate that standardized procedures should be followed for studies of all recommended prevention strategies. Researchers must standardize review procedures to improve both the quality and comparability of studies.

  8. [Construction of the addiction prevention core competency model for preventing addictive behavior in adolescents].

    PubMed

    Park, Hyun Sook; Jung, Sun Young

    2013-12-01

    This study was done to provide fundamental data for the development of competency reinforcement programs to prevent addictive behavior in adolescents through the construction and examination of an addiction prevention core competency model. In this study core competencies for preventing addictive behavior in adolescents through competency modeling were identified, and the addiction prevention core competency model was developed. It was validated methodologically. Competencies for preventing addictive behavior in adolescents as defined by the addiction prevention core competency model are as follows: positive self-worth, self-control skill, time management skill, reality perception skill, risk coping skill, and positive communication with parents and with peers or social group. After construction, concurrent cross validation of the addiction prevention core competency model showed that this model was appropriate. The study results indicate that the addiction prevention core competency model for the prevention of addictive behavior in adolescents through competency modeling can be used as a foundation for an integral approach to enhance adolescent is used as an adjective and prevent addictive behavior. This approach can be a school-centered, cost-efficient strategy which not only reduces addictive behavior in adolescents, but also improves the quality of their resources.

  9. [Review of the approach to exercise behavior modification from the viewpoint of preventive medicine].

    PubMed

    Nomura, Takuo; Kouta, Munetsugu; Shigemori, Kenta; Yoshimoto, Yoshinobu; Sato, Atsushi

    2008-05-01

    The purpose of this study was to summarize the approaches to behavior modification for exercise from the viewpoint of preventive medicine. Articles were searched according to the particular field of preventive medicine, i.e., primary prevention, secondary prevention, tertiary prevention, and other fields of prevention. In the field of primary prevention for elderly people living at home, many fall prevention programs were found to have been carried out. In these studies, various programs were found to be effective if the exercise proved to be sufficient. Although some approaches were observed to be based on the productive aging theory and social capital, the number of such studies was small. In the field of secondary prevention, illness and functional disorders are prevented from becoming worse. It is therefore important for each individual to exercise by himself/herself and also acquire sufficient self-monitoring skills. Social capital is useful for learning good exercise habits. In the field of tertiary prevention, although exercise therapy is effective for improving physical functions and preventing disease recurrence in patients with chronic disease, some patients nevertheless find it difficult to continue such an exercise therapy. The approaches to behavior modification were extremely effective for patients with chronic disease. In other fields of preventive medicine, daily exercises such stair climbing are effective methods for reducing the risk of chronic disease and such a behavior modification may lead to a considerable public health gain. In the future, further studies with a many lines of evidence should be performed, and approaches based on behavioral science should be established.

  10. Suicide prevention via the Internet: a descriptive review.

    PubMed

    Jacob, Nina; Scourfield, Jonathan; Evans, Rhiannon

    2014-01-01

    While concerns abound regarding the impact of the Internet on suicidal behaviors, its role as a medium for suicide prevention remains underexplored. The study examines what is currently known about the operation and effectiveness of Internet programs for suicide and self-harm prevention that are run by professionals. Systematic searches of scholarly databases and suicide-related academic journals yielded 15 studies that presented online prevention strategies. No professional programs with a sole focus on nonsuicidal self-harm were identified, thus all studies reviewed focused on suicide prevention. Studies were predominantly descriptive and summarized the nature of the strategy and the target audience. There was no formal evaluation of program effectiveness in preventing suicide. Studies either presented strategies that supported individuals at risk of suicide (n = 8), supported professionals working with those at risk (n = 6), or attempted to improve website quality (n = 1). Although the Internet increasingly serves as an important medium for suicidal individuals, and there is concern about websites that both promote and encourage suicidal activity, there is lack of published evidence about online prevention strategies. More attention is needed in the development and evaluation of such preventative approaches.

  11. South African Research Ethics Committee Review of Standards of Prevention in HIV Vaccine Trial Protocols.

    PubMed

    Essack, Zaynab; Wassenaar, Douglas R

    2018-04-01

    HIV prevention trials provide a prevention package to participants to help prevent HIV acquisition. As new prevention methods are proven effective, this raises ethical and scientific design complexities regarding the prevention package or standard of prevention. Given its high HIV incidence and prevalence, South Africa has become a hub for HIV prevention research. For this reason, it is critical to study the implementation of relevant ethical-legal frameworks for such research in South Africa. This qualitative study used in-depth interviews to explore the practices and perspectives of eight members of South African research ethics committees (RECs) who have reviewed protocols for HIV vaccine trials. Their practices and perspectives are compared with ethics guideline requirements for standards of prevention.

  12. Long-term prevalence and predictors of urinary incontinence among women in the Diabetes Prevention Program Outcomes Study.

    PubMed

    Phelan, Suzanne; Kanaya, Alka M; Ma, Yong; Vittinghoff, Eric; Barrett-Connor, Elizabeth; Wing, Rena; Kusek, John W; Orchard, Trevor J; Crandall, Jill P; Montez, Maria G; Brown, Jeanette S

    2015-02-01

    To examine the long-term prevalence and predictors of weekly urinary incontinence in the Diabetes Prevention Program Outcomes Study, a follow-up study of the Diabetes Prevention Program randomized clinical trial of overweight adults with impaired glucose tolerance. This analysis included 1778 female participants of the Diabetes Prevention Program Outcomes Study who had been randomly assigned during the Diabetes Prevention Program to intensive lifestyle intervention (n = 582), metformin (n = 589) or placebo (n = 607). The study participants completed semi-annual assessments after the final Diabetes Prevention Program visit and for 6 years until October 2008. At the study entry, the prevalence of weekly urinary incontinence was lower in the intensive lifestyle intervention group compared with the metformin and placebo groups (44.2% vs 51.8%, 48.0% urinary incontinence/week, P = 0.04); during the 6-year follow-up period, these lower rates in intensive lifestyle intervention were maintained (46.7%, 53.1%, 49.9% urinary incontinence/week; P = 0.03). Statistically adjusting for urinary incontinence prevalence at the end of the Diabetes Prevention Program, the treatment arm no longer had a significant impact on urinary incontinence during the Diabetes Prevention Program Outcomes Study. Independent predictors of lower urinary incontinence during the Diabetes Prevention Program Outcomes Study included lower body mass index (odds ratio 0.988, 95% confidence interval 0.982-0.994) and greater physical activity (odds ratio 0.999, 95% confidence interval 0.998-1.000) at the Diabetes Prevention Program Outcomes Study entry, and greater reductions in body mass index (odds ratio 0.75, 95% confidence interval 0.60-0.94) and waist circumference (odds ratio 0.998, 95% confidence interval 0.996-1.0) during the Diabetes Prevention Program Outcomes Study. Diabetes was not significantly related to urinary incontinence. Intensive lifestyle intervention has a modest positive and enduring impact on urinary incontinence, and should be considered for the long-term prevention and treatment of urinary incontinence in overweight/obese women with glucose intolerance. © 2014 The Japanese Urological Association.

  13. New Round of Studies Begin in Phase 0/I/II Cancer Prevention Clinical Trials Program | Division of Cancer Prevention

    Cancer.gov

    The NCI Division of Cancer Prevention’s Phase 0/I/II Cancer Prevention Clinical Trials Program, also known as the Consortia for Early Phase Prevention Trials, is beginning a new round of studies in the effort toward systematic early clinical development of promising preventive agents for people at increased risk of developing cancer. |

  14. National Institutes of Health funding for behavioral interventions to prevent chronic diseases.

    PubMed

    Calitz, Chris; Pollack, Keshia M; Millard, Chris; Yach, Derek

    2015-04-01

    Chronic non-communicable diseases (NCDs) cause the majority of premature deaths, disability, and healthcare expenditures in the U.S. Six largely modifiable risk behaviors and factors (tobacco use, poor nutrition, physical inactivity, alcohol abuse, drug abuse, and poor mental health) account for more than 50% of premature mortality and considerably more morbidity and disability. The IOM proposed that population burden of disease and preventability should be major determinants of the amount of research funding provided by the U.S. NIH. Data on NIH prevention funding between fiscal years 2010 and 2012 for human behavioral interventions that target the modifiable risk factors of NCDs were analyzed during 2013-2014. The NIH prevention portfolio comprises approximately 37% human behavioral studies and 63% basic biomedical, genetic, and animal studies. Approximately 65% of studies were secondary prevention versus 23% for primary prevention, and 71% of studies intervened at the individual and family levels. Diet and exercise were the most-studied risk factors (41%), and few studies conducted economic analyses (12%). NIH spends an estimated $2.2-$2.6 billion annually (7%-9% of the total of $30 billion) on human behavioral interventions to prevent NCDs. Although NIH prevention funding broadly aligns with the current burden of disease, overall funding remains low compared to funding for treatment, which suggests funding misalignment with the preventability of chronic diseases. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  15. Prevention of epilepsy: Should we be avoiding clinical trials?

    PubMed

    Klein, Pavel; Tyrlikova, Ivana

    2017-07-01

    Epilepsy prevention is one of the great unmet needs in epilepsy. Approximately 15% of all epilepsy is caused by an acute acquired CNS insult such as traumatic brain injury (TBI), stroke or encephalitis. There is a latent period between the insult and epilepsy onset that presents an opportunity to intervene with preventive treatment that is unique in neurology. Yet no phase 3 epilepsy prevention studies, and only 2 phase 2 studies have been initiated in the last 16years. Current prevailing opinion is that the research community is not ready for clinical preventive epilepsy studies, and that animal models should first be refined and biomarkers of epileptogenesis and of epilepsy discovered before clinical studies are embarked upon. We review data to suggest that there is basis to do epilepsy prevention studies now with the current knowledge and available drugs, and that those studies are feasible with currently available tools. We suggest that a different approach is needed from the past in order to maximize chances of success, minimize the cost, and set up platform for future preventive treatment development. That approach should include close coordination of preclinical and clinical development programs in a combined PTE prevention strategy, consideration of polytherapy, and simultaneous, combined clinical development of preventive treatment and of biomarker discovery. We argue that the currently favored approach of eschewing clinical studies until biomarkers are available will delay the discovery of epilepsy prevention treatment by at least 10 years and significantly increase the cost of such discovery. Copyright © 2017 Elsevier Inc. All rights reserved.

  16. [Is the cognitive-behavioural therapy an effective strategy also in the prevention of post partum depression? a critical review].

    PubMed

    Nardi, Bernardo; Laurenzi, Sabrina; Di Nicolò, Marzia; Bellantuono, Cesario

    2012-01-01

    The aim of this study was to evaluate the efficacy of cognitive-behavioural therapy (CBT) in the prevention of post partum depression (PPD) in pregnant women at risk. PubMed, Medline, PsychInfo, Embase, and the Cochrane Library databases were searched from January 1991 to June 2011 to review studies on the efficacy of CBT in the prevention of PD. The literature analyzed recommends that depression in pregnancy requires an efficient management to provide mother's symptoms relief as well as to prevent PD. While several studies demonstrated the efficacy of CBT in the treatment of PD, only a few controlled studies focused on its efficacy in the prevention of PD in women identified at risk during pregnancy. The efficacy of CBT in preventing PD in pregnant women at risk is supported by only a few studies, presenting some methodological flaws. Better designed trials are needed to strongly support the efficacy of such psychotherapeutic preventive strategy in women at risk for PD.

  17. Evolving early (pre-dementia) Alzheimer's disease trials: suit the outcomes to the population and study design.

    PubMed

    Doody, R S

    2010-04-01

    Assuming that some cases of Alzheimer's disease (AD) could be prevented or delayed, prevention trials will be developed for this neurodegenerative condition. Initially, stakeholders will have to agree about the definition of prevention-true primary prevention, meaning the prevention of AD neuropathological changes; the prevention of clinical signs and symptoms that often augur AD; or preventing the progression of signs and symptoms to full-blown dementia. True primary prevention trials will have to rely completely upon neuroimaging or biomarker outcomes that reflect AD pathology. On the other hand, trials designed to prevent signs and symptoms of dementia will require researchers to agree on the phenomenology that would constitute an unequivocal endpoint: cognitive worsening on one or more measure compared to a normative group; development of Mild cognitive impairment (MCI); or development of Alzheimer's dementia. Prevention trials utilizing any of these outcomes in the general public will be large, will have to utilize low risk public health interventions, and might therefore have only a small impact (treatment effect size), especially if the studies are too short or the study populations are too diverse. An alternative to interventions aimed at the general public would be any attempt to prevent signs and symptoms of dementia in individuals thought to be at an increased risk for clinical dementia. These trials could try to reduce the development of signs and symptoms of dementia in cognitively normal subjects, or they could try to prevent progression from some form of Mild Cognitive Impairment to AD, or they could have the more subtle goal of reducing the accumulation of subclinical deficits in MCI subjects. If the populations for these trials are limited to individuals who have abnormal laboratory and neuroimaging studies associated with AD neuropathology, the results will not generalize to biomarker-negative, at risk individuals, who are likely to constitute the majority of any clinically relevant study population. Outcome measures for each study design will depend upon the characteristics of the study.

  18. Preventable and Potentially Preventable Traumatic Death Rates in Neurosurgery Department: A Single Center Experience.

    PubMed

    Ha, Mahnjeong; Kim, Byung Chul; Choi, Seonuoo; Cho, Won Ho; Choi, Hyuk Jin

    2016-10-01

    Preventable and potentially preventable traumatic death rates is a method to evaluate the preventability of the traumatic deaths in emergency medical department. To evaluate the preventability of the traumatic deaths in patients who were admitted to neurosurgery department, we performed this study. A retrospective review identified 52 patients who admitted to neurosurgery department with severe traumatic brain injuries between 2013 and 2014. Based on radiologic and clinical state at emergency room, each preventability of death was estimated by professional panel discussion. And the final death rates were calculated. The preventable and potentially preventable traumatic death rates was 19.2% in this study. This result is lower than that of the research of 2012, Korean preventable and potentially preventable traumatic death rates. The rate of preventable and potentially preventable traumatic death of operation group is lower than that of conservative treatment group. Also, we confirmed that direct transfer and the time to operation are important to reduce the preventability. We report the preventable and potentially preventable traumatic death rates of our institute for evaluation of preventability in severe traumatic brain injuries during the last 2 years. For decrease of preventable death, we suggest that continuous survey of the death rate of traumatic brain injury patients is required.

  19. Preventable and Potentially Preventable Traumatic Death Rates in Neurosurgery Department: A Single Center Experience

    PubMed Central

    Ha, Mahnjeong; Kim, Byung Chul; Choi, Seonuoo; Cho, Won Ho

    2016-01-01

    Objective Preventable and potentially preventable traumatic death rates is a method to evaluate the preventability of the traumatic deaths in emergency medical department. To evaluate the preventability of the traumatic deaths in patients who were admitted to neurosurgery department, we performed this study. Methods A retrospective review identified 52 patients who admitted to neurosurgery department with severe traumatic brain injuries between 2013 and 2014. Based on radiologic and clinical state at emergency room, each preventability of death was estimated by professional panel discussion. And the final death rates were calculated. Results The preventable and potentially preventable traumatic death rates was 19.2% in this study. This result is lower than that of the research of 2012, Korean preventable and potentially preventable traumatic death rates. The rate of preventable and potentially preventable traumatic death of operation group is lower than that of conservative treatment group. Also, we confirmed that direct transfer and the time to operation are important to reduce the preventability. Conclusion We report the preventable and potentially preventable traumatic death rates of our institute for evaluation of preventability in severe traumatic brain injuries during the last 2 years. For decrease of preventable death, we suggest that continuous survey of the death rate of traumatic brain injury patients is required. PMID:27857910

  20. Medial tibial stress syndrome: evidence-based prevention.

    PubMed

    Craig, Debbie I

    2008-01-01

    Thacker SB, Gilchrist J, Stroup DF, Kimsey CD. The prevention of shin splints in sports: a systematic review of literature. Med Sci Sports Exerc. 2002;34(1):32-40. Among physically active individuals, which medial tibial stress syndrome (MTSS) prevention methods are most effective to decrease injury rates? Studies were identified by searching MEDLINE (1966-2000), Current Contents (1996-2000), Biomedical Collection (1993-1999), and Dissertation Abstracts. Reference lists of identified studies were searched manually until no further studies were identified. Experts in the field were contacted, including first authors of randomized controlled trials addressing prevention of MTSS. The Cochrane Collaboration (early stage of Cochrane Database of Systematic Reviews) was contacted. Inclusion criteria included randomized controlled trials or clinical trials comparing different MTSS prevention methods with control groups. Excluded were studies that did not provide primary research data or that addressed treatment and rehabilitation rather than prevention of incident MTSS. A total of 199 citations were identified. Of these, 4 studies compared prevention methods for MTSS. Three reviewers independently scored the 4 studies. Reviewers were blinded to the authors' names and affiliations but not the results. Each study was evaluated independently for methodologic quality using a 100-point checklist. Final scores were averages of the 3 reviewers' scores. Prevention methods studied were shock-absorbent insoles, foam heel pads, Achilles tendon stretching, footwear, and graduated running programs. No statistically significant results were noted for any of the prevention methods. Median quality scores ranged from 29 to 47, revealing flaws in design, control for bias, and statistical methods. No current evidence supports any single prevention method for MTSS. The most promising outcomes support the use of shock-absorbing insoles. Well-designed and controlled trials are critically needed to decrease the incidence of this common injury.

  1. Silica Aerogels Doped with Ru(II) Tris 1,l0-Phenanthro1ine)-Electron Acceptor Dyads: Improving the Dynamic Range, Sensitivity and Response Time of Sol-Gel Based Oxygen Sensors

    NASA Technical Reports Server (NTRS)

    Kevebtusm Bucgikas; Rawashdeh, Abdel M.; Elder, Ian A.; Yang, Jinhua; Dass, Amala; Sotiriou-Leventis, Chariklia

    2005-01-01

    Complexes 1 and 2 were characterized in fluid and frozen solution and as dopants of silica aerogels. The intramolecular quenching efficiency of pendant 4-benzoyl-N-methylpyridinium group (4BzPy) is solvent dependent: emission is quenched completely in acetonitrile but not in alcohols. On the other hand, N-benzyl-N'-methylviologen (BzMeV) quenches the emission in all solvents completely. The differences are traced electrochemically to a stronger solvation effect by the alcohol in the case of 1. In fiozen matrices or absorbed on the surfaces of silica aerogel, both 1 and 2 are photoluminescent. The lack of quenching has been traced to the environmental rigidity. When doped aerogels are cooled to 77K, the emission shifts to the blue and its intensity increases in analogy to what is observed with Ru(II) complexes in media undergoing fluid-to-rigid transition. The photoluminescence of 1 and 2 from the aerogel is quenched by oxygen diffusing through the pores. In the presence of oxygen, aerogels doped with 1 can modulate their emission over a wider dynamic range than aerogels doped with 2, and both are more sensitive than aerogels doped with Ru(II) tris(1,l0- phenanthroline). In contrast to frozen solutions, the luminescent moieties in the bulk of aerogels kept at 77K are still accessible, leading to more sensitive platforms for oxygen sensors than other ambient temperature configurations.

  2. Elephant grass, sugarcane, and rice bran in diets for confined sheep.

    PubMed

    Cutrim, Darley Oliveira; Alves, Kaliandra Souza; Oliveira, Luis Rennan Sampaio; da Conceição dos Santos, Rozilda; da Mata, Vanessa Jaqueline Veloso; do Carmo, Danilo Moreira; Gomes, Daiany Iris; Mezzomo, Rafael; de Carvalho, Francisco Fernando Ramos

    2012-12-01

    We aimed to evaluate the effects of diets, based on elephant grass or sugarcane as roughage and corn meal or rice bran as energy concentrate, on performance and body composition in terms of diet intake and digestibility. A total of 30 Santa Ines crossbreds (SIC), castrated male sheep with 19.8 ± 2.0 kg initial body weight (BW) were used. Six animals were slaughtered at the onset of the experiment to estimate the initial body composition for the other animals. The remaining 24 animals were distributed in a completely randomized 2 × 2 factorial design, with four treatments (two roughages and two concentrates) and six replicates. The sheep were slaughtered when they reached 30.0 kg BW. Elephant grass diets provided higher intake and digestibility than sugarcane diets for the following contents: dry matter (DM), organic matter (OM), crude protein (CP), neutral detergent fibre, minerals, total carbohydrates (TC), and total digestible nutrients (TDN). Among the concentrates, corn meal diets were associated with higher intakes than rice bran diets for the following contents: DM, OM, CP, TC, and TDN. Animals from all of the treatments exhibited low average daily weight gain and low protein and high fat and energy body levels. Sugarcane and rice bran can be used as ingredients in diets for sheep with low weight gain potential. Regardless of roughage or concentrate types used in diets for confined SIC sheep, performance and body composition remained unaltered.

  3. [Presence of women in management bodies of the professional associations of the field of health in 2015].

    PubMed

    Botello-Hermosa, Alicia; Casado-Mejía, Rosa; Germán-Bes, Concepción

    2015-01-01

    The gradual increase of women in the health professions does not correspond with her presence in positions of power. Given that professional colleges have an essential role in the representation and professional regulation, arises as an aim to describe the presence of women in the managerial structures of the professional colleges of health in Spain now to verify the degree of compliance with the criteria of parity. The Spanish official professionals' colleges were compiled by visiting the websites of the General Council of the Psychology of Spain, General Council of Medical Associations of Spain, General Council of Colleges of Nursing of Spain, General Council of Physiotherapists Schools of Spain, General Dental Council, Organization collegiate Pharmaceutical General and Council of Associations of Podiatrists. All their webs were visited. The sex of the presidency, the executive and the entire board was identified. Data were analyzed according to the overall percentage of women and profession. We compared this to the INE-2014 collegiate professionals. Out of 251 professionals' colleges in July-2015, 21, 91% had a female president. Women hold 34,69% of the executive positions and 42,80% of total boards. 11, 32% of Medical colleges had a female president and 43,48% of Nursing ones. The Psychology are those with more women in the presidency, 45, 83%. There is no parity, being higher in Psychology and Nursing and, much lower in Dentistry, Physiotherapy, Podiatry and Medicine. It decreases with the responsibility level. Health Inequality.

  4. [Prediction of School Dropout among Turkish High School Students: A Model Testing with Moderator and Mediator Variables.

    PubMed

    Ozer, Arif; Gençtanirim, Dilek; Ergene, Tuncay

    2011-01-01

    Bu araştırmada ilk olarak, dürtüsel davranma ile okulu terk etme riski arasındaki ilişkiye disiplin cezası almanın, antisosyal davranışların ve sigara-alkol kullanımının aracılık edip etmediği incelenmiştir. İkinci olarak, öğretmen desteği ve antisosyal davranış etkileşiminin okulu terk etme riski üzerindeki etkisi test edilmiştir. Araştırma grubunu 2009-2010 yılında Ankara İlinde genel liselere devam eden 478 öğrenci oluşturmuştur. Sonuçlar okulu terk etme riskini aile ve arkadaş desteğinin azalttığını, dürtüsel davranmanın ise artırdığını göstermiştir. Ayrıca disiplin cezası, alkol-sigara kullanma ve antisosyal davranışlar okulu terk etme riskini artıran aracı değişkenlerdir. Antisosyal davranışlarla okulu terk etme arasındaki ilişki öğretmen desteğine bağlı olarak değişmektedir. Öğrencilerin cinsiyet ve başarıları ile okulu terk etme riskleri arasında anlamlı bir ilişki bulunmamaktadır.

  5. La dysplasie fibreuse: état des lieux

    PubMed Central

    Akasbi, Nessrine; Abourazzak, Fatima Ezzahra; Talbi, Sofia; Tahiri, Latifa; Harzy, Taoufik

    2015-01-01

    La dysplasie fibreuse des os est une affection osseuse bénigne congénitale mais non héréditaire, où l'os normal est remplacé par un tissu fibreux renfermant une ostéogenèse immature. Elle est due à une mutation du gène GNAS 1sur le chromosome 20q13, une mutation activatrice de la sous-unité α de la protéine G. C'est une pathologie qui est le plus souvent silencieuse, de découverte fortuite sur une radiographie standard ou révélée par une douleur osseuse ou une fracture pathologique. L'imagerie et l'histologie, quand elle est nécessaire, permettent d’établir le diagnostic. Bien qu'il ne s'agisse pas d'une tumeur, elle est souvent classée dans la catégorie des tumeurs osseuses bénignes pour des raisons de diagnostic différentiel radiographique et anatomopathologique. Elle peut être monostotique ou polyostotique. L'approche thérapeutique est essentiellement symptomatique. Quelques publications récentes ont suggéré l'intérêt majeur d'un bisphosphonate, en particulier le pamidronate, qui diminuerait les douleurs et stimulerait une reminéralisation progressive des zones ostéolytiques chez les patients traités. D'autres traitements tels que la thérapie ciblée sont en cours d’évaluation. PMID:26401215

  6. Efficacy and Safety of Escalation of Adalimumab Therapy to Weekly Dosing in Pediatric Patients with Crohn's Disease.

    PubMed

    Dubinsky, Marla C; Rosh, Joel; Faubion, William A; Kierkus, Jaroslaw; Ruemmele, Frank; Hyams, Jeffrey S; Eichner, Samantha; Li, Yao; Huang, Bidan; Mostafa, Nael M; Lazar, Andreas; Thakkar, Roopal B

    2016-04-01

    The efficacy of adalimumab in inducing and maintaining remission in children with moderately to severely active Crohn's disease was shown in the IMAgINE 1 trial (NCT00409682). As per protocol, nonresponders or patients experiencing flare(s) on every other week (EOW) maintenance dosing could escalate to weekly dosing; we aimed to determine the therapeutic benefits of weekly dose escalation in this subpopulation. Week 52 remission and response rates were assessed in patients who escalated to weekly dosing from their previous EOW schedule, which was according to randomized treatment dose (higher dose [HD] adalimumab [≥40 kg, 40 mg EOW; <40 kg, 20 mg EOW] or lower dose [LD; ≥40 kg, 20 mg EOW; <40 kg, 10 mg EOW]). Adverse events were reported for patients remaining on EOW dosing and patients receiving weekly dosing. Escalation to weekly dosing occurred in 48/95 (50.5%) patients randomized to LD and 35/93 (37.6%) patients randomized to HD adalimumab (P = 0.076). Week 52 remission and response rates were 18.8% and 47.9% for patients receiving LD adalimumab weekly and 31.4% and 57.1% for patients receiving HD adalimumab weekly, respectively (LD versus HD, P = 0.19 for remission; P = 0.41 for response). Adverse event rates were similar for patients receiving EOW and weekly adalimumab. Weekly adalimumab dosing was clinically beneficial for children with Crohn's disease who experienced nonresponse or flare on EOW dosing. No increased safety risks were observed with weekly dosing.

  7. Research Areas: Prevention

    Cancer.gov

    NCI’s prevention research has a broad focus, from identifying environmental and lifestyle factors that influence cancer risk to studying the biology of how cancer develops and studying ways to disseminate prevention interventions.

  8. Cancer-preventive activities of tocopherols and tocotrienols.

    PubMed

    Ju, Jihyeung; Picinich, Sonia C; Yang, Zhihong; Zhao, Yang; Suh, Nanjoo; Kong, Ah-Ng; Yang, Chung S

    2010-04-01

    The cancer-preventive activity of vitamin E has been studied. Whereas some epidemiological studies have suggested a protective effect of vitamin E against cancer formation, many large-scale intervention studies with alpha-tocopherol (usually large doses) have not demonstrated a cancer-preventive effect. Studies on alpha-tocopherol in animal models also have not demonstrated robust cancer prevention effects. One possible explanation for the lack of demonstrable cancer-preventive effects is that high doses of alpha-tocopherol decrease the blood and tissue levels of delta-tocopherols. It has been suggested that gamma-tocopherol, due to its strong anti-inflammatory and other activities, may be the more effective form of vitamin E in cancer prevention. Our recent results have demonstrated that a gamma-tocopherol-rich mixture of tocopherols inhibits colon, prostate, mammary and lung tumorigenesis in animal models, suggesting that this mixture may have a high potential for applications in the prevention of human cancer. In this review, we discuss biochemical properties of tocopherols, results of possible cancer-preventive effects in humans and animal models and possible mechanisms involved in the inhibition of carcinogenesis. Based on this information, we propose that a gamma-tocopherol-rich mixture of tocopherols is a very promising cancer-preventive agent and warrants extensive future research.

  9. Intervention Strategies Used in Sport Injury Prevention Studies: A Systematic Review Identifying Studies Applying the Haddon Matrix.

    PubMed

    Vriend, Ingrid; Gouttebarge, Vincent; Finch, Caroline F; van Mechelen, Willem; Verhagen, Evert A L M

    2017-10-01

    Prevention of sport injuries is crucial to maximise the health and societal benefits of a physically active lifestyle. To strengthen the translation and implementation of the available evidence base on effective preventive measures, a range of potentially relevant strategies should be considered. Our aim was to identify and categorise intervention strategies for the prevention of acute sport injuries evaluated in the scientific literature, applying the Haddon matrix, and identify potential knowledge gaps. Five electronic databases were searched (PubMed, EMBASE, SPORTDiscus, CINAHL, Cochrane) for studies that evaluated the effect of interventions on the occurrence of acute sport injuries. Studies were required to include a control group/condition, prospective data collection, and a quantitative injury outcome measure. A total of 155 studies were included, mostly randomised controlled trials (43%). The majority of studies (55%) focussed on strategies requiring a behavioural change on the part of athletes. Studies predominantly evaluated the preventive effect of various training programmes targeted at the 'pre-event' phase (n = 73) and the use of equipment to avoid injury in the 'event phase' (n = 29). A limited number of studies evaluated the preventive effect of strategies geared at rules and regulations (n = 14), and contextual modifications (n = 18). Studies specifically aimed at preventing re-injuries were a minority (n = 8), and were mostly related to ankle sprains (n = 5). Valuable insight into the extent of the evidence base of sport injury prevention studies was obtained for 20 potential intervention strategies. This approach can be used to monitor potential gaps in the knowledge base on sport injury prevention.

  10. Australian nursing students' knowledge and attitudes towards pressure injury prevention: A cross-sectional study.

    PubMed

    Usher, Kim; Woods, Cindy; Brown, Janie; Power, Tamara; Lea, Jackie; Hutchinson, Marie; Mather, Carey; Miller, Andrea; Saunders, Annette; Mills, Jane; Zhao, Lin; Yates, Karen; Bodak, Marie; Southern, Joanne; Jackson, Debra

    2018-05-01

    The aim of this study was to assess student nurses' knowledge of and attitudes towards pressure injury prevention evidence-based guidelines. Pressure injuries are a substantial problem in many healthcare settings causing major harm to patients, and generating major economic costs for health service providers. Nurses have a crucial role in the prevention of pressure injuries across all health care settings. A multi-centered, cross-sectional study was conducted using a paper-based questionnaire with undergraduate nursing students enrolled in seven universities with campuses across five Australian states (Queensland, New South Wales, Western Australia, Victoria and Tasmania). Data were collected from nursing students using two validated instruments (Pressure Ulcer Knowledge Assessment Instrument and Attitude Toward Pressure Ulcer Prevention Instrument), to measure students' pressure injury prevention knowledge and attitudes. Students reported relatively low pressure injury prevention knowledge scores (51%), and high attitude scores (78%). Critical issues in this study were nursing students' lack of knowledge about preventative strategies to reduce the amount and duration of pressure/shear, and lower confidence in their capability to prevent pressure injury. Level of education and exposure to working in a greater number of different clinical units were significantly related to pressure injury prevention knowledge and attitude scores. The study findings highlight the need to implement a comprehensive approach to increasing Australian nursing students' pressure injury prevention and management knowledge, as well as ensuring that these students have adequate experiences in clinical units, with a high focus on pressure injury prevention to raise their personal capability. Copyright © 2018 Elsevier Ltd. All rights reserved.

  11. Health professionals' attitudes towards suicide prevention initiatives.

    PubMed

    Brunero, S; Smith, J; Bates, E; Fairbrother, G

    2008-09-01

    Preventing suicide can depend upon the ability of a range of different health professionals to make accurate suicide risk assessments and treatment plans. The attitudes that clinicians hold towards suicide prevention initiatives may influence their suicide risk assessment and management skills. This study measures a group of non-mental health professionals' attitude towards suicide prevention initiatives. Health professionals that had attended suicide prevention education showed significantly more positive attitudes towards suicide prevention initiatives. The findings in this study further support the effectiveness of educating non-mental health professionals in suicide risk awareness and management.

  12. Nurses' attitudes towards pressure ulcer prevention in Turkey.

    PubMed

    Aslan, Arzu; Yavuz van Giersbergen, Meryem

    2016-02-01

    Pressure ulcers remain a major problem in healthcare system. Pressure ulcer incidence is widely accepted as an indicator for the quality of care. Positive attitudes towards pressure ulcer prevention have positive impacts on preventive care. The aim of this study was to identify nurses' attitude towards pressure ulcer prevention. The study design was descriptive. The study was carried out in a university hospital in Izmir, Turkey. The study population consisted of 660 nurses who work in medical and surgical clinics and intensive care units. The study sample consisted of 426 nurses who agreed to participate. Attitude towards Pressure Ulcer Prevention Instrument was used in order to evaluate nurses' attitudes. Written permissions for ethical considerations and Attitude towards Pressure Ulcer Prevention Instrument permission were obtained. Data were collected between June and July 2014. The statistics program SPSS 18 packaged software was used in the analyses of data. The average age of the nurses who took part in the study was 31.86 ± 7.09 years and the average work experience was 8.88 ± 7.41 years; 36.9% (n: 157) were working in intensive care units. The nurses' average score on the Attitude towards Pressure Ulcer Prevention Instrument was 43.74 ± 4.29 (84.12%). It was seen that the attitudes of the nurses towards the prevention of pressure ulcers was positive. To read guidelines and training time about pressure ulcer prevention affect positively attitudes towards the prevention of pressure ulcers. Copyright © 2015 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved.

  13. Organizational factors in fire prevention: roles, obstacles, and recommendations

    Treesearch

    John R. Christiansen; William S. Folkman; Keith W. Warner; Michael L. Woolcott

    1976-01-01

    Problems being encountered in implementing fire prevention programs were explored by studying the organization for fire prevention at the Fish Lake, Uinta, and Wasatch National Forests in Utah. The study focused on role congruency in fire prevention activities and on the social and organizational obstacles to effective programs. The problems identified included lack of...

  14. Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies.

    PubMed

    Schuurman, Jaap-Peter; Schoonhoven, Lisette; Defloor, Tom; van Engelshoven, Ilse; van Ramshorst, Bert; Buskens, Erik

    2009-01-01

    The purpose of this study was to determine the cost for prevention and treatment of pressure ulcers from a hospital perspective and to identify the least resource-intensive pressure ulcer prevention strategy. Cost analyses were examined from a hospital perspective using direct costs. The study was carried out alongside a prospective cohort study on the incidence and risk factors for pressure ulcers. Two large teaching hospitals in the Netherlands with (partly) opposing approaches in prevention, a technological versus a human approach, were analyzed. The main outcome measures were resource use, costs of preventive measures and treatment, and pressure ulcer incidence in both hospitals. Pressure ulcer prevention through a predominantly technical approach resulted in a similar incidence rate as prevention through a predominantly human approach. However, the technical approach was considerably less expensive.

  15. The cost of pressure ulcer prevention and treatment in hospitals and nursing homes in Flanders: A cost-of-illness study.

    PubMed

    Demarré, Liesbet; Verhaeghe, Sofie; Annemans, Lieven; Van Hecke, Ann; Grypdonck, Maria; Beeckman, Dimitri

    2015-07-01

    The economic impact of pressure ulcer prevention and treatment is high. The results of cost-of-illness studies can assist the planning, allocation, and priority setting of healthcare expenditures to improve the implementation of preventive measures. Data on the cost of current practice of pressure ulcer prevention or treatment in Flanders, a region of Belgium, is lacking. To examine the cost of pressure ulcer prevention and treatment in an adult population in hospitals and nursing homes from the healthcare payer perspective. A cost-of-illness study was performed using a bottom-up approach. Hospitals and nursing homes in Flanders, a region of Belgium. Data were collected in a series of prospective multicentre cross-sectional studies between 2008 and 2013. Data collection included data on risk assessment, pressure ulcer prevalence, preventive measures, unit cost of materials for prevention and treatment, nursing time measurements for activities related to pressure ulcer prevention and treatment, and nursing wages. The cost of pressure ulcer prevention and treatment in hospitals and nursing homes was calculated as annual cost for Flanders, per patient, and per patient per day. The mean (SD) cost for pressure ulcer prevention was €7.88 (8.21) per hospitalised patient at risk per day and €2.15 (3.10) per nursing home resident at risk per day. The mean (SD) cost of pressure ulcer prevention for patients and residents identified as not at risk for pressure ulcer development was €1.44 (4.26) per day in hospitals and €0.50 (1.61) per day in nursing homes. The main cost driver was the cost of labour, responsible for 79-85% of the cost of prevention. The mean (SD) cost of local treatment per patient per day varied between €2.34 (1.14) and €77.36 (35.95) in hospitals, and between €2.42 (1.15) and €16.18 (4.93) in nursing homes. Related to methodological differences between studies, the cost of pressure ulcer prevention and treatment in hospitals and nursing homes in Flanders was found to be low compared to other international studies. Recommendations specific to pressure ulcer prevention are needed as part of methodological guidelines to conduct cost-of-illness studies. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Implementation of pressure ulcer prevention best practice recommendations in acute care: an observational study.

    PubMed

    Barker, Anna Lucia; Kamar, Jeannette; Tyndall, Tamara Jane; White, Lyn; Hutchinson, Anastasia; Klopfer, Nicole; Weller, Carolina

    2013-06-01

    Pressure ulcers are a common but preventable problem in hospitals. Implementation of best practice guideline recommendations can prevent ulcers from occurring. This 9-year cohort study reports prevalence data from point prevalence surveys during the observation period, and three practice metrics to assess implementation of best practice guideline recommendations: (i) nurse compliance with use of a validated pressure ulcer risk assessment and intervention checklist; (ii) accuracy of risk assessment scoring in usual-care nurses and experienced injury prevention nurses; and (iii) use of pressure ulcer prevention strategies. The prevalence of hospital-acquired pressure ulcers decreased following implementation of an evidence-based prevention programme from 12·6% (2 years preprogramme implementation) to 2·6% (6 years postprogramme implementation) (P < 0·001). Audits between 2003 and 2011 of 4368 patient medical records identified compliance with pressure ulcer prevention documentation according to best practice guidelines was high (>84%). A sample of 270 patients formed the sample for the study of risk assessment scoring accuracy and use of prevention strategies. It was found usual-care nurses under-estimated patients' risk of pressure ulcer development and under-utilised prevention strategies compared with experienced injury prevention nurses. Despite a significant reduction in prevalence of hospital-acquired pressure ulcers and high documentation compliance, use of prevention strategies could further be improved to achieve better patient outcomes. Barriers to the use of prevention strategies by nurses in the acute hospital setting require further examination. This study provides important insights into the knowledge translation of pressure ulcer prevention best practice guideline recommendations at The Northern Hospital. © 2012 The Authors. International Wound Journal © 2012 John Wiley & Sons Ltd and Medicalhelplines.com Inc.

  17. How should an incident case of atopic dermatitis be defined? A systematic review of primary prevention studies

    PubMed Central

    Simpson, Eric L.; Keck, Laura E.; Chalmers, Joanne R.; Williams, Hywel C.

    2012-01-01

    Background Eczema prevention is now an active area of dermatologic and allergic research. Defining an incident case is therefore a prerequisite for such as study. Objective We sought to examine how an incident case of atopic dermatitis was defined in previous atopic dermatitis prevention studies in order to make recommendations on a standard definition of new atopic dermatitis cases for use in future prevention trials. Methods We conducted a systematic review of controlled interventional atopic dermatitis prevention studies using searches of Medline and Cochrane databases from 1980 to the end of January 2011. Studies that included atopic dermatitis as a secondary outcome, such as asthma prevention trials, were included. Results One hundred and two (102) studies were included in the final analysis, of which 27 (26.5%) did not describe any criteria for defining an incident case of atopic dermatitis. Of the remaining 75 studies with reported disease criteria, the Hanifin-Rajka criteria were the most commonly used (28 studies). A disease definition unique to that particular study (21 studies) was the second most commonly used disease definition, although the sources for such novel definitions were not cited. Conclusions The results from this systematic review highlight the need for improved reporting and standardization of the definition used for an incident case in atopic dermatitis prevention studies. Most prevention studies have used disease definitions such as the Hanifin-Rajka criteria that include disease chronicity. While acceptable for cumulative incidence outcomes, inclusion of disease chronicity precludes the precise measurement of disease onset. We propose a definition based on existing scientific studies that could be used in future prospective studies. PMID:22424882

  18. Dentists’ practice patterns regarding caries prevention: results from a dental practice-based research network

    PubMed Central

    Yokoyama, Yoko; Kakudate, Naoki; Sumida, Futoshi; Matsumoto, Yuki; Gilbert, Gregg H; Gordan, Valeria V

    2013-01-01

    Objective The purposes of this study were to (1) quantify dentists' practice patterns regarding caries prevention and (2) test the hypothesis that certain dentists' characteristics are associated with these practice patterns. Design The study used a cross-sectional study design consisting of a questionnaire survey. Participants The study queried dentists who worked in outpatient dental practices who were affiliated with the Dental Practice-Based Research Network Japan, which seeks to engage dentists in investigating research questions and sharing experiences and expertise (n=282). Measurement Dentists were asked about their practice patterns regarding caries preventive dentistry. Background data on patients, practice and dentist were also collected. Results 38% of dentists (n=72) provided individualised caries prevention to more than 50% of their patients. Overall, 10% of the time in daily practice was spent on caries preventive dentistry. Dentists who provided individualised caries prevention to more than 50% of their patients spent significantly more time on preventive care and less time on removable prosthetics treatment, compared to dentists who did not provide individualised caries prevention. Additionally, they provided oral hygiene instruction, patient education, fluoride recommendations, intraoral photographs taken and diet counselling to their patients significantly more often than dentists who did not provide individualised caries prevention. Multiple logistic regression analysis suggested that the percentage of patients interested in caries prevention and the percentage of patients who received hygiene instruction, were both associated with the percentage of patients who receive individualised caries prevention. Conclusions We identified substantial variation in dentists' practice patterns regarding preventive dentistry. Individualised caries prevention was significantly related to provision of other preventive services and to having a higher percentage of patients interested in caries prevention, but not to the dentist's belief about the effectiveness of caries risk assessment. (Clinicaltrials.gov registration number NCT01 680 848). PMID:24068763

  19. Medial Tibial Stress Syndrome: Evidence-Based Prevention

    PubMed Central

    Craig, Debbie I

    2008-01-01

    Reference: Thacker SB, Gilchrist J, Stroup DF, Kimsey CD. The prevention of shin splints in sports: a systematic review of literature. Med Sci Sports Exerc. 2002;34(1):32–40. Clinical Question: Among physically active individuals, which medial tibial stress syndrome (MTSS) prevention methods are most effective to decrease injury rates? Data Sources: Studies were identified by searching MEDLINE (1966–2000), Current Contents (1996–2000), Biomedical Collection (1993–1999), and Dissertation Abstracts. Reference lists of identified studies were searched manually until no further studies were identified. Experts in the field were contacted, including first authors of randomized controlled trials addressing prevention of MTSS. The Cochrane Collaboration (early stage of Cochrane Database of Systematic Reviews) was contacted. Study Selection: Inclusion criteria included randomized controlled trials or clinical trials comparing different MTSS prevention methods with control groups. Excluded were studies that did not provide primary research data or that addressed treatment and rehabilitation rather than prevention of incident MTSS. Data Extraction: A total of 199 citations were identified. Of these, 4 studies compared prevention methods for MTSS. Three reviewers independently scored the 4 studies. Reviewers were blinded to the authors' names and affiliations but not the results. Each study was evaluated independently for methodologic quality using a 100-point checklist. Final scores were averages of the 3 reviewers' scores. Main Results: Prevention methods studied were shock-absorbent insoles, foam heel pads, Achilles tendon stretching, footwear, and graduated running programs. No statistically significant results were noted for any of the prevention methods. Median quality scores ranged from 29 to 47, revealing flaws in design, control for bias, and statistical methods. Conclusions: No current evidence supports any single prevention method for MTSS. The most promising outcomes support the use of shock-absorbing insoles. Well-designed and controlled trials are critically needed to decrease the incidence of this common injury. PMID:18523568

  20. Evaluation of preventive technologies in Germany: case studies of mammography, prostate cancer screening, and fetal ultrasound.

    PubMed

    Perleth, M; Busse, R; Gibis, B; Brand, A

    2001-01-01

    In this article, three preventive strategies-mammography screening for breast cancer, PSA screening for prostate cancer, and routine ultrasound in normal pregnancy-are discussed in the context of German health care. Epidemiologic data and German studies evaluating different aspects of these preventive measures were identified and analyzed. Only a few studies could be identified that investigate these preventive measures. Despite sufficient evidence, in part derived from a German study, there is not yet a mammography screening program. In contrast, ultrasound in pregnancy is offered routinely, although there are controversies regarding the benefit of this practice. PSA screening is not offered as part of the screening program for prostate cancer. However, PSA tests as well as mammographies are done in large numbers in German ambulatory care-a practice that could be considered wild or opportunistic screening. These case studies show that preventive programs and practices in Germany are not sufficiently based on sound evidence. The paucity of evaluation activities related to prevention in Germany is probably due to the low threshold to introduce new preventive programs into the German healthcare system in the past.

  1. Content and effects of news stories about uncertain cancer causes and preventive behaviors.

    PubMed

    Niederdeppe, Jeff; Lee, Theodore; Robbins, Rebecca; Kim, Hye Kyung; Kresovich, Alex; Kirshenblat, Danielle; Standridge, Kimberly; Clarke, Christopher E; Jensen, Jakob; Fowler, Erika Franklin

    2014-01-01

    This article presents findings from two studies that describe news portrayals of cancer causes and prevention in local TV and test the effects of typical aspects of this coverage on cancer-related fatalism and overload. Study 1 analyzed the content of stories focused on cancer causes and prevention from an October 2002 national sample of local TV and newspaper cancer coverage (n = 122 television stations; n = 60 newspapers). Informed by results from the content analysis, Study 2 describes results from a randomized experiment testing effects of the volume and content of news stories about cancer causes and prevention (n = 601). Study 1 indicates that local TV news stories describe cancer causes and prevention as comparatively more certain than newspapers but include less information about how to reduce cancer risk. Study 2 reveals that the combination of stories conveying an emerging cancer cause and prevention behavior as moderately certain leads to an increased sense of overload, while a short summary of well-established preventive behaviors mitigates these potentially harmful beliefs. We conclude with a series of recommendations for health communication and health journalism practice.

  2. Internet Use and Preventive Health Behaviors Among Couples in Later Life: Evidence from the Health and Retirement Study.

    PubMed

    Nam, Sangbo; Han, Sae Hwang; Gilligan, Megan

    2018-05-22

    The aim of this study was to examine the link between internet use and preventive health behaviors. We focused on couples to examine whether there were cross-partner associations between internet use and preventive health behaviors. The data for this study came from the 2010 and 2012 waves of the Health and Retirement Study and the sample consisted of 5,143 pairs of coupled-individuals. Preventive health behaviors included cancer screenings (mammogram and prostate tests), cholesterol tests, and flu shots. Logistic multilevel actor-partner interdependence models were employed to test the study hypotheses. Internet use was associated with a higher likelihood of receiving prostate exams and cholesterol tests for husbands, net of demographic and health characteristics, and insurance status. We found that wives' internet use was associated with a higher likelihood of receiving flu shots and prostate exams for husbands, but husbands' internet use was not associated with wives' preventive health behaviors. Research linking internet use and preventive health behaviors is important because such behaviors are associated not only with health of the older population but also with substantial reductions in health care expenditures. Our findings suggested that internet use of older adults is associated with their own preventive health behaviors, as well as their spouses' preventive health behaviors. Interventions and programs to facilitate older adults' preventive health behaviors should consider couple-based approaches.

  3. Induction of Long-term Depression-like Plasticity by Pairings of Motor Imagination and Peripheral Electrical Stimulation

    PubMed Central

    Jochumsen, Mads; Signal, Nada; Nedergaard, Rasmus W.; Taylor, Denise; Haavik, Heidi; Niazi, Imran K.

    2015-01-01

    Long-term depression (LTD) and long-term potentiation (LTP)-like plasticity are models of synaptic plasticity which have been associated with memory and learning. The induction of LTD and LTP-like plasticity, using different stimulation protocols, has been proposed as a means of addressing abnormalities in cortical excitability associated with conditions such as focal hand dystonia and stroke. The aim of this study was to investigate whether the excitability of the cortical projections to the tibialis anterior (TA) muscle could be decreased when dorsiflexion of the ankle joint was imagined and paired with peripheral electrical stimulation (ES) of the nerve supplying the antagonist soleus muscle. The effect of stimulus timing was evaluated by comparing paired stimulation timed to reach the cortex before, at and after the onset of imagined movement. Fourteen healthy subjects participated in six experimental sessions held on non-consecutive days. The timing of stimulation delivery was determined offline based on the contingent negative variation (CNV) of electroencephalography brain data obtained during imagined dorsiflexion. Afferent stimulation was provided via a single pulse ES to the peripheral nerve paired, based on the CNV, with motor imagination of ankle dorsiflexion. A significant decrease (P = 0.001) in the excitability of the cortical projection of TA was observed when the afferent volley from the ES of the tibial nerve (TN) reached the cortex at the onset of motor imagination based on the CNV. When TN stimulation was delivered before (P = 0.62), or after (P = 0.23) imagined movement onset there was no significant effect. Nor was a significant effect found when ES of the TN was applied independent of imagined movement (P = 0.45). Therefore, the excitability of the cortical projection to a muscle can be inhibited when ES of the nerve supplying the antagonist muscle is precisely paired with the onset of imagined movement. PMID:26648859

  4. Induction of Long-term Depression-like Plasticity by Pairings of Motor Imagination and Peripheral Electrical Stimulation.

    PubMed

    Jochumsen, Mads; Signal, Nada; Nedergaard, Rasmus W; Taylor, Denise; Haavik, Heidi; Niazi, Imran K

    2015-01-01

    Long-term depression (LTD) and long-term potentiation (LTP)-like plasticity are models of synaptic plasticity which have been associated with memory and learning. The induction of LTD and LTP-like plasticity, using different stimulation protocols, has been proposed as a means of addressing abnormalities in cortical excitability associated with conditions such as focal hand dystonia and stroke. The aim of this study was to investigate whether the excitability of the cortical projections to the tibialis anterior (TA) muscle could be decreased when dorsiflexion of the ankle joint was imagined and paired with peripheral electrical stimulation (ES) of the nerve supplying the antagonist soleus muscle. The effect of stimulus timing was evaluated by comparing paired stimulation timed to reach the cortex before, at and after the onset of imagined movement. Fourteen healthy subjects participated in six experimental sessions held on non-consecutive days. The timing of stimulation delivery was determined offline based on the contingent negative variation (CNV) of electroencephalography brain data obtained during imagined dorsiflexion. Afferent stimulation was provided via a single pulse ES to the peripheral nerve paired, based on the CNV, with motor imagination of ankle dorsiflexion. A significant decrease (P = 0.001) in the excitability of the cortical projection of TA was observed when the afferent volley from the ES of the tibial nerve (TN) reached the cortex at the onset of motor imagination based on the CNV. When TN stimulation was delivered before (P = 0.62), or after (P = 0.23) imagined movement onset there was no significant effect. Nor was a significant effect found when ES of the TN was applied independent of imagined movement (P = 0.45). Therefore, the excitability of the cortical projection to a muscle can be inhibited when ES of the nerve supplying the antagonist muscle is precisely paired with the onset of imagined movement.

  5. The nutritive value of marula (Sclerocarya birrea) seed cake for broiler chickens: nutritional composition, performance, carcass characteristics and oxidative and mycotoxin status.

    PubMed

    Mthiyane, Doctor Mziwenkosi Nhlanhla; Mhlanga, Bhekumusa Sabelo

    2017-04-01

    This study was aimed at investigating the nutritive value of marula seed cake (MSC) as an alternative protein source for broilers. In a completely randomised design involving six replicate pens of five chickens assigned to each of five treatments, body weight gain (BWG), feed intake (FI), feed conversion efficiency (FCE) and carcass characteristics were measured in an experiment in which 150 28-day-old broilers were fed maize-based diets containing, respectively, 0, 5, 10, 15 and 20% MSC at finisher phase. The results showed MSC to be remarkably high in CP (470.0 g/kg DM) and EE (343.5 g/kg DM), with moderate CF (58.2 g/kg DM), ash (54.3 g/kg DM), Ca (1.1 g/kg DM) and P (11.0 g/kg DM). Whilst very poor in lysine, MSC was found to be rich in methionine, cyst(e)ine, arginine and glutamic acid; it also contains good levels of valine, glycine, threonine, isoleucine, leucine, histidine, phenylalanine, serine, proline and alanine. Also, it contained 85.24% oleic (OA), 9.65% palmitic and 5.11% stearic acids, with a high peroxide value and low levels of mycotoxins deoxynivalenol (DON) and T-2 toxin. BWG, FI and FCE of broiler chickens significantly decreased (P < 0.001) as the dietary level of MSC increased. Further, dietary MSC significantly decreased bird live weight at slaughter (P < 0.001), plucked weight (P < 0.001), dressed weight (P < 0.001) and weights of the liver (P < 0.001) and neck (P < 0.05). The results therefore demonstrate MSC to be a good source of CP, fat, Ca, P, amino acids (except lysine) and OA that can replace soya bean meal (SBM) in broiler diets. However, its use is currently limited by lipid peroxidation and presence of mycotoxins.

  6. Sources of diversity of carbapenem resistance levels in Klebsiella pneumoniae carrying blaVIM-1.

    PubMed

    Loli, A; Tzouvelekis, L S; Tzelepi, E; Carattoli, A; Vatopoulos, A C; Tassios, P T; Miriagou, V

    2006-09-01

    To elucidate the mechanisms responsible for the diversity of beta-lactam resistance phenotypes among isolates of a VIM-1-producing Klebsiella pneumoniae (VPKP) strain that is endemic in Greek hospitals. Five VPKP clinical isolates were studied. MICs of beta-lactams were determined by agar dilution. PFGE of XbaI-digested genomic DNA was used for typing. Profiles of outer membrane proteins (OMPs) were determined by SDS-PAGE. Selected isolates were transformed with a plasmid encoding the Omp36K porin. beta-Lactamase activities were analysed by IEF and imipenem hydrolysis was assessed by spectrophotometry. VIM-1-encoding, self-transmissible plasmids were characterized by replicon typing, RFLP and hybridization with bla(VIM)- and IS26-specific probes. Characterization of integrons was performed by PCR, cloning and sequencing. Isolates exhibited highly similar PFGE patterns. Imipenem MICs were 2, 4, 16, 32 and 64 mg/L. The isolate with the highest imipenem MIC (Vipm-64) lacked a 36 kDa OMP. Expression of a cloned OmpK36 in this isolate reduced the imipenem MIC to susceptibility levels. Imipenem-hydrolysing activity was significantly higher in Vipm-16 as compared with the other isolates that expressed similar amounts of VIM-1. All isolates transferred beta-lactam resistance to Escherichia coli through conjugative, IncN plasmids that exhibited differences in the RFLP and hybridization patterns with bla(VIM)- and IS26-specific probes. The Vipm-16 plasmid, mediating the higher imipenem MICs among transconjugants, carried two copies of bla(VIM-1). Cloning and sequencing showed In-e541-like integrons truncated at the 5'CS by insertion of IS26 elements at two different positions. A VIM-1-producing strain of K. pneumoniae has evolved through OMP alterations and rearrangements in the bla(VIM-1)-carrying plasmid probably mediated by IS26, generating isolates with imipenem MICs ranging from susceptibility to resistance.

  7. Use of Six Sigma for eliminating missed opportunities for prevention services.

    PubMed

    Gittner, LisaAnn S; Husaini, Baqar A; Hull, Pamela C; Emerson, Janice S; Tropez-Sims, Suzanne; Reece, Michelle C; Zoorob, Roger; Levine, Robert S

    2015-01-01

    Delivery of primary care preventative services can be significantly increased utilizing Six Sigma methods. Missed preventative service opportunities were compared in the study clinic with the community clinic in the same practice. The study clinic had 100% preventative services, compared with only 16.3% in the community clinic. Preventative services can be enhanced to Six Sigma quality when the nurse executive and medical staff agree on a single standard of nursing care executed via standing orders.

  8. Perceived competency towards preventive dentistry among dental graduates: the need for curriculum change.

    PubMed

    Arheiam, Arheiam; Bankia, Ibtesam; Ingafou, Mohamed

    2015-01-01

    A previous study has shown that dental practitioners in Benghazi believed that the less prevention-oriented education system is one of the barriers to applying preventive dentistry. To assess attitudes and perceived competence of the dental graduates in Benghazi towards prevention and early management of dental caries. A cross-sectional, questionnaire-based survey was conducted among internship students attending the Department of Community and Preventive Dentistry in Faculty of Dentistry, Benghazi, Libya. The participants were asked to provide demographic information, to respond to statements about their attitudes towards preventive dentistry, and to answer questions regarding their perceived competence in applying preventive dentistry procedures. Data from 108 Libyan dental graduates were analysed for this study, of which 64% of them were females and 42.1% of them passed their final year with grade: acceptable. The most acknowledged aspects of preventive dentistry were being useful and essential to the community (95.4 and 90.8%, respectively). The percentage of participants expressing a proficiency in providing oral hygiene instructions was the highest (95.4%). There were differences between study subgroups in their perceived competence of preventive dental practices by gender and academic performance (p≤0.05). This study highlighted that the currently implemented undergraduate education programme in Benghazi dental school does not provide dentists with the required attitude and skills to fulfil their role in providing preventive-oriented health services.

  9. Perceived competency towards preventive dentistry among dental graduates: the need for curriculum change

    PubMed Central

    Arheiam, Arheiam; Bankia, Ibtesam; Ingafou, Mohamed

    2015-01-01

    Background A previous study has shown that dental practitioners in Benghazi believed that the less prevention-oriented education system is one of the barriers to applying preventive dentistry. Objective To assess attitudes and perceived competence of the dental graduates in Benghazi towards prevention and early management of dental caries. Methods A cross-sectional, questionnaire-based survey was conducted among internship students attending the Department of Community and Preventive Dentistry in Faculty of Dentistry, Benghazi, Libya. The participants were asked to provide demographic information, to respond to statements about their attitudes towards preventive dentistry, and to answer questions regarding their perceived competence in applying preventive dentistry procedures. Results Data from 108 Libyan dental graduates were analysed for this study, of which 64% of them were females and 42.1% of them passed their final year with grade: acceptable. The most acknowledged aspects of preventive dentistry were being useful and essential to the community (95.4 and 90.8%, respectively). The percentage of participants expressing a proficiency in providing oral hygiene instructions was the highest (95.4%). There were differences between study subgroups in their perceived competence of preventive dental practices by gender and academic performance (p≤0.05). Conclusion This study highlighted that the currently implemented undergraduate education programme in Benghazi dental school does not provide dentists with the required attitude and skills to fulfil their role in providing preventive-oriented health services. PMID:25556523

  10. Workplace bullying prevention: a critical discourse analysis.

    PubMed

    Johnson, Susan L

    2015-10-01

    The aim of this study was to analyse the discourses of workplace bullying prevention of hospital nursing unit managers and in the official documents of the organizations where they worked. Workplace bullying can be a self-perpetuating problem in nursing units. As such, efforts to prevent this behaviour may be more effective than efforts to stop ongoing bullying. There is limited research on how healthcare organizations characterize their efforts to prevent workplace bullying. This was a qualitative study. Critical discourse analysis and Foucault's writings on governmentality and discipline were used to analyse data from interviews with hospital nursing unit managers (n = 15) and organizational documents (n = 22). Data were collected in 2012. The discourse of workplace bullying prevention centred around three themes: prevention of workplace bullying through managerial presence, normalizing behaviours and controlling behaviours. All three are individual level discourses of workplace bullying prevention. Current research indicates that workplace bullying is a complex issue with antecedents at the individual, departmental and organizational level. However, the discourse of the participants in this study only focused on prevention of bullying by moulding the behaviours of individuals. The effective prevention of workplace bullying will require departmental and organizational initiatives. Leaders in all types of organizations can use the results of this study to examine their organizations' discourses of workplace bullying prevention to determine where change is needed. © 2015 John Wiley & Sons Ltd.

  11. Teachers' Responsibilities in Preventing School Violence: A Case Study in Turkey

    ERIC Educational Resources Information Center

    Yavuzer, Yasemin; Gundogdu, Rezzan

    2012-01-01

    It is generally acknowledged that teachers play an important role in preventing or reducing violence in schools. The objectives of this study were: (a) to identify teachers' responsibilities in terms of preventing violence among school children and (b) to solicit teachers' views as what they have been doing in preventing violence. Sample for the…

  12. Dropout Prevention: A Study of Prevention Programs Used by High Schools to Increase Graduation Rate

    ERIC Educational Resources Information Center

    Simmons, Christopher L.

    2013-01-01

    This mixed methods study focused on the relationship between dropout prevention programs and graduation rates in one school district in Florida during the 2010-2011 school year. The dropout prevention program data analyzed included high school principals' perceptions in regard to perceived effectiveness, fidelity of implementation, cost efficacy,…

  13. Shaping the Future of Prevention in Social Work: An Analysis of the Professional Literature from 2000 through 2010

    PubMed Central

    Ruth, Betty J.; Velásquez, Esther E.; Marshall, Jamie Wyatt; Ziperstein, Dory

    2016-01-01

    In light of the Patient Protection and Affordable Care Act’s goals of better patient care, cost control, and improved population outcomes, prevention is emerging as an important component of health reform. As a result, broad societal interest in prevention is growing, together with widespread interest in public health. The profession, with its extensive involvement in the health system and deep roots in public health, needs to know more about its relationship to prevention. This study builds upon the Social Work Interest in Prevention Study–which evaluated the extent, types, and levels of prevention content in nine social work journals over a six year time period from 2000–2005. The goal of the expanded study, the Social Work Interest in Prevention Study-Expansion (SWIPS-E), was to assess whether interest in prevention had increased over the full decade, which included the time period in which health care reform was enacted. PMID:25929010

  14. The impact of universal suicide-prevention programs on the help-seeking attitudes and behaviors of youths.

    PubMed

    Klimes-Dougan, Bonnie; Klingbeil, David A; Meller, Sarah J

    2013-01-01

    While the ultimate goal of adolescent suicide-prevention efforts is to decrease the incidence of death by suicide, a critical intermediary goal is directing youths toward effective sources of assistance. To comprehensively review the universal prevention literature and examine the effects of universal prevention programs on student's attitudes and behaviors related to help-seeking. We systematically reviewed studies that assessed help-seeking outcomes including prevention efforts utilizing (1) psychoeducational curricula, (2) gatekeeper training, and (3) public service messaging directed at youths. Of the studies reviewed, 17 studies evaluated the help-seeking outcomes. These studies were identified through a range of sources (e.g., searching online databases, examining references of published articles on suicide prevention). The results of this review suggest that suicide-prevention programming has a limited impact on help-seeking behavior. Although there was some evidence that suicide-prevention programs had a positive impact on students' help-seeking attitudes and behaviors, there was also evidence of no effects or iatrogenic effects. Sex and risk status were moderators of program effects on students help-seeking. Caution is warranted when considering which suicidal prevention interventions best optimize the intended goals. The impact on adolescents' help-seeking behavior is a key concern for educators and mental-health professionals.

  15. 77 FR 15370 - Agency Information Collection Request. 60-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-15

    .... Proposed Project: Teen Pregnancy Prevention Replication Evaluation Study: Follow-up Data Collection--OMB No... Evaluation (ASPE), the Centers for Disease Control and Prevention (CDC), and the Administration for Children... with ASPE the Teen Pregnancy Prevention Replication Evaluation Study (TPP Replication Study). The TPP...

  16. An exploration of fourth-year undergraduate nurses' knowledge of and attitude towards pressure ulcer prevention.

    PubMed

    Cullen Gill, E; Moore, Z

    2013-11-01

    To determine undergraduate nurses' knowledge of and attitudes towards pressure ulcer prevention. A quantitative, cross-sectional survey design was used for this study. Ethical approval was received. A convenience sample of fourth-year undergraduate nurses was selected to participate (n=60). Data were collected using a pre-designed questionnaire. Overall, the participants showed a positive attitude towards pressure ulcer prevention but displayed poor knowledge of pressure ulcer prevention. Interestingly, having a high level of competency corresponded with having a positive attitude towards pressure ulcer prevention, but did not equate to possessing knowledge of pressure ulcer prevention. The findings of this study suggest that fourth-year undergraduates have a positive attitude but lack adequate knowledge on the prevention of pressure ulcers. There were no external sources of funding for this study. The authors have no conflicts of interest to declare.

  17. Primordial Prevention of Cardiometabolic Risk in Childhood.

    PubMed

    Tanrikulu, Meryem A; Agirbasli, Mehmet; Berenson, Gerald

    2017-01-01

    Fetal life and childhood are important in the development of cardiometabolic risk and later clinical disease of atherosclerosis, hypertension and diabetes mellitus. Molecular and environmental conditions leading to cardiometabolic risk in early life bring us a challenge to develop effective prevention and intervention strategies to reduce cardiovascular (CV) risk in children and later disease. It is important that prevention strategies begin at an early age to reduce future CV morbidity and mortality. Pioneering work from longitudinal studies such as Bogalusa Heart Study (BHS), the Finnish Youth Study and other programs provide an awareness of the need for public and health services to begin primordial prevention. The impending CV risk beginning in childhood has a significant socioeconomic burden. Directions to achieve primordial prevention of cardiometabolic risk in children have been developed by prior longitudinal studies. Based on those studies that show risk factors in childhood as precursors of adult CV risk, implementation of primordial prevention will have effects at broad levels. Considering the epidemic of obesity, the high prevalence of hypertension and cardiometabolic risk, prevention early in life is valuable. Comprehensive health education, such as 'Health Ahead/Heart Smart', for all elementary school age children is one approach to begin primordial prevention and can be included in public education beginning in kindergarten along with the traditional education subject matter.

  18. Comparison of the Fluid Resuscitation Rate with and without External Pressure Using Two Intraosseous Infusion Systems for Adult Emergencies, the CITRIN (Comparison of InTRaosseous infusion systems in emergency medicINe)-Study

    PubMed Central

    Gries, André; Hossfeld, Björn; Bechmann, Ingo; Bernhard, Michael

    2015-01-01

    Introduction Intraosseous infusion is recommended if peripheral venous access fails for cardiopulmonary resuscitation or other medical emergencies. The aim of this study, using body donors, was to compare a semi-automatic (EZ-IO®) device at two insertion sites and a sternal intraosseous infusion device (FASTR™). Methods Twenty-seven medical students being inexperienced first-time users were randomized into three groups using EZ-IO and FASTR. The following data were evaluated: attempts required for successful placement, insertion time and flow rates with and without external pressure to the infusion. Results The first-pass insertion success of the EZ-IO tibia, EZ-IO humerus and FASTR was 91%, 77%, and 95%, respectively. Insertion times (MW±SD) did not show significant differences with 17±7 (EZ-IO tibia) vs. 29±42 (EZ-IO humerus) vs. 33±21 (FASTR), respectively. One-minute flow rates using external pressures between 0 mmHg and 300 mmHg ranged between 27±5 to 69±54 ml/min (EZ-IO tibia), 16±3 to 60±44 ml/min (EZ-IO humerus) and 53±2 to 112±47 ml/min (FASTR), respectively. Concerning pressure-related increases in flow rates, negligible correlations were found for the EZ-IO tibia in all time frames (c = 0.107–0.366; p≤0.013), moderate positive correlations were found for the EZ-IO humerus after 5 minutes (c = 0.489; p = 0.021) and strong positive correlations were found for the FASTR in all time frames (c = 0.63–0.80; p≤0.007). Post-hoc statistical power was 0.62 with the given sample size. Conclusions The experiments with first-time users applying EZ-IO and FASTR in body donors indicate that both devices may be effective intraosseous infusion devices, likely suitable for fluid resuscitation using a pressure bag. Variations in flow rate may limit their reliability. Larger sample sizes will prospectively be required to substantiate our findings. PMID:26630579

  19. [Strengths, weaknesses, and opportunities of French research in trophic ecology].

    PubMed

    Perga, Marie-Élodie; Danger, Michael; Dubois, Stanislas; Fritch, Clémentine; Gaucherel, Cédric; Hubas, Cedric; Jabot, Franck; Lacroix, Gérard; Lefebvre, Sébastien; Marmonier, Pierre; Bec, Alexandre

    2018-05-30

    The French National Institute of Ecology and Environment (INEE) aims at fostering pluridisciplinarity in Environmental Science and, for that purpose, funds ex muros research groups (GDR) on thematic topics. Trophic ecology has been identified as a scientific field in ecology that would greatly benefit from such networking activity, as being profoundly scattered. This has motivated the seeding of a GDR, entitled "GRET". The contours of the GRET's action, and its ability to fill these gaps within trophic ecology at the French national scale, will depend on the causes of this relative scattering. This study relied on a nationally broadcasted poll aiming at characterizing the field of trophic ecology in France. Amongst all the unique individuals that fulfilled the poll, over 300 belonged at least partly to the field of trophic ecology. The sample included all French public research institutes and career stages. Three main disruptions within the community of scientist in trophic ecology were identified. The first highlighted the lack of interfaces between microbial and trophic ecology. The second evidenced that research questions were strongly linked to single study fields or ecosystem type. Last, research activities are still quite restricted to the ecosystem boundaries. All three rupture points limit the conceptual and applied progression in the field of trophic ecology. Here we show that most of the disruptions within French Trophic Ecology are culturally inherited, rather than motivated by scientific reasons or justified by socio-economic stakes. Comparison with the current literature confirms that these disruptions are not necessarily typical of the French research landscape, but instead echo the general weaknesses of the international research in ecology. Thereby, communication and networking actions within and toward the community of trophic ecologists, as planned within the GRET's objectives, should contribute to fill these gaps, by reintegrating microbes within trophic concepts and setting the seeds for trans- and meta-ecosystemic research opportunities. Once the community of trophic ecologists is aware of the scientific benefit in pushing its boundaries forwards, turning words and good intentions into concrete research projects will depend on the opportunities to obtain research funding. Copyright © 2018 Académie des sciences. Published by Elsevier Masson SAS. All rights reserved.

  20. Comparison of the Fluid Resuscitation Rate with and without External Pressure Using Two Intraosseous Infusion Systems for Adult Emergencies, the CITRIN (Comparison of InTRaosseous infusion systems in emergency medicINe)-Study.

    PubMed

    Hammer, Niels; Möbius, Robert; Gries, André; Hossfeld, Björn; Bechmann, Ingo; Bernhard, Michael

    2015-01-01

    Intraosseous infusion is recommended if peripheral venous access fails for cardiopulmonary resuscitation or other medical emergencies. The aim of this study, using body donors, was to compare a semi-automatic (EZ-IO®) device at two insertion sites and a sternal intraosseous infusion device (FASTR™). Twenty-seven medical students being inexperienced first-time users were randomized into three groups using EZ-IO and FASTR. The following data were evaluated: attempts required for successful placement, insertion time and flow rates with and without external pressure to the infusion. The first-pass insertion success of the EZ-IO tibia, EZ-IO humerus and FASTR was 91%, 77%, and 95%, respectively. Insertion times (MW ± SD) did not show significant differences with 17 ± 7 (EZ-IO tibia) vs. 29 ± 42 (EZ-IO humerus) vs. 33 ± 21 (FASTR), respectively. One-minute flow rates using external pressures between 0 mmHg and 300 mmHg ranged between 27 ± 5 to 69 ± 54 ml/min (EZ-IO tibia), 16 ± 3 to 60 ± 44 ml/min (EZ-IO humerus) and 53 ± 2 to 112 ± 47 ml/min (FASTR), respectively. Concerning pressure-related increases in flow rates, negligible correlations were found for the EZ-IO tibia in all time frames (c = 0.107-0.366; p ≤ 0.013), moderate positive correlations were found for the EZ-IO humerus after 5 minutes (c = 0.489; p = 0.021) and strong positive correlations were found for the FASTR in all time frames (c = 0.63-0.80; p ≤ 0.007). Post-hoc statistical power was 0.62 with the given sample size. The experiments with first-time users applying EZ-IO and FASTR in body donors indicate that both devices may be effective intraosseous infusion devices, likely suitable for fluid resuscitation using a pressure bag. Variations in flow rate may limit their reliability. Larger sample sizes will prospectively be required to substantiate our findings.

  1. The impact of a liberalisation law on legally induced abortion hospitalisations.

    PubMed

    Gonçalves-Pinho, Manuel; Santos, João V; Costa, Antónia; Costa-Pereira, Altamiro; Freitas, Alberto

    2016-08-01

    Legal abortion based purely in maternal option without fetal/maternal pathology was liberalised in Portugal in 2007 and since then abortion rates have increased substantially. The aim of this paper was to study the impact of the liberalisation of abortion by maternal request on total legal abortion related hospitalisation trends. We considered hospitalisations of legal abortion (ICD-9-CM codes 635.x) with discharges from 2000 to 2014. Data was obtained from a Portuguese administrative database, which contains all registered public hospitalisations in mainland Portugal. Performed legal abortions during the same period were obtained from INE (National Statistics Institute). Hospitalisations per abortion were calculated by dividing the number of legal abortions hospitalisations per the number of legal abortions, mean ages, number of hospitalisations per age group, complications, admission type and length of stay were also analysed, throughout the study period. Hospitalisations rose during the study period, (from 618 episodes in 2000 to 1,259 in 2014, with a peak of 1,603 in 2010). Since the liberalisation law was passed there was a significant decrease in the number of hospitalisations per abortion: from 1.07 in 2000 to 0.11 in 2014 (p<0.001). Furthermore, the mean age maintained stable since liberalisation (30.8 years before 2007 and 31.0 after). Abortion related hospitalisations are more frequent in women aged 25-39. A significant decrease from the emergent to the scheduled type of admission occurred from 2000 to 2014 (from 83.5% to 56.7% of emergent admissions) (p<0.001). Complications remained stable between 2000 and 2014 and delayed or excessive haemorrhage was the most frequent (4.6%). Since the liberalisation, hospitalisations per abortion have decreased, reflecting the major impact that the liberalisation of legal abortion by maternal request had on abortion trends nationwide. Before the liberalisation, each abortion led to approximately one hospitalisation while after the liberalisation this trend shifted to approximately 10% of the number of abortions. Legal abortion related hospitalisations are more frequent in women aged between 25 and 39 years old, an older age group when compared to the one registered in all cases of legal abortions, reflecting the differences between those hospitalised and those who are not. Our study shows the impact that legal abortion by maternal request liberalisation law can bring to abortion and to hospitalisation trends. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  2. Phase 0/I/II Cancer Prevention Clinical Trials Program (Consortia) | Division of Cancer Prevention

    Cancer.gov

    Five cancer research centers lead multiple collaborative networks to assess potential cancer preventive agents and to conduct early clinical development of promising preventive agents. Also called the Consortia for Early Phase Prevention Trials, the studies require extensive biomarker analysis, investigation of the biologic effects of the cancer preventive agents on their

  3. The effectiveness of back pain and injury prevention programs in the workplace.

    PubMed

    Gatty, Carolyn M; Turner, Mynde; Buitendorp, Dinice J; Batman, Heather

    2003-01-01

    Musculoskeletal disorders in the workplace cause thousands of injuries and cost industry billions of dollars yearly. Work injury prevention programs have been developed and implemented as a means for cost containment. A variety of preventive strategies have been investigated in primary research. The purpose of this review article is to examine the effectiveness of back injury and pain prevention programs in the workplace. Nine studies published between 1995 and 2000 were reviewed and analyzed. Studies used primarily one of three types of preventive strategies: 1) back belts, 2) education and task modification, and 3) education and task modification with workstation redesign. The effectiveness of back belts to prevent back pain and injury remains inconclusive. Positive outcomes were associated with studies reporting high compliance that used job-specific and individualized/small group education and training approaches. Themes that arose following a critical review of primary research studies are discussed.

  4. Substance abuse prevention intervention research with Hispanic populations.

    PubMed

    Castro, Felipe González; Barrera, Manuel; Pantin, Hilda; Martinez, Charles; Felix-Ortiz, Maria; Rios, Rebeca; Lopez, Vera A; Lopez, Cristy

    2006-09-01

    Selected studies with specific relevance to substance abuse prevention interventions with Hispanic youth and families were examined to identify prior findings and emerging issues that may guide the design of future substance abuse prevention intervention research and its implementation with Hispanic populations. The origins of prevention research and role of risk and protective factors are examined, including culturally-specific risk and protective factors for Hispanic populations. Correlational studies, non-experimental interventions, and randomized controlled trials were examined for the period of 1974-2003. The literature search yielded 15 articles selected for this review that exhibited adequate methodological rigor. An added search for more recent studies identified three additional articles, for a total of 18 prevention intervention articles that were reviewed. Theoretical and methodological issues and recommendations are presented for future research aimed at improving the efficacy and effectiveness of future prevention intervention studies and their cultural relevance for Hispanic populations.

  5. Factors that influence utilisation of HIV/AIDS prevention methods among university students residing at a selected university campus.

    PubMed

    Ndabarora, Eléazar; Mchunu, Gugu

    2014-01-01

    Various studies have reported that university students, who are mostly young people, rarely use existing HIV/AIDS preventive methods. Although studies have shown that young university students have a high degree of knowledge about HIV/AIDS and HIV modes of transmission, they are still not utilising the existing HIV prevention methods and still engage in risky sexual practices favourable to HIV. Some variables, such as awareness of existing HIV/AIDS prevention methods, have been associated with utilisation of such methods. The study aimed to explore factors that influence use of existing HIV/AIDS prevention methods among university students residing in a selected campus, using the Health Belief Model (HBM) as a theoretical framework. A quantitative research approach and an exploratory-descriptive design were used to describe perceived factors that influence utilisation by university students of HIV/AIDS prevention methods. A total of 335 students completed online and manual questionnaires. Study findings showed that the factors which influenced utilisation of HIV/AIDS prevention methods were mainly determined by awareness of the existing university-based HIV/AIDS prevention strategies. Most utilised prevention methods were voluntary counselling and testing services and free condoms. Perceived susceptibility and perceived threat of HIV/AIDS score was also found to correlate with HIV risk index score. Perceived susceptibility and perceived threat of HIV/AIDS showed correlation with self-efficacy on condoms and their utilisation. Most HBM variables were not predictors of utilisation of HIV/AIDS prevention methods among students. Intervention aiming to improve the utilisation of HIV/AIDS prevention methods among students at the selected university should focus on removing identified barriers, promoting HIV/AIDS prevention services and providing appropriate resources to implement such programmes.

  6. Prevention of alcohol misuse among children, youths and young adults.

    PubMed

    Korczak, Dieter; Steinhauser, Gerlinde; Dietl, Markus

    2011-01-01

    Despite many activities to prevent risky alcohol consumption among adolescents and young adults there is an increase of alcohol intoxications in the group of ten to twenty year old juveniles. This report gives an overview about the recent literature as well as the German federal prevention system regarding activities concerning behavioral and policy prevention of risky alcohol consumption among children, adolescents and young adults. Furthermore, effective components of prevention activities are identified and the efficiency and efficacy of ongoing prevention programs is evaluated. A systematic literature review is done in 34 databases using Bool'sche combinations of the key words alcohol, prevention, treatment, children, adolescents and young adults. 401 studies were found and 59 studies were selected for the health technology assessment (HTA). Most of the studies are done in USA, nine in Germany. A family strengthening program, personalized computer based intervention at schools, colleges and universities, brief motivational interventions and policy elements like increase of prices and taxes proved effective. Among the 59 studies there are three meta-analyses, 15 reviews, 17 randomized controlled trials (RCT) and 18 cohort studies. Despite the overall high quality of the study design, many of them have methodological weaknesses (missing randomization, missing or too short follow-ups, not clearly defined measurement parameters). The transferability of US-results to the German context is problematic. Only a few prevention activities reach a sustainable reduction of frequency and/or amount of alcohol consumption. The HTA-report shows the need to develop specific and target group focused prevention activities for the German situation. Essential for that is the definition of target goals (reduction of consumption, change of behaviour) as well as the definition and empirical validation of risky alcohol consumption. The efficacy of prevention activities should be proven before they are launched. At present activities for the reduction or prevention of risky alcohol consumption are not sufficiently evaluated in Germany concerning their sustainable efficacy.

  7. Workplace suicide prevention: a systematic review of published and unpublished activities.

    PubMed

    Milner, Allison; Page, Kathryn; Spencer-Thomas, Sally; Lamotagne, Anthony D

    2015-03-01

    There are a number of published studies on workplace suicide prevention activities, and an even larger number of activities that are not reported on in academic literature. The aim of this review was to provide a systematic assessment of workplace suicide prevention activities, including short-term training activities, as well as suicide prevention strategies designed for occupational groups at risk of suicide. The search was based on Meta-analysis of Observational Studies in Epidemiology (MOOSE) Guidelines. The databases used for the searches were the Cochrane Trials Library and PubMed. A range of suicide prevention websites were also searched to ascertain the information on unpublished workplace suicide prevention activities. Key characteristics of retrieved studies were extracted and explained, including whether activities were short-term training programmes or developed specifically for occupations at risk of suicide. There were 13 interventions relevant for the review after exclusions. There were a few examples of prevention activities developed for at-risk occupations (e.g. police, army, air force and the construction industry) as well as a number of general awareness programmes that could be applied across different settings. Very few workplace suicide prevention initiatives had been evaluated. Results from those that had been evaluated suggest that prevention initiatives had beneficial effects. Suicide prevention has the potential to be integrated into existing workplace mental health activities. There is a need for further studies to develop, implement and evaluate workplace suicide prevention programmes. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  8. Rationale and methods of the European Study on Cardiovascular Risk Prevention and Management in Daily Practice (EURIKA).

    PubMed

    Rodríguez-Artalejo, Fernando; Guallar, Eliseo; Borghi, Claudio; Dallongeville, Jean; De Backer, Guy; Halcox, Julian P; Hernández-Vecino, Ramón; Jiménez, Francisco Javier; Massó-González, Elvira L; Perk, Joep; Steg, Philippe Gabriel; Banegas, José R

    2010-06-30

    The EURIKA study aims to assess the status of primary prevention of cardiovascular disease (CVD) across Europe. Specifically, it will determine the degree of control of cardiovascular risk factors in current clinical practice in relation to the European guidelines on cardiovascular prevention. It will also assess physicians' knowledge and attitudes about CVD prevention as well as the barriers impeding effective risk factor management in clinical practice. Cross-sectional study conducted simultaneously in 12 countries across Europe. The study has two components: firstly at the physician level, assessing eight hundred and nine primary care and specialist physicians with a daily practice in CVD prevention. A physician specific questionnaire captures information regarding physician demographics, practice settings, cardiovascular prevention beliefs and management. Secondly at the patient level, including 7641 patients aged 50 years or older, free of clinical CVD and with at least one classical risk factor, enrolled by the participating physicians. A patient-specific questionnaire captures information from clinical records and patient interview regarding sociodemographic data, CVD risk factors, and current medications. Finally, each patient provides a fasting blood sample, which is sent to a central laboratory for measuring serum lipids, apolipoproteins, hemoglobin-A1c, and inflammatory biomarkers. Primary prevention of CVD is an extremely important clinical issue, with preventable circulatory diseases remaining the leading cause of major disease burden. The EURIKA study will provide key information to assess effectiveness of and attitudes toward primary prevention of CVD in Europe. A transnational study creates opportunities for benchmarking good clinical practice across countries and improving outcomes. (ClinicalTrials.gov number, NCT00882336).

  9. Teachers' Perspectives on Preventing Suicide in Children and Adolescents in Schools: A Qualitative Study.

    PubMed

    Ross, Victoria; Kõlves, Kairi; De Leo, Diego

    2017-07-03

    Given the important role teachers play as gatekeepers in school suicide prevention, this study explored teachers' perspectives on what should be done to improve current suicide prevention efforts. The study, in Queensland, Australia, was part of a large-scale survey examining teachers' knowledge, attitudes and experience of suicidality. One hundred and fifteen teachers responded to an online survey question regarding their views on the requirements for school suicide prevention. Qualitative analysis identified five themes from teachers' responses: awareness and stigma reduction, support services for students, education and training, bullying and the role of social media. The results of this study provide some profound insights into teachers' perspectives on suicide and highlight the critical need for improved suicide prevention efforts in schools.

  10. Effects of Violence Prevention Behavior on Exposure to Workplace Violence and Threats: A Follow-Up Study.

    PubMed

    Gadegaard, Charlotte Ann; Andersen, Lars Peter; Hogh, Annie

    2018-04-01

    This longitudinal study investigates the relationship between prevention behaviors, that is, enacted violence prevention policies, and exposure to workplace violence and threats across four different high risk work sectors: psychiatry, special schools, eldercare, and the prison and probation services. Logistic regression analysis of a 1-year follow-up sample of 3.016 employees from these four sectors shows that prevention behaviors are significantly and negatively associated with self-reported exposure to workplace violence and threats-in the prison and probation services, eldercare, and in psychiatry, while no significant associations are found for special schools. The results therefore show clear sector differences with regard to the preventive effect of violence prevention behaviors. Furthermore, this multisector comparison suggests that prevention behaviors are more effective in relation to a moderate frequency of violence and threats, and that only top management prevention behavior can prevent very frequent incidents (odds ratio [ OR] = 0.58). This study contributes to the literature by use of a longitudinal design and acceptable response rates, while also simultaneously investigating several high risk sectors. The results imply that when managing workplace violence in high risk areas of human service work, there should be emphasis on the use of violence prevention behaviors from top management, supervisor, and among coworkers. However, type of sector and the frequency of workplace violence should be analyzed to evaluate the potential impact of prevention behaviors.

  11. Morality and its relation to political ideology: the role of promotion and prevention concerns.

    PubMed

    Cornwell, James F M; Higgins, E Tory

    2013-09-01

    Our research investigated whether promotion concerns with advancement and prevention concerns with security related to moral beliefs and political ideology. Study 1 found that chronic prevention and promotion focus had opposite relations to binding foundation endorsement (as measured by the Moral Foundations Questionnaire), that is, positive for prevention and negative for promotion, and opposite relations to political ideology, that is, more conservative for prevention and more liberal for promotion, and the relation between focus and political ideology was partially mediated by binding foundation endorsement. Study 2 showed that promotion and prevention, even as situationally induced states, can contribute to differences in binding foundation endorsement, with prevention producing stronger endorsement (compared with a control) and promotion producing weaker endorsement.

  12. Pressure ulcer prevention in patients with advanced illness.

    PubMed

    White-Chu, E Foy; Reddy, Madhuri

    2013-03-01

    Pressure ulcers can be challenging to prevent, particularly in patients with advanced illnesses. This review summarizes the relevant literature since 2011. Through a MEDLINE and CINAHL database search from January 1, 2011 to June 1, 2012, a total of 14 abstracts were found addressing the prevention of pressure ulcers in persons with advanced illness. Search terms included pressure ulcer, prevention, and control. Advanced illness was defined as patients transitioning from curative to supportive and palliative care. Ten original studies and four review articles specifically addressed pressure ulcer prevention. There were four articles that specifically addressed patients with advanced illness. The studies varied in quality. One systematic review, one randomized controlled trial, three prospective trials, two retrospective trials, one cost-effectiveness analysis, one quality improvement project, one comparative descriptive design, and four review articles were found. The interventions for pressure ulcer prevention were risk assessment, repositioning, surface selection, nutritional support and maintenance of skin integrity with or without incontinence. The quality of pressure ulcer prevention studies in persons with advanced illness is poor. Increased number and higher quality studies are needed to further investigate this important topic for these fragile patients.

  13. Assessing the Efficiency of HIV Prevention around the World: Methods of the PANCEA Project

    PubMed Central

    Marseille, Elliot; Dandona, Lalit; Saba, Joseph; McConnel, Coline; Rollins, Brandi; Gaist, Paul; Lundberg, Mattias; Over, Mead; Bertozzi, Stefano; Kahn, James G

    2004-01-01

    Objective To develop data collection methods suitable to obtain data to assess the costs, cost-efficiency, and cost-effectiveness of eight types of HIV prevention programs in five countries. Data Sources/Study Setting Primary data collection from prevention programs for 2002–2003 and prior years, in Uganda, South Africa, India, Mexico, and Russia. Study Design This study consisted of a retrospective review of HIV prevention programs covering one to several years of data. Key variables include services delivered (outputs), quality indicators, and costs. Data Collection/Extraction Methods Data were collected by trained in-country teams during week-long site visits, by reviewing service and financial records and interviewing program managers and clients. Principal Findings Preliminary data suggest that the unit cost of HIV prevention programs may be both higher and more variable than previous studies suggest. Conclusions A mix of standard data collection methods can be successfully implemented across different HIV prevention program types and countries. These methods can provide comprehensive services and cost data, which may carry valuable information for the allocation of HIV prevention resources. PMID:15544641

  14. Methods for assessing the preventability of adverse drug events: a systematic review.

    PubMed

    Hakkarainen, Katja Marja; Andersson Sundell, Karolina; Petzold, Max; Hägg, Staffan

    2012-02-01

    Preventable adverse drug events (ADEs) are common in both outpatient and inpatient settings. However, the proportion of preventable ADEs varies considerably in different studies, even when conducted in the same setting, and methods for assessing the preventability of ADEs are diverse. The aim of this article is to identify and systematically evaluate methods for assessing the preventability of ADEs. Seven databases (Cochrane, CINAHL, EMBASE, IPA, MEDLINE, PsycINFO and Web of Science) were searched in September 2010 utilizing the databases' index terms and other common terminology on preventable ADEs. No limits for the years of publication were set. Reference lists of included original articles and relevant review articles were also screened. After applying predetermined inclusion and exclusion criteria on 4161 unique citations, 142 (3.4%) original research articles were included in the review. One additional article was included from reference lists. Outcome measures of included studies had to include the frequency of ADEs and the assessment of their preventability. Studies were excluded if they focused on individuals with one specific type of treatment, medical condition, medical procedure or ADE. Measurement instruments for determining the preventability of ADEs in each article were extracted and unique instruments were compared. The process of assessing the preventability of ADEs was described based on reported actions taken to standardize and conduct the assessment, and on information about the reliability and validity of the assessment. Eighteen unique instruments for determining the preventability of ADEs were identified. They fell under the following four groups: (i) instruments using a definition of preventability only (n = 3); (ii) instruments with a definition of preventability and an assessment scale for determining preventability (n = 5); (iii) instruments with specific criteria for each preventability category (n = 3); and (iv) instruments with an algorithm for determining preventability (n = 7). Of actions to standardize the assessment process, performing a pilot study was reported in 21 (15%), and use of a standardized protocol was reported in 18 (13%), of the included 143 articles. Preventability was assessed by physicians in 86 (60%) articles and by pharmacists in 41 (29%) articles. In 29 (20%) articles, persons conducting the assessment were described as trained for or experienced in preventability assessment. In 94 (66%) articles, more than one person assessed the preventability of each case. Among these 94 articles, assessment was done independently in 73 (51%) articles. Procedures for managing conflicting assessments were diverse. The reliability of the preventability assessment was tested in 39 (27%) articles, and 16 (11%) articles referred to a previous reliability assessment. Reliability ranged from poor to excellent (kappa 0.19-0.98; overall agreement 26-97%). Four (3%) articles mentioned assessing validity, but no sensitivity or specificity analyses or negative or positive predictive values were presented. Instruments for assessing the preventability of ADEs vary from implicit instruments to explicit algorithms. There is limited evidence for the validity of the identified instruments, and instrument reliability varied significantly. The process of assessing the preventability of ADEs is also commonly imprecisely described, which hinders the interpretation and comparison of studies. For measuring the preventability of ADEs more accurately and precisely in future, we believe that existing instruments should be further studied and developed, or that one or more new instruments should be developed, and the validity and reliability of the existing and new instruments be established.

  15. Pressure ulcer prevention knowledge among Jordanian nurses: a cross- sectional study

    PubMed Central

    2014-01-01

    Background Pressure ulcer remains a significant problem in the healthcare system. In addition to the suffering it causes patients, it bears a growing financial burden. Although pressure ulcer prevention and care have improved in recent years, pressure ulcer still exists and occurs in both hospital and community settings. In Jordan, there are a handful of studies on pressure ulcer. This study aims to explore levels of knowledge and knowledge sources about pressure ulcer prevention, as well as barriers to implementing pressure ulcer prevention guidelines among Jordanian nurses. Methods Using a cross-sectional study design and a self-administered questionnaire, data was collected from 194 baccalaureate and master’s level staff nurses working in eight Jordanian hospitals. From September to October of 2011, their knowledge levels about pressure ulcer prevention and the sources of this knowledge were assessed, along with the barriers which reduce successful pressure ulcer care and prevention. ANOVA and t-test analysis were used to test the differences in nurses’ knowledge according to participants’ characteristics. Means, standard deviation, and frequencies were used to describe nurses’ knowledge levels, knowledge sources, and barriers to pressure ulcer prevention. Results The majority (73%, n = 141) of nurses had inadequate knowledge about pressure ulcer prevention. The mean scores of the test for all participants was 10.84 out of 26 (SD = 2.3, range = 5–17), with the lowest score in themes related to PU etiology, preventive measures to reduce amount of pressure/shear, and risk assessment. In-service training was the second source of education on pressure ulcer, coming after university training. Shortage of staff and lack of time were the most frequently cited barriers to carrying out pressure ulcer risk assessment, documentation, and prevention. Conclusions This study highlights concerns about Jordanian nurses’ knowledge of pressure ulcer prevention. The results of the current study showed inadequate knowledge among Jordanian nurses about pressure ulcer prevention based on National Pressure Ulcer Advisory Panel guidelines. Also, the low level of nurses’ pressure ulcer knowledge suggests poor dissemination of pressure ulcer knowledge in Jordan, a suggestion supported by the lack of relationship between years of experience and pressure ulcer knowledge. PMID:24565372

  16. The impact of nurses' values on the prevention of pressure ulcers.

    PubMed

    Samuriwo, Ray

    Values are perceived to be a key determinant of people's behaviour and actions. There is a limited amount of research into the value that nurses place on the prevention of pressure ulcers, but past studies have suggested that nurses place a low value on pressure ulcer prevention. This article describes a study that was undertaken to ascertain what value nurses place on pressure ulcer prevention. The participants in this study (n=16) were recruited from the non-acute adult medical wards of 14 hospitals of one NHS trust and a local university. Data were gathered via semi-structured interviews, then transcribed and analysed via Straussian grounded theory. The findings of this study show that the value that nurses place on pressure ulcer prevention is important because all nurses attempt to work in line with the value that they place on pressure ulcer prevention. The nurses who place a high value on pressure ulcer prevention appear to be more proactive and determined to deliver care that protects the care of their patients' skin. However, the findings suggest that the efforts of nurses to prevent pressure ulcers are often impeded by environmental factors like bed management, and the differing values placed on ulcer prevention by colleagues. It also shows that interventions to protect the skin of patients are often undertaken by healthcare assistants and students because nurses are too busy carrying out other tasks.

  17. Linking HIV-Negative Youth to Prevention Services in 12 U.S. Cities: Barriers and Facilitators to Implementing the HIV Prevention Continuum.

    PubMed

    Doll, Mimi; Fortenberry, J Dennis; Roseland, Denise; McAuliff, Kathleen; Wilson, Craig M; Boyer, Cherrie B

    2018-04-01

    Linkage of HIV-negative youth to prevention services is increasingly important with the development of effective pre-exposure prophylaxis that complements behavioral and other prevention-focused interventions. However, effective infrastructure for delivery of prevention services does not exist, leaving many programs to address HIV prevention without data to guide program development/implementation. The objective of this study was to provide a qualitative description of barriers and facilitators of linkage to prevention services among high-risk, HIV-negative youth. Thematic analysis of structured interviews with staff implementing linkage to prevention services programs for youth aged 12-24 years. Twelve adolescent medicine HIV primary care programs as part of larger testing research program focused on young sexual minority men of color. The study included staff implementing linkage to prevention services programs along with community-based HIV testing programs. The main outcomes of the study were key barriers/facilitators to linkage to prevention services. Eight themes summarized perspectives on linkage to prevention services: (1) relationships with community partners, (2) trust between providers and youth, (3) youth capacity to navigate prevention services, (4) pre-exposure prophylaxis specific issues, (5) privacy issues, (6) gaps in health records preventing tailored services, (7) confidentiality of care for youth accessing services through parents'/caretakers' insurance, and (8) need for health-care institutions to keep pace with models that prioritize HIV prevention among at-risk youth. Themes are discussed in the context of factors that facilitated/challenged linkage to prevention services. Several evidence-based HIV prevention tools are available; infrastructures for coordinated service delivery to high-risk youth have not been developed. Implementation of such infrastructures requires attention to community-, provider-, and youth-related issues. Copyright © 2017 The Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  18. Have clinical studies demonstrated diabetes prevention or delay of diabetes through early treatment?

    PubMed

    Southwood, Robin L

    2010-01-01

    The incidence of type 2 diabetes continues to increase at alarming rates. Prediabetes is a state of abnormal glycemic values that are not abnormal enough to result in the diagnosis of type 2 diabetes. Significant interest in the prevention of diabetes has resulted in trials evaluating pharmacologic intervention and lifestyle intervention to prevent the development of diabetes. Controversy exists over the exact definition of diabetes prevention. Agents might possibly delay diagnosis of diabetes via pharmacologic lowering of blood glucose. Goals of diabetes prevention include decreased cardiovascular disease. Trials assessing diabetes prevention should assess 1) Impact of the study drug upon the incidence of diabetes, 2) Impact of the study drug upon diagnosis of diabetes after post-treatment washout phase, 3) Assessment of insulin sensitivity/@-cell function/insulin secretion and blood glucose, 4) Assessment of confounding factors, 5) Impact of the study drug on the occurrence of cardiovascular disease. The published studies were reviewed using these criteria. Six studies evaluating seven agents have been were reviewed. Six of the seven agents reduced diagnosis of diabetes during use, but only two demonstrated effect after washout phase. One of the two agents has been withdrawn from the market. The second agent had a short follow-up period making the results difficult to interpret. Assessment of insulin secretion at entry to trial was common, however ongoing reassessment was uncommon. All studies attempted to assess confounding factors, however stratification of drug benefit relative to amount of lifestyle modification benefit was not reported in trials. Cardiovascular benefit in the form of reduced hypertension was documented with three agents. Pharmacologic prevention of type 2 diabetes remains unproven, due in part to the difficulty distinguishing between prevention and delay. Reduction in cardiovascular benefit is unproven with most agents studied. Larger studies powered to detect cardiovascular endpoints are necessary to determine benefit of diabetes prevention.

  19. Association Between Employee Dental Claims, Health Risks, Workplace Productivity, and Preventive Services Compliance.

    PubMed

    Burton, Wayne N; Chen, Chin-Yu; Li, Xingquan; Schultz, Alyssa B

    2017-08-01

    This study examined differences in health risks and workplace outcomes among employees who utilized preventive dental services compared with other employees. A retrospective observational study of employees of a large financial services corporation, with data from health risk appraisal questionnaires, medical claims, pharmacy claims, and dental claims. Employees with no dental claims were significantly more likely to have a variety of health risk factors (such as obesity and tobacco use), health conditions (such as diabetes), absenteeism, and lost on-the-job productivity, and were significantly less likely to be compliant with clinical preventive services compared with those with preventive dental claims. Employees with preventive dental claims had fewer health risks and medical conditions and better health and productivity measures. Study employees underutilized free dental care; employers should incorporate preventive dental care awareness into their worksite wellness programs.

  20. Treating High-grade Lesions to Prevent Anal Cancer in HIV-infected People

    Cancer.gov

    This study, called the ANCHOR trial, will investigate whether screening and prevention methods similar to those used to prevent cervical cancer can help prevent anal cancer in HIV-infected men and women.

  1. 77 FR 506 - Agency Information Collection Request. 30-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-05

    .... Proposed Project: Teen Pregnancy Prevention Replication Evaluation Study: Baseline Data Collection--OMB No... for Children and Families (ACF) on adolescent pregnancy prevention evaluation activities. OAH will jointly oversee with ASPE the Teen Pregnancy Prevention Replication Evaluation Study (TPP Replication...

  2. [Does the Prevention Act Improve Prevention in Pediatric Outpatient Settings!?

    PubMed

    Schoierer, J; Lob-Corzilius, T; Wermuth, I; Nowak, D; Böse-O'Reilly, S

    2017-03-01

    Aim of the study: The Prevention Act was adopted by the German Federal Parliament on 18.06.2015. The paediatric practice is an important place from which to reach out to children and teenagers and to positively influence them through targeted prevention services in their health-related behaviour. It is therefore an important setting for the implementation of the Prevention Act. Could the delegation of prevention services to qualified medical assistants promote the successful implementation of the Prevention Act? Since 2003, medical assistants have qualified as "Prevention Assistants" after completing training courses and offered support in preventive services to children and teenagers in the paediatrician's office. The aim of this study was to improve the effectiveness of the training to increase the competence of the participants, expansion of preventive services for children and teenagers in the paediatrician's office and reduction of physician workload. Methodology: Training was accompanied by ongoing evaluation; there were two extensive studies in 2009 and 2011, respectively. Between 2003 and 2006 (n=126, after 75% response rate) and in 2011 (n=119 after 24% response rate), participants were assessed with standardized questionnaires, and in the survey of 2011, their employers also were interviewed, (n=76, after 22% response rate). Results: The prevention assistants assess their learning successes as good and are able to take over delegated tasks in the paediatrician's office. The involvement of a trained prevention assistant contributed to the transformation and re-establishment of prevention offers in paediatrician's offices and reduced physician workload. 44% of physicians felt that the time saved by prevention assistant was very good or good, 80% of physicians surveyed also indicated that prevention assistants carried out preventive consultations in the doctor's office. Conclusion: In light of the paediatricians' workload and their own wishes and demands, and for a targeted implementation of the Prevention Act, it is necessary to delegate preventive services to trained personnel. It is also possible to accomplish this task. It is necessary to introduce billing numbers in the fee schedule for doctors similar to the billing numbers for dental health prophylaxis. © Georg Thieme Verlag KG Stuttgart · New York.

  3. Evaluations of Sexual Assault Prevention Programs in Military Settings: A Synthesis of the Research Literature.

    PubMed

    Orchowski, Lindsay M; Berry-Cabán, Cristóbal S; Prisock, Kara; Borsari, Brian; Kazemi, Donna M

    2018-03-01

    The prevention of sexual assault (SA) in the U.S. military is a significant priority. This study applied the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to a literature search that identified research evaluating SA prevention programs conducted within military settings. Only six studies published between 2005 and 2016 met criteria for inclusion in the review. Studies demonstrated high heterogeneity in the: (1) conceptual framework of the prevention approach; (2) target population and timing of administration; (3) study recruitment methods; (4) methodological design; (5) method of delivery, program dosage and theory of change; and (6) outcome administration and efficacy. Scientific rigor according to the Oxford Center for Evidence-based Medicine was also variable. Several gaps in the research base were identified. Specifically, research evaluating SA prevention programs have only been conducted among U.S. Army and U.S. Navy samples. Most studies did not examine whether program participation was associated with reductions in rates of sexual violence. Studies also lacked utilization of a long-term follow-up period. Additionally, studies did not reflect the types of SA prevention programs currently being implemented in military settings. Taken together, further research is needed to enhance the evidence base for SA prevention in the military, and to evaluate the effectiveness of the approaches currently being conducted with service members.

  4. Reduction of Family Violence in Aboriginal Communities: A Systematic Review of Interventions and Approaches1

    PubMed Central

    Shea, Beverley; Nahwegahbow, Amy; Andersson, Neil

    2010-01-01

    Many efforts to reduce family violence are documented in the published literature. We conducted a systematic review of interventions intended to prevent family violence in Aboriginal communities. We retrieved studies published up to October 2009; 506 papers included one systematic review, two randomized controlled trials, and fourteen nonrandomized studies or reviews. Two reviews discussed interventions relevant to primary prevention (reducing the risk factors for family violence), including parenting, role modelling, and active participation. More studies addressed secondary prevention (where risk factors exist, reducing outbreaks of violence) such as restriction on the trading hours for take away alcohol and home visiting programs for high risk families. Examples of tertiary prevention (preventing recurrence) include traditional healing circles and group counselling. Most studies contributed a low level of evidence. PMID:21052554

  5. [The development of an integrated suicide-violence prevention program for adolescents].

    PubMed

    Park, Hyun Sook

    2008-08-01

    The purpose of this study was to develop an integrated suicide-violence prevention program for adolescents. Another purpose was to evaluate the effects of the integrated suicide-violence prevention program on self-esteem, parent-child communication, aggression, and suicidal ideation in adolescents. The study employed a quasi-experimental design. Participants for the study were high school students, 24 in the experimental group and 25 in the control group. Data was analyzed by using the SPSS/WIN. 11.5 program with chi2 test, t-test, and 2-way ANOVA. Participants in the integrated suicide-violence prevention program reported increased self-esteem scores, which was significantly different from those in the control group. Participants in the integrated suicide-violence prevention program reported decreased aggression and suicidal ideation scores, which was significantly different from those in the control group. The integrated suicide-violence prevention program was effective in improving self-esteem and decreasing aggression and suicidal ideation for adolescents. Therefore, this approach is recommended as the integrated suicide-violence prevention strategy for adolescents.

  6. Effectiveness of peer education interventions for HIV prevention, adolescent pregnancy prevention and sexual health promotion for young people: a systematic review of European studies.

    PubMed

    Tolli, M V

    2012-10-01

    Peer education remains a popular strategy for health promotion and prevention, but evidence of its effectiveness is still limited. This article presents a systematic review of peer education interventions in the European Union that were published between January 1999 and May 2010. The objective of the review is to determine the effectiveness of peer education programs for human immunodeficiency virus (HIV) prevention, adolescent pregnancy prevention and promotion of sexual health among young people. Standardized methods of searching and data extraction were utilized and five studies were identified. Although a few statistically significant and non-significant changes were observed in the studies, it is concluded that, overall, when compared to standard practice or no intervention, there is no clear evidence of the effectiveness of peer education concerning HIV prevention, adolescent pregnancy prevention and sexual health promotion for young people in the member countries of the European Union. Further research is needed to determine factors that contribute to program effectiveness.

  7. A Review of Teen Dating Violence Prevention Research: What About Hispanic Youth?

    PubMed

    Malhotra, Krithika; Gonzalez-Guarda, Rosa M; Mitchell, Emma M

    2015-10-01

    The purpose of this article is to provide a critical review of the literature on evidence-based teen dating violence (TDV) prevention programs with a particular focus on highlighting gaps in the literature with regard to prevention efforts targeting Hispanic teens. The target populations, characteristics, designs, and results of TDV prevention studies reported in the scientific literature for the last 20 years were reviewed and analyzed according to cultural and contextual factors associated with TDV among Hispanic teens. To date, three studies have focused on a predominantly Hispanic population with only one study looking at the long-term effects of a TDV intervention. There is a growing need to develop and evaluate immediate and long-term effects of TDV prevention programs that address ethnic pride, acculturation and acculturative stress, familism, and gender norms within the context of Hispanic communities (e.g., machismo and marianismo). The authors discuss the implications for research, prevention practice, and policy regarding TDV prevention for Hispanic teens. © The Author(s) 2014.

  8. Predictors of Self-Efficacy for HIV Prevention Among Hispanic Women in South Florida

    PubMed Central

    Villegas, Natalia; Cianelli, Rosina; Gonzalez-Guarda, Rosa; Kaelber, Lorena; Ferrer, Lilian; Peragallo, Nilda

    2012-01-01

    Self-efficacy is a critical element for HIV prevention, however little is known about the predictors of self-efficacy for HIV prevention among Hispanic women. In this cross-sectional study we assessed if age, living with a partner, employment status, HIV knowledge, self-esteem, and intimate partner violence (IPV) predicted self-efficacy for HIV prevention in 548 Hispanic women in South Florida who participated in a randomized controlled trial (SEPA). The majority of Hispanic women reported high levels of self-efficacy for HIV prevention. Women who were older, living with a partner, with less HIV knowledge, and a history of IPV reported significantly lower levels of self-efficacy for HIV prevention. HIV knowledge was the most important predictor of self-efficacy for HIV prevention. Employment was not a significant predictor of self-efficacy for HIV prevention. Predictors identified in the study can be used to identify high-risk Hispanic women who are in need of HIV prevention interventions. PMID:22795758

  9. Preventing and De-escalating Aggressive Behavior Among Adult Psychiatric Patients: A Systematic Review of the Evidence.

    PubMed

    Gaynes, Bradley N; Brown, Carrie L; Lux, Linda J; Brownley, Kimberly A; Van Dorn, Richard A; Edlund, Mark J; Coker-Schwimmer, Emmanuel; Weber, Rachel Palmieri; Sheitman, Brian; Zarzar, Theodore; Viswanathan, Meera; Lohr, Kathleen N

    2017-08-01

    The project goal was to compare the effectiveness of strategies to prevent and de-escalate aggressive behaviors among psychiatric patients in acute care settings, including interventions for reducing use of seclusion and restraint. Relevant databases were systematically reviewed for comparative studies of violence prevention and de-escalation strategies involving adult psychiatric patients in acute care settings. Studies (trials and cohort studies) were required to report on aggression or seclusion or restraint outcomes. Both risk of bias, an indicator of quality of individual studies, and strength of evidence (SOE) for each outcome were independently assessed by two study personnel. Seventeen primary studies met inclusion criteria. Evidence was limited for benefits and harms; information about characteristics that might modify the interventions' effectiveness, such as race or ethnicity, was especially limited. All but one study had a medium or high risk of bias and thus presented worrisome limitations. For prevention, risk assessment reduced both aggression and use of seclusion and restraint (low SOE), and multimodal interventions reduced the use of seclusion and restraint (low SOE). SOE for all other interventions, whether aimed at preventing or de-escalating aggression, and for modifying characteristics was insufficient. Available evidence about strategies for preventing and de-escalating aggressive behavior among psychiatric patients is very limited. Two preventive strategies, risk assessment and multimodal interventions consistent with the Six Core Strategies principles, may effectively lower aggressive behavior and use of seclusion and restraint, but more research is needed on how best to prevent and de-escalate aggressive behavior in acute care settings.

  10. The prevention of injuries in contact flag football.

    PubMed

    Kaplan, Yonatan; Myklebust, Grethe; Nyska, Meir; Palmanovich, Ezequiel; Victor, Jan; Witvrouw, Erik

    2014-01-01

    American flag football is a non-tackle, contact sport with many moderate to severe contact-type injuries reported. A previous prospective injury surveillance study by the authors revealed a high incidence of injuries to the fingers, face, knee, shoulder and ankle. The objectives of the study were to conduct a pilot-prospective injury prevention study in an attempt to significantly reduce the incidence and the severity of injuries as compared to a historical cohort, as well as to provide recommendations for a future prospective injury prevention study. A prospective injury prevention study was conducted involving 724 amateur male (mean age: 20.0 ± 3.1 years) and 114 female (mean age: 21.2 ± 7.2 years) players. Four prevention measures were implemented: the no-pocket rule, self-fitting mouth guards, ankle braces (for those players with recurrent ankle sprains) and an injury treatment information brochure. An injury surveillance questionnaire was administered to record all time-loss injuries sustained in game sessions. There was a statistically significant reduction in the number of injured players, the number of finger/hand injuries, the incidence rate and the incidence proportion between the two cohorts (p < 0.05). This one-season pilot prevention study has provided preliminary evidence that finger/hand injuries can be significantly reduced in flag football. Prevention strategies for a longer, prospective, randomised-controlled injury prevention study should include the strict enforcement of the no-pocket rule, appropriate head gear, the use of comfortable-fitting ankle braces and mouth guards, and changing the blocking rules of the game.

  11. HIV/AIDS preventive self-efficacy, depressive symptoms, and risky sexual behavior in adolescents: a cross-sectional questionnaire survey.

    PubMed

    Lee, Yi-Hui; Salman, Ali; Fitzpatrick, Joyce J

    2009-05-01

    High incidence rates of HIV/AIDS infections among youth draw attention to the need for emphasizing the reduction of risky sexual behavior, a major contributor to the spread of HIV/AIDS. Few researchers have examined the relationship between self-efficacy for HIV/AIDS preventions, depressive symptoms, and adolescent risky sexual behavior. This insufficient understanding limits nurses' ability to provide effective programs for reducing adolescents' risky sexual behaviors. This study was conducted to investigate the relationships among HIV/AIDS preventive self-efficacy, depressive symptoms, and risky sexual behavior in Taiwanese adolescents. A cross-sectional, correlational study. Seven vocational high schools located in a metropolitan area in southern Taiwan. A convenience sample of 16-18-year-old vocational high school Taiwanese adolescents (n=734) participated in this study. Several self-administrated questionnaires, including HIV/AIDS Preventive Self-efficacy scale, the Center for Epidemiological Studies-Depression scale, Safe Sex Behavior Questionnaire, and a form for demographic data, were used to collect data. Taiwanese adolescents who had higher HIV/AIDS preventive self-efficacy scores had less overall risky sexual behavior. Adolescents who had less depressive symptoms had higher HIV/AIDS preventive self-efficacy. More depressive symptoms were correlated to more risky sexual behavior. Improving Taiwanese adolescents' HIV/AIDS preventive self-efficacy could be useful to reduce risky sexual behaviors in this population. Results of this study may assist nurses in understanding factors related to adolescents HIV/AIDS related risky sexual behavior and its' preventions. However, future longitudinal studies are needed to clarify whether depressive symptoms is a major influential factor that might interfere with the effectiveness of HIV/AIDS prevention programs.

  12. Primary Care Physicians and Coronary Heart Disease Prevention: A Practice Model.

    ERIC Educational Resources Information Center

    Makrides, Lydia; Veinot, Paula L.; Richard, Josie; Allen, Michael J.

    1997-01-01

    The role of primary care physicians in coronary heart disease prevention is explored, and a model for patient education by physicians is offered. A qualitative study in Nova Scotia examines physicians' expectations about their role in prevention, obstacles to providing preventive care, and mechanisms by which preventive care occurs. (Author/EMK)

  13. A systematic review of electrical stimulation for pressure ulcer prevention and treatment in people with spinal cord injuries.

    PubMed

    Liu, Liang Qin; Moody, Julie; Traynor, Michael; Dyson, Sue; Gall, Angela

    2014-11-01

    Electrical stimulation (ES) can confer benefit to pressure ulcer (PU) prevention and treatment in spinal cord injuries (SCIs). However, clinical guidelines regarding the use of ES for PU management in SCI remain limited. To critically appraise and synthesize the research evidence on ES for PU prevention and treatment in SCI. Review was limited to peer-reviewed studies published in English from 1970 to July 2013. Studies included randomized controlled trials (RCTs), non-RCTs, prospective cohort studies, case series, case control, and case report studies. Target population included adults with SCI. Interventions of any type of ES were accepted. Any outcome measuring effectiveness of PU prevention and treatment was included. Methodological quality was evaluated using established instruments. Twenty-seven studies were included, 9 of 27 studies were RCTs. Six RCTs were therapeutic trials. ES enhanced PU healing in all 11 therapeutic studies. Two types of ES modalities were identified in therapeutic studies (surface electrodes, anal probe), four types of modalities in preventive studies (surface electrodes, ES shorts, sacral anterior nerve root implant, neuromuscular ES implant). The methodological quality of the studies was poor, in particular for prevention studies. A significant effect of ES on enhancement of PU healing is shown in limited Grade I evidence. The great variability in ES parameters, stimulating locations, and outcome measure leads to an inability to advocate any one standard approach for PU therapy or prevention. Future research is suggested to improve the design of ES devices, standardize ES parameters, and conduct more rigorous trials.

  14. A systematic review of electrical stimulation for pressure ulcer prevention and treatment in people with spinal cord injuries

    PubMed Central

    Liu, Liang Qin; Moody, Julie; Traynor, Michael; Dyson, Sue; Gall, Angela

    2014-01-01

    Context Electrical stimulation (ES) can confer benefit to pressure ulcer (PU) prevention and treatment in spinal cord injuries (SCIs). However, clinical guidelines regarding the use of ES for PU management in SCI remain limited. Objectives To critically appraise and synthesize the research evidence on ES for PU prevention and treatment in SCI. Method Review was limited to peer-reviewed studies published in English from 1970 to July 2013. Studies included randomized controlled trials (RCTs), non-RCTs, prospective cohort studies, case series, case control, and case report studies. Target population included adults with SCI. Interventions of any type of ES were accepted. Any outcome measuring effectiveness of PU prevention and treatment was included. Methodological quality was evaluated using established instruments. Results Twenty-seven studies were included, 9 of 27 studies were RCTs. Six RCTs were therapeutic trials. ES enhanced PU healing in all 11 therapeutic studies. Two types of ES modalities were identified in therapeutic studies (surface electrodes, anal probe), four types of modalities in preventive studies (surface electrodes, ES shorts, sacral anterior nerve root implant, neuromuscular ES implant). Conclusion The methodological quality of the studies was poor, in particular for prevention studies. A significant effect of ES on enhancement of PU healing is shown in limited Grade I evidence. The great variability in ES parameters, stimulating locations, and outcome measure leads to an inability to advocate any one standard approach for PU therapy or prevention. Future research is suggested to improve the design of ES devices, standardize ES parameters, and conduct more rigorous trials. PMID:24969965

  15. Preservice teachers' perceived confidence in teaching school violence prevention.

    PubMed

    Kandakai, Tina L; King, Keith A

    2002-01-01

    To examine preservice teachers' perceived confidence in teaching violence prevention and the potential effect of violence-prevention training on preservice teachers' confidence in teaching violence prevention. Six Ohio universities participated in the study. More than 800 undergraduate and graduate students completed surveys. Violence-prevention training, area of certification, and location of student- teaching placement significantly influenced preservice teachers' perceived confidence in teaching violence prevention. Violence-prevention training positively influences preservice teachers' confidence in teaching violence prevention. The results suggest that such training should be considered as a requirement for teacher preparation programs.

  16. Combining biomedical preventions for HIV: Vaccines with pre-exposure prophylaxis, microbicides or other HIV preventions

    PubMed Central

    McNicholl, Janet M.

    2016-01-01

    ABSTRACT Biomedical preventions for HIV, such as vaccines, microbicides or pre-exposure prophylaxis (PrEP) with antiretroviral drugs, can each only partially prevent HIV-1 infection in most human trials. Oral PrEP is now FDA approved for HIV-prevention in high risk groups, but partial adherence reduces efficacy. If combined as biomedical preventions (CBP) an HIV vaccine could provide protection when PrEP adherence is low and PrEP could prevent vaccine breakthroughs. Other types of PrEP or microbicides may also be partially protective. When licensed, first generation HIV vaccines are likely to be partially effective. Individuals at risk for HIV may receive an HIV vaccine combined with other biomedical preventions, in series or in parallel, in clinical trials or as part of standard of care, with the goal of maximally increasing HIV prevention. In human studies, it is challenging to determine which preventions are best combined, how they interact and how effective they are. Animal models can determine CBP efficacy, whether additive or synergistic, the efficacy of different products and combinations, dose, timing and mechanisms. CBP studies in macaques have shown that partially or minimally effective candidate HIV vaccines combined with partially effective oral PrEP, vaginal PrEP or microbicide generally provided greater protection than either prevention alone against SIV or SHIV challenges. Since human CBP trials will be complex, animal models can guide their design, sample size, endpoints, correlates and surrogates of protection. This review focuses on animal studies and human models of CBP and discusses implications for HIV prevention. PMID:27679928

  17. Combining biomedical preventions for HIV: Vaccines with pre-exposure prophylaxis, microbicides or other HIV preventions.

    PubMed

    McNicholl, Janet M

    2016-12-01

    Biomedical preventions for HIV, such as vaccines, microbicides or pre-exposure prophylaxis (PrEP) with antiretroviral drugs, can each only partially prevent HIV-1 infection in most human trials. Oral PrEP is now FDA approved for HIV-prevention in high risk groups, but partial adherence reduces efficacy. If combined as biomedical preventions (CBP) an HIV vaccine could provide protection when PrEP adherence is low and PrEP could prevent vaccine breakthroughs. Other types of PrEP or microbicides may also be partially protective. When licensed, first generation HIV vaccines are likely to be partially effective. Individuals at risk for HIV may receive an HIV vaccine combined with other biomedical preventions, in series or in parallel, in clinical trials or as part of standard of care, with the goal of maximally increasing HIV prevention. In human studies, it is challenging to determine which preventions are best combined, how they interact and how effective they are. Animal models can determine CBP efficacy, whether additive or synergistic, the efficacy of different products and combinations, dose, timing and mechanisms. CBP studies in macaques have shown that partially or minimally effective candidate HIV vaccines combined with partially effective oral PrEP, vaginal PrEP or microbicide generally provided greater protection than either prevention alone against SIV or SHIV challenges. Since human CBP trials will be complex, animal models can guide their design, sample size, endpoints, correlates and surrogates of protection. This review focuses on animal studies and human models of CBP and discusses implications for HIV prevention.

  18. The role of intervention mapping in designing disease prevention interventions: A systematic review of the literature.

    PubMed

    Garba, Rayyan M; Gadanya, Muktar A

    2017-01-01

    To assess the role of Intervention Mapping (IM) in designing disease prevention interventions worldwide. Systematic search and review of the relevant literature-peer-reviewed and grey-was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Only five of the twenty two included studies reviewed were RCTs that compared intervention using IM protocol with placebo intervention, and provided the outcomes in terms of percentage increase in the uptake of disease-prevention programmes, and only one of the five studies provided an effect measure in the form of relative risk (RR = 1.59, 95% CI = 1.08-2.34, p = 0.02). Of the five RCTs, three were rated as strong evidences, one as a medium evidence and one as a weak evidence, and they all reported statistically significant difference between the two study groups, with disease prevention interventions that have used the intervention mapping approach generally reported significant increases in the uptake of disease-prevention interventions, ranging from 9% to 28.5% (0.0001 ≤ p ≤ 0.02), On the other hand, all the 22 studies have successfully identified the determinants of the uptake of disease prevention interventions that is essential to the success of disease prevention programmes. Intervention Mapping has been successfully used to plan, implement and evaluate interventions that showed significant increase in uptake of disease prevention programmes. This study has provided a good understanding of the role of intervention mapping in designing disease prevention interventions, and a good foundation upon which subsequent reviews can be guided.

  19. The role of intervention mapping in designing disease prevention interventions: A systematic review of the literature

    PubMed Central

    Garba, Rayyan M.; Gadanya, Muktar A.

    2017-01-01

    Objective To assess the role of Intervention Mapping (IM) in designing disease prevention interventions worldwide. Methods Systematic search and review of the relevant literature—peer-reviewed and grey—was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Findings Only five of the twenty two included studies reviewed were RCTs that compared intervention using IM protocol with placebo intervention, and provided the outcomes in terms of percentage increase in the uptake of disease-prevention programmes, and only one of the five studies provided an effect measure in the form of relative risk (RR = 1.59, 95% CI = 1.08–2.34, p = 0.02). Of the five RCTs, three were rated as strong evidences, one as a medium evidence and one as a weak evidence, and they all reported statistically significant difference between the two study groups, with disease prevention interventions that have used the intervention mapping approach generally reported significant increases in the uptake of disease-prevention interventions, ranging from 9% to 28.5% (0.0001 ≤ p ≤ 0.02), On the other hand, all the 22 studies have successfully identified the determinants of the uptake of disease prevention interventions that is essential to the success of disease prevention programmes. Conclusion Intervention Mapping has been successfully used to plan, implement and evaluate interventions that showed significant increase in uptake of disease prevention programmes. This study has provided a good understanding of the role of intervention mapping in designing disease prevention interventions, and a good foundation upon which subsequent reviews can be guided. PMID:28358821

  20. Show me the money: state contributions toward STD prevention, 2007.

    PubMed

    Meyerson, Beth E; Gilbert, Lisa K

    2010-01-01

    The importance of state investment in sexually transmitted disease (STD) prevention has been discussed since the mid-1990s; however, little has become known about state public health funding for STD prevention. To establish a baseline understanding of state STD prevention funding, financial data for fiscal year 2007 were gathered by survey of state STD, immunization, laboratory, and hepatitis program directors. Results revealed that on average states funded 25.8 percent of their total STD prevention budgets and invested $0.23 per capita in STD prevention. The percentage of state funding in the total state STD prevention budget ranged from 0 percent to 70.2 percent, and state investment in STD prevention ranged from $0.00 to $1.55 per capita. The direction and expenditure of state STD prevention resources was also examined. This study strengthens the national understanding of what states are doing to fund STD prevention, and it broadens state public health awareness of the overall STD prevention investment at the state level. The inclusion of Medicaid data and expenditure of federal resources by states would strengthen the study and assist longitudinal analyses focused on the impact of investment on epidemiologic indicators.

  1. Effectiveness of a community-based program for suicide prevention among elders with early-stage dementia: A controlled observational study.

    PubMed

    Kim, Jong-Pill; Yang, Jinhyang

    The purpose of this study was to develop a small-group-focused suicide prevention program for elders with early-stage dementia and to assess its effects. This was a quasi-experimental study with a control group pretest-posttest design. A total of 62 elders diagnosed with early-stage dementia who were receiving care services at nine daycare centers in J City Korea participated in this study. The experimental group participated in the suicide prevention program twice a week for 5 weeks with a pretest and two posttests The developed suicide prevention program had a significant effect on the perceived health status, social support, depression, and suicidal ideation of elders with early-stage dementia. Nurses should integrate risk factors such as depression and protective factors such as health status and social support into a suicide prevention program. This community-based program in geriatric nursing practice can be effective in preventing suicide among elders with early-stage dementia. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. Female soccer knee injury: observed knowledge gaps in injury prevention among players/parents/coaches and current evidence (the KNOW study).

    PubMed

    Orr, B; Brown, C; Hemsing, J; McCormick, T; Pound, S; Otto, D; Emery, C A; Beaupre, L A

    2013-06-01

    This study sought to determine if knowledge regarding the risk for knee injuries and the potential for their prevention is being translated to female adolescent soccer players (13-18 years), their parents, and coaches. Eligible participants in the 2007 indoor soccer season were surveyed to determine their knowledge of the risk for and the potential to prevent knee injuries, and their knowledge of effective prevention strategies, if they felt that injury prevention was possible. Team selection was stratified to be representative of both competitive and recreational level play and age group distributions within the selected soccer association. Of the study subjects, 773/1396 (55.4%) responded to the survey: 408 (53%) players, 292 (38%) parents, and 73 (9%) coaches. Most respondents (538 [71%]) were aware of the risk for knee injury. Coaches and parents were more likely than players to view knee injuries as preventable; however, appropriate prevention strategies were often not identified. Four hundred eighty-four (63.8%) respondents reported that they had never received information on knee injuries. Substantial knowledge gaps regarding knee injury prevention and effective preventative strategies were identified. Given the predominance of knee injuries in female adolescent soccer players, there is an urgent need for knowledge translation of prevention strategies to decrease both incidence and long-term consequences of knee injuries. © 2011 John Wiley & Sons A/S.

  3. Workplace Bullying Prevention: A Critical Discourse Analysis

    PubMed Central

    JOHNSON, Susan L.

    2016-01-01

    Aim To analyze the discourses of workplace bullying prevention of hospital nursing unit managers and in the official documents of the organizations where they worked. Background Workplace bullying can be a self-perpetuating problem in nursing units. As such, efforts to prevent this behavior may be more effective than efforts to stop the behavior. There is limited research on how healthcare organizations characterize their efforts to prevent workplace bullying. Design This was a qualitative study. Method Critical discourse analysis and Foucault’s writings on governmentality and discipline were used to analyze data from interviews with hospital nursing unit managers (n=15) and organizational documents (n=22). Data were collected in 2012. Findings The discourse of workplace bullying prevention centered around three themes: prevention of workplace bullying through managerial presence, normalizing behaviors and controlling behaviors. All three are individual level discourses of workplace bullying prevention. Conclusion Current research indicates that workplace bullying is a complex issue with antecedents at the individual, departmental and organizational level. However, the discourse of the participants in this study only focused on prevention of bullying by moulding the behaviors of individuals. The effective prevention of workplace bullying will require departmental and organizational initiatives. Leaders in all types of organizations can use the results of this study to examine their organizations’ discourses of workplace bullying prevention to determine where change is needed. PMID:26010268

  4. Enhancing HIV Prevention Among Young Men Who Have Sex With Men: A Systematic Review of HIV Behavioral Interventions for Young Gay and Bisexual Men.

    PubMed

    Hergenrather, Kenneth C; Emmanuel, Diona; Durant, Sarah; Rhodes, Scott D

    2016-06-01

    Men who have sex with men (MSM) represent 64.0% of people living with HIV (PLWH) over the age of 13 years. Young men who have sex with men (YMSM) are particularly affected by HIV/AIDS; the rate of HIV infection for YMSM between the ages of 13 and 24 represents 72.0% of new infections among youth. To understand the current state of the science meant to prevent HIV for YMSM, we reviewed studies of HIV behavioral prevention interventions for YMSM. Five literature databases were searched, from their inception through October 2015, using key words associated with HIV prevention intervention evaluation studies for YMSM. The review criteria included behavioral HIV/AIDS prevention interventions, articles published in English-language peer-reviewed journals, YMSM between 13 and 24 years of age, and longitudinal repeated measures design. A total of 15 YMSM behavioral HIV prevention intervention studies were identified that met inclusion criteria and reported statistically significant findings. Common outcomes included unprotected sexual intercourse, HIV/AIDS risk behavior, condom use, HIV testing, safer sex attitude, and HIV prevention communication. Participant age, representation of Black/African American YMSM, application of theoretical and model underpinnings, congruence of assessment measures used, follow-up assessment times, and application of process evaluation were inconsistent across studies. To advance HIV prevention intervention research for YMSM, future studies should be theory-based, identify common constructs, utilize standard measures, include process evaluation, and evaluate sustained change over standard periods of time. HIV prevention interventions should incorporate the needs of the diverse, well-educated, web-connected millennial generation and differentiate between adolescent YMSM (13 to 18 years of age) and young adulthood YMSM (19 to 24 years of age). Because Black/African American YMSM represent more than 50% of new HIV infections, future HIV prevention intervention studies should prioritize these young men.

  5. Identifying and Creating the Next Generation of Community-Based Cancer Prevention Studies: Summary of a National Cancer Institute Think Tank

    PubMed Central

    McCaskill-Stevens, Worta; Pearson, Deborah C.; Kramer, Barnett S.; Ford, Leslie G.; Lippman, Scott M.

    2016-01-01

    In late 2015, The National Cancer Institute (NCI) Division of Cancer Prevention convened cancer prevention research experts and stakeholders to discuss the current state of cancer prevention research, identify key prevention research priorities for the NCI, and identify studies that could be conducted within the NCI Community Oncology Research Program (NCORP). Goals included identifying cancer prevention research opportunities offering the highest return on investment, exploring the concept of precision prevention and what is needed to advance this area of research, and identifying possible targets for prevention. Four study populations were considered for cancer prevention research: healthy people; those at increased risk for a specific cancer; people with preneoplastic lesions; and children, adolescents, and young adults. Priorities that emerged include screening (e.g., surveillance intervals, tomosynthesis vs. digital mammography), a pre-cancer genome atlas (PreTCGA), HPV vaccines, immunoprevention of non-infectious origins, and overdiagnosis. Challenges exist, as the priority list is ambitious and potentially expensive. Clinical trials need to be carefully designed to include and maximize prospective tissue collection. Exploring existing co-funding mechanisms will likely be necessary. Finally, relationships with a new generation of physician specialists will need to be cultivated in order to reach the target populations. PMID:27965286

  6. Nurses' attitude and perceived barriers to pressure ulcer prevention.

    PubMed

    Etafa, Werku; Argaw, Zeleke; Gemechu, Endalew; Melese, Belachew

    2018-01-01

    The presence or absence of pressure ulcers has been generally regarded as a performance measure of quality nursing care and overall patient health. The aim of this study- wasto explorenurses' attitude about pressure ulcer prevention'and to identify staff nurses' perceived barriers to pressure ulcer prevention public hospitals in Addis Ababa, Ethiopia. A self-reported multi-center institutional based cross sectional study design was employed to collect data from staff nurses ( N  = 222) working in six (6) selected public hospitals in Addis Ababa, from April 01-28/2015. Majority of the nurses had ( n  = 116, 52.2%) negative attitude towards pressure ulcer prevention. The mean scores of the test for all participants was 3.09out of 11(SD =0.92, range = 1-5). Similarly, the study revealed several barriers need to be resolved to put in to practice the strategies of pressure ulcer prevention; Heavy workload and inadequate staff (lack of tie) (83.1%), shortage of resources/equipment (67.7%) and inadequate training (63.2%) were among the major barriers identified in the study. The study finding suggests that Addis Ababa nurses have negative attitude to pressure ulcer prevention. Also several barriers exist for implementing pressure ulcer prevention protocols in public hospitals in Addis Ababa, Ethiopia. Suggestion for improving this situation is attractive.

  7. Effects of education and experience on nurses' value of ulcer prevention.

    PubMed

    Samuriwo, Ray

    Few studies have focused on the value that nurses place on pressure ulcer prevention, even though values are a key determinant of a person's behaviour and actions. Previous studies have reported that the value that a nurse places on pressure ulcer prevention is linked to the skin care that they deliver. This article describes a study that was undertaken to determine the value that nurses place on pressure ulcer prevention, which also identified how this value is formed. The participants in this study (n=16), were recruited from non-acute adult medical wards of 14 hospitals in one NHS trust, and a university. Data was gathered via semi-structured interviews and interpreted through Straussian grounded theory. The findings of this study show how the participants underwent a transition from placing a low to a high value on pressure ulcer prevention and how this affected patient care. The key point in this transition appears to be an encounter with a patient with a high grade pressure ulcer, which caused the nurses to reappraise their values. Looking after patients with pressure ulcers seems to increase the value that a nurse places on pressure ulcer prevention. The education that nurses receive on pressure ulcer prevention only appears to alter their values when they have some experience of looking after patients with pressure ulcers.

  8. Personality and community prevention teams: Dimensions of team leader and member personality predicting team functioning.

    PubMed

    Feinberg, Mark E; Kim, Ji-Yeon; Greenberg, Mark T

    2008-11-01

    The predictors and correlates of positive functioning among community prevention teams have been examined in a number of research studies; however, the role of personality has been neglected. In this study, we examined whether team member and leader personality dimensions assessed at the time of team formation predicted local prevention team functioning 2.5-3.5 years later. Participants were 159 prevention team members in 14 communities participating in the PROSPER study of prevention program dissemination. Three aspects of personality, aggregated at the team level, were examined as predictors: Openness to Experience, Conscientiousness, and Agreeableness. A series of multivariate regression analyses were performed that accounted for the interdependency of five categories of team functioning. Results showed that average team member Openness was negatively, and Conscientiousness was positively linked to team functioning. The findings have implications for decisions about the level and nature of technical assistance support provided to community prevention teams.

  9. The IDEFICS intervention trial to prevent childhood obesity: Design and study methods

    USDA-ARS?s Scientific Manuscript database

    One of the major research dimensions of the Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS (IDEFICS) study involved the development, implementation and evaluation of a setting-based community-oriented intervention program for primary prevention...

  10. POLLUTION PREVENTION CAST STUDIES COMPENDIUM - 2ND EDITION

    EPA Science Inventory

    This compendium summarizes a compilation of case studies in the area of pollution prevention. he compendium is divided into 3 sections, featuring 3 of the Pollution Prevention Branch's key programs. An overview of each program is provided at the beginning of each section of the c...

  11. Statistical Considerations of Food Allergy Prevention Studies.

    PubMed

    Bahnson, Henry T; du Toit, George; Lack, Gideon

    Clinical studies to prevent the development of food allergy have recently helped reshape public policy recommendations on the early introduction of allergenic foods. These trials are also prompting new research, and it is therefore important to address the unique design and analysis challenges of prevention trials. We highlight statistical concepts and give recommendations that clinical researchers may wish to adopt when designing future study protocols and analysis plans for prevention studies. Topics include selecting a study sample, addressing internal and external validity, improving statistical power, choosing alpha and beta, analysis innovations to address dilution effects, and analysis methods to deal with poor compliance, dropout, and missing data. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

  12. [Rejection of the preventive discussion and at-risk sexual behavior: a qualitative study among gay men in Portugal].

    PubMed

    Maia, Marta

    2010-01-01

    The dominant preventive discourse imposed on sexual minorities is one that orders and prescribes condom use and an adjusted lifestyle. High-risk sexual behaviors seem to express, in part, the rejection of this dominant discourse. The objective of this study is to better understand the links between the risky sexual behaviors of gays and the socio-cultural context that leads to the rejection of preventive practices. An ethnological study was carried out in Portugal This study included seven gay men aged between 19 and 64 years old. The study also included accounts from interviews of three lesbian and bisexual women. The results show that the social pressure of a hetero-normative environment can result in the refusal or denial of prevention practices. Thus, risky sexual behaviors can reflect desire and aspirations for more rights and freedoms. New and alternative spaces for meeting gays, namely on the Internet, also seem to create more opportunities for sexual liberation and open the way for relaxed prevention practices and engaging in risky sexual behavior. However, preventive practices are not entirely absent; the reduction of risks is being expressed by the choice of sexual partners and the avoidance of certain sexual practices when a condom is not used. Through this study, the importance of peer groups in the acceptance and internalization of the preventive discourse is re-affirmed.

  13. A systematic review of economic evaluations of local authority commissioned preventative public health interventions in overweight and obesity, physical inactivity, alcohol and illicit drugs use and smoking cessation in the United Kingdom.

    PubMed

    White, Pam; Skirrow, Helen; George, Abraham; Memon, Anjum

    2018-02-16

    Since 2013, local authorities in England have been responsible for commissioning preventative public health interventions. The aim of this systematic review was to support commissioning by collating published data on economic evaluations and modelling of local authority commissioned public health preventative interventions in the UK. Following the PRISMA protocol, we searched for economic evaluations of preventative intervention studies in four different areas: overweight and obesity, physical inactivity, alcohol and illicit drugs use and smoking cessation. The systematic review identified studies between January 1994 and February 2015, using five databases. We synthesized the studies to identify the key methods and examined results of the economic evaluations. The majority of the evaluations related to cost-effectiveness, rather than cost-benefit analyses or cost-utility analyses. These analyses found preventative interventions to be cost effective, though the context of the interventions differed between the studies. Preventative public health interventions in general are cost-effective. There is a need for further studies to support justification of continued and/or increased funding for public health interventions. There is much variation between the types of economically evaluated preventative interventions in our review. Broader studies incorporating different contexts may help support funding for local authority-sponsored public health initiatives.

  14. Nurses' Perceptions of Implementing Fall Prevention Interventions to Mitigate Patient-Specific Fall Risk Factors.

    PubMed

    Wilson, Deleise S; Montie, Mary; Conlon, Paul; Reynolds, Margaret; Ripley, Robert; Titler, Marita G

    2016-08-01

    Evidence-based (EB) fall prevention interventions to mitigate patient-specific fall risk factors are readily available but not routinely used in practice. Few studies have examined nurses' perceptions about both the use of these EB interventions and implementation strategies designed to promote their adoption. This article reports qualitative findings of nurses' perceptions about use of EB fall prevention interventions to mitigate patient-specific fall risks, and implementation strategies to promote use of these interventions. The findings revealed five major themes: before-study fall prevention practices, use of EB fall prevention interventions tailored to patient-specific fall risk factors, beneficial implementation strategies, overall impact on approach to fall prevention, and challenges These findings are useful to guide nurses' engagement and use of EB fall prevention practices tailored to patient-specific fall risk factors. © The Author(s) 2016.

  15. A Community-Based Intervention to Prevent Obesity Beginning at Birth among American Indian Children: Study Design and Rationale for the PTOTS Study

    ERIC Educational Resources Information Center

    Karanja, Njeri; Aickin, Mikel; Lutz, Tam; Mist, Scott; Jobe, Jared B.; Maupome, Gerardo; Ritenbaugh, Cheryl

    2012-01-01

    Eating and physical activity behaviors associated with adult obesity have early antecedents, yet few studies have focused on obesity prevention interventions targeting very young children. Efforts to prevent obesity beginning at birth seem particularly important in populations at risk for early-onset obesity. National estimates indicate that…

  16. Teacher Experiences of Delivering an Obesity Prevention Programme (The WAVES Study Intervention) in a Primary School Setting

    ERIC Educational Resources Information Center

    Griffin, Tania L; Clarke, Joanne L; Lancashire, Emma R; Pallan, Miranda J; Passmore, Sandra; Adab, Peymane

    2015-01-01

    Objective: There has been a wealth of childhood obesity prevention studies in school-based settings. However, few have investigated the experiences of school staff charged with delivery of such programmes. This study aimed to elicit teachers' experiences of delivering a childhood obesity prevention programme for children aged 6-7 years. Design:…

  17. Malaria Prevention and Treatment Using Educational Animations: A Case Study in Kakamega County, Kenya

    ERIC Educational Resources Information Center

    Bello-Bravo, Julia; Namatsi Lutomia, Anne; Madela, Lawrence Mbhekiseni; Pittendrigh, Barry Robert

    2017-01-01

    Despite worldwide efforts to prevent malaria, the disease continues to take its strongest toll in sub-Saharan Africa. Kenya is no exception, with millions of cases and thousands of deaths reported annually. This pilot study looks at knowledge on malaria prevention and treatment among peri-urban communities in Western Kenya. Through a study on the…

  18. Effectiveness of secondary and tertiary prevention for violence against women in low and low-middle income countries: a systematic review.

    PubMed

    Kirk, Lucy; Terry, Samantha; Lokuge, Kamalini; Watterson, Jessica L

    2017-07-04

    Violence against women (VAW) is a major problem worldwide, with one in three women experiencing violence in their lifetime. While interventions to prevent violence (primary prevention) are extremely important, they can take many years. This review focuses on secondary and tertiary prevention interventions that address the needs of survivors of violence and aim to prevent recurrence. This review also focuses on studies taking place in low and low-middle income countries, where rates of VAW are highest. Searches of peer-reviewed and grey literature took place from March-June 2016 through databases (Embase, CINAHL, WHO Global Index Medicus, Medline, PsychINFO, Web of Science, Cochrane Library, Applied Social Sciences Index and Abstracts and Sociological Abstracts) and by consulting experts in the field. Only primary research was eligible for inclusion and studies had to focus on secondary or tertiary prevention for survivors of VAW in low or low-middle income countries. All study designs were eligible, as long as the study examined client-related outcome measures (e.g., incidence of violence, health outcomes or client satisfaction). Data were extracted and quality of the studies was assessed using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies and a qualitative quality assessment tool developed by Mays and Pope. Due to the low number of results and heterogeneity of the study populations and outcomes, a narrative synthesis was conducted and evidence was summarized. One thousand two hundred fifteen studies were identified through the search strategy and 22 of these met the eligibility criteria. Overall, the evidence for interventions is weak and study limitations prevent definitive conclusions on what works. There is some evidence that interventions targeting alcohol use, both among perpetrators and survivors, may be effective at reducing VAW through secondary prevention, and that psychotherapy might be effective for survivors of non-partner sexual violence through tertiary prevention. Finally, some evidence exists for crisis centres increasing survivors' access to services (through both secondary and tertiary prevention), however, assessment of their impact on future VAW are needed. Though some interventions for survivors of VAW have shown evidence of effectiveness, further research is needed, especially high-quality studies with quantitative outcome data.

  19. Cost-effectiveness analysis of applying the Cholesterol and Recurrent Events (CARE) study protocol in Hong Kong.

    PubMed

    Chau, J; Cheung, B M; McGhee, S M; Lauder, I J; Lau, C P; Kumana, C R

    2001-12-01

    To determine the cost-effectiveness of secondary prevention with pravastatin in Hong Kong patients with coronary heart disease and average cholesterol levels. Cost-effectiveness analysis based on published results of the CARE study. Men and women post-myocardial infarction with average cholesterol levels. Cost-effectiveness analysis: cost per life saved, cost per fatal or non-fatal coronary event prevented, cost per procedure prevented, and cost per fatal or non-fatal stroke prevented. Cost-utility analysis: gross cost and net cost per quality-adjusted life year gained calculated using two alternative models. Cost per life saved or death prevented was HK$4,442,350 (non-discounted); cost per fatal or non-fatal cardiac event prevented HK$1,146,413; cost per procedure prevented HK$732,759; and cost per fatal or non-fatal stroke prevented HK$2,961,566. Net cost per quality adjusted life year gained was HK$73,218 and HK$65,280 non-discounted, respectively using the two alternative models. The results of this study can assist in prioritising the use of health care resources in Hong Kong but should be considered alongside the benefits and costs of alternative interventions for coronary heart disease.

  20. Concerns about partner infidelity are a barrier to adoption of HIV-prevention strategies among young South African couples

    PubMed Central

    Parker, Lisa; Pettifor, Audrey; Maman, Suzanne; Sibeko, Jabu; MacPhail, Catherine

    2016-01-01

    As part of a larger study to examine the feasibility and acceptability of a couples-based HIV-prevention intervention, we conducted formative in-depth interviews with 10 couples to explore topics such as challenges in practising safer sex, HIV-prevention strategies, gender power and violence, and issues of trust and infidelity. In this study, both men and women perceived infidelity as ubiquitous in their social context and were therefore unable to discuss HIV risk and prevention without suspicions of infidelity in their own relationship. This impacted couples’ ability openly and effectively to discuss strategies to prevent HIV and thus may have contributed to the limited uptake of HIV-prevention strategies, such as condom use and HIV testing. The contentious nature of safe-sex discussions placed both members of the couple at a higher risk for HIV acquisition within the partnership. This study sheds light on how existing relationship norms in South Africa influence HIV-prevention communication within couples and suggests that new ways of approaching conflictual issues such as mistrust and infidelity are vital in order for HIV-prevention programmes to succeed. PMID:24816215

  1. High resolution digital soil mapping as a future instrument for developing sustainable landuse strategies

    NASA Astrophysics Data System (ADS)

    Gries, Philipp; Funke, Lisa-Marie; Baumann, Frank; Schmidt, Karsten; Behrens, Thorsten; Scholten, Thomas

    2016-04-01

    Climate change, increase in population and intensification of land use pose a great challenge for sustainable handling of soils. Intelligent landuse systems are able to minimize and/or avoid soil erosion and loss of soil fertility. A successful application of such systems requires area-wide soil information with high resolution. Containing three consecutive steps, the project INE-2-H („innovative sustainable landuse") at the University of Tuebingen is about creating high-resolution soil information using Digital Soil Mapping (DSM) techniques to develop sustainable landuse strategies. Input data includes soil data from fieldwork (texture and carbon content), the official digital soil and geological map (1:50.000) as well as a wide selection of local, complex and combined terrain parameters. First, soil maps have been created using the DSM approach and Random Forest (RF). Due to high resolution (10x10 m pixels), those maps show a more detailed spatial variability of soil information compared to the official maps used. Root mean square errors (RMSE) of the modelled maps vary from 2.11 % to 6.87 % and the coefficients of determination (R²) go from 0.42 to 0.68. Second, soil erosion potentials have been estimated according to the Universal Soil Loss Equation (USLE). Long-term average annual soil loss ranges from 0.56 to 24.23 [t/ha/a]. Third, combining high-resolution erosion potentials with expert-knowledge of local farmers will result in a landuse system adapted to local conditions. This system will include sustainable strategies reducing soil erosion and conserving soil fertility.

  2. Phylogeny of Celastraceae tribe Euonymeae inferred from morphological characters and nuclear and plastid genes.

    PubMed

    Simmons, Mark P; McKenna, Miles J; Bacon, Christine D; Yakobson, Kendra; Cappa, Jennifer J; Archer, Robert H; Ford, Andrew J

    2012-01-01

    The phylogeny of Celastraceae tribe Euonymeae (≈ 230 species in eight genera in both the Old and New Worlds) was inferred using morphological characters together with plastid (matK, trnL-F) and nuclear (ITS and 26S rDNA) genes. Tribe Euonymeae has been defined as those genera of Celastraceae with generally opposite leaves, isomerous carpels, loculicidally dehiscent capsules, and arillate seeds (except Microtropis). Euonymus is the most diverse (129 species) and widely cultivated genus in the tribe. We infer that tribe Euonymeae consists of at least six separate lineages within Celastraceae and that a revised natural classification of the family is needed. Microtropis and Quetzalia are inferred to be distinct sister groups that together are sister to Zinowiewia. The endangered Monimopetalum chinense is an isolated and early derived lineage of Celastraceae that represents an important component of phylogenetic diversity within the family. Hedraianthera is sister to Brassiantha, and we describe a second species (Brassiantha hedraiantheroides A.J. Ford) that represents the first reported occurrence of this genus in Australia. Euonymus globularis, from eastern Australia, is sister to Menepetalum, which is endemic to New Caledonia, and we erect a new genus (Dinghoua R.H. Archer) for it. The Madagascan species of Euonymus are sister to Pleurostylia and recognized as a distinct genus (Astrocassine ined.). Glyptopetalum, Torralbasia, and Xylonymus are all closely related to Euonymus sensu stricto and are questionably distinct from it. Current intrageneric classifications of Euonymus are not completely natural and require revision. Copyright © 2011 Elsevier Inc. All rights reserved.

  3. Türk Lise Öğrencilerinde Okul Terkinin Yordanması: Aracı ve Etkileşim Değişkenleri ile Bir Model Testi

    PubMed Central

    Özer, Arif; Gençtanirim, Dilek; Ergene, Tuncay

    2011-01-01

    Bu araştırmada ilk olarak, dürtüsel davranma ile okulu terk etme riski arasındaki ilişkiye disiplin cezası almanın, antisosyal davranışların ve sigara-alkol kullanımının aracılık edip etmediği incelenmiştir. İkinci olarak, öğretmen desteği ve antisosyal davranış etkileşiminin okulu terk etme riski üzerindeki etkisi test edilmiştir. Araştırma grubunu 2009-2010 yılında Ankara İlinde genel liselere devam eden 478 öğrenci oluşturmuştur. Sonuçlar okulu terk etme riskini aile ve arkadaş desteğinin azalttığını, dürtüsel davranmanın ise artırdığını göstermiştir. Ayrıca disiplin cezası, alkol-sigara kullanma ve antisosyal davranışlar okulu terk etme riskini artıran aracı değişkenlerdir. Antisosyal davranışlarla okulu terk etme arasındaki ilişki öğretmen desteğine bağlı olarak değişmektedir. Öğrencilerin cinsiyet ve başarıları ile okulu terk etme riskleri arasında anlamlı bir ilişki bulunmamaktadır. PMID:22003257

  4. The effect of various adhesives, enamel etching, and base treatment on the failure frequency of customized lingual brackets: a randomized clinical trial.

    PubMed

    Mavreas, Dimitrios; Cuzin, Jean-François; Boonen, Guillaume; Vande Vannet, Bart

    2018-05-25

    The aim of this paper was to compare failure differences in precious metal customized lingual brackets bonded with three adhesive systems. Also, differences in failure of non-precious metal brackets with and without a silicatized base layer bonded with the same adhesive, as well as the influence of enamel etching prior to using a self-etching dual cure resin were explored. Five different groups were defined in a semi-randomized approach. Group 1 (IME): Maxcem Elite with 378 Incognito brackets and etched teeth, Group 2 (IMNE): Maxcem Elite with 193 Incognito brackets on non-etched teeth, Group 3 (INE): Nexus+Excite with 385 Incognito brackets, Group 4 (IRE): Relyx with 162 Incognito brackets, Group 5 (HRME) and Group 6 (HNRME): Maxcem Elite with 182 Harmony brackets with silicatized and non-slicatized bases respectively. Bracket failures were recorded over a 12-month period. The number of failures during the observation period was small in the various adhesives types of groups, as well as in HRME and HNRME groups, and the comparisons among those groups were non-significant (P > 0.05). A statistically significant difference (P < 0.05) was found between the IME and IMNE groups. 1. During the first year of treatment customized lingual brackets failure frequencies (rates) are not different for the three adhesive materials tested. 2. Eliminating the etching stage when using self-etch/self-adhesive adhesives, may lead to a dramatic increase in the failure rates. 3. Silicoating of stainless steel customized lingual brackets does not seem to influence the failure of the bonds.

  5. A comparison of disinfection by-products formation during sequential or simultaneous disinfection of surface waters with chlorine dioxide and chlor(am)ine.

    PubMed

    Shi, Yanwei; Ling, Wencui; Qiang, Zhimin

    2013-01-01

    The effect of chlorine dioxide (ClO2) oxidation on the formation of disinfection by-products (DBPs) during sequential (ClO2 pre-oxidation for 30 min) and simultaneous disinfection processes with free chlorine (FC) or monochloramine (MCA) was investigated. The formation of DBPs from synthetic humic acid (HA) water and three natural surface waters containing low bromide levels (11-27 microg/L) was comparatively examined in the FC-based (single FC, sequential ClO2-FC, and simultaneous ClO2/FC) and MCA-based (single MCA, ClO2-MCA, and ClO2/MCA) disinfection processes. The results showed that much more DBPs were formed from the synthetic HA water than from the three natural surface waters with comparative levels of dissolved organic carbon. In the FC-based processes, ClO2 oxidation could reduce trihalomethanes (THMs) by 27-35% and haloacetic acids (HAAs) by 14-22% in the three natural surface waters, but increased THMs by 19% and HAAs by 31% in the synthetic HA water after an FC contact time of 48 h. In the MCA-based processes, similar trends were observed although DBPs were produced at a much lower level. There was an insignificant difference in DBPs formation between the sequential and simultaneous processes. The presence of a high level of bromide (320 microg/L) remarkably promoted the DBPs formation in the FC-based processes. Therefore, the simultaneous disinfection process of ClO2/MCA is recommended particularly for waters with a high bromide level.

  6. Commentary on "A roadmap for the prevention of dementia II. Leon Thal Symposium 2008." The Multidomain Alzheimer Preventive Trial (MAPT): a new approach to the prevention of Alzheimer's disease.

    PubMed

    Gillette-Guyonnet, Sophie; Andrieu, Sandrine; Dantoine, Thierry; Dartigues, Jean-François; Touchon, Jacques; Vellas, B

    2009-03-01

    Because no effective curative approaches are available, preventive approaches in the field of Alzheimer's disease (AD) are needed. We present the design of the ongoing Multidomain Alzheimer Preventive Trial (MAPT) Study. Several previous studies suggested that many factors may be involved in the occurrence of AD at late ages. Because of the probable multifactorial nature of AD, it seems logical to initiate multidomain interventions to examine their potential synergistic effects. The MAPT Study aims to evaluate the efficacy of a multidomain intervention (nutritional, physical, and cognitive training) and omega 3 treatment in the prevention of cognitive decline in frail elderly persons aged 70 years or over. The study also collects imaging and biological data that could be used in future AD prevention and treatment trials. The MAPT Study is a 3-year, randomized, controlled trial conducted by university hospital practitioners specializing in memory disorders in four French cities (Bordeaux, Limoges, Montpellier, and Toulouse). The study plans to enroll 1200 frail elderly subjects on the basis of at least one of the following criteria: subjective memory complaint spontaneously expressed to a general practitioner, limitation in one instrumental activity of daily living (IADL), and slow walking speed. To demonstrate the protective effect of interventions, subjects are randomized into one of the following four groups: omega 3 alone, multidomain intervention alone, omega 3 plus multidomain intervention, or placebo (n = 300 each). The principal outcome measure is a change in cognitive function at 3 years, as determined by the Grober and Buschke Test. The MAPT Study is the first preventive trial involving multidomain interventions. Final results should be available in 2013.

  7. Obesity Prevention Opinions of School Stakeholders: A Qualitative Study

    ERIC Educational Resources Information Center

    Della Torre, Sophie Bucher; Akre, Christina; Suris, Joan-Carles

    2010-01-01

    Background: In general, schools are an important setting to implement current recommendations for obesity prevention in children because the vast majority of children attend school. This study investigated the opinions of different school stakeholders on the feasibility and acceptability of current obesity prevention strategies that could be…

  8. Tailored Communications for Obesity Prevention in Pediatric Primary Care: A Feasibility Study

    ERIC Educational Resources Information Center

    Wright, Julie A.; Whiteley, Jessica A.; Watson, Bonnie L.; Sheinfeld Gorin, Sherri N.; Hayman, Laura L.

    2018-01-01

    Recommendations for the prevention of childhood obesity encourage providers to counsel parents and their children on healthy diet and activity behaviors. This study evaluated the feasibility of a theory-based, tailored communication intervention for obesity prevention ("Team Up for Health") delivered during a well-child visit. A…

  9. Self-efficacy for HIV Prevention Among Refugee Hispanic Women in South Florida.

    PubMed

    Cianelli, Rosina; Villegas, Natalia; McCabe, Brian E; de Tantillo, Lila; Peragallo, Nilda

    2017-08-01

    The number of refugees increased in recent years due to factors worldwide, including violence, wars, political strife, and natural disasters. Refugees who are Hispanic women (RHW) in South Florida are a vulnerable population at risk of acquiring HIV infection. Although studies have shown a relationship between self-efficacy for HIV prevention and behavior changes, none have studied RHW. The purpose of this study was to assess whether predictors suggested by the literature were related to self-efficacy for HIV prevention in a sample of RHW. The study is a secondary analysis that uses baseline data from a randomized controlled experimental study, SEPA. A total of 99 refugee Hispanic women from South Florida, 18-50 years of age, participated in the study. There were two predictors of self-efficacy. HIV knowledge was positively related to self-efficacy, and living with a partner was inversely related to self-efficacy for HIV prevention. Culturally competent sexual health education interventions in this population may impact self-efficacy for HIV prevention.

  10. Readiness of communities to engage with childhood obesity prevention initiatives in disadvantaged areas of Victoria, Australia.

    PubMed

    Cyril, Sheila; Polonsky, Michael; Green, Julie; Agho, Kingsley; Renzaho, Andre

    2017-07-01

    Objective Disadvantaged communities bear a disproportionate burden of childhood obesity and show low participation in childhood obesity prevention initiatives. This study aims to examine the level of readiness of disadvantaged communities to engage with childhood obesity prevention initiatives. Methods Using the community readiness model, 95 semi-structured interviews were conducted among communities in four disadvantaged areas of Victoria, Australia. Community readiness analysis and paired t-tests were performed to assess the readiness levels of disadvantaged communities to engage with childhood obesity prevention initiatives. Results The results showed that disadvantaged communities demonstrated low levels of readiness (readiness score=4/9, 44%) to engage with the existing childhood obesity prevention initiatives, lacked knowledge of childhood obesity and its prevention, and reported facing challenges in initiating and sustaining participation in obesity prevention initiatives. Conclusion This study highlights the need to improve community readiness by addressing low obesity-related literacy levels among disadvantaged communities and by facilitating the capacity-building of bicultural workers to deliver obesity prevention messages to these communities. Integrating these needs into existing Australian health policy and practice is of paramount importance for reducing obesity-related disparities currently prevailing in Australia. What is known about the topic? Childhood obesity prevalence is plateauing in developed countries including Australia; however, obesity-related inequalities continue to exist in Australia especially among communities living in disadvantaged areas, which experience poor engagement in childhood obesity prevention initiatives. Studies in the USA have found that assessing disadvantaged communities' readiness to participate in health programs is a critical initial step in reducing the disproportionate obesity burden among these communities. However, no studies in Australia have assessed disadvantaged communities' readiness to engage in obesity prevention initiatives. What does this paper add? This paper addresses the current gap in the knowledge of disadvantaged communities' level of readiness to engage in childhood obesity prevention initiatives in Australia. The study also identified the key factors responsible for low readiness of disadvantaged communities to participate in current childhood obesity prevention services. By using the Community Readiness model this study shows the readiness levels specific to the various dimensions of the model; Understanding dimension-specific readiness allows us to identify strategies that are tailored to each dimension, as guided by the model. What are the implications for practitioners? With the increasing burden of childhood obesity on disadvantaged communities, policymakers and health practitioners are facing a crisis in obesity prevention and management. Almost every year, new interventions are being planned and implemented. However if the target communities are not ready to participate in the available interventions these efforts are futile. This study exposes the key factors responsible for low readiness to participate in current obesity prevention services by disadvantaged communities. Addressing these key factors and improving readiness before designing new interventions will improve the participation of disadvantaged communities in those interventions. The study findings ultimately have the potential of reducing obesity-related disparities in Australia.

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

    Yang, Chung S., E-mail: csyang@rci.rutgers.edu; Lambert, Joshua D.; Ju Jihyeung

    Tea made from the leaves of the plant Camellia sinensis is a popular beverage. The possible cancer-preventive activity of tea and tea polyphenols has been studied extensively. This article briefly reviews studies in animal models, cell lines, and possible relevance of these studies to the prevention of human cancer. The cancer-preventive activity of tea constituents have been demonstrated in many animal models including cancer of the skin, lung, oral cavity, esophagus, stomach, liver, pancreas, small intestine, colon, bladder, prostate, and mammary gland. The major active constituents are polyphenols, of which (-)-epigallocatechin-3-gallate (EGCG) is most abundant, most active, and most studied,more » and caffeine. The molecular mechanisms of the cancer-preventive action, however, are just beginning to be understood. Studies in cell lines led to the proposal of many mechanisms on the action of EGCG. However, mechanisms based on studies with very high concentrations of EGCG may not be relevant to cancer prevention in vivo. The autooxidation of EGCG in cell culture may also produce activities that do not occur in many internal organs. In contrast to the cancer prevention activity demonstrated in different animal models, no such conclusion can be convincingly drawn from epidemiological studies on tea consumption and human cancers. Even though the human data are inconclusive, tea constituents may still be used for the prevention of cancer at selected organ sites if sufficient concentrations of the agent can be delivered to these organs. Some interesting examples in this area are discussed.« less

  12. A brief, peer-led HIV prevention program for college students in Bangkok, Thailand.

    PubMed

    Thato, Ratsiri; Penrose, Joyce

    2013-02-01

    To test the effectiveness of a brief theory-based HIV prevention program led by peers among college students. A quasi-experimental research using a pretest-posttest nonequivalent control group design with 2-mo follow-up. A university in Bangkok. For peer leaders, 70 undergrad students taking health sexuality course were invited to participate in the study. Then, a convenience sample of undergraduate students was recruited through peer leaders, 226 for experimental group and 209 for control group. Information, motivation, behavioral skills, and AIDS/STIs preventive behaviors. The study revealed that a Brief, Peer-Led HIV Prevention Program significantly increased knowledge of preventive behaviors (β = 2.67, P < .000), motivated participants to have a better attitude toward preventive behaviors (β = -5.26, P < .000), better subjective norms (β = -1.54, P < .000), and greater intentions to practice preventive behavior (β = -1.38, P < .000). The program also significantly decreased perceived difficulty of AIDS/STIs preventive behaviors (β = 2.38, P < .000) and increased perceived effectiveness at AIDS/STIs preventive behavior (β = -3.03, P < .000). However, it did not significantly increase AIDS/STIs preventive behaviors (β = 2.13, P > .05). Findings of this study provide initial evidence as to how theoretical variables were operated to effectively increase knowledge, change motivation, and behavioral skills of AIDS/STIs preventive behavior among Thai college students. More research is needed to further test the effectiveness of the program on AIDS/STIs preventive behaviors among college students. Copyright © 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  13. Prevention of ER-Negative Breast Cancer

    PubMed Central

    Li, Yuxin

    2014-01-01

    The successful demonstration that the selective estrogen receptor modulators (SERMs) tamoxifen and raloxifene reduce the risk of breast cancer has stimulated great interest in using drugs to prevent breast cancer in high-risk women. In addition, recent results from breast cancer treatment trials suggest that aromatase inhibitors may be even more effective at preventing breast cancer than are SERMs. However, while SERMs and aromatase inhibitors do prevent the development of many estrogen-receptor (ER)-positive breast cancers, these drugs do not prevent the development of ER-negative breast cancer. Thus, there is an urgent need to identify agents that can prevent ER-negative breast cancer. We have studied the cancer preventative activity of several classes of drugs for their ability to prevent ER-negative breast cancer in preclinical models. Results from these studies demonstrate that rexinoids (analogs of retinoids that bind and activate RXR receptors), tyrosine kinase inhibitors (such as EGFR inhibitors and dual kinase inhibitors that block EGFR and HER2/neu signaling), and cyclo-oxygenase 2 (COX-2) inhibitors all prevent ER-negative breast cancer in transgenic mice that develop ER-negative breast cancer. Other promising agents now under investigation include vitamin D and vitamin D analogs, drugs that activate PPAR-gamma nuclear receptors, and statins. Many of these agents are now being tested in early phase cancer prevention clinical trials to determine whether they will show activity in breast tissue and whether they are safe for use in high-risk women without breast cancer. The current status of these studies will be reviewed. It is anticipated that in the future, drugs that effectively prevent ER-negative breast cancer will be used in combination with hormonal agents such SERMs or aromatase inhibitors to prevent all forms of breast cancer. PMID:19213564

  14. Probiotics for Treatment and Prevention of Urogenital Infections in Women: A Systematic Review.

    PubMed

    Hanson, Lisa; VandeVusse, Leona; Jermé, Martha; Abad, Cybéle L; Safdar, Nasia

    2016-05-01

    Probiotics are a complementary and integrative therapy useful in the treatment and prevention of urogenital infections in women. This study extends the work of researchers who systematically investigated the scientific literature on probiotics to prevent or treat urogenital infections. A systematic review was conducted to determine the efficacy of probiotics for prevention and/or treatment of urogenital infections in adult women from January 1, 2008, through June 30, 2015. We searched in CINAHL, MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science, Dissertations and Theses, and Alt-HealthWatch. After removing duplicates and studies that did not meet inclusion criteria, 20 studies were reviewed. All included at least one species of Lactobacillus probiotic as an intervention for treatment or prevention of urogenital infections. Data extracted included samples, settings, study designs, intervention types, reported outcomes, follow-up periods, and results. We evaluated all randomized controlled trials for risk of bias and made quality appraisals on all studies. Fourteen of the studies focused on bacterial vaginosis (BV), 3 on urinary tract infections (UTIs), 2 on vulvovaginal candidiasis, and one on human papillomavirus (HPV) as identified on Papanicolaou test. Studies were heterogeneous in terms of design, intervention, and outcomes. Four studies were of good quality, 9 of fair, and 7 poor. Probiotic interventions were effective for treatment and prevention of BV, prevention of recurrences of candidiasis and UTIs, and clearing HPV lesions. No study reported significant adverse events related to the probiotic intervention. The quality of the studies in this systematic review varied. Although clinical practice recommendations were limited by the strength of evidence, probiotic interventions were effective in treatment and prevention of urogenital infections as alternatives or co-treatments. More good quality research is needed to strengthen the body of evidence needed for application by clinicians. © 2016 by the American College of Nurse-Midwives.

  15. Delivery of Clinical Preventive Services in Family Medicine Offices

    PubMed Central

    Crabtree, Benjamin F.; Miller, William L.; Tallia, Alfred F.; Cohen, Deborah J.; DiCicco-Bloom, Barbara; McIlvain, Helen E.; Aita, Virginia A.; Scott, John G.; Gregory, Patrice B.; Stange, Kurt C.; McDaniel, Reuben R.

    2005-01-01

    BACKGROUND This study aimed to elucidate how clinical preventive services are delivered in family practices and how this information might inform improvement efforts. METHODS We used a comparative case study design to observe clinical preventive service delivery in 18 purposefully selected Midwestern family medicine offices from 1997 to 1999. Medical records, observation of outpatient encounters, and patient exit cards were used to calculate practice-level rates of delivery of clinical preventive services. Field notes from direct observation of clinical encounters and prolonged observation of the practice and transcripts from in-depth interviews of practice staff and physicians were systematically examined to identify approaches to delivering clinical preventive services recommended by the US Preventive Services Task Force. RESULTS Practices developed individualized approaches for delivering clinical preventive services, with no one approach being successful across practices. Clinicians acknowledged a 3-fold mission of providing acute care, managing chronic problems, and prevention, but only some made prevention a priority. The clinical encounter was a central focus for preventive service delivery in all practices. Preventive services delivery rates often appeared to be influenced by competing demands within the clinical encounter (including between different preventive services), having a physician champion who prioritized prevention, and economic concerns. CONCLUSIONS Practice quality improvement efforts that assume there is an optimal approach for delivering clinical preventive services fail to account for practices’ propensity to optimize care processes to meet local contexts. Interventions to enhance clinical preventive service delivery should be tailored to meet the local needs of practices and their patient populations. PMID:16189059

  16. Fall prevention intervention technologies: A conceptual framework and survey of the state of the art.

    PubMed

    Hamm, Julian; Money, Arthur G; Atwal, Anita; Paraskevopoulos, Ioannis

    2016-02-01

    In recent years, an ever increasing range of technology-based applications have been developed with the goal of assisting in the delivery of more effective and efficient fall prevention interventions. Whilst there have been a number of studies that have surveyed technologies for a particular sub-domain of fall prevention, there is no existing research which surveys the full spectrum of falls prevention interventions and characterises the range of technologies that have augmented this landscape. This study presents a conceptual framework and survey of the state of the art of technology-based fall prevention systems which is derived from a systematic template analysis of studies presented in contemporary research literature. The framework proposes four broad categories of fall prevention intervention system: Pre-fall prevention; Post-fall prevention; Fall injury prevention; Cross-fall prevention. Other categories include, Application type, Technology deployment platform, Information sources, Deployment environment, User interface type, and Collaborative function. After presenting the conceptual framework, a detailed survey of the state of the art is presented as a function of the proposed framework. A number of research challenges emerge as a result of surveying the research literature, which include a need for: new systems that focus on overcoming extrinsic falls risk factors; systems that support the environmental risk assessment process; systems that enable patients and practitioners to develop more collaborative relationships and engage in shared decision making during falls risk assessment and prevention activities. In response to these challenges, recommendations and future research directions are proposed to overcome each respective challenge. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  17. Incorporating Primary and Secondary Prevention Approaches To Address Childhood Obesity Prevention and Treatment in a Low-Income, Ethnically Diverse Population: Study Design and Demographic Data from the Texas Childhood Obesity Research Demonstration (TX CORD) Study

    PubMed Central

    Butte, Nancy F.; Barlow, Sarah; Vandewater, Elizabeth A.; Sharma, Shreela V.; Huang, Terry; Finkelstein, Eric; Pont, Stephen; Sacher, Paul; Byrd-Williams, Courtney; Oluyomi, Abiodun O.; Durand, Casey; Li, Linlin; Kelder, Steven H.

    2015-01-01

    Abstract Background: There is consensus that development and evaluation of a systems-oriented approach for child obesity prevention and treatment that includes both primary and secondary prevention efforts is needed. This article describes the study design and baseline data from the Texas Childhood Obesity Research Demonstration (TX CORD) project, which addresses child obesity among low-income, ethnically diverse overweight and obese children, ages 2–12 years; a two-tiered systems-oriented approach is hypothesized to reduce BMI z-scores, compared to primary prevention alone. Methods: Our study aims are to: (1) implement and evaluate a primary obesity prevention program; (2) implement and evaluate efficacy of a 12-month family-centered secondary obesity prevention program embedded within primary prevention; and (3) quantify the incremental cost-effectiveness of the secondary prevention program. Baseline demographic and behavioral data for the primary prevention community areas are presented. Results: Baseline data from preschool centers, elementary schools, and clinics indicate that most demographic variables are similar between intervention and comparison communities. Most families are low income (≤$25,000) and Hispanic/Latino (73.3–83.8%). The majority of parents were born outside of the United States. Child obesity rates exceed national values, ranging from 19.0% in preschool to 35.2% in fifth-grade children. Most parents report that their children consume sugary beverages, have a television in the bedroom, and do not consume adequate amounts of fruits and vegetables. Conclusions: Interventions to address childhood obesity are warranted in low-income, ethnically diverse communities. Integrating primary and secondary approaches is anticipated to provide sufficient exposure that will lead to significant decreases in childhood obesity. PMID:25555188

  18. Health promotion and prevention in higher music education: results of a longitudinal study.

    PubMed

    Zander, Mark F; Voltmer, Edgar; Spahn, Claudia

    2010-06-01

    Music-related symptoms can already be found among student musicians during their years of university training. The goals of the present study were to ascertain the state and developmental course of the student musicians' health and to test the effectiveness of a preventive curriculum given to student musicians during their first two semesters at university. Within a longitudinal, observational study, we assessed students' psychological and physical health during the first 2 years of university training. We compared data from the group of students who had followed the prevention program (intervention group, IG, n = 144) with data of a comparison group (CG, n = 103) of students who had not followed the program. Using standardized questionnaires, we measured physical and psychological symptoms as well as health behavior in a sequential plan (duration, 3.5 yrs). Student musicians (n = 247) showed elevated ratings in psychological and physical health in comparison with nonmusicians of the same age. These ratings decreased at the end of the students' second year. The prevention program had a preventive effect on the students' psychological health: while IG students remained stable in their performance and powers of concentration, CG students got worse in those same areas. However, the prevention program did not reduce physical symptoms. In comparison with their younger colleagues, upper-level students took more courses in body-oriented methods, relaxation, and mental techniques, which focus on preventive measures for musicians. At present, the study offers evidence supporting the use of the prevention curriculum for young musicians. In higher music education, preventive education has a positive impact on students' performance and their attitude toward health. The preventive curriculum does not have an effect on preexisting physical symptoms, and those symptoms related to the students musicians' activity should rather be treated in an additional therapeutic setting.

  19. Incorporating primary and secondary prevention approaches to address childhood obesity prevention and treatment in a low-income, ethnically diverse population: study design and demographic data from the Texas Childhood Obesity Research Demonstration (TX CORD) study.

    PubMed

    Hoelscher, Deanna M; Butte, Nancy F; Barlow, Sarah; Vandewater, Elizabeth A; Sharma, Shreela V; Huang, Terry; Finkelstein, Eric; Pont, Stephen; Sacher, Paul; Byrd-Williams, Courtney; Oluyomi, Abiodun O; Durand, Casey; Li, Linlin; Kelder, Steven H

    2015-02-01

    There is consensus that development and evaluation of a systems-oriented approach for child obesity prevention and treatment that includes both primary and secondary prevention efforts is needed. This article describes the study design and baseline data from the Texas Childhood Obesity Research Demonstration (TX CORD) project, which addresses child obesity among low-income, ethnically diverse overweight and obese children, ages 2-12 years; a two-tiered systems-oriented approach is hypothesized to reduce BMI z-scores, compared to primary prevention alone. Our study aims are to: (1) implement and evaluate a primary obesity prevention program; (2) implement and evaluate efficacy of a 12-month family-centered secondary obesity prevention program embedded within primary prevention; and (3) quantify the incremental cost-effectiveness of the secondary prevention program. Baseline demographic and behavioral data for the primary prevention community areas are presented. Baseline data from preschool centers, elementary schools, and clinics indicate that most demographic variables are similar between intervention and comparison communities. Most families are low income (≤$25,000) and Hispanic/Latino (73.3-83.8%). The majority of parents were born outside of the United States. Child obesity rates exceed national values, ranging from 19.0% in preschool to 35.2% in fifth-grade children. Most parents report that their children consume sugary beverages, have a television in the bedroom, and do not consume adequate amounts of fruits and vegetables. Interventions to address childhood obesity are warranted in low-income, ethnically diverse communities. Integrating primary and secondary approaches is anticipated to provide sufficient exposure that will lead to significant decreases in childhood obesity.

  20. Preventive Care for the Elderly

    PubMed Central

    Mallery, Laurie; Rockwood, Kenneth

    1992-01-01

    The practice of preventive medicine in the elderly population needs to be revitalized. A review of the existing literature of preventive medicine for recommendations for the elderly uncovers two problems: most screening studies have had few elderly subjects, and the focus has been mainly on early disease detection and prevention of mortality. Prevention of morbidity and of functional impairment should receive more emphasis. PMID:21221297

  1. About the Lung and Upper Aerodigestive Cancer Research Group | Division of Cancer Prevention

    Cancer.gov

    The Lung and Upper Aerodigestive Cancer Research Group conducts and supports research on the prevention and early detection of lung and head and neck cancers, as well as new approaches to clinical prevention studies including cancer immunoprevention.Phase 0/I/II Cancer Prevention Clinical Trials ProgramThe group jointly administers the Phase 0/I/II Cancer Prevention Clinical

  2. A descriptive model of preventability in maternal morbidity and mortality.

    PubMed

    Geller, S E; Cox, S M; Kilpatrick, S J

    2006-02-01

    To develop a descriptive model of preventability for maternal morbidity and mortality that can be used in quality assurance and morbidity and mortality review processes. This descriptive study was part of a larger case-control study conducted at the University of Illinois at Chicago in which maternal deaths were cases and women with severe maternal morbidity served as controls. Morbidities and mortalities were classified by a team of clinicians as preventable or not preventable. Qualitative analysis of data was conducted to identify and categorize different types of preventable events. Of 237 women, there were 79 women with preventable events attributable to provider or system factors. The most common types of preventable events were inadequate diagnosis/recognition of high-risk (54.4%), treatment (38.0%), and documentation (30.7%). A descriptive model was illustrated that can be used to categorize preventable events in maternal morbidity and mortality and can be incorporated into quality assurance and clinical case review to enhance the monitoring of hospital-based obstetric care and to decrease medical error.

  3. Workplace Interventions to Prevent Type 2 Diabetes Mellitus: a Narrative Review

    PubMed Central

    Fedewa, Allison; Moran, Margaret; O’Brien, Matthew; Ackermann, Ronald; Kullgren, Jeffrey T.

    2017-01-01

    Purpose of review This study aims to summarize the recent peer-reviewed literature on workplace interventions for prevention of type 2 diabetes mellitus (T2DM), including studies that translate the Diabetes Prevention Program (DPP) curriculum to workplace settings (n = 10) and those that use different intervention approaches to achieve the specific objective of T2DM prevention among employees (n = 3). Recent findings Weight reduction was achieved through workplace interventions to prevent T2DM, though such interventions varied substantially in their effectiveness. The greatest weight loss was reported among intensive lifestyle interventions (i.e., at least 4 months in duration) that implemented the structured DPP curriculum (n = 3). Weight reduction was minimal among less intensive interventions, including those that substantially modified the DPP curriculum (n = 2) and those that used non-DPP intervention approaches to prevent T2DM (n = 3). Most studies (n = 12) reported increased levels of physical activity following the intervention. Summary Implementation of the DPP in workplaces may be an effective strategy to prevent T2DM among employees. PMID:28150162

  4. [A Structural Equation Model of Pressure Ulcer Prevention Action in Clinical Nurses].

    PubMed

    Lee, Sook Ja; Park, Ok Kyoung; Park, Mi Yeon

    2016-08-01

    The purpose of this study was to construct and test a structural equation model for pressure ulcer prevention action by clinical nurses. The Health Belief Model and the Theory of Planned Behavior were used as the basis for the study. A structured questionnaire was completed by 251 clinical nurses to analyze the relationships between concepts of perceived benefits, perceived barriers, attitude, subjective norm, perceived control, intention to perform action and behavior. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting pressure ulcer prevention action among clinical nurses. The model fitness statistics of the hypothetical model fitted to the recommended levels. Attitude, subjective norm and perceived control on pressure ulcer prevention action explained 64.2% for intention to perform prevention action. The major findings of this study indicate that it is essential to recognize improvement in positive attitude for pressure ulcer prevention action and a need for systematic education programs to increase perceived control for prevention action.

  5. Introduction to the Special Series: Current Directions for Measuring Parenting Constructs to Inform Prevention Science.

    PubMed

    Lindhiem, Oliver; Shaffer, Anne

    2017-04-01

    Parenting behaviors are multifaceted and dynamic and therefore challenging to quantify. Measurement methods have critical implications for study results, particularly for prevention trials designed to modify parenting behaviors. Although multiple approaches can complement one another and contribute to a more complete understanding of prevention trials, the assumptions and implications of each approach are not always clearly addressed. Greater attention to the measurement of complex constructs such as parenting is needed to advance the field of prevention science. This series examines the challenges of measuring changes in parenting behaviors in the context of prevention trials. All manuscripts in the special series address measurement issues and make practical recommendations for prevention researchers. Manuscripts in this special series include (1) empirical studies that demonstrate novel measurement approaches, (2) re-analyses of prevention trial outcome data directly comparing and contrasting two or more methods, and (3) a statistical primer and practical guide to analyzing proportion data.

  6. Obesity prevention: Comparison of techniques and potential solution

    NASA Astrophysics Data System (ADS)

    Zulkepli, Jafri; Abidin, Norhaslinda Zainal; Zaibidi, Nerda Zura

    2014-12-01

    Over the years, obesity prevention has been a broadly studied subject by both academicians and practitioners. It is one of the most serious public health issue as it can cause numerous chronic health and psychosocial problems. Research is needed to suggest a population-based strategy for obesity prevention. In the academic environment, the importance of obesity prevention has triggered various problem solving approaches. A good obesity prevention model, should comprehend and cater all complex and dynamics issues. Hence, the main purpose of this paper is to discuss the qualitative and quantitative approaches on obesity prevention study and to provide an extensive literature review on various recent modelling techniques for obesity prevention. Based on these literatures, the comparison of both quantitative and qualitative approahes are highlighted and the justification on the used of system dynamics technique to solve the population of obesity is discussed. Lastly, a potential framework solution based on system dynamics modelling is proposed.

  7. Manganese Superoxide Dismutase in Cancer Prevention

    PubMed Central

    Robbins, Delira

    2014-01-01

    Abstract Significance: Cancer is the second leading cause of death in the United States. Considering the quality of life and treatment cost, the best way to fight against cancer is to prevent or suppress cancer development. Cancer is preventable as indicated by human papilloma virus (HPV) vaccination and tamoxifen/raloxifen treatment in breast cancer prevention. The activities of superoxide dismutases (SODs) are often lowered during early cancer development, making it a rational candidate for cancer prevention. Recent Advances: SOD liposome and mimetics have been shown to be effective in cancer prevention animal models. They've also passed safety tests during early phase clinical trials. Dietary supplement-based SOD cancer prevention provides another opportunity for antioxidant-based cancer prevention. New mechanistic studies have revealed that SOD inhibits not only oncogenic activity, but also subsequent metabolic shifts during early tumorigenesis. Critical Issues: Lack of sufficient animal model studies targeting specific cancers; and lack of clinical trials and support from pharmaceutical industries also hamper efforts in further advancing SOD-based cancer prevention. Future Directions: To educate and obtain support from our society that cancer is preventable. To combine SOD-based therapeutics with other cancer preventive agents to obtain synergistic effects. To formulate a dietary supplementation-based antioxidant approach for cancer prevention. Lastly, targeting specific populations who are prone to carcinogens, which can trigger oxidative stress as the mechanism of carcinogenesis. Antioxid. Redox Signal. 20, 1628–1645. PMID:23706068

  8. Primary Prevention Is? A Global Perspective on How Organizations Engaging Men in Preventing Gender-Based Violence Conceptualize and Operationalize Their Work.

    PubMed

    Storer, Heather L; Casey, Erin A; Carlson, Juliana; Edleson, Jeffrey L; Tolman, Richard M

    2016-02-01

    Engaging men in addressing violence against women (VAW) has become a strategy in the global prevention of gender-based violence. Concurrently, Western public health frameworks have been utilized to guide prevention agendas worldwide. Using qualitative methods, this study describes how global anti-violence organizations that partner with men conceptualize primary prevention in their work. Findings suggest that "primary prevention" is not a fixed term in the context of VAW and that front-line prevention work challenges rigidly delineated distinctions between levels of prevention. Much can be learned from global organizations' unique and contextualized approaches to the prevention of VAW. © The Author(s) 2015.

  9. Food waste prevention in Athens, Greece: The effect of family characteristics.

    PubMed

    Abeliotis, Konstadinos; Lasaridi, Katia; Chroni, Christina

    2016-12-01

    Food waste is a stream that becomes increasingly important in terms of its prevention potential. There is a large number of behaviours that can be associated with food waste generation and the efforts towards food waste prevention. A questionnaire study was carried in order to study consumer behaviour related to food provision and wastage in Greece. Proper practices of the respondents that can prevent the generation of food waste were investigated using nine behavioural scales, which were defined on the basis of similar studies in other countries. A structured questionnaire was utilised in order to test those behaviours against the socio-demographic characteristics of respondents. The results of the study indicate that in terms of inferential statistical analysis, among the numerous variables examined, those that enhance food waste prevention are the involvement of the respondent in cooking, the annoyance towards food waste generation and the education level. © The Author(s) 2016.

  10. Probiotics, Prebiotics & Food allergy Prevention: Clinical Data in Children.

    PubMed

    Fiocchi, Alessandro; Pecora, Valentina; Dahdah, Lamia

    2016-07-01

    there are accruing evidences on the role of the intestinal microbiota in the development of allergic diseases among infants. Elaborating on this theoretical basis, studies did assess the possibilities to prevent allergic diseases in infancy through manipulation of the intestinal microbiota. We review here such studies. interventional studies led to conflicting conclusions on the possible role of probiotics and prebiotics in allergy prevention. Two metanalyses published in 2015 did reconcile all data. Guidelines have been predicated on such studies using the GRADE methodology. the guidelines for allergy prevention suggest for the first time the use of probiotics and prebiotics. The existing evidences stand for a use of such supplementation in particular for the prevention of eczema. As there is no evidence so far of superiority of one probiotic strand over the others, they should be considered as class and not as individual products.

  11. Systematic review finds that silver diamine fluoride is effective for both root caries prevention and arrest in older adults.

    PubMed

    McReynolds, David; Duane, Brett

    2018-06-01

    Data sourcesPubMed, Pubmed Clinical Queries, EMBASE, the American Dental Associations Evidence-Based Dentistry Website, Cochrane Library, Web of Science, repository of the Journal of the American Dental Association and Google Scholar.Study selectionFour authors independently assessed the abstracts of studies resulting from the above searches which compared treatment of root caries in an older population with SDF versus other preventive agents or placebos.Data extraction and synthesisTitles and abstracts of all reports identified through the electronic searches were assessed independently by four authors based on agreed upon inclusion and exclusion criteria. Of the selected studies for final inclusion in the systematic review, study quality was assessed using the critical appraisal worksheet for randomised controlled trials from the Oxford Centre for Evidence-Based Medicine (CEBM 2005). Prevented fraction (PF), number needed to treat (NNT) and relative risk (RR) were calculated as outcome measures in each study. In addition, the published evidence on SDF was reviewed in order to formulate clinical recommendations on safety and effectiveness when treating root or coronal caries in an adult population with SDF, as well as treatment of dental hypersensitivity.ResultsThree randomised controlled trials were identified that addressed the effectiveness of SDF on root caries in older adults, but none addressed coronal caries. Root caries prevented fraction and arrest rate for SDF were significantly higher than placebo. The prevented fraction for caries prevention for SDF compared to placebo was 71% in a three-year study and 25% in a two-year study. The prevented fraction for caries arrest for SDF was 725% greater in a 24-month study and 100% greater than placebo in a 30-month study. No severe adverse effects were observed.ConclusionsExisting reports of SDF trials support effectiveness in root caries prevention and arrest, remineralisation of deep occlusal lesions and treatment of hypersensitive dentine.

  12. Pressure Injury Prevention in a Saudi Arabian Intensive Care Unit: Registered Nurse Attitudes Toward Prevention Strategies and Perceived Facilitators and Barriers to Evidence Implementation.

    PubMed

    Tayyib, Nahla; Coyer, Fiona; Lewis, Peter

    2016-01-01

    The purpose of this study was to examine RNs' attitudes toward pressure injury (PI) prevention strategies. Barriers and facilitators perceived by RNs to potentially impact on the adoption and implementation of PI prevention interventions in the intensive care unit (ICU) were examined. Descriptive cross-sectional survey. The target population was RNs practicing in an intensive care unit (ICU) of a major tertiary hospital, King Abdul-Aziz, Mecca, in Saudi Arabia. Fifty-six of the available 60 ICU RNs participated in this study. Data were collected via survey using the Attitude towards Pressure injury Prevention instrument, which included 13 items rated with 4-point Likert scale, and the modified Barriers and Facilitators tool, which included 27 items. The survey was organized into 3 parts: demographic information, potential barriers to optimal skin care, and potential facilitators to skin care. The survey took 10 to 15 minutes to complete. Data were analyzed with descriptive-correlation statistics and multiple regression analysis. Thematic analysis was undertaken for qualitative data. Participants demonstrated positive attitudes toward PI prevention (μ = 38.19/52; 73.44%). No significant differences were found between demographic characteristics of the participants with the RNs' Attitude subscale and perceived barriers and facilitators associated with implementing PI prevention in the critical care setting. Several barriers influenced the ability of RNs to implement PI prevention strategies including time demands (β = .388; P = .011), limitation of RNs' knowledge (β = -.632; P = .022), and current documentation format (β = .344; P = .046). Statistically significant facilitating factors that increased respondents ability to undertake PI prevention were ease of obtaining pressure-reduction surfaces (β = -.388; P = .007), collaboration with interdisciplinary teams (β = .37; P = .02), and availability of appropriate skin care products (β = .44; P = .015). Thematic analysis of open-ended questions highlighted workload as a barrier that impedes the implementation of care specific to PI prevention. Findings from this study highlighted that ICU RNs had a positive attitude toward PI prevention. This study also identified perceived factors influencing PI prevention in the ICU, both facilitators and barriers. Perceived facilitators included availability of pressure-relieving support surfaces and appropriate skin care products and collaboration with the healthcare professional team. However, perceived barriers included limited PI prevention knowledge of the nurse and RN workflow (time demands and documentation format). Findings from this study provide important information identifying context-specific factors that may influence the adoption and implementation of PI prevention interventions in the ICU.

  13. Culturally Grounded Prevention for Minority Youth Populations: A Systematic Review of the Literature

    PubMed Central

    Lauricella, Michela; Valdez, Jessica K.; Okamoto, Scott K.; Helm, Susana; Zaremba, Colleen

    2016-01-01

    Contemporary prevention science has focused on the application of cultural adaptations of evidence-based prevention programs for minority youth populations. Far less is known about culturally grounded methods that are intended to organically develop prevention programs within specific populations and communities. This article systematically reviews recent literature on culturally grounded interventions used to prevent health disparities in ethnic minority youth populations. In this review, we assessed 31 peer-reviewed articles published in 2003 or later that fit inclusionary criteria pertaining to the development and evaluation of culturally grounded prevention programs. The evaluated studies indicated different approaches toward cultural grounding, as well as specific populations, geographic regions, and health issues that have been targeted. Specifically, the findings indicated that most of the studies focused on the development and evaluation of culturally grounded HIV/STI and substance abuse prevention programs for Mexican American, African American, and American Indian/Alaska Native youth residing in the South or Southwestern U.S. These studies largely relied on community-based participatory or qualitative research methods to develop programs from the “ground up.” This review has implications for the development of future culturally grounded and culturally adapted prevention programs targeting underserved minority youth populations and geographic regions. Specifically, it identifies populations and regions where culturally grounded prevention efforts are underdeveloped or non-existent, providing some scientific direction for the future development of these types of programs. PMID:26733384

  14. Culturally Grounded Prevention for Minority Youth Populations: A Systematic Review of the Literature.

    PubMed

    Lauricella, Michela; Valdez, Jessica K; Okamoto, Scott K; Helm, Susana; Zaremba, Colleen

    2016-02-01

    Contemporary prevention science has focused on the application of cultural adaptations of evidence-based prevention programs for minority youth populations. Far less is known about culturally grounded methods that are intended to organically develop prevention programs within specific populations and communities. This article systematically reviews recent literature on culturally grounded interventions used to prevent health disparities in ethnic minority youth populations. In this review, we assessed 31 peer-reviewed articles published in 2003 or later that fit inclusionary criteria pertaining to the development and evaluation of culturally grounded prevention programs. The evaluated studies indicated different approaches toward cultural grounding, as well as specific populations, geographic regions, and health issues that have been targeted. Specifically, the findings indicated that most of the studies focused on the development and evaluation of culturally grounded HIV/STI and substance abuse prevention programs for Mexican-American, African American, and American Indian/Alaska Native youth residing in the South or Southwestern US. These studies largely relied on community-based participatory or qualitative research methods to develop programs from the "ground up." This review has implications for the development of future culturally grounded and culturally adapted prevention programs targeting underserved minority youth populations and geographic regions. Specifically, it identifies populations and regions where culturally grounded prevention efforts are underdeveloped or non-existent, providing some scientific direction for the future development of these types of programs.

  15. Relapse Prevention in Health Promotion: Strategies and Long-Term Outcome.

    ERIC Educational Resources Information Center

    Gintner, Gary G.

    1988-01-01

    Reviews the efficacy of maintenance enhancement procedures to prevent relapse in smoking cessation, weight control, and exercise programs. Presents models of maintenance enhancement, reviews studies that have used relapse prevention strategies, and discusses ways of incorporating relapse prevention techniques into health promotion programs.…

  16. Preventing Adolescent Relapse: Concepts, Theories and Techniques.

    ERIC Educational Resources Information Center

    Mishra, Shitala P.; Ressler, Robert A.

    This chapter discusses adolescent drug abuse relapse prevention. It presents the following four conclusions regarding the efficacy of prevention programs. First, more controlled studies are needed to evaluate the long-term effectiveness of relapse prevention strategies with adolescents in reducing factors such as cravings and increasing their…

  17. Tracking a Movement: U.S. Milestones in Suicide Prevention

    ERIC Educational Resources Information Center

    Spencer-Thomas, Sally; Jahn, Danielle R.

    2012-01-01

    Suicidology and suicide prevention are relatively new fields of study in the United States, but they have made significant progress since their beginnings. This study aimed to identify the most impactful theories in the history of science and suicidology and the most impactful events in the suicide prevention movement. These theories and events…

  18. Suicide Prevention Programs in the Schools: A Review and Public Health Perspective

    ERIC Educational Resources Information Center

    Miller, David N.; Eckert, Tanya L.; Mazza, James J.

    2009-01-01

    The purpose of this article is to provide a comprehensive review of school-based suicide prevention programs from a public health perspective. A literature review of empirical studies examining school-based suicide prevention programs was conducted. Studies were required to contain information pertaining to the implementation and outcomes of a…

  19. Primary Prevention: Reducing Institutional Racism/Sexism Through Consultation. Case Study.

    ERIC Educational Resources Information Center

    O'Neil, James M.; Conyne, Robert

    This paper presents a two-year primary prevention intervention aimed at reducing institutional racism and sexism at a large midwestern university. A case study format is used to describe the history, process, and outcomes of the consultation that resulted in proactive change in the institution. Definitions of primary prevention are given and the…

  20. Quality of Provider-Participant Relationships and Enhancement of Adolescent Social Skills

    ERIC Educational Resources Information Center

    Sale, Elizabeth; Bellamy, Nikki; Springer, J. Fred; Wang, Min Qi

    2008-01-01

    This study adds to the limited research on the potential importance of the quality of the relationship between adult prevention service providers and youth participants in enhancing social skills and strengthening prevention outcomes. Study subjects were drawn from seven prevention programs funded under a Youth Mentoring Initiative by the Center…

  1. Tracking a movement: U.S. milestones in suicide prevention.

    PubMed

    Spencer-Thomas, Sally; Jahn, Danielle R

    2012-02-01

    Suicidology and suicide prevention are relatively new fields of study in the United States, but they have made significant progress since their beginnings. This study aimed to identify the most impactful theories in the history of science and suicidology and the most impactful events in the suicide prevention movement. These theories and events were identified through expert nomination. The most impactful theories were those of Shneidman, Durkheim, and Joiner. The most impactful events included the opening of the first suicide prevention center and hotline, the founding of the American Association of Suicidology, and national publications (e.g., National Strategy for Suicide Prevention). © 2012 The American Association of Suicidology.

  2. Prevention of hospital-acquired pneumonia: European perspective.

    PubMed

    Bonten, Marc J M

    2003-12-01

    Several preventive measures for VAP have been empirically tested. There is clear evidence that antibiotic-containing preventive strategies, such as SDD and oropharyngeal decontamination, are very effective in different patient populations. Selection of antibiotic resistance remains the major disadvantage of these strategies, however, limiting its applicability in settings with high levels of antibiotic resistance. This probably precludes the use of these strategies in many American settings, but may allow their use in European countries with much lower endemic levels of resistance. There is little evidence that systemic prophylaxis is effective for the prevention of VAP, and initial studies were associated with resistance problems. Of the non antibiotic-containing preventive strategies, subglottic aspiration was effective in several studies, whereas other strategies, such as immunonutrition with glutamine or the semirecumbent patient position, were effective in single studies. All these studies were executed in European ICUs. For these interventions, more data are needed on the generalizability, feasibility, and cost effectiveness. Few data support the use of sucralfate for stress ulcer prophylaxis and modulation of enteral nutrition practices as preventive measures for VAP.

  3. Primary prevention of gestational diabetes mellitus through nutritional factors: a systematic review.

    PubMed

    Donazar-Ezcurra, Mikel; López-Del Burgo, Cristina; Bes-Rastrollo, Maira

    2017-01-13

    Gestational diabetes mellitus (GDM), defined as any degree of glucose intolerance with onset during pregnancy, is increasing worldwide, mostly because obesity among women of reproductive age is continuously escalating. GDM is associated with adverse maternal and fetal outcomes. The aim of this article was to systematically review literature on the effectiveness of nutritional factors before or during pregnancy to prevent GDM. We assessed the primary prevention of GDM through nutritional factors, as diet and supplements. We searched on PubMed, Cochrane Databases and ClinicalTrials.gov from inception to June 2016. Clinical trials and adjusted prospective cohort studies were included. Eight clinical trials and twenty observational studies assessing the association between dietary factors and primary prevention of GDM were included. Furthermore, six clinical trials and two observational studies related to supplements were also added. Only two nutritional interventions were found to significantly reduce the incidence of GDM, besides the supplements. However, the observational studies showed that a higher adherence to a healthier dietary pattern can prevent the incidence of GDM, especially in high risk population before getting pregnant. The results indicate that there may be some benefits of some nutritional factors to prevent GDM. However, better-designed studies are required to generate higher quality evidence. At the moment, no strong conclusions can be drawn with regard to the best intervention for the prevention of GDM.

  4. Lack of Sexual Minorities' Rights as a Barrier to HIV Prevention Among Men Who Have Sex with Men and Transgender Women in Asia: A Systematic Review.

    PubMed

    Anderson, James E; Kanters, Steve

    2015-03-01

    This study set out to assess the relationship between variation in human rights for sexual minorities in Asian countries and indicators of HIV prevention among men who have sex with men (MSM) and transgender women. To quantitatively measure the relationship between variation in HIV prevention and variation in human rights for sexual minorities, this study developed the Sexual Orientation and Gender Identity (SOGI) Human Rights Index (an original index with scores ranging from 0.0 to 1.0). Subsequently, this study collected 237 epidemiological and behavioral studies from 22 Asian countries and performed a series of meta-analyses in order to calculate national averages for five indicators of HIV prevention: HIV prevalence, inconsistent condom use, recent HIV testing, adequate HIV knowledge, and exposure to HIV prevention services. A change of human rights for sexual minorities from a score of 0.0 to 1.0 as measured by the SOGI Human Rights Index was correlated with a decrease in unprotected anal intercourse by 25.5% (p=0.075), and increases in recent HIV testing by 42.9% (p=0.011), HIV knowledge by 29.5% (p=0.032), and exposure to HIV prevention services by 37.9% (p=0.119). The relationship between HIV prevalence and variation in human rights for sexual minorities was not statistically significant. Our study found correlations between human rights and indicators of HIV prevention, further supporting the need for increased rights among marginalized populations. The paucity of studies from many Asian countries as well as the disparity in how indicators of HIV prevention are measured reveals a need for increased coverage and standardization of MSM serological and behavioral data in order to better inform evidence-based policymaking.

  5. Do exercises used in injury prevention programmes modify cutting task biomechanics? A systematic review with meta-analysis.

    PubMed

    Pappas, Evangelos; Nightingale, Elizabeth J; Simic, Milena; Ford, Kevin R; Hewett, Timothy E; Myer, Gregory D

    2015-05-01

    Some injury prevention programmes aim to reduce the risk of ACL rupture. Although the most common athletic task leading to ACL rupture is cutting, there is currently no consensus on how injury prevention programmes influence cutting task biomechanics. To systematically review and synthesise the scientific literature regarding the influence of injury prevention programme exercises on cutting task biomechanics. The three largest databases (Medline, EMBASE and CINAHL) were searched for studies that investigated the effect of injury prevention programmes on cutting task biomechanics. When possible meta-analyses were performed. Seven studies met the inclusion criteria. Across all studies, a total of 100 participants received exercises that are part of ACL injury prevention programmes and 76 participants served in control groups. Most studies evaluated variables associated with the quadriceps dominance theory. The meta-analysis revealed decreased lateral hamstrings electromyography activity (p ≤ 0.05) while single studies revealed decreased quadriceps and increased medial hamstrings activity and decreased peak knee flexion moment. Findings from single studies reported that ACL injury prevention exercises reduce neuromuscular deficits (knee valgus moment, lateral trunk leaning) associated with the ligament and trunk dominance theories, respectively. The programmes we analysed appear most effective when they emphasise individualised biomechanical technique correction and target postpubertal women. The exercises used in injury prevention programmes have the potential to improve cutting task biomechanics by ameliorating neuromuscular deficits linked to ACL rupture, especially when they emphasise individualised biomechanical technique correction and target postpubertal female athletes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. Minimizing preventable trauma deaths in a limited-resource setting: a test-case of a multidisciplinary panel review approach at the Komfo Anokye Teaching Hospital in Ghana.

    PubMed

    Yeboah, Dominic; Mock, Charles; Karikari, Patrick; Agyei-Baffour, Peter; Donkor, Peter; Ebel, Beth

    2014-07-01

    Our objectives were to determine the proportion of preventable trauma deaths at a large trauma hospital in Kumasi, Ghana, and to identify opportunities for the improvement of trauma care. A multidisciplinary panel of experts evaluated pre-hospital, hospital, and postmortem data of consecutive trauma patients who died over a 5-month period in 2006-2007 at the Komfo Anokye Teaching Hospital. The panel judged the preventability of each death. For preventable and potentially preventable deaths, deficiencies in care that contributed to their deaths were identified. The panel reviewed 231 trauma deaths. Of these, 84 charts had sufficient information to review preventable factors. The panel determined that 23 % of trauma deaths were definitely preventable, 37 % were potentially preventable, and 40 % were not preventable. One main deficiency in care was identified for each of the 50 definitely preventable and potentially preventable deaths. The most common deficiencies were pre-hospital delays (44 % of the 50 deficiencies), delay in treatment (32 %), and inadequate fluid resuscitation (22 %). Among the 19 definitely preventable deaths, the most common cause of death was hemorrhage (47 %), and the most common deficiencies were inadequate fluid resuscitation (37 % of deficiencies in this group) and pre-hospital delay (37 %). A high proportion of trauma fatalities might have been preventable by decreasing pre-hospital delays, adequate resuscitation in hospital, and earlier initiation of care, including definitive surgical management. The study also showed that preventable death panel reviews are a feasible and useful quality improvement method in the study setting.

  7. Prevention of cervical cancer in HIV-seropositive women from developing countries: a systematic review protocol.

    PubMed

    Mapanga, Witness; Elhakeem, Ahmed; Feresu, Shingairai A; Maseko, Fresier; Chipato, Tsungai

    2017-04-24

    Over 85% of cervical cancer cases and deaths occur in developing countries. HIV-seropositive women are more likely to develop precancerous lesions that lead to cervical cancer than HIV-negative women. However, the literature on cervical cancer prevention in seropositive women in developing countries has not been reviewed. The aim of this study is to systematically review cervical cancer prevention modalities available for HIV-seropositive women in developing countries. This protocol was developed by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) statement, and the systematic review will be reported in accordance with the PRISMA guidelines. Embase, MEDLINE, PubMed, CINAHL and Cochrane Library will be searched from inception up to date of final search, and additional studies will be located through citation and reference list tracking. Eligible studies will be randomised controlled trials, prospective and retrospective cohort studies, case-control and cross-sectional studies carried out in developing countries. Studies will be included if they are published in English and examine cervical cancer prevention modalities in HIV-seropositive women. Results will be summarised in tables and, where appropriate, combined using meta-analysis. This review will address the gap in evidence by systematically reviewing the published literature on the different prevention modalities being used to prevent cervical cancer in HIV-seropositive women in developing countries. The findings may be used to inform evidence-based guidelines for prevention of cervical cancer in seropositive women as well as future research. PROSPERO CRD42017054678 .

  8. Laboratory, Epidemiological, and Human Intervention Studies Show That Tea (Camellia sinensis) May Be Useful in the Prevention of Obesity12

    PubMed Central

    Grove, Kimberly A.; Lambert, Joshua D.

    2010-01-01

    Tea (Camellia sinensis, Theaceae) and tea polyphenols have been studied for the prevention of chronic diseases, including obesity. Obesity currently affects >20% of adults in the United States and is a risk factor for chronic diseases such as type II diabetes, cardiovascular disease, and cancer. Given this increasing public health concern, the use of dietary agents for the prevention of obesity would be of tremendous benefit. Whereas many laboratory studies have demonstrated the potential efficacy of green or black tea for the prevention of obesity, the underlying mechanisms remain unclear. The results of human intervention studies are mixed and the role of caffeine has not been clearly established. Finally, there is emerging evidence that high doses of tea polyphenols may have adverse side effects. Given that the results of scientific studies on dietary components, including tea polyphenols, are often translated into dietary supplements, understanding the potential toxicities of the tea polyphenols is critical to understanding their potential usefulness in preventing obesity. In this review, we will critically evaluate the evidence for the prevention of obesity by tea, discuss the relevance of proposed mechanisms in light of tea polyphenol bioavailability, and review the reports concerning the toxic effects of high doses of tea polyphenols and the implication that this has for the potential use of tea for the prevention of obesity. We hope that this review will expose areas for further study and encourage research on this important public health issue. PMID:20089791

  9. The pharmacoeconomic benefits of cholesterol reduction.

    PubMed

    Gonzalez, E R

    1998-02-01

    Recent studies show that cholesterol-lowering therapy can reduce morbidity and mortality in hypercholesterolemic patients without preexisting coronary heart disease (primary prevention) and with coronary heart disease (secondary prevention). The high cost of treatment per event prevented, especially for primary prevention, raises concerns about widespread use of cholesterol-lowering therapy. Does cholesterol reduction reduce utilization of healthcare resources, and can society afford to pay for reducing cholesterol in all patients with hypercholesterolemia, irrespective of risk factors? Is cost-effectiveness of therapy affected by differing cholesterol levels, age of the patients, the duration of therapy, or the presence of risk factors? Current pharmacoeconomic studies support the use of the statins for secondary prevention, and primary prevention in high-risk patients, and provide key information for policy decision making in the treatment of patients with hypercholesterolemia.

  10. Preventing growth in amphetamine use: long-term effects of the Midwestern Prevention Project (MPP) from early adolescence to early adulthood.

    PubMed

    Riggs, Nathaniel R; Chou, Chih-Ping; Pentz, Mary Ann

    2009-10-01

    The aim of the current study was to examine the long-term effect of an early adolescent substance abuse prevention program on trajectories and initiation of amphetamine use into early adulthood. Eight middle schools were assigned randomly to a program or control condition. The randomized controlled trial followed participants through 15 waves of data, from ages 11-28 years. This longitudinal study design includes four separate periods of development from early adolescence to early adulthood. The intervention took place in middle schools. A total of 1002 adolescents from one large mid-western US city were the participants in the study. The intervention was a multi-component community-based program delivered in early adolescence with a primary emphasis on tobacco, alcohol and marijuana use. At each wave of data collection participants completed a self-report survey that included questions about life-time amphetamine use. Compared to a control group, participants in the Midwestern Prevention Project (MPP) intervention condition had reduced growth (slope) in amphetamine use in emerging adulthood, a lower amphetamine use intercept at the commencement of the early adulthood and delayed amphetamine use initiation. The pattern of results suggests that the program worked first to prevent amphetamine use, and then to maintain the preventive effect into adulthood. Study findings suggest that early adolescent substance use prevention programs that focus initially on the 'gateway' drugs have utility for long-term prevention of amphetamine use. © 2009 The Authors. Journal compilation © 2009 Society for the Study of Addiction.

  11. Preventing a Mass Disease: The Case of Gallstones Disease: Role and Competence for Family Physicians.

    PubMed

    Portincasa, Piero; Di Ciaula, Agostino; Grattagliano, Ignazio

    2016-07-01

    Gallstone formation is the result of a complex interaction between genetic and nongenetic factors. We searched and reviewed the available literature to define how the primary prevention of gallstones (cholesterol gallstones in particular) could be applied in general practice. Electronic bibliographical databases were searched. Prospective and retrospective cohort studies and case-controlled studies were analyzed and graded for evidence quality. The epidemiological data confirmed that genetic factors are estimated to account for only approximately 25% of the overall risk of gallstones, while metabolic/environmental factors are at least partially modifiable in stone-free risk groups, and are thus modifiable by primary prevention measures related to diet, lifestyle, and environmental factors (i.e., rapid weight loss, bariatric surgery, somatostatin or analogues therapy, transient gallbladder stasis, and hormone therapy). There is no specific recommendation for the secondary prevention of recurrent gallstones. Family physicians can contribute to preventing gallstones due to their capability to identify and effectively manage several risk factors discussed in this study. Although further studies are needed to better elucidate the involvement of epigenetic factors that may regulate the effect of environment and lifestyle on gene expression in the primary prevention of gallstone formation, preventive interventions are feasible and advisable in the general practice setting.

  12. Indicated prevention of adult obesity: reference data for weight normalization in overweight children

    USDA-ARS?s Scientific Manuscript database

    Background: Pediatric obesity is a major risk factor for adult obesity. Indicated prevention--that is, helping overweight or obese youth attain non-overweight status--has been suggested to prevent adult obesity. This study aimed to support the notion of indicated prevention by demonstrating that rel...

  13. Outcomes of a Suicide Prevention Gatekeeper Training on a University Campus

    ERIC Educational Resources Information Center

    Indelicato, Natalie Arce; Mirsu-Paun, Anca; Griffin, Wayne D.

    2011-01-01

    A university-wide suicide prevention program was implemented to provide students, faculty, and staff tools to identify, assist, and refer distressed and suicidal individuals. The study examined participant self-reports of suicide-related knowledge and prevention skills, group differences in suicide prevention knowledge and skills, group…

  14. Connect: An Effective Community-Based Youth Suicide Prevention Program

    ERIC Educational Resources Information Center

    Bean, Gretchen; Baber, Kristine M.

    2011-01-01

    Youth suicide prevention is an important public health issue. However, few prevention programs are theory driven or systematically evaluated. This study evaluated Connect, a community-based youth suicide prevention program. Analysis of pre and posttraining questionnaires from 648 adults and 204 high school students revealed significant changes in…

  15. The Community Disease Prevention Behaviors in District Maros South Sulawesi Province

    ERIC Educational Resources Information Center

    Herman; Dirawan, Gufran Darma; Yahya, Muhammad; Taiyeb, Mushawwir

    2015-01-01

    The community diseases prevention behaviors assumed influenced by knowledge of infectious disease, hygiene and health knowledge, motivation and of behaviors of disease prevention than influence by attitude prevention of infectious diseases. This study aimed to examine the effect of variable knowledge infectious disease, hygiene and health…

  16. Practice of preventive dentistry for nursing staff in primary care.

    PubMed

    Jiménez-Báez, María Valeria; Acuña-Reyes, Raquel; Cigarroa-Martínez, Didier; Ureña-Bogarín, Enrique; Orgaz-Fernández, Jose David

    2014-01-01

    Determine the domain of preventive dentistry in nursing personnel assigned to a primary care unit. Prospective descriptive study, questionnaire validation, and prevalence study. In the first stage, the questionnaire for the practice of preventive dentistry (CPEP, for the term in Spanish) was validated; consistency and reliability were measured by Cronbach's alpha, Pearson's correlation, factor analysis with intra-class correlation coefficient (ICC). In the second stage, the domain in preventive dental nurses was explored. The overall internal consistency of CPEP is α= 0.66, ICC= 0.64, CI95%: 0.29-0.87 (p >0.01). Twenty-one subjects in the study, average age 43, 81.0% female, average seniority of 12.5 were included. A total of 71.5% showed weak domain, 28.5% regular domain, and there was no questionnaire with good domain result. The older the subjects were, the smaller the domain; female nurses showed greater mastery of preventive dentistry (29%, CI95%: 0.1-15.1) than male nurses. Public health nurses showed greater mastery with respect to other categories (50%, CI95%: 0.56-2.8). The CDEP has enough consistency to explore the domain of preventive dentistry in health-care staff. The domain of preventive dentistry in primary care nursing is poor, required to strengthen to provide education in preventive dentistry to the insured population.

  17. The Alzheimer's Prevention Initiative Generation Program: Evaluating CNP520 Efficacy in the Prevention of Alzheimer's Disease.

    PubMed

    Lopez Lopez, C; Caputo, A; Liu, F; Riviere, M E; Rouzade-Dominguez, M-L; Thomas, R G; Langbaum, J B; Lenz, R; Reiman, E M; Graf, A; Tariot, P N

    2017-01-01

    Alzheimer's disease pathology begins decades before the onset of clinical symptoms. This provides an opportunity for interventional clinical trials to potentially delay or prevent the onset of cognitive impairment or dementia. CNP520 (a beta-site-amyloid precursor protein-cleaving enzyme inhibitor) is in clinical development for the treatment of preclinical Alzheimer's disease under the Alzheimer's Prevention Initiative Generation Program. The Alzheimer's Prevention Initiative is a public-private partnership intended to accelerate the evaluation of Alzheimer's disease prevention therapies. The Generation Program comprises two pivotal phase II/III studies with similar designs to assess the efficacy and safety of investigational treatments in a cognitively unimpaired population at increased risk for developing Alzheimer's disease based on age and apolipoprotein E (APOE) genotype (i.e., presence of the APOE ε4 allele). The program has been designed to maximize benefit to Alzheimer's disease research. Generation Study 1 (NCT02565511) and Generation Study 2 (NCT03131453) are currently enrolling; their key features are presented here.

  18. JNCI and Cancer Prevention

    PubMed Central

    Ghosh, Sharmistha; Kramer, Barnett S.

    2015-01-01

    The Journal of the National Cancer Institute (JNCI), with its broad coverage of bench research, epidemiologic studies, and clinical trials, has a long history of publishing practice-changing studies in cancer prevention and public health. These include studies of tobacco cessation, chemoprevention, and nutrition. The landmark Breast Cancer Prevention Trial (BCPT)—the first large trial to prove efficacy of a preventive medication for a major malignancy—was published in the Journal, as were key ancillary papers to the BCPT. Even when JNCI was not the publication venue for the main trial outcomes, conceptual and design discussions leading to the trial as well as critical follow-up analyses based on trial data from the Prostate Cancer Prevention Trial (PCPT) and the Selenium and Vitamin E Chemoprevention Trial (SELECT) were published in the Journal. The Journal has also published important evidence on very charged topics, such as the purported link between abortion and breast cancer risk. In summary, JNCI has been at the forefront of numerous major publications related to cancer prevention. PMID:25713150

  19. Preventive dental health care experiences of preschool-age children with special health care needs

    PubMed Central

    Huebner, Colleen E.; Chi, Donald L.; Masterson, Erin; Milgrom, Peter

    2014-01-01

    Purpose This study examined the preventive dental health care experiences of young children with special needs and determined the feasibility of conducting clinical dental examinations at a community-based early intervention services center. Methods Study methods included 90 parent interviews and dental examinations of their preschool-age children. Results Thirteen percent of the children received optimal preventive care, defined as twice daily tooth brushing with fluoridated toothpaste and two preventive dental visits in the prior 12 months; 37 percent experienced care that fell short in both areas. Optimal care was more common among children of parents who reported tooth brushing was not a struggle and those with a personal dentist. Parents' opinion of the study experience was generally positive. Conclusions Few children with special needs receive effective preventive care early, when primary prevention could be achieved. Barriers to optimal care could be readily addressed by the dental community in coordination with early intervention providers. PMID:25082666

  20. Colorectal cancer prevention: Immune modulation taking the stage.

    PubMed

    Fletcher, Rochelle; Wang, Yi-Jun; Schoen, Robert E; Finn, Olivera J; Yu, Jian; Zhang, Lin

    2018-04-01

    Prevention or early detection is one of the most promising strategies against colorectal cancer (CRC), the second leading cause of cancer death in the US. Recent studies indicate that antitumor immunity plays a key role in CRC prevention. Accumulating evidence suggests that immunosurveillance represents a critical barrier that emerging tumor cells have to overcome in order to sustain the course of tumor development. Virtually all of the agents with cancer preventive activity have been shown to have an immune modulating effect. A number of immunoprevention studies aimed at triggering antitumor immune response against early lesions have been performed, some of which have shown promising results. Furthermore, the recent success of immune checkpoint blockade therapy reinforces the notion that cancers including CRC can be effectively intervened via immune modulation including immune normalization, and has stimulated various immune-based combination prevention studies. This review summarizes recent advances to help better harness the immune system in CRC prevention. Copyright © 2018 Elsevier B.V. All rights reserved.

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