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Sample records for intra-operative planning day

  1. Registration-free laparoscope augmentation for intra-operative liver resection planning

    NASA Astrophysics Data System (ADS)

    Feuerstein, Marco; Mussack, Thomas; Heining, Sandro M.; Navab, Nassir

    2007-03-01

    In recent years, an increasing number of liver tumor indications were treated by minimally invasive laparoscopic resection. Besides the restricted view, a major issue in laparoscopic liver resection is the enhanced visualization of (hidden) vessels, which supply the tumorous liver segment and thus need to be divided prior to the resection. To navigate the surgeon to these vessels, pre-operative abdominal imaging data can hardly be used due to intraoperative organ deformations mainly caused by appliance of carbon dioxide pneumoperitoneum and respiratory motion. While regular respiratory motion can be gated and synchronized intra-operatively, motion caused by pneumoperitoneum is individual for every patient and difficult to estimate. Therefore, we propose to use an optically tracked mobile C-arm providing cone-beam CT imaging capability intraoperatively. The C-arm is able to visualize soft tissue by means of its new flat panel detector and is calibrated offline to relate its current position and orientation to the coordinate system of a reconstructed volume. Also the laparoscope is optically tracked and calibrated offline, so both laparoscope and C-arm are registered in the same tracking coordinate system. Intra-operatively, after patient positioning, port placement, and carbon dioxide insufflation, the liver vessels are contrasted and scanned during patient exhalation. Immediately, a three-dimensional volume is reconstructed. Without any further need for patient registration, the volume can be directly augmented on the live laparoscope video, visualizing the contrasted vessels. This augmentation provides the surgeon with advanced visual aid for the localization of veins, arteries, and bile ducts to be divided or sealed.

  2. Day-care for breast cancer: ambulatory surgery and intra-operative radiation. Techniques and preliminary results of the Centre Val-d'Aurelle--Montpellier.

    PubMed

    Mourregot, A; Lemanski, C; Gutowski, M; Colombo, P-E; Charissoux, M; Dubois, J-B; Azria, D; Saint-Aubert, B; Domergue, J; Mathieu-Daude, H; Rouanet, P

    2014-04-01

    One-day breast carcinoma treatment is defined as association of ambulatory surgery and intra-operative irradiation. Selection and rigorous process of patients is the key to success. The surgical technique is not changed by the radiotherapy. Patient's satisfaction index is very high. Financial loss should not be a hurdle to its implementation.

  3. SU-E-T-285: Revisiting the Nomogram for Intra-Operative Planning Based Pd-103 Brachytherapy

    SciTech Connect

    Narayanan, S; Cho, P

    2014-06-01

    Purpose: The seed implant technique at our institution involves using a published nomogram for seed ordering based on CT based volume studies of the prostate. Ultrasound volume studies are subsequently used in the operating room for planning a modified peripheral loading with urethra sparing seed implant. The purpose of this study is to determine the appropriate modality for prostate volume measurement and creating an updated nomogram for intra-operative planning specific to our technique for pd-103 brachytherapy for efficient seed ordering. Methods: Prostate volumes based on pre-implant CT (Pre-CT), intra-operative ultrasound (TRUS), and post-implant CT (post-CT) studies as well as the total airkerma strength (AKS) of the implants were analyzed for 135 seed implant cases (69 monotherapy, 66 boost). Regression analysis was performed to derive the relationship between the total AKS and pre-CT and TRUS volumes. The correlation between TRUS and pre-CT volumes and TRUS and post-CT volumes were also studied. Results: Ultrasound based prostate volume exhibited a stronger correlation with total AKS than the pre-implant CT volume (R{sup 2} = 0.97 vs 0.88 for monotherapy and 0.96 vs 0.89 for boost). In general the pre-CT overestimated the prostate volume leading to ordering of a larger number of seeds and thus leading to higher number of unused/wasted seeds. Newly derived TRUS based nomogram was better suited for our technique than the published data. The post-implant CT volume closely followed the ultrasound volume (R{sup 2} = 0.88) as compared to pre-implant CT volumes (R{sup 2} = 0.57). Conclusion: In an era of costconscious health care where waste reduction is of utmost importance, an updated technique-specific nomogram is useful for ordering optimal number of seeds resulting in significant cost savings. In addition, our study shows that ultrasound based prostate volume is a better predictor for seed ordering for intra-operative planning than pre-implant CT.

  4. Reliability of the Planned Pedicle Screw Trajectory versus the Actual Pedicle Screw Trajectory using Intra-operative 3D CT and Image Guidance

    PubMed Central

    Ledonio, Charles G.; Hunt, Matthew A.; Siddiq, Farhan; Polly, David W.

    2016-01-01

    Background Technological advances, including navigation, have been made to improve safety and accuracy of pedicle screw fixation. We evaluated the accuracy of the virtual screw placement (Stealth projection) compared to actual screw placement (intra-operative O-Arm) and examined for differences based on the distance from the reference frame. Methods A retrospective evaluation of prospectively collected data was conducted from January 2013 to September 2013. We evaluated thoracic and lumbosacral pedicle screws placed using intraoperative O-arm and Stealth navigation by obtaining virtual screw projections and intraoperative O-arm images after screw placement. The screw trajectory angle to the midsagittal line and superior endplate was compared in the axial and sagittal views, respectively. Percent error and paired t-test statistics were then performed. Results Thirty-one patients with 240 pedicle screws were analyzed. The mean angular difference between the virtual and actual image in all screws was 2.17° ± 2.20° on axial images and 2.16° ± 2.24° on sagittal images. There was excellent agreement between actual and virtual pedicle screw trajectories in the axial and sagittal plane with ICC = 0.99 (95%CI: 0.992-0.995) (p<0.001) and ICC= 0.81 (95%CI: 0.759-0.855) (p<0.001) respectively. When comparing thoracic and lumbar screws, there was a significant difference in the sagittal angulation between the two distributions. No statistical differences were found distance from the reference frame. Conclusion The virtual projection view is clinically accurate compared to the actual placement on intra-operative CT in both the axial and sagittal views. There is slight imprecision (~2°) in the axial and sagittal planes and a minor difference in the sagittal thoracic and lumbar angulation, although these did not affect clinical outcomes. In general, we find that pedicle screw placement using intraoperative cone beam CT and navigation to be accurate and reliable, and as such

  5. Fitness Day. Lesson Plan.

    ERIC Educational Resources Information Center

    McNamara, Jeanne

    This lesson plan introduces students to the concept of supply and demand by appealing to bodily/kinesthetic intelligences. Students participate in a fitness class and then analyze the economic motives behind making an individual feel better after a fitness activity; i.e., analyzing how much an individual would pay for a drink and snack after a…

  6. Positioning control of the upper incisors in orthognathic surgery. Pre-operative planning with the Model Positioning Device and intra-operative application of the Sandwich Splint.

    PubMed

    Schwestka, R; Engelke, D; Zimmer, B; Kubein-Meesenburg, D

    1991-10-01

    In orthognathic surgery a three-dimensional positioning of the maxilla is possible by means of the Le Fort I osteotomy and subsequent maxillary movement. In treatment planning and at the time of surgery it is very important to achieve an exact positioning of the upper incisors in relation to the upper lip and the rest of the skull. The Model Positioning Device described here allows three-dimensional positioning of the upper incisors in one- or two-jaw surgery. The reference plane is the upper surface of the upper part of a semi-individually adjustable articulator. The application of the Sandwich Splint enables the three-dimensional positioning of the maxilla in relation to the rest of the skull. The Sandwich Splint ensures that the vertical position of the mandible in relation to the rest of the skull above the osteotomy plane is exactly reproducible in the pre- and post-operative situation in both model surgery and at time of surgery. To this mandibular position the maxilla is positioned in three dimensions, as preplanned. The vertical dimension, which is identically reproducible before and after surgery is measured with a caliper. After surgery the mandible can be rotated into the planned new intercuspidation.

  7. Intra-operative implantation errors during Austin Moore Hemiarthroplasty.

    PubMed

    Naqvi, Zohaib Gulzar; Markhand, Javed Ali; Ahmed, Syed Kamran; Chinoy, Amin; Khan, Mansoor Ali

    2016-10-01

    Austin Moore hemiarthroplasty is an established treatment in elderly patients with neck of femur fractures. Being commonly performed, it is also associated with several technical errors of implantation which results in complications and failure requiring revision surgery. This retrospective pre- and post-operative radiographic study to determine the frequency of technical errors was conducted at the Indus Hospital, Karachi, and comprised data of 50 patients who underwent Austin Moore hemiarthroplasty between January and November 2016. Of the total, 29(58%%) patients had no error of implantation. Overhanging of prosthesis was observed in 21(42%) patients, followed by inadequate length of the neck remnant in 18(36%). Moreover, 8(16%) patients sustained intra-operative periprosthetic fractures managed with cerclage wire. Also, 33(66%) patients had a Dorr type-Afemur morphologic pattern. Hemiarthroplasty was found to be a technically demanding procedure associated with avoidable intra-operative implantation errors by proper preoperative planning, careful patient selection, proper training of surgeons, hence avoiding failure.

  8. Youth Field Day Planning Guide.

    ERIC Educational Resources Information Center

    Wisconsin State Dept. of Natural Resources, Madison.

    Youth field days expose children to outdoor activities, land use ethics, and habitat conservation and encourage adults to be mentors in these areas. A typical youth field day could have programs in archery, fishing, boating, shooting, or safety. The event requires a diverse steering committee that usually includes sporting clubs and state…

  9. Intra-operative neurophysiology during microvascular decompression for hemifacial spasm.

    PubMed

    Fernández-Conejero, I; Ulkatan, S; Sen, C; Deletis, V

    2012-01-01

    There is evidence that primary hemifacial spasm (HFS) in the majority of patients is related to a vascular compression of the facial nerve at its root exit zone (REZ). As a consequence, the hyperexcitability of facial nerve generates spasms of the facial muscles. Microvascular decompression (MVD) of the facial nerve near its REZ has been established as an effective treatment of HFS. Intra-operative disappearance of abnormal muscle responses (lateral spread) elicited by stimulating one of the facial nerve branches has been used as a method to predict MVD effectiveness. Other neurophysiologic techniques, such as facial F-wave, blink reflex and facial corticobulbar motor evoked potentials (FCoMEP), are feasible to intra-operatively study changes in excitability of the facial nerve and its nucleus during MVDs. Intra-operative neuromonitoring with the mentioned techniques allows a better understanding of HFS pathophysiology and helps to optimise the MVD.

  10. Three-dimensional imaging in the context of minimally invasive and transcatheter cardiovascular interventions using multi-detector computed tomography: from pre-operative planning to intra-operative guidance.

    PubMed

    Schoenhagen, Paul; Numburi, Uma; Halliburton, Sandra S; Aulbach, Peter; von Roden, Martin; Desai, Milind Y; Rodriguez, Leonardo L; Kapadia, Samir R; Tuzcu, E Murat; Lytle, Bruce W

    2010-11-01

    The rapid expansion of less invasive surgical and transcatheter cardiovascular procedures for a wide range of cardiovascular conditions, including coronary, valvular, structural cardiac, and aortic disease has been paralleled by novel three-dimensional (3-D) approaches to imaging. Three-dimensional imaging allows acquisition of volumetric data sets and subsequent off-line reconstructions along unlimited 2-D planes and 3-D volumes. Pre-procedural 3-D imaging provides detailed understanding of the operative field for surgical/interventional planning. Integration of imaging modalities during the procedure allows real-time guidance. Because computed tomography routinely acquires 3-D data sets, it has been one of the early imaging modalities applied in the context of surgical and interventional planning. This review describes the continuum of applications from pre-operative planning to procedural integration, based on the emerging experience with computed tomography and rotational angiography, respectively. At the same time, the potential adverse effects of imaging with X-ray-based tomographic or angiographic modalities are discussed. It is emphasized that the role of imaging guidance in this context remains unclear and will need to be evaluated in clinical trials. This is in particular true, because data showing improved outcome or even non-inferiority for most of the emerging transcatheter procedures are still lacking.

  11. Photoacoustic intra-operative nodal staging using clinically approved superparamagnetic iron oxide nanoparticles

    NASA Astrophysics Data System (ADS)

    Grootendorst, Diederik J.; Fratila, Raluca M.; Visscher, Martijn; Ten Haken, Bennie; van Wezel, Richard; Steenbergen, Wiendelt; Manohar, Srirang; Ruers, Theo J. M.

    2013-02-01

    Detection of tumor metastases in the lymphatic system is essential for accurate staging of various malignancies, however fast, accurate and cost-effective intra-operative evaluation of the nodal status remains difficult to perform with common available medical imaging techniques. In recent years, numerous studies have confirmed the additional value of superparamagnetic iron oxide dispersions (SPIOs) for nodal staging purposes, prompting the clearance of different SPIO dispersions for clinical practice. We evaluate whether a combination of photoacoustic (PA) imaging and a clinically approved SPIO dispersion, could be applied for intra-operative nodal staging. Metastatic adenocarcinoma was inoculated in Copenhagen rats for 5 or 8 days. After SPIO injection, the lymph nodes were photoacoustically imaged both in vivo and ex vivo whereafter imaging results were correlated with MR and histology. Results were compared to a control group without tumor inoculation. In the tumor groups clear irregularities, as small as 1 mm, were observed in the PA contrast pattern of the nodes together with an decrease of PA response. These irregularities could be correlated to the absence of contrast in the MR images and could be linked to metastatic deposits seen in the histological slides. The PA and MR images of the control animals did not show these features. We conclude that the combination of photoacoustic imaging with a clinically approved iron oxide nanoparticle dispersion is able to detect lymph node metastases in an animal model. This approach opens up new possibilities for fast intra-operative nodal staging in a clinical setting.

  12. Trajectory optimization for intra-operative nuclear tomographic imaging.

    PubMed

    Vogel, Jakob; Lasser, Tobias; Gardiazabal, José; Navab, Nassir

    2013-10-01

    Diagnostic nuclear imaging modalities like SPECT typically employ gantries to ensure a densely sampled geometry of detectors in order to keep the inverse problem of tomographic reconstruction as well-posed as possible. In an intra-operative setting with mobile freehand detectors the situation changes significantly, and having an optimal detector trajectory during acquisition becomes critical. In this paper we propose an incremental optimization method based on the numerical condition of the system matrix of the underlying iterative reconstruction method to calculate optimal detector positions during acquisition in real-time. The performance of this approach is evaluated using simulations. A first experiment on a phantom using a robot-controlled intra-operative SPECT-like setup demonstrates the feasibility of the approach.

  13. Pediatric awake craniotomy and intra-operative stimulation mapping.

    PubMed

    Balogun, James A; Khan, Osaama H; Taylor, Michael; Dirks, Peter; Der, Tara; Carter Snead Iii, O; Weiss, Shelly; Ochi, Ayako; Drake, James; Rutka, James T

    2014-11-01

    The indications for operating on lesions in or near areas of cortical eloquence balance the benefit of resection with the risk of permanent neurological deficit. In adults, awake craniotomy has become a versatile tool in tumor, epilepsy and functional neurosurgery, permitting intra-operative stimulation mapping particularly for language, sensory and motor cortical pathways. This allows for maximal tumor resection with considerable reduction in the risk of post-operative speech and motor deficits. We report our experience of awake craniotomy and cortical stimulation for epilepsy and supratentorial tumors located in and around eloquent areas in a pediatric population (n=10, five females). The presenting symptom was mainly seizures and all children had normal neurological examinations. Neuroimaging showed lesions in the left opercular (n=4) and precentral or peri-sylvian regions (n=6). Three right-sided and seven left-sided awake craniotomies were performed. Two patients had a history of prior craniotomy. All patients had intra-operative mapping for either speech or motor or both using cortical stimulation. The surgical goal for tumor patients was gross total resection, while for all epilepsy procedures, focal cortical resections were completed without any difficulty. None of the patients had permanent post-operative neurologic deficits. The patient with an epileptic focus over the speech area in the left frontal lobe had a mild word finding difficulty post-operatively but this improved progressively. Follow-up ranged from 6 to 27 months. Pediatric awake craniotomy with intra-operative mapping is a precise, safe and reliable method allowing for resection of lesions in eloquent areas. Further validations on larger number of patients will be needed to verify the utility of this technique in the pediatric population.

  14. Mini gamma cameras for intra-operative nuclear tomographic reconstruction.

    PubMed

    Matthies, Philipp; Gardiazabal, José; Okur, Aslı; Vogel, Jakob; Lasser, Tobias; Navab, Nassir

    2014-12-01

    Nuclear imaging modalities like PET or SPECT are in extensive use in medical diagnostics. In a move towards personalized therapy, we present a flexible nuclear tomographic imaging system to enable intra-operative SPECT-like 3D imaging. The system consists of a miniaturized gamma camera mounted on a robot arm for flexible positioning, while spatio-temporal localization is provided by an optical tracking system. To facilitate statistical tomographic reconstruction of the radiotracer distribution using a maximum likelihood approach, a precise model of the mini gamma camera is generated by measurements. The entire system is evaluated in a series of experiments using a hot spot phantom, with a focus on criteria relevant for the intra-operative workflow, namely the number of required imaging positions as well as the required imaging time. The results show that high quality reconstructed images of simple hot spot configurations with positional errors of less than one millimeter are possible within acquisition times as short as 15s.

  15. Plans for a Business Education Day.

    ERIC Educational Resources Information Center

    National Consumer Finance Association, Washington, DC. Educational Services Div.

    The document is a manual for local consumer finance offices, to guide them in their participation as an industry in a Chamber of Commerce Business-Education Day, a program offered as a means for teachers and business executives to become better acquainted, exchange views, clear up misconceptions, and gain better insight into each other's problems.…

  16. Comparison between real-time intra-operative ultrasound-based dosimetry and CT-based dosimetry for prostate brachytherapy using cesium-131.

    PubMed

    Jacobs, B L; Gibbons, E P; Smith, R P; Beriwal, S; Komanduri, K; Benoit, R M

    2008-12-01

    The purpose of this study was to evaluate the correlation between real-time intra-operative ultrasound-based dosimetry (USD) and day 0 post-implant CT dosimetry (CTD) (131)Cs permanent prostate brachytherapy. Fifty-two consecutive patients who underwent prostate brachytherapy with (131)Cs were evaluated. Real time operating room planning was performed using VariSeed 7.1 software. Post-needle placement prostate volume was used for real-time planning. Targets for dosimetry were D(90) >110%, V(100) >90%, V(150) <50%, and V(200) <20%. The CT scan for post-operative dosimetry was obtained on day 0. The mean values for USD, CTD, and the linear correlation, respectively, were, for D(90): 114.0%, 105.61%, and 0.15; for V(100): 95.1%, 91.6%, and 0.22; for V(150): 51.5%, 46.4%, and 0.40; and for V(200): 15.8%, 17.9%, and 0.42. The differences between the mean values for USD and CTD for D(90) (p<0.01), V(100) (p<0.01), and V(150) (p<0.05) were statistically significant. For D(90), 30.8% of patients had a >15% difference between USD and CTD and 51.9% of patients had a >10% difference between these values. In contrast, the USD and CTD for V(100) were within 5% in 55.8% of patients and within 10% in 86.5% of patients. This study demonstrates a correlation between the mean intra-operative USD and post-implant day 0 CTD values only for V(200). Significant variation in D(90), V(150), and V(200) values existed for individual patients between USD and CTD. These results suggest that real-time intra-operative USD does not serve as a surrogate for post-operative CTD, and that post-operative CTD is still necessary.

  17. Impact of right-handedness on anaesthetic sensitivity, intra-operative awareness and postoperative mortality.

    PubMed

    Rao, S; Huverserian, A R; Ben Abdallah, A; Lees, K; Willingham, M D; Burnside, B A; Villafranca, A J; Glick, D B; Jacobsohn, E; Avidan, M S

    2014-08-01

    Anatomical, neurological and behavioural research has suggested differences between the brains of right- and non-right-handed individuals, including differences in brain structure, electroencephalogram patterns, explicit memory and sleep architecture. Some studies have also found decreased longevity in left-handed individuals. We therefore aimed to determine whether handedness independently affects the relationship between volatile anaesthetic concentration and the bispectral index, the incidence of definite or possible intra-operative awareness with explicit recall, or postoperative mortality. We studied 5585 patients in this secondary analysis of data collected in a multicentre clinical trial. There were 4992 (89.4%) right-handed and 593 (10.6%) non-right-handed patients. Handedness was not associated with (a) an alteration in anaesthetic sensitivity in terms of the relationship between the bispectral index and volatile anaesthetic concentration (estimated effect on the regression relationship -0.52 parallel shift; 95% CI -1.27 to 0.23, p = 0.17); (b) the incidence of intra-operative awareness with 26/4992 (0.52%) right-handed vs 1/593 (0.17%) non-right-handed (difference = 0.35%; 95% CI -0.45 to 0.63%; p = 0.35); or (c) postoperative mortality rates (90-day relative risk for non-right-handedness 1.19, 95% CI 0.76-1.86; p = 0.45). Thus, no change in anaesthetic management is indicated for non-right-handed patients.

  18. Intra-Operative Lymphatic Mapping and Sentinel Node Biopsy in Laryngeal Carcinoma: Preliminary Results

    PubMed Central

    Khadivi, Ehsan; Daghighi, Maryam; Khazaeni, Kamran; Dabbagh Kakhki, Vahid Reza; Zarifmahmoudi, Leili; Sadeghi, Ramin

    2015-01-01

    Introduction: Sentinel node mapping has been used for laryngeal carcinoma in several studies, with excellent results thus far. In the current study, we report our preliminary results on sentinel node mapping in laryngeal carcinoma using intra-operative peri-tumoral injection of a radiotracer. Materials and Methods: Patients with biopsy-proven squamous cell carcinoma of the larynx were included in the study. Two mCi/0.4 cc Tc-99m-phytate in four aliquots was injected on the day of surgery, after induction of anesthesia, in the sub-mucosal peri-tumoral location using a suspension laryngoscopy. After waiting for 10 minutes, a portable gamma probe was used to search for sentinel nodes. All patients underwent laryngectomy and modified radical bilateral neck dissection. All sentinel nodes and removed non-sentinel nodes were examined by hematoxylin and eosin (H&E) staining. Results: Ten patients with laryngeal carcinoma were included. At least one sentinel node could be detected in five patients (bilateral nodes in four patients). One patient had pathologically involved sentinel and non-sentinel nodes (no false-negative cases). Conclusion: Sentinel node mapping in laryngeal carcinoma is technically feasible using an intra-operative radiotracer injection. In order to evaluate the relationship of T-stage and the laterality of the tumor with accuracy, larger studies are needed. PMID:26788477

  19. Intra-operative probe for brain cancer: feasibility study

    NASA Astrophysics Data System (ADS)

    Vu Thi, M. H.; Charon, Y.; Duval, M. A.; Lefebvre, F.; Menard, L.; Pitre, S.; Pinot, L.; Siebert, R.

    2007-07-01

    The present work aims a new medical probe for surgeons devoted to brain cancers, in particular glioblastoma multiforme. Within the last years, our group has started the development of a new intra-operative beta imaging probe. More recently, we took an alternative approach for the same application: a fluorescence probe. In both cases the purpose is to differentiate normal from tumor brain tissue. In a first step, we developed set-ups capable to measure autofluorescence. They are based on a dedicated epi-fluorescence design and on specific fiber optic probes. Relative signal amplitude, spectral shape and fluorescence lifetime measurements are foreseen to distinguish normal and cancer tissue by analyzing fluorophores like NADH, lipopigments and porphyrines. The autofluorescence spectra are recorded in the 460-640 nm range with a low resolution spectrometer. For lifetime measurements a fast detector (APD) is used together with a TCSPC-carte. Intrinsic wavelength- and time-resolutions are a few nm and 200 ps, respectively. Different samples have been analyzed to validate our new detection system and to allow a first configuration of our medical fluorescence probe. First results from the tissue measurements are shown.

  20. A Planning and Budget Management System for Day Care.

    ERIC Educational Resources Information Center

    Byers, Bruce B.

    Federal guidelines and pressures for accountability make it essential that more and better planning management information be made available concerning the delivery of day care services. With the existence of a fully developed and operational system, planning and management of resource allocations can be made that can lead to an improved quality…

  1. Intra-Operative Vertebroplasty Combined with Posterior Cord Decompression

    PubMed Central

    Allegretti, Luca; Mavilio, Nicola; Fiaschi, Pietro; Bragazzi, Roberto; Pacetti, Mattia; Castelletti, Lara; Saitta, Laura; Castellan, Lucio

    2014-01-01

    Summary Percutaneous vertebroplasty (VP) is a minimally invasive technique for the treatment of vertebral pathology providing early vertebral stabilization and pain relief. In cases of vertebral pathology complicated by spinal cord compression with associated neurological deficits, VP alone cannot be performed free of risks. We describe a combined approach in which decompressive laminectomy and intra-operative vertebroplasty (IVP) are performed during a single session. Among the 252 VP performed in our centre in the past three years, 12 patients (12 vertebral levels) with different pathologies (six symptomatic haemangiomas, two metastatic fractures, four osteoporotic fractures) were treated with an open procedure combined with surgery. All cases were treated with decompressive laminectomy and IVP (mono/bipeduncular or median-posterior trans-somatic access). Five patients with symptomatic haemangiomas were treated with endovascular embolization prior to the combined approach. A visual analogue scale (VAS) was applied to assess pain intensity before and after surgery. The neurological deficits were evaluated with an ASIA impairment scale. In all cases benefit from pain and neurological deficits was observed. The mean VAS score decreased from 7.8 to 2.5 after surgery. The ASIA score improved in all cases (five cases from D to E and five cases from C to D). No clinical complications were observed. In one case a CT scan performed after the procedure showed a foraminal accumulation of PMMA, but the patient referred no symptoms. IVP can be successfully applied in different pathologies affecting the vertebrae. In our limited series this approach proved safe and efficient to provide decompression of spinal cord and dural sac and vertebral body stabilization in a single session. PMID:25363261

  2. The intra-operative radius joystick test to diagnose complete disruption of the interosseous membrane.

    PubMed

    Soubeyrand, M; Ciais, G; Wassermann, V; Kalouche, I; Biau, D; Dumontier, C; Gagey, O

    2011-10-01

    Disruption of the interosseous membrane is easily missed in patients with Essex-Lopresti syndrome. None of the imaging techniques available for diagnosing disruption of the interosseous membrane are completely dependable. We undertook an investigation to identify whether a simple intra-operative test could be used to diagnose disruption of the interosseous membrane during surgery for fracture of the radial head and to see if the test was reproducible. We studied 20 cadaveric forearms after excision of the radial head, ten with and ten without disruption of the interosseous membrane. On each forearm, we performed the radius joystick test: moderate lateral traction was applied to the radial neck with the forearm in maximal pronation, to look for lateral displacement of the proximal radius indicating that the interosseous membrane had been disrupted. Each of six surgeons (three junior and three senior) performed the test on two consecutive days. Intra-observer agreement was 77% (95% confidence interval (CI) 67 to 85) and interobserver agreement was 97% (95% CI 92 to 100). Sensitivity was 100% (95% CI 97 to 100), specificity 88% (95% CI 81 to 93), positive predictive value 90% (95% CI 83 to 94), and negative predictive value 100%). This cadaveric study suggests that the radius joystick test may be useful for detecting disruption of the interosseous membrane in patients undergoing open surgery for fracture of the radial head and is reproducible. A confirmatory study in vivo is now required.

  3. Estimation of intra-operative brain shift using a tracked laser range scanner.

    PubMed

    Ding, Siyi; Miga, Michael I; Thompson, Reid C; Dumpuri, Prashanth; Cao, Aize; Dawant, Benoit M

    2007-01-01

    Intra-operative brain shift limits the usefulness of image-guided neurosurgery systems (IGNS), which are based on pre-operative images. Methods that are being developed to address this problem need intra-operative measurements as input. In this work, we present an intra-operative surface shift measurement technique that relies on a tracked 3D laser range scanner. This scanner acquires both 3D range data and 2D images, which are co-registered. We compare two methods to derive displacements at every point in the field of view. The first one relies on the registration of the 2D images; the second relies on the direct 3D registration of the 3D range data. Our results, based on five data sets, show that the 2D method is preferable.

  4. Intra-operative femoral neck fracture during attempted dislocation of a reduced hemi-arthroplasty.

    PubMed

    Ling, Samuel Ka Kin; Ma, Chun Man; Lui, Tun Hing

    2015-05-01

    Fragility hip fractures are increasingly common and hemiarthroplasty is one of the standard treatments. Although a common surgery, it should be performed with great caution because of the poor premorbid and bone quality in this demographic. Intra-operative fractures can occur while attempting press fit of the femoral implant. However; vigilance often steps down once the implant is secured and the hip reduced. This case report reminds surgeons that a large amount of torque can be transmitted during intra-operative positioning, such as during an attempt of hip dislocation. This torque, in addition to the risk factor of osteoporotic bone, can result in iatrogenic fractures. Published literature regarding management of an intra-operative fracture while the prosthetic hip is still reduced is lacking. The authors propose that temporary prophylactic cerclage wiring is a prudent and safe procedure prior to hip dislocation.

  5. Radiation protection for an intra-operative X-ray device

    PubMed Central

    Eaton, D J; Gonzalez, R; Duck, S; Keshtgar, M

    2011-01-01

    Objectives Therapeutic partial breast irradiation can be delivered intra-operatively using the Intrabeam 50 kVp compact X-ray device. Spherical applicators are added to the source to give an isotropic radiation dose. The low energy of this unit leads to rapid attenuation with distance, but dose rates are much greater than for diagnostic procedures. Methods To investigate the shielding requirements for this unit, attenuation measurements were carried out with manufacturer-provided tungsten–rubber sheets, lead, plasterboard and bricks. A prospective environmental dose rate survey was also conducted in the designated theatre. Results As a result of isotropic geometry, the scattered dose around shielding can be 1% of primary and thus often dominates measured dose rates compared with transmission. The absorbed dose rate of the unshielded source at 1 m was 11.6 mGy h−1 but this was reduced by 95% with the shielding sheets. Measured values for the common shielding materials were similar to reference data for the attenuation of a 50 kVp diagnostic X-ray beam. Two lead screens were constructed to shield operators remaining in the theatre and an air vent into a service corridor. A lead apron would also provide suitable attenuation, although a screen allows greater flexibility for treatment operators. With these measures, staff doses were reduced to negligible quantities. Survey measurements taken during patient treatments confirmed no additional measures were required, but the theatre should be a controlled area and access restricted. Conclusion Results from this study and reference data can be used for planning other facilities. PMID:21304003

  6. Use of virtual slide system for quick frozen intra-operative telepathology diagnosis in Kyoto, Japan.

    PubMed

    Tsuchihashi, Yasunari; Takamatsu, Terumasa; Hashimoto, Yukimasa; Takashima, Tooru; Nakano, Kooji; Fujita, Setsuya

    2008-07-15

    We started to use virtual slide (VS) and virtual microscopy (VM) systems for quick frozen intra-operative telepathology diagnosis in Kyoto, Japan. In the system we used a digital slide scanner, VASSALO by CLARO Inc., and a broadband optic fibre provided by NTT West Japan Inc. with the best effort capacity of 100 Mbps. The client is the pathology laboratory of Yamashiro Public Hospital, one of the local centre hospitals located in the south of Kyoto Prefecture, where a full-time pathologist is not present. The client is connected by VPN to the telepathology centre of our institute located in central Kyoto. As a result of the recent 15 test cases of VS telepathology diagnosis, including cases judging negative or positive surgical margins, we could estimate the usefulness of VS in intra-operative remote diagnosis. The time required for the frozen section VS file making was found to be around 10 min when we use x10 objective and if the maximal dimension of the frozen sample is less than 20 mm. Good correct focus of VS images was attained in all cases and all the fields of each tissue specimen. Up to now the capacity of best effort B-band appears to be sufficient to attain diagnosis on time in intra-operation. Telepathology diagnosis was achieved within 5 minutes in most cases using VS viewer provided by CLARO Inc. The VS telepathology system was found to be superior to the conventional still image telepathology system using a robotic microscope since in the former we can observe much greater image information than in the latter in a certain limited time of intra-operation and in the much more efficient ways. In the near future VS telepathology will replace conventional still image telepathology with a robotic microscope even in quick frozen intra-operative diagnosis.

  7. Safety, effectiveness and economic evaluation of intra-operative radiation therapy: a systematic review

    PubMed Central

    Najafipour, Farshad; Hamouzadeh, Pejman; Arabloo, Jalal; Mobinizadeh, Mohammadreza; Norouzi, Amir

    2015-01-01

    Background: Intra-operative radiation therapy (IORT) is the transfer of a single large radiation dose to the tumor bed during surgery with the final goal of improving regional tumor control. This study aimed to investigate the safety, effectiveness and economic evaluation of intra-operative radiation therapy. Methods: The scientific literature was searched in the main biomedical databases (Centre for Reviews and Dissemination, Cochrane Library and PubMed) up to March 2014. Two independent reviewers selected the papers based on pre-established inclusion criteria, with any disagreements being resolved by consensus. Data were then extracted and summarized in a structured form. Results from studies were analyzed and discussed within a descriptive synthesis. Results: Sixteen studies met the inclusion criteria. It seems that outcomes from using intraoperative radiation therapy can be considered in various kinds of cancers like breast, pancreatic and colorectal cancers. The application of this method may provide significant survival increase only for colorectal cancer, but this increase was not significant for other types of cancer. This technology had low complications; and it is relatively safe. Using intra-operative radiation therapy could potentially be accounted as a cost-effective strategy for controlling and managing breast cancer. Conclusion: According to the existing evidences, that are the highest medical evidences for using intra-operative radiation therapy, one can generally conclude that intra-operative radiation therapy is considered as a relatively safe and cost-effective method for managing early-stage breast cancer and it can significantly increase the survival of patients with colorectal cancer. Also, the results of this study have policy implications with respect to the reimbursement of this technology. PMID:26793649

  8. Safety and feasibility of intra-operative device closure of atrial septal defect with transthoracic minimal invasion

    PubMed Central

    Chen, Qiang; Cao, Hua; Zhang, Gui-Can; Chen, Liang-Wan; Chen, Dao-Zhong

    2012-01-01

    OBJECTIVE The study aims to evaluate the safety and feasibility of intra-operative device closure of atrial septal defect with transthoracic minimal invasion. METHODS From May 2006 to June 2009, 252 patients with secundum-type atrial septal defect closure were enrolled in our institution. The patients were divided into two groups, with 182 patients in group I with intra-operative device closure and 72 in group II with surgical closure. In group I, the patients’ age ranged from 3 months to 62 years (mean ± standard deviation, 19.0 ± 16.7 years). This approach involved a transthoracic minimal invasion that was performed after full evaluation of the atrial septal defect by transthoracic echocardiography, deploying the device through the delivery sheath to occlude the atrial septal defect. RESULTS In group I, 180 patients were occluded successfully under this approach. The size of the occluder device implanted ranged from 6 to 48 mm. Minor complications occurred, which included transient arrhythmias (n = 23) and pleural effusion (n = 15). Two patients with postoperative cardiac arrest were successfully cardiopulmonary resuscitated. Another two patients with occluder dislodged back into the right atrium were turned to surgical repair with cardiopulmonary bypass on the postoperative day. In group II, all patients were occluded successfully, and almost all patients needed blood transfusion and suffered from various minor complications. All discharged patients were followed up for 1–5 years. During this period, we found no recurrence, no thrombosis, even no device failure. In our comparative studies, group II had significantly longer intensive care unit (ICU) stay and hospital stay than group I (p < 0.05). The cost for group I was less than group II (p < 0.05). CONCLUSIONS Intra-operative device closure of atrial septal defect with transthoracic minimal invasion is a safe and feasible technique. It had the advantages of cost savings, yielding better

  9. The consequence of day-to-day stochastic dose deviation from the planned dose in fractionated radiation therapy.

    PubMed

    Paul, Subhadip; Roy, Prasun Kumar

    2016-02-01

    Radiation therapy is one of the important treatment procedures of cancer. The day-to-day delivered dose to the tissue in radiation therapy often deviates from the planned fixed dose per fraction. This day-to-day variation of radiation dose is stochastic. Here, we have developed the mathematical formulation to represent the day-to-day stochastic dose variation effect in radiation therapy. Our analysis shows that that the fixed dose delivery approximation under-estimates the biological effective dose, even if the average delivered dose per fraction is equal to the planned dose per fraction. The magnitude of the under-estimation effect relies upon the day-to-day stochastic dose variation level, the dose fraction size and the values of the radiobiological parameters of the tissue. We have further explored the application of our mathematical formulation for adaptive dose calculation. Our analysis implies that, compared to the premise of the Linear Quadratic Linear (LQL) framework, the Linear Quadratic framework based analytical formulation under-estimates the required dose per fraction necessary to produce the same biological effective dose as originally planned. Our study provides analytical formulation to calculate iso-effect in adaptive radiation therapy considering day-to-day stochastic dose deviation from planned dose and also indicates the potential utility of LQL framework in this context.

  10. Computed tomography, endoscopic, laparoscopic, and intra-operative sonography for assessing resectability of pancreatic cancer.

    PubMed

    Long, Eliza E; Van Dam, Jacques; Weinstein, Stefanie; Jeffrey, Brooke; Desser, Terry; Norton, Jeffrey A

    2005-08-01

    Pancreas cancer is the fourth leading cancer killer in adults. Cure of pancreas cancer is dependent on the complete surgical removal of localized tumor. A complete surgical resection is dependent on accurate preoperative and intra-operative imaging of tumor and its relationship to vital structures. Imaging of pancreatic tumors preoperatively and intra-operatively is achieved by pancreatic protocol computed tomography (CT), endoscopic ultrasound (EUS), laparoscopic ultrasound (LUS), and intra-operative ultrasound (IOUS). Multi-detector CT with three-dimensional (3-D) reconstruction of images is the most useful preoperative modality to assess resectability. It has a sensitivity and specificity of 90 and 99%, respectively. It is not observer dependent. The images predict operative findings. EUS and LUS have sensitivities of 77 and 78%, respectively. They both have a very high specificity. Further, EUS has the ability to biopsy tumor and obtain a definitive tissue diagnosis. IOUS is a very sensitive (93%) method to assess tumor resectability during surgery. It adds little time and no morbidity to the operation. It greatly facilitates the intra-operative decision-making. In reality, each of these methods adds some information to help in determining the extent of tumor and the surgeon's ability to remove it. We rely on pancreatic protocol CT with 3-D reconstruction and either EUS or IOUS depending on the tumor location and operability of the tumor and patient. With these modern imaging modalities, it is now possible to avoid major operations that only determine an inoperable tumor. With proper preoperative selection, surgery is able to remove tumor in the majority of patients.

  11. Liposomally formulated phospholipid-conjugated indocyanine green for intra-operative brain tumor detection and resection.

    PubMed

    Suganami, Akiko; Iwadate, Yasuo; Shibata, Sayaka; Yamashita, Masamichi; Tanaka, Tsutomu; Shinozaki, Natsuki; Aoki, Ichio; Saeki, Naokatsu; Shirasawa, Hiroshi; Okamoto, Yoshiharu; Tamura, Yutaka

    2015-12-30

    Some tumor-specific near-infrared (NIR) fluorescent dyes such as indocyanine green (ICG), IDRye800CW, and 5-aminolevulinic acid have been used clinically for detecting tumor margins or micro-cancer lesions. In this study, we evaluated the physicochemical properties of liposomally formulated phospholipid-conjugated ICG, denoted by LP-iDOPE, as a clinically translatable NIR imaging nanoparticle for brain tumors. We also confirmed its brain-tumor-specific biodistribution and its characteristics as the intra-operative NIR imaging nanoparticles for brain tumor surgery. These properties of LP-iDOPE may enable neurosurgeons to achieve more accurate identification and more complete resection of brain tumor.

  12. Peri- and intra-operative management of the goat during acute surgical experimentation.

    PubMed

    Flaherty, Devin C; Hoxha, Besim; Nelson, Shirley; Sun, Jie; Gurji, Hunaid; Simecka, Jerry W; Mallet, Robert T; Olivencia-Yurvati, Albert H; Daniels, Egeenee Q

    2010-03-01

    Goats are used as animal models for surgery and trauma research. The authors discuss appropriate methods for induction of anesthetics, intubation and surgical maintenance of the goat during acute experimentation. Risks imposed by the Q fever pathogen Coxiella burnetii are described, as well as measures that have proven effective in minimizing zoonotic transmission of this pathogen to laboratory personnel. With appropriate knowledge of its applications, peri- and intra-operative management and limitations, the goat is a suitable animal model for a variety of biomedical research applications.

  13. Accuracy of intra-operative frozen section analysis of ovarian tumours.

    PubMed

    Gorisek, B; Stare, M Rebolj; Krajnc, I

    2009-01-01

    During operative treatment for ovarian tumours assistance is frequently required to make decisions regarding malignancy status and the extent of the ensuing procedure. Intra-operative frozen section analysis may be useful, provided there is adequate acquaintance with the correlation between using frozen sections and permanent histopathological sections for diagnosis at the institution where the operation is being undertaken. This retrospective study aimed to determine this correlation. Findings from 131 intra-operative frozen sections were compared with the subsequent diagnosis from permanent histopathological sections for women with benign, borderline and malignant ovarian tumours at the Maribor Teaching Hospital (now the University Clinical Centre Maribor) between 1 January 1993 and 31 December 2001. Frozen-section findings corresponded to histopathological findings in 84.7% of cases, with 15.3% false-negative and no false-positive results. For benign, borderline and malignant ovarian tumours, sensitivity was 100.0%, 76.1% and 89.0%, respectively, and specificity was 90.6%, 90.6% and 100.0%, respectively. The majority of errors occurred in diagnosing mucinous borderline tumours. Precise pre-operative diagnosis is extremely important in the treatment of ovarian tumours.

  14. Belmont Hyperthermia Pump in the conduct of intra-operative heated chemotherapy.

    PubMed

    Riley, W

    2009-03-01

    Intra-operative heated chemotherapy (IOHC) has been performed in the Thoracic surgical department of Brigham and Women's Hospital (BWH, Boston, MA, USA) for over a decade. A "home-grown" system was developed for this purpose with limited improvements made to it through the years. This technology is used for neo-adjuvant therapy in the conduct of extra-pleural pneumonectomy and pleurectomy for treatment of mesothelioma. Improvements to the traditional BWH system were sought due to the hazardous nature of the chemotherapy solution and the relative complexity of the IOHC circuit. Belmont Instrument (Belmont Instrument Corporation, Billerica, MA, USA) applied their proprietary infusion/warming technology to develop the Belmont Hyperthermia Pump. The Hyperthermia Pump was designed to recirculate large volumes of fluid while maintaining perfusate temperatures up to 46oC at a flow rate of up to 750 ml/min. Approval from the FDA for clinical use of this device was granted June 2007. Parameters were defined and investigated to determine if the Hyperthermia Pump would meet or exceed the performance characteristics of the traditional BWH system. Our investigation resulted in the replacement of the traditional BWH circuit. The Belmont Hyperthermia Pump is a compact, easy to use, extremely safe means to deliver intra-operative hyperthermic chemotherapy in the conduct of surgical treatment of mesothelioma.

  15. Minimizing shoulder syndrome with intra-operative spinal accessory nerve monitoring for neck dissection.

    PubMed

    Lee, C-H; Huang, N-C; Chen, H-C; Chen, M-K

    2013-04-01

    The objective of this study was to analyze the safety and results of intra-operative SAN (spinal accessary nerve) monitoring during selective neck dissection, with emphasis on shoulder syndrome. Twenty-five consecutive patients with head and neck cancer were studied. Selective neck dissection was performed by a single clinical fellow under the supervision of the department chief using an intra-operative SAN monitor. Electrophysiological data were recorded after initial identification of the SAN and continued until just before closure. Electromyographic evaluation was carried out to assess SAN function one month postoperatively. Shoulder disability was also evaluated at this time using a questionnaire for shoulder syndrome (shrug, flexion, abduction, winging, and pain). No patients had postoperative shoulder syndrome involving shrug, flexion, abduction, or winging. Twenty-two of the 25 (88%) patients had shoulder pain, but the average pain score was low (2.3 ± 1.3). No patients had neck recurrence during at least 1 year of follow up. By using nerve monitoring during selective neck dissection, no patient developed significant "shoulder syndrome", with the exception of slight pain.

  16. The effect of intra-operative transcutaneous electrical nerve stimulation on posterior neck pain following thyroidectomy.

    PubMed

    Park, C; Choi, J B; Lee, Y-S; Chang, H-S; Shin, C S; Kim, S; Han, D W

    2015-04-01

    Posterior neck pain following thyroidectomy is common because full neck extension is required during the procedure. We evaluated the effect of intra-operative transcutaneous electrical nerve stimulation on postoperative neck pain in patients undergoing total thyroidectomy under general anaesthesia. One hundred patients were randomly assigned to one of two groups; 50 patients received transcutaneous electrical nerve stimulation applied to the trapezius muscle and 50 patients acted as controls. Postoperative posterior neck pain and anterior wound pain were evaluated using an 11-point numerical rating scale at 30 min, 6 h, 24 h and 48 h following surgery. The numerical rating scale for posterior neck pain was significantly lower in the transcutaneous electrical nerve stimulation group compared with the control group at all time points (p < 0.05). There were no significant differences in the numerical rating scale for anterior wound pain at any time point. No adverse effects related to transcutaneous electrical nerve stimulation were observed. We conclude that intra-operative transcutaneous electrical nerve stimulation applied to the trapezius muscle reduced posterior neck pain following thyroidectomy.

  17. Intra-operative 3D imaging system for robot-assisted fracture manipulation.

    PubMed

    Dagnino, G; Georgilas, I; Tarassoli, P; Atkins, R; Dogramadzi, S

    2015-01-01

    Reduction is a crucial step in the treatment of broken bones. Achieving precise anatomical alignment of bone fragments is essential for a good fast healing process. Percutaneous techniques are associated with faster recovery time and lower infection risk. However, deducing intra-operatively the desired reduction position is quite challenging due to the currently available technology. The 2D nature of this technology (i.e. the image intensifier) doesn't provide enough information to the surgeon regarding the fracture alignment and rotation, which is actually a three-dimensional problem. This paper describes the design and development of a 3D imaging system for the intra-operative virtual reduction of joint fractures. The proposed imaging system is able to receive and segment CT scan data of the fracture, to generate the 3D models of the bone fragments, and display them on a GUI. A commercial optical tracker was included into the system to track the actual pose of the bone fragments in the physical space, and generate the corresponding pose relations in the virtual environment of the imaging system. The surgeon virtually reduces the fracture in the 3D virtual environment, and a robotic manipulator connected to the fracture through an orthopedic pin executes the physical reductions accordingly. The system is here evaluated through fracture reduction experiments, demonstrating a reduction accuracy of 1.04 ± 0.69 mm (translational RMSE) and 0.89 ± 0.71 ° (rotational RMSE).

  18. Intra-operative 2-D ultrasound and dynamic 3-D aortic model registration for magnetic navigation of transcatheter aortic valve implantation.

    PubMed

    Luo, Zhe; Cai, Junfeng; Peters, Terry M; Gu, Lixu

    2013-11-01

    We propose a navigation system for transcatheter aortic valve implantation that employs a magnetic tracking system (MTS) along with a dynamic aortic model and intra-operative ultrasound (US) images. This work is motivated by the desire of our cardiology and cardiac surgical colleagues to minimize or eliminate the use of radiation in the interventional suite or operating room. The dynamic 3-D aortic model is constructed from a preoperative 4-D computed tomography dataset that is animated in synchrony with the real time electrocardiograph input of patient, and then preoperative planning is performed to determine the target position of the aortic valve prosthesis. The contours of the aortic root are extracted automatically from short axis US images in real-time for registering the 2-D intra-operative US image to the preoperative dynamic aortic model. The augmented MTS guides the interventionist during positioning and deployment of the aortic valve prosthesis to the target. The results of the aortic root segmentation algorithm demonstrate an error of 0.92±0.85 mm with a computational time of 36.13±6.26 ms. The navigation approach was validated in porcine studies, yielding fiducial localization errors, target registration errors, deployment distance, and tilting errors of 3.02±0.39 mm, 3.31±1.55 mm, 3.23±0.94 mm, and 5.85±3.06(°) , respectively.

  19. 78 FR 38070 - 30-Day Notice of Proposed Information Collection: Affirmative Fair Housing Marketing (AFHM) Plan

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-25

    ... URBAN DEVELOPMENT 30-Day Notice of Proposed Information Collection: Affirmative Fair Housing Marketing... Marketing (AFHM) Plan. OMB Approval Number: 2529-0013. Type of Request: Extension of a currently approved collection. Form Number: HUD-935.2A Affirmative Fair Housing Marketing (AFHM) Plan (Multifamily),...

  20. Validation of Fully Automated VMAT Plan Generation for Library-Based Plan-of-the-Day Cervical Cancer Radiotherapy

    PubMed Central

    Breedveld, Sebastiaan; Voet, Peter W. J.; Heijkoop, Sabrina T.; Mens, Jan-Willem M.; Hoogeman, Mischa S.; Heijmen, Ben J. M.

    2016-01-01

    Purpose To develop and validate fully automated generation of VMAT plan-libraries for plan-of-the-day adaptive radiotherapy in locally-advanced cervical cancer. Material and Methods Our framework for fully automated treatment plan generation (Erasmus-iCycle) was adapted to create dual-arc VMAT treatment plan libraries for cervical cancer patients. For each of 34 patients, automatically generated VMAT plans (autoVMAT) were compared to manually generated, clinically delivered 9-beam IMRT plans (CLINICAL), and to dual-arc VMAT plans generated manually by an expert planner (manVMAT). Furthermore, all plans were benchmarked against 20-beam equi-angular IMRT plans (autoIMRT). For all plans, a PTV coverage of 99.5% by at least 95% of the prescribed dose (46 Gy) had the highest planning priority, followed by minimization of V45Gy for small bowel (SB). Other OARs considered were bladder, rectum, and sigmoid. Results All plans had a highly similar PTV coverage, within the clinical constraints (above). After plan normalizations for exactly equal median PTV doses in corresponding plans, all evaluated OAR parameters in autoVMAT plans were on average lower than in the CLINICAL plans with an average reduction in SB V45Gy of 34.6% (p<0.001). For 41/44 autoVMAT plans, SB V45Gy was lower than for manVMAT (p<0.001, average reduction 30.3%), while SB V15Gy increased by 2.3% (p = 0.011). AutoIMRT reduced SB V45Gy by another 2.7% compared to autoVMAT, while also resulting in a 9.0% reduction in SB V15Gy (p<0.001), but with a prolonged delivery time. Differences between manVMAT and autoVMAT in bladder, rectal and sigmoid doses were ≤ 1%. Improvements in SB dose delivery with autoVMAT instead of manVMAT were higher for empty bladder PTVs compared to full bladder PTVs, due to differences in concavity of the PTVs. Conclusions Quality of automatically generated VMAT plans was superior to manually generated plans. Automatic VMAT plan generation for cervical cancer has been implemented in

  1. Celebrate Your Freedom--Assuring Equal Justice for All. Law Day 2002 Planning Guide.

    ERIC Educational Resources Information Center

    White, Charles, Ed.

    The theme for Law Day 2002 was set long before the tragic events of September 11, 2001, and its aftermath. The vision of Law Day planners was to plan programs on how the courts and legal system seek to assure equal access to justice for all people. This guide gives planners the tools for programs and discussions on legal aid, the "pro bono…

  2. An effective intra-operative neurophysiological monitoring scheme for aneurysm clipping and spinal fusion surgeries

    NASA Astrophysics Data System (ADS)

    Goryawala, Mohammed; Yaylali, Ilker; Cabrerizo, Mercedes; Vedala, Krishnatej; Adjouadi, Malek

    2012-04-01

    Somatosensory-evoked potentials (SSEPs) have been widely used for intra-operative neurophysiological monitoring (IONM). Currently at least 200-300 trials are required to generate a readable SSEP signal. This study introduces a novel approach that yields accurate detection results of the SSEP signal yet with a significantly reduced number of trials, resulting in an effectual monitoring process. The analysis was performed on data recorded in seven patients undergoing surgery, where the posterior tibial nerve was stimulated and the SSEP response was recorded from scalp electroencephalography using two bipolar electrodes, C3-C4 and CZ-FZ. The proposed approach employs an innovative, simple yet effective algorithm based on a patient-specific Gaussian template to detect the SSEP using only 30 trials. The time latencies of the P37 and N45 peaks are detected along with the peak-to-peak amplitudes. The time latencies are detected with a mean accuracy greater than 95%. Also, the P37 and N45 peak latencies and the peak-to-peak amplitude were found to be consistent throughout the surgical procedure within the 10% and 50% acceptable clinical limits, respectively. The results obtained support the assertion that the algorithm is capable of detecting SSEPs with high accuracy and consistency throughout the entire surgical procedure using only 30 trials.

  3. POCI: A compact high resolution {gamma} camera for intra-operative surgical use

    SciTech Connect

    Menard, L.; Charon, Y.; Solal, M.; Laniece, P.; Mastrippolito, R.; Pinot, L.; Ploux, L.; Valentin, L. |; Ricard, M.

    1998-06-01

    The development of a hand-held {gamma} imaging probe for inside body localization of small tumors is of first interest for radio-guided operative cancer surgery. In that context, the authors have developed a sub-millimeter spatial resolution, small field of view, {gamma} per-operative compact imager (POCI). It consists of a head module composed of a high resolution tungsten collimator and a YAP:Ce crystal plate, optically coupled to an intensified position sensitive diode (IPSD). The authors report here the essential imaging performance characteristics of the POCI camera (spatial resolution, position linearity, efficiency and energy response). These were obtained by studying the influence of the collimator and the crystal design to evaluate the optimal configuration. The present version of POCI has a 24 mm diameter usable field of view and an intrinsic spatial resolution of 0.9 mm to 1.2 mm FWHM at 120 keV. These good detection performance characteristics combined with the small size of the camera make the device well suited to provide intra-operative monitoring in several medical procedures, such as thyroid and breast tumor removal.

  4. Intra-operative correction of Taylor Spatial Frame without a computer.

    PubMed

    Heidari, Nima; Hughes, Andrew; Atkins, Roger M

    2013-02-01

    The Taylor Spatial Frame (TSF) is a circular external fixator used to treat complex fractures and skeletal deformities. The device consists of 2 rings attached to bone by wires or half pins, connected by universal hinge joints to 6 independent telescopic struts, creating a hexapod. The output piece is defined as the movable ring, which has 6 degree of freedom relative to the other ring, which is the base. With 6 degree of freedom, the movable platform is capable of moving in 3 linear directions and 3 angular directions singularly or in any combination. These hexapod devices require complex mathematical software programs to accurately control the output piece. In the case of the TSF, the deformity and positional frame parameters can be indentified on postoperative radiographs. They are then input into internet-based software to calculate strut adjustments required to achieve deformity correction. When treating fractures with the TSF, the rings can be connected using FastFx struts. These struts can be locked in position or left in a sliding mode (unlocked) allowing manual manipulation of the frame to acutely correct the position of the fracture fragments. This reduction is rarely perfect however and often requires further postoperative frame adjustments using software calculations. We describe an intra-operative method for accurately adjusting the frame in its locked mode without the need for software input.

  5. a New Mobile Electron Accelerator for Intra Operative Electron Radiation Therapy

    NASA Astrophysics Data System (ADS)

    Adrich, P.; Baczewski, A.; Baran, M.; Drabik, W.; Gryn, K.; Hanke, R.; Jakubowska, E.; Jankowski, E.; Kędzierski, G.; Kielar, N.; Kujawiński, Ł.; Kopeć, J.; Kosiński, K.; Kozioł, R.; Kraszewski, P.; Krawczyk, P.; Kulczycka, E.; Lalik, P.; Marczenko, M.; Masternak, A.; Misiarz, A.; Olszewski, J.; Ozon, K.; Pławski, E.; Polak, A.; Psonka, W.; Rutkowska, M.; Rzadkiewicz, J.; Sienkiewicz, Z.; Staszczak, M.; Swat, K.; Syntfeld-Każuch, A.; Terka, M.; Wasilewski, A.; Wilczek, J.; Wojciechowski, M.; Wójtowicz, M.; Wronka, S.; Wysocka-Rabin, A.; Zalewski, K.

    2014-02-01

    A demonstrator of a new, highly mobile, robotized linear electron accelerator for Intra Operative Electron Radiation Therapy (IOERT) is under construction at National Centre for Nuclear Studies. In an IOERT treatment, a high dose of electron radiation is delivered in a single fraction directly to an exposed location after tumor ablation during oncological surgery. Due to the fact that the tumor can be located anywhere in the body, a high maneuverability of the accelerator and its adaptability to anatomical conditions are required. Moreover, since the treatment is usually executed in an unshielded operation room, the radiation protection issues are of principal importance. To assure safety of the patient and medical personnel, the therapeutic head is designed to constrain the radiation to the volume of the tumor lodge while minimizing leakage and stray radiation. For these reasons, construction of accelerators for IOERT differs considerably from the construction of linear electron accelerators for external beam radiation therapy. This paper presents some challenges and solutions in construction of the accelerator and in particular its therapeutic head with beam forming system.

  6. Photo-acoustic imaging of blue nanoparticle targeted brain tumor for intra-operative glioma delineation

    NASA Astrophysics Data System (ADS)

    Ray, Aniruddha; Wang, Xueding; Koo Lee, Yong-Eun; Hah, HoeJin; Kim, Gwangseong; Chen, Thomas; Orrienger, Daniel; Sagher, Oren; Kopelman, Raoul

    2011-07-01

    Distinguishing the tumor from the background neo-plastic tissue is challenging for cancer surgery such as surgical resection of glioma. Attempts have been made to use visible or fluorescent markers to delineate the tumors during surgery. However, the systemic injection of the dyes requires high dose, resulting in negative side effects. A novel method to delineate rat brain tumors intra-operatively, as well as post-operatively, using a highly sensitive photoacoustic imaging technique enhanced by tumor targeting blue nanoparticle as contrast agent is demonstrated. The nanoparticles are made of polyacrylamide (PAA) matrix with covalently linked Coomassie-Blue dye. They contain 7.0% dye and the average size is 80nm. Their surface was conjugated with F3 peptide for active tumor targeting. These nanoparticles are nontoxic, chemically inert and have long plasma circulation lifetime, making them suitable as nanodevices for imaging using photoacoustics. Experiments on phantoms and rat brains tumors ex-vivo demonstrate the high sensitivity of photoacoustic imaging in delineating the tumor, containing contrast agent at concentrations too low to be visualized by eye. The control tumors without nanoparticles did not show any enhanced signal. This study shows that photoacoustic imaging facilitated with the nanoparticle contrast agent could contribute to future surgical procedures for glioma.

  7. An investigation into the causes of unexpected intra-operative transoesophageal echocardiography findings.

    PubMed

    Skinner, H J; Mahmoud, A; Uddin, A; Mathew, T

    2012-04-01

    There is uncertainty regarding echocardiography before cardiac surgery, especially with regard to timing and disease progression as well as potential errors. We investigated the causes of unexpected intra-operative transoesophageal echocardiography findings by performing a 33-month audit. We found that there were 50/797 (6%) unexpected findings that led to an alteration in surgical strategy in 34 (4%) patients. Of the unexpected findings, 25 (50%) were unrelated to pre-operative pathology. After reviewing pre-operative studies and reports, unexpected findings were found to be due to: reporting errors in 20 patients (44%); limitations in transthoracic compared to transoesophageal echocardiography in 14 patients (30%); disease progression in 10 patients (22%); and inter-observer variability in two patients (4%). We identified six reports out of 797 (0.8%) that contained potentially serious errors. Surgical management changed in 18/20 (90%) patients in whom the unexpected change was due to reporting error, compared to 16/30 (53%) patients whose pre-operative echocardiogram was correctly reported (p = 0.006). Our study suggests that pre-operative echocardiography reporting errors are common and important.

  8. 26 CFR 11.412(c)-7 - Election to treat certain retroactive plan amendments as made on the first day of the plan year.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... amendments as made on the first day of the plan year. 11.412(c)-7 Section 11.412(c)-7 Internal Revenue... treat certain retroactive plan amendments as made on the first day of the plan year. (a) General rule... the date of the close of the first plan year to which the amendment applies and the date on which...

  9. 26 CFR 11.412(c)-7 - Election to treat certain retroactive plan amendments as made on the first day of the plan year.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... amendments as made on the first day of the plan year. 11.412(c)-7 Section 11.412(c)-7 Internal Revenue... treat certain retroactive plan amendments as made on the first day of the plan year. (a) General rule... the date of the close of the first plan year to which the amendment applies and the date on which...

  10. 26 CFR 11.412(c)-7 - Election to treat certain retroactive plan amendments as made on the first day of the plan year.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... amendments as made on the first day of the plan year. 11.412(c)-7 Section 11.412(c)-7 Internal Revenue... treat certain retroactive plan amendments as made on the first day of the plan year. (a) General rule... the date of the close of the first plan year to which the amendment applies and the date on which...

  11. 26 CFR 11.412(c)-7 - Election to treat certain retroactive plan amendments as made on the first day of the plan year.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... amendments as made on the first day of the plan year. 11.412(c)-7 Section 11.412(c)-7 Internal Revenue... treat certain retroactive plan amendments as made on the first day of the plan year. (a) General rule... the date of the close of the first plan year to which the amendment applies and the date on which...

  12. 26 CFR 11.412(c)-7 - Election to treat certain retroactive plan amendments as made on the first day of the plan year.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... amendments as made on the first day of the plan year. 11.412(c)-7 Section 11.412(c)-7 Internal Revenue... treat certain retroactive plan amendments as made on the first day of the plan year. (a) General rule... the date of the close of the first plan year to which the amendment applies and the date on which...

  13. Influence of root canal instrumentation and obturation techniques on intra-operative pain during endodontic therapy

    PubMed Central

    Martín-González, Jenifer; Echevarría-Pérez, Marta; Sánchez-Domínguez, Benito; Tarilonte-Delgado, Maria L.; Castellanos-Cosano, Lizett; López-Frías, Francisco J.

    2012-01-01

    Objective: To analyse the influence of root canal instrumentation and obturation techniques on intra-operative pain experienced by patients during endodontic therapy. Method and Materials: A descriptive cross-sectional study was carried out in Ponferrada and Sevilla, Spain, including 80 patients (46 men and 34 women), with ages ranged from 10 to 74 years, randomly recruited. Patient gender and age, affected tooth, pulpal diagnosis, periapical status, previous NSAID or antibiotic (AB) treatment, and root canal instrumentation and obturation techniques were recorded. After root canal treatment (RCT), patients completed a 10-cm visual analogue scale (VAS) that ranked the level of pain. Results were analysed statistically using the Chi-square and ANOVA tests and logistic regression analysis. Results: The mean pain level during root canal treatment was 2.9 ± 3.0 (median = 2) in a VAS between 0 and 10. Forty percent of patients experienced no pain. Gender, age, arch, previous NSAIDs or AB treatment and anaesthetic type did not influence significantly the pain level (p > 0.05). Pain during root canal treatment was significantly greater in molar teeth (OR = 10.1; 95% C.I. = 1.6 - 63.5; p = 0.013). Root canal instrumentation and obturation techniques did not affect significantly patient’s pain during root canal treatment (p > 0.05). Conclusion: Patients feel more pain when RCT is carried out on molar teeth. The root canal instrumentation and obturation techniques do not affect significantly the patients’ pain during RCT. Key words:Anaesthesia, endodontic pain, pulpitis, root canal instrumentation, root canal obturation, rotary files. PMID:22549694

  14. Potential predictors for the amount of intra-operative brain shift during deep brain stimulation surgery

    NASA Astrophysics Data System (ADS)

    Datteri, Ryan; Pallavaram, Srivatsan; Konrad, Peter E.; Neimat, Joseph S.; D'Haese, Pierre-François; Dawant, Benoit M.

    2011-03-01

    A number of groups have reported on the occurrence of intra-operative brain shift during deep brain stimulation (DBS) surgery. This has a number of implications for the procedure including an increased chance of intra-cranial bleeding and complications due to the need for more exploratory electrodes to account for the brain shift. It has been reported that the amount of pneumocephalus or air invasion into the cranial cavity due to the opening of the dura correlates with intraoperative brain shift. Therefore, pre-operatively predicting the amount of pneumocephalus expected during surgery is of interest toward accounting for brain shift. In this study, we used 64 DBS patients who received bilateral electrode implantations and had a post-operative CT scan acquired immediately after surgery (CT-PI). For each patient, the volumes of the pneumocephalus, left ventricle, right ventricle, third ventricle, white matter, grey matter, and cerebral spinal fluid were calculated. The pneumocephalus was calculated from the CT-PI utilizing a region growing technique that was initialized with an atlas-based image registration method. A multi-atlas-based image segmentation method was used to segment out the ventricles of each patient. The Statistical Parametric Mapping (SPM) software package was utilized to calculate the volumes of the cerebral spinal fluid (CSF), white matter and grey matter. The volume of individual structures had a moderate correlation with pneumocephalus. Utilizing a multi-linear regression between the volume of the pneumocephalus and the statistically relevant individual structures a Pearson's coefficient of r = 0.4123 (p = 0.0103) was found. This study shows preliminary results that could be used to develop a method to predict the amount of pneumocephalus ahead of the surgery.

  15. Intra-operative vertebroplasty combined with posterior cord decompression. A report of twelve cases.

    PubMed

    Allegretti, Luca; Mavilio, Nicola; Fiaschi, Pietro; Bragazzi, Roberto; Pacetti, Mattia; Castelletti, Lara; Saitta, Laura; Castellan, Lucio

    2014-10-31

    Percutaneous vertebroplasty (VP) is a minimally invasive technique for the treatment of vertebral pathology providing early vertebral stabilization and pain relief. In cases of vertebral pathology complicated by spinal cord compression with associated neurological deficits, VP alone cannot be performed free of risks. We describe a combined approach in which decompressive laminectomy and intra-operative vertebroplasty (IVP) are performed during a single session. Among the 252 VP performed in our centre in the past three years, 12 patients (12 vertebral levels) with different pathologies (six symptomatic haemangiomas, two metastatic fractures, four osteoporotic fractures) were treated with an open procedure combined with surgery. All cases were treated with decompressive laminectomy and IVP (mono/bipeduncular or median-posterior trans-somatic access). Five patients with symptomatic haemangiomas were treated with endovascular embolization prior to the combined approach. A visual analogue scale (VAS) was applied to assess pain intensity before and after surgery. The neurological deficits were evaluated with an ASIA impairment scale. In all cases benefit from pain and neurological deficits was observed. The mean VAS score decreased from 7.8 to 2.5 after surgery. The ASIA score improved in all cases (five cases from D to E and five cases from C to D). No clinical complications were observed. In one case a CT scan performed after the procedure showed a foraminal accumulation of PMMA, but the patient referred no symptoms. IVP can be successfully applied in different pathologies affecting the vertebrae. In our limited series this approach proved safe and efficient to provide decompression of spinal cord and dural sac and vertebral body stabilization in a single session.

  16. A novel intra-operative positron imager for rapid localization of tumor margins

    NASA Astrophysics Data System (ADS)

    Sabet, Hamid; Stack, Brendan C.; Nagarkar, Vivek V.

    2014-03-01

    We have developed an intra-operative and compact imaging tool for surgeons to detect PET- positive lesions. Currently, most such probes on the market are non-imaging, and provide no ancillary information of surveyed areas, such as clear delineations of malignant tissues. Our probe consists of a novel hybrid scintillator coupled to a compact silicon photomultiplier (SiPM) array with associated front-end electronics encapsulated in an ergonomic housing. Pulse shape discrimination electronics has been implemented and integrated into the downstream data acquisition system. The hybrid scintillator consists of a 0.4 mm thick layer of CsI:Tl scintillator coupled to a 1 mm thick LYSO crystal. To achieve high spatial resolution, CsI:Tl is pixelated to 0.5×0.5 mm2 pixels using laser ablation technique. While CsI:Tl act as beta-sensitive scintillator, LYSO senses the gamma radiation and can be used to navigate the probe to the locations of interest. The gamma response is also subtracted from the beta image for improved SNR and contrast. To achieve accurate centroid position estimation and uniform beta sensitivity over the entire imaging area, the LYSO thickness is optimized such that it acts as scintillation light diffuser by spreading CsI:Tl light over multiple SiPM pixels. The results show that the response of the two scintillators exposed to radiation could be easily distinguished based on their pulse shapes. The probe's spatial resolution is <1.5 mm FWHM in its 10×10 mm2 effective imaging area. The probe can rapidly detect and localize nCi levels of F-18 beta radiation even in presence of strong gamma background.

  17. Protecting Patients from an Unsafe System: The Etiology & Recovery of Intra-Operative Deviations in Care

    PubMed Central

    Hu, Yue-Yung; Arriaga, Alexander F.; Roth, Emilie M.; Peyre, Sarah E.; Corso, Katherine A.; Swanson, Richard S.; Osteen, Robert T.; Schmitt, Pamela; Bader, Angela M.; Zinner, Michael J.; Greenberg, Caprice C.

    2012-01-01

    Objective To understand the etiology and resolution of unanticipated events in the operating room (OR). Background The majority of surgical adverse events occur intra-operatively. The OR represents a complex, high-risk system. The influence of different human, team, and organizational/environmental factors on safety and performance is unknown. Methods We video-recorded and transcribed 10 high-acuity operations, representing 43.7 hours of patient care. Deviations, defined as delays and/or episodes of decreased patient safety, were identified by majority consensus of a multidisciplinary team. Factors that contributed to each event and/or mitigated its impact were determined and attributed to the patient, providers, or environment/organization. Results Thirty-three deviations (10 delays, 17 safety compromises, 6 both) occurred – with a mean of one every 79.4 minutes. These deviations were multifactorial (mean 3.1 factors). Problems with communication and organizational structure appeared repeatedly at the root of both types of deviations. Delays tended to be resolved with vigilance, communication, coordination, and cooperation, while mediation of safety compromises was most frequently accomplished with vigilance, leadership, communication, and/or coordination. The organization/environment was not found to play a direct role in compensation. Conclusions Unanticipated events are common in the OR. Deviations result from poor organizational/environmental design and suboptimal team dynamics, with caregivers compensating to avoid patient harm. While recognized in other high risk domains, such human resilience has not yet been described in surgery and has major implications for the design of safety interventions. PMID:22750753

  18. SU-E-T-756: Tissue Inhomogeneity Corrections in Intra-Operative Radiotherapy

    SciTech Connect

    Sethi, A; Chinsky, B; Gros, S; Diak, A; Roeske, J; Emami, B; Small, W

    2015-06-15

    Purpose: Investigate the impact of tissue inhomogeneities on dose distributions produced by low-energy X-rays in intra-operative radiotherapy (IORT). Methods: A 50-kV INTRABEAM X-ray device with superficial (Flat and Surface) applicators was commissioned at our institution. For each applicator, percent depth-dose (PDD), dose-profiles (DP) and output factors (OF) were obtained. Calibrated GaFchromic (EBT3) films were used to measure dose distributions in solid water phantom at various depths (2, 5, 10, and 15 mm). All recommended precautions for film-handling, film-exposure and scanning were observed. The effects of tissue inhomogeneities on dose distributions were examined by placing air-cavities and bone and tissue equivalent materials of different density (ρ), atomic number (Z), and thickness (t = 0–4mm) between applicator and film detector. All inhomogeneities were modeled as a cylindrical cavity (diameter 25 mm). Treatment times were calculated to deliver 1Gy dose at 5mm depth. Film results were verified by repeat measurements with a thin-window parallel plate ion-chamber (PTW 34013A) in a water tank. Results: For a Flat-4cm applicator, the measured dose rate at 5mm depth in solid water was 0.35 Gy/min. Introduction of a cylindrical air-cavity resulted in an increased dose past the inhomogeneity. Compared to tissue equivalent medium, dose enhancement due to 1mm, 2mm, 3mm and 4mm air cavities was 10%, 16%, 24%, and 35% respectively. X-ray attenuation by 2mm thick cortical bone resulted in a significantly large (58%) dose decrease. Conclusion: IORT dose calculations assume homogeneous tissue equivalent medium. However, soft X-rays are easily affected by non-tissue equivalent materials. The results of this study may be used to estimate and correct IORT dose delivered in the presence of tissue inhomogeneities.

  19. Imaging of spatially extended hot spots with coded apertures for intra-operative nuclear medicine applications

    NASA Astrophysics Data System (ADS)

    Kaissas, I.; Papadimitropoulos, C.; Potiriadis, C.; Karafasoulis, K.; Loukas, D.; Lambropoulos, C. P.

    2017-01-01

    Coded aperture imaging transcends planar imaging with conventional collimators in efficiency and Field of View (FOV). We present experimental results for the detection of 141 keV and 122 keV γ-photons emitted by uniformly extended 99mTc and 57Co hot-spots along with simulations of uniformly and normally extended 99mTc hot-spots. These results prove that the method can be used for intra-operative imaging of radio-traced sentinel nodes and thyroid remnants. The study is performed using a setup of two gamma cameras, each consisting of a coded-aperture (or mask) of Modified Uniformly Redundant Array (MURA) of rank 19 positioned on top of a CdTe detector. The detector pixel pitch is 350 μm and its active area is 4.4 × 4.4 cm2, while the mask element size is 1.7 mm. The detectable photon energy ranges from 15 keV up to 200 keV with an energy resolution of 3–4 keV FWHM. Triangulation is exploited to estimate the 3D spatial coordinates of the radioactive spots within the system FOV. Two extended sources, with uniform distributed activity (11 and 24 mm in diameter, respectively), positioned at 16 cm from the system and with 3 cm distance between their centers, can be resolved and localized with accuracy better than 5%. The results indicate that the estimated positions of spatially extended sources lay within their volume size and that neighboring sources, even with a low level of radioactivity, such as 30 MBq, can be clearly distinguished with an acquisition time about 3 seconds.

  20. Role of intra-operative contrast-enhanced ultrasound (CEUS) in robotic-assisted nephron-sparing surgery.

    PubMed

    Alenezi, Ahmad N; Karim, Omer

    2015-03-01

    This review examines studies of intra-operative contrast-enhanced ultrasound (CEUS) and its emerging role and advantages in robotic-assisted nephron-sparing surgery. Contrast-enhanced ultrasound is a technology that combines the use of second-generation contrast agents consisting of microbubbles with existent ultrasound techniques. Until now, this novel technology has aided surgeons with procedures involving the liver. However, with recent advances in the CEUS technique and the introduction of robotics in nephron-sparing surgery, CEUS has proven to be efficacious in answering several clinical questions with respect to the kidneys. In addition, the introduction of the microbubble-based contrast agents has increased the image quality and signal uptake by the ultrasound probe. This has led to better, enhanced scanning of the macro and microvasculature of the kidneys, making CEUS a powerful diagnostic modality. This imaging method is capable of further lowering the learning curve and warm ischemia time (WIT) during robotic-assisted nephron-sparing surgery, with its increased level of capillary perfusion and imaging. CEUS has the potential to increase the sensitivity and specificity of intra-operative images, and can significantly improve the outcome of robotic-assisted nephron-sparing surgery by increasing the precision and diagnostic insight of the surgeon. The purpose of this article is to review the practical and potential uses of CEUS as an intra-operative imaging technique during robotic-assisted nephron-sparing surgery.

  1. Biomechanics of the intra-operative lateral decubitus position for the scoliotic spine: effect of the pelvic obliquity.

    PubMed

    Lalonde, Nadine M; Aubin, Carl-Eric; Parent, Stefan; Pannetier, Romain; Villemure, Isabelle

    2010-01-01

    The intra-operative prone position used for the posterior instrumentation of scoliotic patients has been shown to reduce the spinal deformities prior to instrumentation by 37% on average. However, the effects of the lateral decubitus position used for anterior approaches and minimally invasive techniques have not been investigated. The objectives were to characterize, model and study the biomechanics of this intra-operative posture. Several clinical indices were measured on the pre- and intra-operative radiographs of six scoliotic patients. A personalized finite element mode (FEM) was developed using the pre-op 3D reconstruction, and a three-step method was developed to simulate the lateral decubitus positioning. Two additional intra-op postures, simulating different pelvic obliquities, were also tested by varying the inclination of L5. The radiographic evaluation of the lateral decubitus position showed a significant reduction of 44% of the major curve with 18 mm of apical vertebra translation. The FEM was able to reproduce the intra-op spine geometry with no significant difference with the measured values. Simulations also showed that the pelvic obliquity had different effects on the lumbar and major Cobb angles depending on the scoliotic curve type. The lateral decubitus posture reduces significantly the scoliotic curvatures prior to instrumentation, which was dependent on the pelvic obliquity.

  2. Sub-optimality in motor planning is retained throughout 9 days practice of 2250 trials

    PubMed Central

    Ota, Keiji; Shinya, Masahiro; Kudo, Kazutoshi

    2016-01-01

    Optimality in motor planning, as well as accuracy in motor execution, is required to maximize expected gain under risk. In this study, we tested whether humans are able to update their motor planning. Participants performed a coincident timing task with an asymmetric gain function, in which optimal response timing to gain the highest total score depends on response variability. Their behaviours were then compared using a Bayesian optimal decision model. After 9 days of practicing 2250 trials, the total score increased, and temporal variance decreased. On the other hand, the participants showed consistent risk-seeking or risk-averse behaviour, preserving suboptimal motor planning. These results suggest that a human’s computational ability to calculate an optimal motor plan is limited, and it is difficult to improve it through repeated practice with a score feedback. PMID:27869198

  3. Montecarlo simulation code in optimisation of the IntraOperative Radiation Therapy treatment with mobile dedicated accelerator

    NASA Astrophysics Data System (ADS)

    Catalano, M.; Agosteo, S.; Moretti, R.; Andreoli, S.

    2007-06-01

    The principle of optimisation of the EURATOM 97/43 directive foresees that for all medical exposure of individuals for radiotherapeutic purposes, exposures of target volumes shall be individually planned, taking into account that doses of non-target volumes and tissues shall be as low as reasonably achievable and consistent with the intended radiotherapeutic purpose of the exposure. Treatment optimisation has to be carried out especially in non conventional radiotherapic procedures, as Intra Operative Radiation Therapy (IORT) with mobile dedicated LINear ACcelerator (LINAC), which does not make use of a Treatment Planning System. IORT is carried out with electron beams and refers to the application of radiation during a surgical intervention, after the removal of a neoplastic mass and it can also be used as a one-time/stand alone treatment in initial cancer of small volume. IORT foresees a single session and a single beam only; therefore it is necessary to use protection systems (disks) temporary positioned between the target volume and the underlying tissues, along the beam axis. A single high Z shielding disk is used to stop the electrons of the beam at a certain depth and protect the tissues located below. Electron back scatter produces an enhancement in the dose above the disk, and this can be reduced if a second low Z disk is placed above the first. Therefore two protection disks are used in clinical application. On the other hand the dose enhancement at the interface of the high Z disk and the target, due to back scattering radiation, can be usefully used to improve the uniformity in treatment of thicker target volumes. Furthermore the dose above the disks of different Z material has to be evaluated in order to study the optimal combination of shielding disks that allow both to protect the underlying tissues and to obtain the most uniform dose distribution in target volumes of different thicknesses. The dose enhancement can be evaluated using the electron

  4. Use of auditory evoked potentials for intra-operative awareness in anesthesia: a consciousness-based conceptual model.

    PubMed

    Dong, Xuebao; Suo, Puxia; Yuan, Xin; Yao, Xuefeng

    2015-01-01

    Auditory evoked potentials (AEPs) have been used as a measure of the depth of anesthesia during the intra-operative process. AEPs are classically divided, on the basis of their latency, into first, fast, middle, slow, and late components. The use of auditory evoked potential has been advocated for the assessment of Intra-operative awareness (IOA), but has not been considered seriously enough to universalize it. It is because we have not explored enough the impact of auditory perception and auditory processing on the IOA phenomena as well as on the subsequent psychological impact of IOA on the patient. More importantly, we have seldom tried to look at the phenomena of IOP from the perspective of consciousness itself. This perspective is especially important because many of IOA phenomena exist in the subconscious domain than they do in the conscious domain of explicit recall. Two important forms of these subconscious manifestations of IOA are the implicit recall phenomena and post-operative dreams related to the operation. Here, we present an integrated auditory consciousness-based model of IOA. We start with a brief description of auditory awareness and the factors affecting it. Further, we proceed to the evaluation of conscious and subconscious information processing by auditory modality and how they interact during and after intra-operative period. Further, we show that both conscious and subconscious auditory processing affect the IOA experience and both have serious psychological implications on the patient subsequently. These effects could be prevented by using auditory evoked potential during monitoring of anesthesia, especially the mid-latency auditory evoked potentials (MLAERs). To conclude our model with present hypothesis, we propose that the use of auditory evoked potential should be universal with general anesthesia use in order to prevent the occurrences of distressing outcomes resulting from both conscious and subconscious auditory processing during

  5. Beliefs and values about intra-operative teaching and learning: a case study of surgical teachers and trainees.

    PubMed

    Ong, Caroline C P; Dodds, Agnes; Nestel, Debra

    2016-08-01

    Surgeons require advanced psychomotor skills, critical decision-making and teamwork skills. Much of surgical skills training involve progressive trainee participation in supervised operations where case variability, operating team interaction and environment affect learning, while surgical teachers face the key challenge of ensuring patient safety. Using a theoretical framework of situated learning including cognitive apprenticeship, we explored teachers' and trainees' beliefs and values about intra-operative training and reasons for any differences. A qualitative case study method was used where five teacher-trainee pairs participating in an observed teaching operation were separately interviewed about the same operation. Thematic analysis of transcribed interviews and observations was performed with iterative refinement and a reflexive approach was adopted throughout the study. We found that in all cases, teachers and trainees had shared recognition of learning about technical skills whereas they differed in three cases regarding non-technical skills such as surgical reasoning and team management. Factors contributing to teacher and trainee satisfaction with the process were successful trainee completion of operation without need for surgeon take-over, a positive learning environment and learning new things. Teaching-learning behaviours observed and discussed were modeling, coaching and scaffolding, while exploration, reflection and articulation were less common. Our study reveals differing teacher and trainee perspectives of some aspects of intra-operative training and surfaces new reasons other than amount of feedback and autonomy given. Factors contributing to different perspectives include teacher and trainee abilities, values and situational influences. Targeted teaching-learning strategies could enhance intra-operative learning.

  6. Laser-IORT: a laser-driven source of relativistic electrons suitable for Intra-Operative Radiation Therapy of tumors

    SciTech Connect

    Gamucci, A.; Giulietti, A.; Gizzi, L. A.; Labate, L.; Bourgeois, N.; Marques, J. R.; Ceccotti, T.; Dobosz, S.; D'Oliveira, P.; Monot, P.; Popescu, H.; Reau, F.; Martin, Ph.; Galy, J.; Giulietti, D.; Hamilton, D. J.; Sarri, G.

    2010-02-02

    In a recent experiment [1] a high efficiency regime of stable electron acceleration to kinetic energies ranging from 10 to 40 MeV has been achieved. The main parameters of the electron bunches are comparable with those of bunches provided by commercial Radio-Frequency based Linacs currently used in Hospitals for Intra-Operative Radiation Therapy (IORT). IORT is an emerging technique applied in operating theaters during the surgical treatment of tumors. Performances and structure of a potential laser-driven Hospital accelerator are compared in detail with the ones of several commercial devices. A number of possible advantages of the laser based technique are also discussed.

  7. Multiple Pre-operative and Intra-operative Factors Predict Early Fistula Thrombosis in the Hemodialysis Fistula Maturation Study

    PubMed Central

    Farber, Alik; Imrey, Peter B.; Huber, Thomas S.; Kaufman, James M.; Kraiss, Larry W.; Larive, Brett; Li, Liang; Feldman, Harold I.

    2015-01-01

    OBJECTIVES Early thrombosis (ET) contributes to autogenous arteriovenous fistula (AVF) failure. We studied patients undergoing AVF placement in the Hemodialysis Fistula Maturation (HFM) Study, a prospective, observational cohort study, using a nested case-control analysis to identify pre-operative and intra-operative predictors of ET. METHODS ET cases were compared to controls who were matched on gender, age, diabetes, dialysis status, and surgeon fistula volume. ET was defined as thrombosis diagnosed by physical exam or ultrasound within 18 days of AVF creation. Conditional logistic regression models were fit to identify risk factors for ET. RESULTS Thirty-two ET cases (5.3%) occurred among 602 study participants; 198 controls were matched. ET was associated with female gender (OR=2.75, CI 1.19–6.38, P=0.018), fistula location (forearm vs. upper arm) (OR=2.76, CI 1.05–7.23, P=0.039), feeding artery (radial vs. brachial) (OR=2.64, CI 1.03–6.77, P=0.043) and arterial diameter (OR=1.52, CI 1.02–2.26, P=0.039, per mm smaller). Draining vein diameter was nonlinearly associated with ET, with highest risk in 2–3 mm veins. Surprisingly, ET risk was lower in diabetics (OR=0.19, CI 0.07–0.47, P=0.0004), lower with less nitroglycerin-mediated brachial artery dilatation (NMD%) (OR=0.42, CI 0.20–1.92, P=0.029 for each 10% lower) and higher with lower carotid-femoral pulse wave velocity (OR=1.49, CI 1.02–2.20, P=0.041, for each m/sec lower). Intraoperative protamine use was associated with a higher ET risk (OR 3.26, CI 1.28-∞, P=0.038). Surgeon’s intraoperative perceptions were associated with ET: surgeons’ greater concern about maturation success (likely, marginal, unlikely) was associated with higher thrombosis risk (OR 8.09, CI 4.03-∞, p<0.0001, per category change), as were absence vs. presence of intraoperative thrill (OR 21.0, CI 5.07-∞, P=0.0002) and surgeons’ reported frustration during surgery (OR 6.85, CI 2.70-∞, P=0.0004). Reduced extent

  8. Wild Orangutan Males Plan and Communicate Their Travel Direction One Day in Advance

    PubMed Central

    van Schaik, Carel P.; Damerius, Laura; Isler, Karin

    2013-01-01

    The ability to plan for the future beyond immediate needs would be adaptive to many animal species, but is widely thought to be uniquely human. Although studies in captivity have shown that great apes are capable of planning for future needs, it is unknown whether and how they use this ability in the wild. Flanged male Sumatran orangutans (Pongo abelii) emit long calls, which females use to maintain earshot associations with them. We tested whether long calls serve to communicate a male's ever-changing predominant travel direction to facilitate maintaining these associations. We found that the direction in which a flanged male emits his long calls predicts his subsequent travel direction for many hours, and that a new call indicates a change in his main travel direction. Long calls given at or near the night nest indicate travel direction better than random until late afternoon on the next day. These results show that male orangutans make their travel plans well in advance and announce them to conspecifics. We suggest that such a planning ability is likely to be adaptive for great apes, as well as in other taxa. PMID:24040357

  9. Semi-automated registration of pre- and intra-operative liver CT for image-guided interventions

    NASA Astrophysics Data System (ADS)

    Gunay, Gokhan; Ha, Luu Manh; van Walsum, Theo; Klein, Stefan

    2016-03-01

    Percutaneous radio frequency ablation is a method for liver tumor treatment when conventional surgery is not an option. It is a minimally invasive treatment and may be performed under CT image guidance if the tumor does not give sufficient contrast on ultrasound images. For optimal guidance, registration of the pre-operative contrast-enhanced CT image to the intra-operative CT image is hypothesized to improve guidance. This is a highly challenging registration task due to large differences in pose and image quality. In this study, we introduce a semi-automated registration algorithm to address this problem. The method is based on a conventional nonrigid intensity-based registration framework, extended with a novel point-to-surface constraint. The point-to-surface constraint serves to improve the alignment of the liver boundary, while requiring minimal user interaction during the operation. The method assumes that a liver segmentation of the pre-operative CT is available. After an initial nonrigid registration without the point-to-surface constraint, the operator clicks a few points on the liver surface at those regions where the nonrigid registration seems inaccurate. In a subsequent registration step, these points on the intra-operative image are driven towards the liver surface on the preoperative image, using a penalty term added to the registration cost function. The method is evaluated on five clinical datasets and it is shown to improve registration compared with conventional rigid and nonrigid registrations in all cases.

  10. The suitability of an uncemented hydroxyapatite coated (HAC) hip hemiarthroplasty stem for intra-capsular femoral neck fractures in osteoporotic elderly patients: the Metaphyseal-Diaphyseal Index, a solution to preventing intra-operative periprosthetic fracture.

    PubMed

    Chana, Rishi; Mansouri, Reza; Jack, Chris; Edwards, Max R; Singh, Ravi; Keller, Carmel; Khan, Farid

    2011-11-18

    This study will seek to identify a measurable radiographic index, the Metaphyseal-Diaphyseal Index (MDI) score to determine whether intra-operative fracture in osteoporotic bone can be predicted.A 5 year prospective cohort of 560 consecutive patients, undergoing hemiarthroplasty (cemented or uncemented), was evaluated. A nested case-control study to determine risk factors affecting intra-operative fracture was carried out. The Vancouver Classification was used to classify periprosthetic fracture. The MDI score was calculated using radiographs from the uncemented group. As a control (gold standard), Yeung et al's Canal Bone Ratio (CBR) score was also calculated. From this, a receiver operating characteristic (ROC) curve was formulated for both scores and area under the curve (AUC) compared. Intra and inter-observer correlations were determined. Cost analysis was also worked out for adverse outcomes. Four hundred and seven uncemented and one hundred and fifty-three cemented stems were implanted. The use of uncemented implants was the main risk factor for intra-operative periprosthetic fracture. Sixty-two periprosthetic fractures occurred in the uncemented group (15.2%), nine occurred in the cemented group (5.9%), P < 0.001. The revision rate for sustaining a periprosthetic fracture (uncemented group) was 17.7%, P < 0.001 and 90 day mortality 19.7%, P < 0.03. MDI's AUC was 0.985 compared to CBR's 0.948, P < 0.001. The MDI score cut-off to predict fracture was 21, sensitivity 98.3%, specificity 99.8%, positive predictive value 90.5% and negative predictive value 98%. Multivariate regression analysis ruled out any other confounding factors as being significant. The intra and inter-observer Pearson correlation scores were r = 0.99, P < 0.001. JRI uncemented hemiarthroplasty has a significantly higher intra-operative fracture rate. We recommend cemented arthroplasty for hip fractures. We propose a radiographic system that may allow surgeons to select patients who are good

  11. Utility of intra-operative ultrasound in choosing the appropriate site for blood pressure monitoring in Takayasu's arteritis.

    PubMed

    Narasimha, Prasad Krishnamurthy; Chaudhuri, Souvik; Joseph, Tim Thomas

    2013-01-01

    Takayasu's arteritis (TA) is rare, chronic progressive, pan-endarteritis involving the aorta and its main branches, with a specific predilection for young Asian women. Anaesthesia for TA patients is complicated by their severe uncontrolled hypertension, extreme arterial blood pressure differentials, aortic regurgitation (AR), end-organ dysfunction, stenosis/aneurysms of major blood vessels and difficulties encountered in monitoring arterial blood pressure. We present the usefulness of ultrasound during anaesthetic management of a 35-year-old woman posted for emergency caesarean section due to intra-uterine growth retardation, foetal tachycardia in active labour, who was already diagnosed to have TA along with moderate AR and uncontrolled hypertension, using epidural technique. The use of intra-operative doppler helped resolve the initial dilemma about the diagnosis and treatment of the differential blood pressure between the affected and the normal upper limb in the absence of prior arteriogram.

  12. Is "intra-operating room" thromboelastometry useful in liver transplantation? A case-control study in 303 patients.

    PubMed

    Alamo, J-M; León, A; Mellado, P; Bernal, C; Marín, L M; Cepeda, C; Suárez, G; Serrano, J; Padillo, J; Gómez, M-Á

    2013-01-01

    Coagulation monitoring during liver transplantation (LT) is, even today, fundamental to reduce blood loss during surgery. Thromboelastometry (TEM) is a proven technique for controlling the various parameters that influence coagulation. However, there are no studies linking "intra-operating room" TEM (orTEM) with LT outcomes. We describe a case-control study in 303 liver graft recipients analyzing variables associated with operative complications and long-term LT outcomes. The results showed that orTEM reduced the use of blood products in patients with Model for End-Stage Liver Disease scores of ≥ 21, retransplantation, and high surgical difficulty and important intraoperative bleeding. In addition, results in survival and postoperative complications were better when orTEM was used. In conclusion, we confirm that use of orTEM is associated with less use of blood products and a lower rate of complications after LT.

  13. Prognostic value of intra-operative abnormal muscle response monitoring during microvascular decompression for long-term outcome of hemifacial spasm.

    PubMed

    Li, Jiping; Zhang, Yuqing; Zhu, Hongwei; Li, Yongjie

    2012-01-01

    The reliability of intra-operative abnormal muscle response (AMR) monitoring as an indicator of post-operative outcome in patients with hemifacial spasm (HFS) is under debate. The primary aim of this study was to evaluate the correlation between intra-operative AMR changes and long-term post-operative outcome. We monitored intra-operative AMR during microvascular decompression (MVD) in consecutive patients with HFS (n = 104). Patients in this study were divided into two groups based on whether their AMR disappeared or persisted following MVD. Ninety patients were followed-up, and the mean duration from surgery to final follow-up examination was 3.7 years. Fourteen patients were lost to follow-up. AMR disappeared during surgery for 80 patients; of these, 74 achieved complete resolution of HFS, five had persistent HFS, and one patient developed a recurrence of HFS. Of the 10 patients with persistent AMR despite effective MVD, eight patients achieved complete resolution, one patient had persistent HFS, and one developed recurrent HFS. The long-term clinical outcome of HFS after MVD did not significantly correlate with intra-operative AMR changes (p = 0.791). Therefore, we suggest that intra-operative AMR monitoring may not be a reliable indicator of long-term post-operative outcome for HFS.

  14. Intra-operative preparation of autologous bone marrow-derived CD34-enriched cellular products for cardiac therapy

    PubMed Central

    DONNENBERG, ALBERT D.; DONNENBERG, VERA S.; GRIFFIN, DEBORAH L.; MOORE, LINDA R.; TEKINTURHAN, FERDA; KORMOS, ROBERT L.

    2014-01-01

    Background and Aims With the advent of regenerative therapy, there is renewed interest in the use of bone marrow as a source of adult stem and progenitor cells, including cell subsets prepared by immunomagnetic selection. Cell selection must be rapid, efficient and performed according to current good manufacturing practices. In this report we present a methodology for intra-operative preparation of CD34+ selected autologous bone marrow for autologous use in patients receiving coronary artery bypass grafts or left ventricular assist devices. Methods and Results We developed a rapid erythrocyte depletion method using hydroxyethyl starch and low-speed centrifugation to prepare large-scale (mean 359 mL) bone marrow aspirates for separation on a Baxter Isolex 300i immunomagnetic cell separation device. CD34 recovery after erythrocyte depletion was 68.3 ± 20.2%, with an average depletion of 91.2 ± 2.8% and an average CD34 content of 0.58 ± 0.27%. After separation, CD34 purity was 64.1 ± 17.2%, with 44.3 ± 26.1% recovery and an average dose of 5.0 ± 2.7 × 10 6 CD34+ cells/product. In uncomplicated cases CD34-enriched cellular products could be accessioned, prepared, tested for release and administered within 6 h. Further analysis of CD34+ bone marrow cells revealed a significant proportion of CD45– CD34+ cells. Conclusions Intra-operative immunomagnetic separation of CD34-enriched bone marrow is feasible using rapid low-speed Hetastarch sedimentation for erythrocyte depletion. The resulting CD34-enriched product contains CD45– cells that may represent non-hematopoietic or very early hematopoietic stem cells that participate in tissue regeneration. PMID:21062114

  15. Randomized trial for superiority of high field strength intra-operative magnetic resonance imaging guided resection in pituitary surgery.

    PubMed

    Tandon, Vivek; Raheja, Amol; Suri, Ashish; Chandra, P Sarat; Kale, Shashank S; Kumar, Rajinder; Garg, Ajay; Kalaivani, Mani; Pandey, Ravindra M; Sharma, Bhawani S

    2017-03-01

    Till date there are no randomized trials to suggest the superiority of intra-operative magnetic resonance imaging (IOMRI) guided trans-sphenoidal pituitary resection over two dimensional fluoroscopic (2D-F) guided resections. We conducted this trial to establish the superiority of IOMRI in pituitary surgery. Primary objective was to compare extent of tumor resection between the two study arms. It was a prospective, randomized, outcome assessor and statistician blinded, two arm (A: IOMRI, n=25 and B: 2D-F, n=25), parallel group clinical trial. 4 patients from IOMRI group cross-over to 2D-F group and were consequently analyzed in latter group, based on modified intent to treat method. A total of 50 patients were enrolled till completion of trial (n=25 in each study arm). Demographic profile and baseline parameters were comparable among the two arms (p>0.05) except for higher number of endoscopic procedures and experienced neurosurgeons (>10years) in arm B (p=0.02, 0.002 respectively). Extent of resection was similar in both study arms (A, 94.9% vs B, 93.6%; p=0.78), despite adjusting for experience of operating surgeon and use of microscope/endoscope for surgical resection. We observed that use of IOMRI helped optimize the extent of resection in 5/20 patients (25%) for pituitary tumor resection in-group A. Present study failed to observe superiorty of IOMRI over conventional 2D-F guided resection in pituitary macroadenoma surgery. By use of this technology, younger surgeons could validate their results intra-operatively and hence could increase EOR without causing any increase in complications.

  16. Towards intra-operative diagnosis of tumours during breast conserving surgery by selective-sampling Raman micro-spectroscopy

    NASA Astrophysics Data System (ADS)

    Kong, Kenny; Zaabar, Fazliyana; Rakha, Emad; Ellis, Ian; Koloydenko, Alexey; Notingher, Ioan

    2014-10-01

    Breast-conserving surgery (BCS) is increasingly employed for the treatment of early stage breast cancer. One of the key challenges in BCS is to ensure complete removal of the tumour while conserving as much healthy tissue as possible. In this study we have investigated the potential of Raman micro-spectroscopy (RMS) for automated intra-operative evaluation of tumour excision. First, a multivariate classification model based on Raman spectra of normal and malignant breast tissue samples was built and achieved diagnosis of mammary ductal carcinoma (DC) with 95.6% sensitivity and 96.2% specificity (5-fold cross-validation). The tumour regions were discriminated from the healthy tissue structures based on increased concentration of nucleic acids and reduced concentration of collagen and fat. The multivariate classification model was then applied to sections from fresh tissue of new patients to produce diagnosis images for DC. The diagnosis images obtained by raster scanning RMS were in agreement with the conventional histopathology diagnosis but were limited to long data acquisition times (typically 10 000 spectra mm-2, which is equivalent to ~5 h mm-2). Selective-sampling based on integrated auto-fluorescence imaging and Raman spectroscopy was used to reduce the number of Raman spectra to ~20 spectra mm-2, which is equivalent to an acquisition time of ~15 min for 5 × 5 mm2 tissue samples. This study suggests that selective-sampling Raman microscopy has the potential to provide a rapid and objective intra-operative method to detect mammary carcinoma in tissue and assess resection margins.

  17. A day in the life of managed care: Health Alliance Plan's Medicare Appeals Specialist Yolanda Dodson.

    PubMed

    2001-01-01

    Yolanda Dodson began working for Health Alliance Plan (HAP) as a high school co-op student. Through 11 years in HAP's Claims and Claims Processing Departments, as well as six months spent as a telephone customer service representative, she developed a knowledge of managed care and customer service and gained valuable first-hand experience with members' concerns. Now Dodson is a Medicare Appeals Specialist, one of two staff people handling HMO and HAP Senior Plus (HAP's Medicare+Choice program) grievances and appeals. She serves as an "advocate for the member" as she investigates their cases within a tight mandatory deadline, recommends a resolution, and submits them for consideration to HAP medical directors. The following is a glimpse at one her typical days at HAP's Detroit offices.

  18. Correlation between 3D-MRCP and intra-operative findings in right liver donors

    PubMed Central

    Ragab, Aly; Lopez-Soler, Reyold I.; Oto, Aytekin

    2013-01-01

    A correct preoperative definition of the hepatic duct confluence anatomy of right liver living donors is a pivotal step in determining their candidacy for donation and planning the surgery. The purposes of this study are to evaluate the accuracy of three-dimensional Magnetic Resonance Cholangiography (3D MRCP) when compared with intraoperative cholangiography (IOC) in assessing biliary anatomy and to identify imaging characteristics that may help predict the yield of hepatic duct orifices in the right liver graft. Twenty consecutive right liver donors were imaged with 3D MRCP and IOC. The MRCP and IOC findings were compared, and the results confirmed against actual donor anatomy. Three-D MRCP accurately predicted the biliary anatomy in 18 of 20 cases. Specificity and positive predictive value of 3D MRCP in defining normal biliary anatomy was 100%. In 2 patients, 3D MRCP failed to indentify abnormal anatomy. The yield of more than one hepatic duct was associated with: (I) The presence of abnormal biliary anatomy, (II) The length of the main right hepatic duct, and (III) The presence of an acute angle at the confluence of right and left hepatic duct. In conclusion, 3D MRCP reliably represents normal biliary anatomy. The presence of anatomical variations decreases MRCP sensitivity and makes IOC or duct probing a necessary tool for accurately performing the transection of the right hepatic duct. PMID:24570909

  19. 77 FR 23747 - Notice of Availability of the Proposed John Day Basin Resource Management Plan and Final...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-20

    ... classifications of river segments deemed suitable for inclusion in the National Wild and Scenic River System, and... Decision signed 1985), Two Rivers RMP (1986), and Baker RMP (1989). The John Day RMP was amended in 1995. In 2001, the John Day River Plan amended portions of all three RMPs. New information and...

  20. First Clinical Experience of Intra-Operative High Intensity Focused Ultrasound in Patients with Colorectal Liver Metastases: A Phase I-IIa Study

    PubMed Central

    Dupré, Aurélien; Melodelima, David; Pérol, David; Chen, Yao; Vincenot, Jérémy; Chapelon, Jean-Yves; Rivoire, Michel

    2015-01-01

    Background Surgery is the only curative treatment in patients with colorectal liver metastases (CLM), but only 10–20% of patients are eligible. High Intensity Focused Ultrasound (HIFU) technology is of proven value in several indications, notably prostate cancer. Its intra-operative use in patients with CLM has not previously been studied. Preclinical work suggested the safety and feasibility of a new HIFU device capable of ablating volumes of up to 2cm x 2cm in a few seconds. Methods We conducted a prospective, single-centre phase I-IIa trial. HIFU was delivered immediately before scheduled hepatectomy. To demonstrate the safety and efficacy of rapidly ablating liver parenchyma, ablations were performed on healthy tissue within the areas scheduled for resection. Results In total, 30 ablations were carried out in 15 patients. These ablations were all generated within 40 seconds and on average measured 27.5mm x 21.0mm. The phase I study (n = 6) showed that use of the HIFU device was feasible and safe and did not damage neighbouring tissue. The phase IIa study (n = 9) showed both that the area of ablation could be precisely targeted on a previously implanted metallic mark (used to represent a major anatomical structure) and that ablations could be undertaken deliberately to avoid such a mark. Ablations were achieved with a precision of 1–2 mm. Conclusion HIFU was feasible, safe and effective in ablating areas of liver scheduled for resection. The next stage is a phase IIb study which will attempt ablation of small metastases with a 5 mm margin, again prior to planned resection. Trial Registration ClinicalTrials.govNCT01489787 PMID:25719540

  1. MO-E-BRD-03: Intra-Operative Breast Brachytherapy: Is One Stop Shopping Best? [Non-invasive Image-Guided Breast Brachytherapy

    SciTech Connect

    Libby, B.

    2015-06-15

    Is Non-invasive Image-Guided Breast Brachytherapy Good? – Jess Hiatt, MS Non-invasive Image-Guided Breast Brachytherapy (NIBB) is an emerging therapy for breast boost treatments as well as Accelerated Partial Breast Irradiation (APBI) using HDR surface breast brachytherapy. NIBB allows for smaller treatment volumes while maintaining optimal target coverage. Considering the real-time image-guidance and immobilization provided by the NIBB modality, minimal margins around the target tissue are necessary. Accelerated Partial Breast Irradiation in brachytherapy: is shorter better? - Dorin Todor, PhD VCU A review of balloon and strut devices will be provided together with the origins of APBI: the interstitial multi-catheter implant. A dosimetric and radiobiological perspective will help point out the evolution in breast brachytherapy, both in terms of devices and the protocols/clinical trials under which these devices are used. Improvements in imaging, delivery modalities and convenience are among the factors driving the ultrashort fractionation schedules but our understanding of both local control and toxicities associated with various treatments is lagging. A comparison between various schedules, from a radiobiological perspective, will be given together with a critical analysis of the issues. to review and understand the evolution and development of APBI using brachytherapy methods to understand the basis and limitations of radio-biological ‘equivalence’ between fractionation schedules to review commonly used and proposed fractionation schedules Intra-operative breast brachytherapy: Is one stop shopping best?- Bruce Libby, PhD. University of Virginia A review of intraoperative breast brachytherapy will be presented, including the Targit-A and other trials that have used electronic brachytherapy. More modern approaches, in which the lumpectomy procedure is integrated into an APBI workflow, will also be discussed. Learning Objectives: To review past and current

  2. Extended endoscopic endonasal surgery using three-dimensional endoscopy in the intra-operative MRI suite for supra-diaphragmatic ectopic pituitary adenoma.

    PubMed

    Fuminari, Komatsu; Hideki, Atsumi; Manabu, Osakabe; Mitsunori, Matsumae

    2015-01-01

    We describe a supra-diaphragmatic ectopic pituitary adenoma that was safely removed using the extended endoscopic endonasal approach, and discuss the value of three-dimensional (3D) endoscopy and intra-operative magnetic resonance imaging (MRI) to this type of procedure. A 61-year-old-man with bitemporal hemianopsia was referred to our hospital, where MRI revealed an enhanced suprasellar tumor compressing the optic chiasma. The tumor extended on the planum sphenoidale and partially encased the right internal carotid artery. An endocrinological assessment indicated normal pituitary function. The extended endoscopic endonasal approach was taken using a 3D endoscope in the intraoperative MRI suite. The tumor was located above the diaphragma sellae and separated from the normal pituitary gland. The pathological findings indicated non-functioning pituitary adenoma and thus the tumor was diagnosed as a supra-diaphragmatic ectopic pituitary adenoma. Intra-operative MRI provided useful information to minimize dural opening and the supra-diaphragmatic ectopic pituitary adenoma was removed from the complex neurovascular structure via the extended endoscopic endonasal approach under 3D endoscopic guidance in the intra-operative suite. Safe and effective removal of a supra-diaphragmatic ectopic pituitary adenoma was accomplished via the extended endoscopic endonasal approach with visual information provided by 3D endoscopy and intra-operative MRI.

  3. In Vivo Quantification of Flow Dynamics in Intracranial Aneurysms Using Intra-Operative Contrast-Specific Ultrasound and PIV Techniques

    NASA Astrophysics Data System (ADS)

    CantÓN, G.Á.}Dor

    2005-11-01

    The goal of this study is to assess in vivo the hemodynamics of intracranial aneurysms using ultrasound and Digital Particle Imaging Velocimetry (DPIV) techniques. An ultrasound machine, equipped with an intra-operative transducer, was used to visualize the flow features inside an aneurysm with the aid of microbubbles as ultrasound contrast agent. The ultrasound studies were done using a Phase Inversion technique. Operating in the Doppler mode, the flow velocities in the afferent and the downstream vascular segments as well as inside the aneurysm were recorded and assessed. We analyzed the ultrasound data sets with a DPIV technique using backscattered signals from the microbubbles. The spatial and temporal distribution of velocity, vorticity, and stress fields was measured. These quantities were also measured in an in vitro aneurysmal model using the DPIV system. Our study shows that an advanced contrast-specific ultrasound technique in combination with a DPIV technique can be used to quantify in real time the flow-mechanical patterns inside the aneurysm.

  4. In vivo intra-operative breast tumor margin detection using a portable OCT system with a handheld surgical imaging probe

    NASA Astrophysics Data System (ADS)

    Erickson-Bhatt, Sarah J.; Nolan, Ryan; Shemonski, Nathan D.; Adie, Steven G.; Putney, Jeffrey; Darga, Donald; McCormick, Daniel T.; Cittadine, Andrew; Marjanovic, Marina; Chaney, Eric J.; Monroy, Guillermo L.; South, Fredrick; Carney, P. Scott; Cradock, Kimberly A.; Liu, Z. George; Ray, Partha S.; Boppart, Stephen A.

    2014-02-01

    Breast-conserving surgery is a frequent option for women with stage I and II breast cancer, and with radiation treatment, can be as effective as a mastectomy. However, adequate margin detection remains a challenge, and too often additional surgeries are required. Optical coherence tomography (OCT) provides a potential method for real-time, high-resolution imaging of breast tissue during surgery. Intra-operative OCT imaging of excised breast tissues has been previously demonstrated by several groups. In this study, a novel handheld surgical probe-based OCT system is introduced, which was used by the surgeon to image in vivo, within the tumor cavity, and immediately following tumor removal in order to detect the presence of any remaining cancer. Following resection, study investigators imaged the excised tissue with the same probe for comparison. We present OCT images obtained from over 15 patients during lumpectomy and mastectomy surgeries. Images were compared to post-operative histopathology for diagnosis. OCT images with micron scale resolution show areas of heterogeneity and disorganized features indicative of malignancy, compared to more uniform regions of normal tissue. Video-rate acquisition shows the inside of the tumor cavity as the surgeon sweeps the probe along the walls of the surgical cavity. This demonstrates the potential of OCT for real-time assessment of surgical tumor margins and for reducing the unacceptably high re-operation rate for breast cancer patients.

  5. Submandibular intubation as an alternative for intra-operative airway management in maxillofacial fractures - our institutional experience

    PubMed Central

    Banerjee, Praveer K; Jain, Abhineet; Behera, Bikram

    2016-01-01

    Background and Aims: Airway management in anaesthesia for maxillofacial surgical procedures is tricky at times when the nasal/oral routes are contraindicated or are impossible. Tracheostomy as an alternative inherits its own complications. We present a case series of the submandibular route for tracheal intubation as an alternative. Methods: The procedure was performed in ten selected adult patients with maxillofacial/mandibular fractures associated with a fracture of skull base or nasal bone. All of them were medically stable with no need of intensive care or mechanical ventilation in post-operative period. Results: Submandibular intubation in all ten patients of panfacial fractures allowed uninterrupted surgical techniques with a secured airway. All patients were reverted to oro-tracheal tube at the end of surgery as immediate maxillomandibular fixation was not necessary. The patients were extubated after recovery from anaesthesia before they left the operating theatre. One patient in the post-operative period had a superficial infection of incision site that responded well to local treatment. No other complications were encountered in the intra-operative or post-operative period. Conclusion: In complex maxillofacial injuries, when oral or nasal intubation hampers surgeon's field of view, submandibular intubation offers an effective alternative to short-term tracheostomy along with small risk potential. There is a need to emphasise its regular application in such cases so that technique can be mastered by both surgeons and anaesthesiologist. PMID:27601740

  6. Evaluation of Pediatric Liver Transplantation-Related Artery Complications Using Intra-Operative Multi-Parameter Ultrasonography

    PubMed Central

    Ren, Xiuyun; Guan, Junhui; Gao, Nong; Niu, Hong; Tang, Jie

    2016-01-01

    Background This article discusses the value of using multi-parameter evaluation of intra-operative ultrasonography in evaluating pediatric liver transplantation-related arterial complications. Material/Methods Sixty-eight children receiving a liver transplant underwent intraoperative ultrasonography for monitoring of artery hemodynamics. The ultrasonic measurement parameters included the diameters of the hepatic artery (HA) of the donor and anastomotic stoma, peak systolic velocity (PSV), resistance index (RI), acceleration time (SAT), and blood flow volume. Results After being treated immediately using surgery or other means, blood flow returned to normal in 8 cases, and did not in 3 cases, of whom 2 experienced postoperative HAT. There was a significant difference in HA diameter of the donor, anastomotic stoma diameter, PSV, RI, SAT, and blood flow volume before and after treatment of the donor in the complications group. Postoperative complications occurred in 7 of 68 recipients, including the 2 cases exhibiting complications during the surgery (complication group) and 5 without complications during the surgery (no complication group). There was a statistically significant difference (P<0.05) between the 2 groups in intraoperative ultrasonography parameters of HA diameter, anastomotic stoma diameter, RI, and blood flow volume. Conclusions Through intraoperative multi-parameter ultrasonic measurement, a definite diagnosis of hepatic artery complications can be made in liver transplantation patients. HA diameter of the donor, anastomotic stoma diameter, PSV, RI, SAT, and blood flow volume are important in assessing intraoperative artery complications. PMID:27870825

  7. In vivo reflectance confocal microscopy of shave biopsy wounds: feasibility of intra-operative mapping of cancer margins

    PubMed Central

    Scope, A; Mahmood, U; Gareau, DS; Kenkre, M; Lieb, JA; Nehal, KS; Rajadhyaksha, M

    2010-01-01

    Background Reflectance confocal microscopy (RCM) images skin at cellular resolution and has shown utility for the diagnosis of nonmelanoma skin cancer in-vivo. Topical application of Aluminum Chloride (AlCl3) enhances contrast in RCM images by brightening nuclei. Objective To investigate feasibility of RCM imaging of shave biopsy wounds using AlCl3 as a contrast agent. Methods AlCl3 staining was optimized, in terms of concentration versus immersion time, on excised tissue ex-vivo. RCM imaging protocol was tested in patients undergoing shave biopsies. The RCM images were retrospectively analyzed and compared to the corresponding histopathology. Results For 35% AlCl3, routinely used for hemostasis in clinic, minimum immersion time was determined to be 1 minute. We identified 3 consistent patterns of margins on RCM mosaic images by varying depths: epidermal margins, peripheral dermal margins, and deep dermal margins. Tumour islands of basal cell carcinoma were identified at peripheral or deep dermal margins, correlating on histopathology with aggregates of neoplastic basaloid cells. Atypical cobblestone or honeycomb pattern were identified at the epidermal margins, correlating with a proliferation of atypical keratinocytes extending to biopsy margins. Conclusions RCM imaging of shave biopsy wounds is feasible and demonstrates the future possibility of intra-operative mapping in surgical wounds. PMID:20874785

  8. A multicentre observational study of intra-operative ventilatory management during general anaesthesia: tidal volumes and relation to body weight.

    PubMed

    Jaber, S; Coisel, Y; Chanques, G; Futier, E; Constantin, J-M; Michelet, P; Beaussier, M; Lefrant, J-Y; Allaouchiche, B; Capdevila, X; Marret, E

    2012-09-01

    We conducted an observational prospective multicenter study to describe the practices of mechanical ventilation, to determine the incidence of use of large intra-operative tidal volumes (≥10 ml.kg(-1) of ideal body weight) and to identify patient factors associated with this practice. Of the 2960 patients studied in 97 anaesthesia units from 49 hospitals, volume controlled mode was the most commonly used (85%). The mean (SD) tidal volume was 533 (82) ml; 7.7 (1.3) ml.kg(-1) (actual weight) and 8.8 (1.4) ml.kg(-1) (ideal body weight)). The lungs of 381 (18%) patients were ventilated with a tidal volume>10 ml.kg(-1) ideal body weight. Being female (OR 5.58 (95% CI 4.20-7.43)) and by logistic regression, underweight (OR 0.06 (95% CI 0.01-0.45)), overweight (OR 1.98 (95% CI 1.49-2.65)), obese (OR 5.02 (95% CI 3.51-7.16)), severely obese (OR 10.12 (95% CI 5.79-17.68)) and morbidly obese (OR 14.49 (95% CI 6.99-30.03)) were the significant (p ≤ 0.005) independent factors for the use of large tidal volumes during anaesthesia.

  9. Evidence for photoneutron production in the lead shielding of a dedicated intra-operative electron only facility.

    PubMed

    Biggs, P J

    1998-01-01

    A dedicated electron-only intra-operative suite has just been completed at the Massachusetts General Hospital. This suite is located on the 3rd floor with the shielding consisting entirely of lead and borated polyethylene, except for concrete in the floor and ceiling to support the lead and on the finished floor. The radiation protection barriers for this facility were calculated on the basis of a maximum permissible dose of 10 microSv wk(-1) for photons and 10 microSv wk(-1) for neutrons, based on a quality factor of 10 (this factor is specified in the regulations of the Commonwealth of Massachusetts). This even split was predicated on the basis that, except for the primary beam, the neutron leakage from the machine was generally about the same as for x rays. The initial survey showed that the neutron dose equivalent outside all barriers, except below the floor, was within the calculated values, < 10 microSv wk(-1). However, the neutron dose equivalent measured directly below the floor was found to be 35 microSv wk(-1) for the highest electron energy, a difference of > 25 microSv wk(-1). The neutron dose equivalent, for neutrons produced by bremsstrahlung photon interactions in the lead and based on a 3% photon background in the electron beam, was calculated to be 25 microSv wk(-1), in good agreement with this difference.

  10. Correlation of pre-operative MRI and intra-operative 3D ultrasound to measure brain tissue shift

    NASA Astrophysics Data System (ADS)

    Gobbi, David G.; Comeau, Roch M.; Lee, Belinda K. H.; Peters, Terence M.

    2000-04-01

    The usefulness of stereotactic neurosurgery performed via a craniotomy is limited because the craniotomy leads to a brain tissue shift of 10 mm on average. We have recently completed an examination of 2D intra-operative ultrasound as a means of visualization and measurement of brain shift. A commercial 3D tracking system was used for real-time registration of the ultrasound video to pre-operative MR images, and annotation of the images was used to measure the shift. More than 15 surgical cases have been performed thus far with the 2D system. We are now undertaking phantom studies with tracked 3D ultrasound, and have developed sophisticated tools for real- time overlay of ultrasound and MRI volumes. These tools include a virtual-reality view of the ultrasound probe with live ultrasound video superimposed over a 3D -rendered MRI of the brain, as well as 3D ultrasound/MRI transparency overlay views. Algorithms to automatically extract landmarks from MRI and 3D ultrasound images are under development. We aim to use these landmarks to automatically generate nonlinear warp transformations to correct the pre-operative MRI as well as surgical target coordinates for brain shift. Portions of the C++ code developed for this project have been contributed to the open-source Visualization Toolkit (VTK).

  11. Phase I/II Study of Neurosurgical Resection and Intra-operative Cesium-131 Radio-isotope Brachytherapy in Patients with Newly Diagnosed Brain Metastases

    PubMed Central

    Wernicke, A. Gabriella; Yondorf, Menachem Z; Peng, Luke; Trichter, Samuel; Nedialkova, Lucy; Sabbas, Albert; Khulidzhanov, Fridon; Parashar, Bhupesh; Nori, Dattatreyudu; Chao, K.S. Clifford; Christos, Paul; Pannullo, Susan; Boockvar, John A.; Stieg, Phillip; Schwartz, Theodore H.

    2014-01-01

    Object Resected brain metastases have a high rate of local recurrence without adjuvant therapy. Adjuvant whole brain radiotherapy (WBRT) remains the standard of care with the rate of local control >90%. However, WBRT is delivered over 10–15 days, which can delay other therapy and is associated with acute and long-term toxicities. Intra-operative permanent Cesium-131 (Cs-131) implants can be performed at the time of surgery, thereby avoiding any additional therapy. We evaluate the safety, feasibility and efficacy of a novel treatment approach of brain metastases with a permanent intra-operative Cs-131 brachytherapy. Methods After IRB approval, 24 patients with a newly diagnosed metastasis to the brain (n=24) were accrued on a prospective protocol between 2010 and 2012. There were 10 frontal, 7 parietal, 4 cerebellar, 2 occipital, and 1 temporal metastases. Histology included lung (16), breast (2), kidney (2), melanoma (2), colon (1), and cervix (1). Cs-131 stranded seeds were placed as a permanent volume implant. Prescription dose was 80Gy at 5mm depth from the resection cavity surface. Distant metastases were treated with stereotactic radiosurgery (SRS) or WBRT, depending on the number of lesions. Primary end point was resection cavity freedom from progression (FFP). Secondary end points included distant metastases FFP, median survival, overall survival (OS), and toxicity. Results Median follow-up was 19.3 months (range, 12.89 – 29.57 months). Median age was 65 years (range, 45–84 years). Median volume of resected tumor was 10.31 cc (range, 1.77 - 87.11 cc). Median number of seeds employed was 12 (range, 4–35) with median activity per seed of 3.82 mCi (range, 3.31–4.83 mCi) and total activity of 46.91 mCi (range, 15.31–130.70 mCi). Local recurrence FFP was 100%. There was 1 adjacent leptomeningeal recurrence, resulting in a 1-year regional FFP of 93.8% (95% CI = 63.2%, 99.1%). Distant metastasis FFP was 48.4% (95% CI = 26.3%, 67.4%). Median OS was 9

  12. The medial and lateral epicondyle as a reliable landmark for intra-operative joint line determination in revision knee arthroplasty

    PubMed Central

    Sen, T.; Cankaya, D.; Kendir, S.; Basarır, K.; Tabak, Y.

    2016-01-01

    Objectives The purpose of this study was to develop an accurate, reliable and easily applicable method for determining the anatomical location of the joint line during revision knee arthroplasty. Methods The transepicondylar width (TEW), the perpendicular distance between the medial and lateral epicondyles and the distal articular surfaces (DMAD, DLAD) and the distance between the medial and lateral epicondyles and the posterior articular surfaces (PMAD, DLAD) were measured in 40 knees from 20 formalin-fixed adult cadavers (11 male and nine female; mean age at death 56.9 years, sd 9.4; 34 to 69). The ratios of the DMAD, PMAD, DLAD and PLAD to TEW were calculated. Results The mean TEW, DMAD, PMAD, DLAD and PLAD were 82.76 mm (standard deviation (sd) 7.74), 28.95 mm (sd 3.3), 28.57 mm (sd 3), 23.97 mm (sd 3.27) and 24.42 mm (sd 3.14), respectively. The ratios between the TEW and the articular distances (DMAD/TEW, DLAD/TEW, PMAD/TEW and PLAD/TEW) were calculated and their means were 0.35 (sd 0.02), 0.34 (sd 0.02), 0.28 (sd 0.03) and 0.29 (sd 0.03), respectively. Conclusion This method provides a simple, reproducible and reliable technique enabling accurate anatomical joint line restoration during revision total knee arthroplasty. Cite this article: B. Ozkurt, T. Sen, D. Cankaya, S. Kendir, K. Basarır, Y. Tabak. The medial and lateral epicondyle as a reliable landmark for intra-operative joint line determination in revision knee arthroplasty. Bone Joint Res 2016;5:280–286. DOI: 10.1302/2046-3758.57.BJR-2016-0002.R1. PMID:27388715

  13. Understanding Adherence to 5 Servings of Fruits and Vegetables per Day: A Theory of Planned Behavior Perspective

    ERIC Educational Resources Information Center

    Blanchard, Chris M.; Fisher, Janet; Sparling, Phillip B.; Shanks, Tiffany Hunt; Nehl, Eric; Rhodes, Ryan E.; Courneya, Kerry S.; Baker, Frank

    2009-01-01

    Objective: The primary purpose of the present study was to examine the utility of the Theory of Planned Behavior (TPB) in explaining the 5-A-Day intentions and behavior of college students. A secondary purpose was to determine whether any of the TPB relationships were moderated by gender or ethnicity. Design: A prospective design that asked…

  14. The Full-Day Kindergarten: Planning and Practicing a Dynamic Themes Curriculum. Early Childhood Education Series. 2nd Edition.

    ERIC Educational Resources Information Center

    Fromberg, Doris Pronin

    Examining problems and questions related to full-day kindergarten, this book deals broadly with early childhood curriculum design and development. It suggests specific step-by-step ways to plan an emergent curriculum based upon integrated, dynamic themes that grow out of children's diverse personal and cultural experiences. Addressed to teachers,…

  15. Solving the Puzzle of Child Care: Quality Enhancement Project Centers. Final Report. Child Day Care Planning Project.

    ERIC Educational Resources Information Center

    Ellison, Carole; Ash, Geraldine

    This report describes the Quality Enhancement Project (QEP), one of four major components of the Child Day Care Planning Project (CDCPP) of Cuyahoga County, Ohio. The major goal of the QEP was to develop a model for improving the quality of funded centers. The quality of care at 65 funded centers in Cleveland and 11 surrounding suburbs was…

  16. Create your own science planning tool in 3 days with SOA

    NASA Technical Reports Server (NTRS)

    Streiffert, Barbara A.; Polanskey, Carol A.; O'Reilly, Taifun

    2003-01-01

    Scientific discovery and advancement of knowledge has been, and continues to be, the goal for space missions at Jet Propulsion Laboratory. Scientist must plan their observation/experiments to get the maximum data return in order to make those discoveries. However, each mission has different science objectives, a different spacecraft and different instrument payloads, as well as, different routes to different destinations with different spacecraft restrictions and characteristics. In the current reduced cost environment, manageable cost for mission planning software is a must. Science Opportunity Analyzer (SOA), a planning tool for scientists and mission planners, utilizes a simple approach to reduce cost and promote reusability.

  17. E Pluribus Unum. Out of Many, One. 1995. Law Day Planning Guide.

    ERIC Educational Resources Information Center

    American Bar Association, Chicago, IL.

    This booklet introduces ideas and materials for Law Day activities. Celebrated on May 1, Law Day is an annual opportunity to expand awareness of U.S. laws and the justice system and their valuable impact on our lives. The primary purpose of Law Day is to provide the opportunity for the public to reflect on U.S. legal heritage, the role of law in…

  18. Ecological Momentary Assessment of Acute Alcohol Use Disorder Symptoms: Associations With Mood, Motives, and Use on Planned Drinking Days

    PubMed Central

    Dvorak, Robert D.; Pearson, Matthew R.; Day, Anne M.

    2015-01-01

    Several theories posit that alcohol is consumed both in relation to one’s mood and in relation to different motives for drinking. However, there are mixed findings regarding the role of mood and motives in predicting drinking. Ecological momentary assessment (EMA) methods provide an opportunity to evaluate near real-time changes in mood and motives within individuals to predict alcohol use. In addition, endorsement of criteria of an alcohol use disorder (AUD) may also be sensitive to changes within subjects. The current study used EMA with 74 moderate drinkers who responded to fixed and random mood, motive, alcohol use, and AUD criteria prompts over a 21-day assessment period. A temporal pattern of daytime mood, evening drinking motivation, and nighttime alcohol use and acute AUD symptoms on planned drinking days was modeled to examine how these associations unfold throughout the day. The results suggest considerable heterogeneity in drinking motivation across drinking days. Additionally, an affect regulation model of drinking to cope with negative mood was observed. Specifically, on planned drinking days, the temporal association between daytime negative mood and the experience of acute AUD symptoms was mediated via coping motives and alcohol use. The current study found that motives are dynamic, and that changes in motives may predict differential drinking patterns across days. Further, the study provides evidence that emotion-regulation-driven alcohol involvement may need to be examined at the event level to fully capture the ebb and flow of negative affect motivated drinking. PMID:24932896

  19. [Feasibility Study of a One-Day Educational Program to Train Advance Care Planning Facilitators(ACPFs)in Regional Areas].

    PubMed

    Nishikawa, Mitsunori; Miura, Hisayuki; Oya, Sanae; Kato, Tomonari; Nagae, Hiroyuki; Osada, Yoshiyuki; Watanabe, Tetsuya; Matsuoka, Sachiko; Otsuka, Yasuro; Yamaguchi, Mie; Watanabe, Kazuko; Kito, Katsutoshi; Ooi, Hatsue; Suzuki, Naoko

    2016-12-01

    Promoting advance care planning in regional areas is important. Education For Implementing End-of-Life Discussion(EFIELD) is a two-day educational program for Advance Care Planning Facilitators(ACPFs)developed by the National Center for Geriatrics and Gerontology. Unfortunately, some trainers experience difficulties implementing the content of the program, and some trainees feel the program is too long for implementation in many regional areas. The purpose of the research is to clarify the feasibility of ACPFs education using a one-day program in regional areas. The methods involved documenting the process of a one-day program from implementation to evaluation from May of 2015 to March of 2016 and then evaluating the effectiveness of the program 3 months after the implementation using meeting minutes from 7 local hospitals. The results indicated a need for 5 steps from program implementation to evaluation as well as 5 categories for final evaluation. The most important finding is that E-FIELD challenged trainers to shorten and simplify their expressions in order to teach the content more efficiently. The second finding is that Group for Promoting Advance Care Planning & End Of Life Discussion in Chita(GACPEL) activities encouraged ACPimplementation within each hospital. The limitations of this research are related to small regional areas. In conclusion, a one-day regional ACPFs educational program is feasible.

  20. Development of a novel handheld intra-operative laparoscopic Compton camera for 18F-Fluoro-2-deoxy-2-D-glucose-guided surgery

    NASA Astrophysics Data System (ADS)

    Nakamura, Y.; Shimazoe, K.; Takahashi, H.; Yoshimura, S.; Seto, Y.; Kato, S.; Takahashi, M.; Momose, T.

    2016-08-01

    As well as pre-operative roadmapping by 18F-Fluoro-2-deoxy-2-D-glucose (FDG) positron emission tomography, intra-operative localization of the tracer is important to identify local margins for less-invasive surgery, especially FDG-guided surgery. The objective of this paper is to develop a laparoscopic Compton camera and system aimed at use for intra-operative FDG imaging for accurate and less-invasive dissections. The laparoscopic Compton camera consists of four layers of a 12-pixel cross-shaped array of GFAG crystals (2× 2× 3 mm3) and through silicon via multi-pixel photon counters and dedicated individual readout electronics based on a dynamic time-over-threshold method. Experimental results yielded a spatial resolution of 4 mm (FWHM) for a 10 mm working distance and an absolute detection efficiency of 0.11 cps kBq-1, corresponding to an intrinsic detection efficiency of  ˜0.18%. In an experiment using a NEMA-like well-shaped FDG phantom, a φ 5× 10 mm cylindrical hot spot was clearly obtained even in the presence of a background distribution surrounding the Compton camera and the hot spot. We successfully obtained reconstructed images of a resected lymph node and primary tumor ex vivo after FDG administration to a patient having esophageal cancer. These performance characteristics indicate a new possibility of FDG-directed surgery by using a Compton camera intra-operatively.

  1. A Planning Guide to the Preschool Curriculum: The Child, the Process, the Day.

    ERIC Educational Resources Information Center

    Findlay, Jane; And Others

    This guide to preschool curriculum planning presents a unit approach to preschool education and outlines 44 curriculum units. A discussion of methods and principles involved in the development of this curriculum stresses that it is the child, not the teacher, who determines curriculum. Four principles for good teaching are examined: preparing…

  2. 76 FR 27741 - 60-Day Notice of Proposed Information Collection: Technology Security/Clearance Plans, Screening...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-12

    ... Notice of Proposed Information Collection: Technology Security/Clearance Plans, Screening Records, and... State is seeking Office of Management and Budget (OMB) approval for the information collection described... preceding submission to OMB. We are conducting this process in accordance with the Paperwork Reduction...

  3. Democracy and Diversity: Celebrate Your Freedom. Law Day 2000 Planning Guide.

    ERIC Educational Resources Information Center

    White, Charles, Ed.

    Every year on May 1st, Law Day celebrates this country's freedoms and the role of law in protecting and preserving them. Noting that 2000 is the first year of a new millennium, this guide urges planners all over the country to pay special attention to the role of citizens in a diverse democracy. Since the year 2000 is also an election year, the…

  4. Menu Planning, Food Consumption, and Sanitation Practices in Day Care Facilities.

    ERIC Educational Resources Information Center

    Kuratko, Connye N.; Martin, Ruth E.; Lan, William Y.; Chappell, James A.; Ahmad, Mahassen

    2000-01-01

    In 102 day care centers, data were collected on nutritional content of menus, compliance with guidelines, children's food consumption, and safety/sanitation. Although menus exceeded recommended daily allowances, quantities of food were below recommendations. No menu components were consumed by more than 65% of children. Sanitation problems were…

  5. SU-F-BRF-10: Deformable MRI to CT Validation Employing Same Day Planning MRI for Surrogate Analysis

    SciTech Connect

    Padgett, K; Stoyanova, R; Johnson, P; Dogan, N; Pollack, A; Piper, J; Javorek, A

    2014-06-15

    Purpose: To compare rigid and deformable registrations of the prostate in the multi-modality setting (diagnostic-MRI to planning-CT) by utilizing a planning-MRI as a surrogate. The surrogate allows for the direct quantitative analysis which can be difficult in the multi-modality domain where intensity mapping differs. Methods: For ten subjects, T2 fast-spin-echo images were acquired at two different time points, the first several weeks prior to planning (diagnostic-MRI) and the second on the same day in which the planning CT was collected (planning-MRI). Significant effort in patient positioning and bowel/bladder preparation was undertaken to minimize distortion of the prostate in all datasets. The diagnostic-MRI was deformed to the planning-CT utilizing a commercially available deformable registration algorithm synthesized from local registrations. The deformed MRI was then rigidly aligned to the planning MRI which was used as the surrogate for the planning-CT. Agreement between the two MRI datasets was scored using intensity based metrics including Pearson correlation and normalized mutual information, NMI. A local analysis was performed by looking only within the prostate, proximal seminal vesicles, penile bulb and combined areas. A similar method was used to assess a rigid registration between the diagnostic-MRI and planning-CT. Results: Utilizing the NMI, the deformable registrations were superior to the rigid registrations in 9 of 10 cases demonstrating a 15.94% improvement (p-value < 0.001) within the combined area. The Pearson correlation showed similar results with the deformable registration superior in the same number of cases and demonstrating a 6.97% improvement (p-value <0.011). Conclusion: Validating deformable multi-modality registrations using spatial intensity based metrics is difficult due to the inherent differences in intensity mapping. This population provides an ideal testing ground for MRI to CT deformable registrations by obviating the need

  6. Minimally invasive fixation in tibial plateau fractures using an pre-operative and intra-operative real size 3D printing.

    PubMed

    Giannetti, Silvio; Bizzotto, Nicola; Stancati, Andrea; Santucci, Attilio

    2017-03-01

    The purpose of our study was to compare the outcome after minimally invasive reconstruction and internal fixation with and without the use of pre- and intra-operative real size 3D printing for patients with displaced tibial plateau fractures (TPFs). We prospectively followed up 40 consecutive adult patients with closed TPF who underwent surgical treatment of reconstruction of the tibial plateau with the use of minimally invasive fixation. Sixteen patients (group 1) were operated using a pre-operative and intra-operative real size 3D-model, while 24 patients (group 2) were operated without 3D-model printing, but using only pre-operative and intra-operative 3D Tc-scan images. The mean operating time was 148.2±15.9min for group 1 and 174.5±22.2min for group 2 (p=0.041). In addition, the mean intraoperative blood loss was less in group 1 (520mL) than in group 2 (546mL) (p=0.534). After discharge, all patients were followed up at 6 weeks, 12 weeks, 6 months, 1year and then every year post surgically and radiographic evaluation was carried out each time using clinical and radiological Rasmussen's score, with no significant differences between the two groups. Two patients (group 2) developed infection which resolved within 3 weeks after usage of antibiotics. Neither superficial nor deep infections were present in group 1. In all patients, no non-union occurred. No intraoperative, perioperative, or postoperative complications, such as loss of valgus correction, bone fractures, or metallic plate failures were detected at follow-up. In patients operated with the use of 3D-model printing, we found a significant reduction in surgical time. Moreover, the technique without a 3D-model increased the patient's and the surgeon's exposure to radiation.

  7. The ability of intra-operative perfusion mapping with laser-assisted indocyanine green angiography to predict mastectomy flap necrosis in breast reconstruction: a prospective trial.

    PubMed

    Munabi, Naikhoba C O; Olorunnipa, Olushola B; Goltsman, David; Rohde, Christine H; Ascherman, Jeffrey A

    2014-04-01

    Mastectomy skin flap ischaemia leading to necrosis is a common occurrence. Laser-assisted indocyanine green (ICG) angiography can assist to locate these poorly perfused areas intra-operatively. Our study aims to identify specific perfusion values produced by ICG angiography that accurately predict mastectomy flap necrosis. A total of 42 patients undergoing autologous or implant-based breast reconstruction had mastectomy flaps imaged using laser-assisted ICG angiography at the completion of reconstruction. Intra-operative perfusion values were correlated with postoperative skin flap outcomes. Risk factors for abnormal perfusion were recorded and analysed. A total of 62 breast reconstructions were imaged, including 48 tissue expander reconstructions, six transverse rectus abdominis myocutaneous (TRAM) flaps, six deep inferior epigastric perforator (DIEP) flaps and two direct-to-implant reconstructions. Eight cases (13%) of full-thickness skin necrosis were identified postoperatively. A SPY Elite(®) value of ≤ 7 accurately predicted the development of flap necrosis at 88% sensitivity and 83% specificity. False-positive cases (those with perfusion values ≤ 7 which did not develop necrosis) were more likely to have a smoking history and/or to have had an epinephrine-containing tumescent solution used during mastectomy. Excluding patients with smoking or epinephrine use, a SPY value of ≤ 7 predicted flap necrosis with a sensitivity of 83% and specificity of 97%. Thus, these data suggest that laser-assisted ICG angiography predicts postoperative outcomes with high accuracy. In our series, a SPY value of ≤ 7 correlated well with mastectomy flap necrosis. Furthermore, smoking and intra-operative injections containing epinephrine should be considered when evaluating low perfusion values as they can lead to false-positive test results.

  8. A novel approach emphasising intra-operative superficial margin enhancement of head-neck tumours with narrow-band imaging in transoral robotic surgery.

    PubMed

    Vicini, C; Montevecchi, F; D'Agostino, G; DE Vito, A; Meccariello, G

    2015-06-01

    The primary goal of surgical oncology is to obtain a tumour resection with disease-free margins. Transoral robotic surgery (TORS) for surgical treatment of head-neck cancer is commensurate with standard treatments. However, the likelihood of positive margins after TORS is up to 20.2% in a recent US survey. The aim of this study is to evaluate the efficacy and the feasibility of narrow-band imaging (NBI) during TORS in order to improve the ability to achieve disease-free margins during tumour excision. The present study was conducted at the ENT, Head- Neck Surgery and Oral Surgery Unit, Department of Special Surgery, Morgagni Pierantoni Hospital, Azienda USL Romagna. From March 2008 to January 2015, 333 TORS were carried out for malignant and benign diseases. For the present study, we retrospectively evaluated 58 biopsy-proven squamous cell carcinoma patients who underwent TORS procedures. Patients were divided into 2 groups: (1) 32 who underwent TORS and intra-operative NBI evaluation (NBI-TORS); (2) 21 who underwent TORS with standard intra-operative white-light imaging (WLITORS). Frozen section analysis of margins on surgical specimens showed a higher rate of negative superficial lateral margins in the NBI-TORS group compared with the WLI-TORS group (87.9% vs. 57.9%, respectively, p = 0.02). The sensitivity and specificity of intra-operative use of NBI, respectively, were 72.5% and 66.7% with a negative predictive value of 87.9%. Tumour margin enhancement provided by NBI associated with magnification and 3-dimensional view of the surgical field might increase the capability to achieve an oncologically-safe resection in challenging anatomical areas where minimal curative resection is strongly recommended for function preservation.

  9. Monte Carlo evaluation of the effect of inhomogeneities on dose calculation for low energy photons intra-operative radiation therapy in pelvic area.

    PubMed

    Chiavassa, Sophie; Buge, François; Hervé, Chloé; Delpon, Gregory; Rigaud, Jérome; Lisbona, Albert; Supiot, Sthéphane

    2015-12-01

    The aim of this study was to evaluate the effect of inhomogeneities on dose calculation for low energy photons intra-operative radiation therapy (IORT) in pelvic area. A GATE Monte Carlo model of the INTRABEAM® was adapted for the study. Simulations were performed in the CT scan of a cadaver considering a homogeneous segmentation (water) and an inhomogeneous segmentation (5 tissues from ICRU44). Measurements were performed in the cadaver using EBT3 Gafchromic® films. Impact of inhomogeneities on dose calculation in cadaver was 6% for soft tissues and greater than 300% for bone tissues. EBT3 measurements showed a better agreement with calculation for inhomogeneous media. However, dose discrepancy in soft tissues led to a sub-millimeter (0.65 mm) shift in the effective point dose in depth. Except for bone tissues, the effect of inhomogeneities on dose calculation for low energy photons intra-operative radiation therapy in pelvic area was not significant for the studied anatomy.

  10. THE VALUE OF PRE- AND INTRA-OPERATIVE ADJUNCTS ON THE EXTENT OF RESECTION OF HEMISPHERIC LOW GRADE GLIOMAS; A RETROSPECTIVE ANALYSIS

    PubMed Central

    Incekara, Fatih; Olubiyi, Olutayo; Ozdemir, Aysegul; Lee, Tom; Rigolo, Laura; Golby, Alexandra

    2016-01-01

    Background To achieve maximal resection with minimal risk of postoperative neurological morbidity, different neurosurgical adjuncts are being used during low grade glioma (LGG) surgery. Objectives The goal of this study was to investigate the effect of pre- and intra-operative adjuncts on the extent of resection (EOR) of hemispheric LGGs. Methods Medical records were reviewed to identify patients of any sex, 18 years or older, who underwent LGG surgery at ‘X’ Hospital between January 2005 and July 2013. Patients were divided in 8 subgroups based on the use of neuronavigation system alone (NN), functional MRI-diffusion tensor imaging (fMRI-DTI) guided neuronavigation (FD), intra-operative MRI (MR) and direct electrical stimulation (DES). Initial and residual tumors were measured and mean EOR was compared between groups. Results Of all 128 patients, gross total resection was achieved in 23.4%. Overall mean EOR was 81.3% ± 20.5%. Using DES in combination with fMRI-DTI (mean EOR 86.7% ± 12.4%) on eloquent tumors improved mean EOR significantly after adjustment for potential confounders, when compared with neuronavigation alone (mean EOR 76.4% ± 25.5%, p = 0.001). Conclusions Using DES in combination with fMRI and DTI significantly improves EOR when LGGs are located in eloquent areas, compared with craniotomies were only neuronavigation was used. PMID:26216736

  11. Intra-operative washing of morcellised bone allograft with pulse lavage: how effective is it in reducing blood and marrow content?

    PubMed

    Ibrahim, T; Qureshi, A; McQuillan, T A; Thomson, J; Galea, G; Power, R A

    2012-03-01

    The use of unprocessed bone carries a risk of transmission of blood borne diseases. Although models of infectivity are unproven, a theoretical risk of transmission of variant Creutzfeld-Jakob Disease, a human prion disease, exists as probable blood borne transmission has been reported in three cases. The aim of our study was to determine the effectiveness of standard operating theatre pulse lavage in removing protein, fat and double stranded Deoxyribonucleic acid (dsDNA) from morcellised bone allograft. Twelve donated femoral heads were divided into halves and milled into bone chips. One half of the bone chips were washed with pulse lavage, whereas, the other half acted as control. In order to determine the amount of protein, fat and dsDNA present in the washed and unwashed samples, a validated multistep washing protocol was used. Using the validated technique, simple intra-operative washing of morcellised unprocessed bone allograft removed a significant amount of the protein (70.5%, range: 39.5-85%), fat (95.2%, range: 87.8-98.8%) and DNA (68.4%, range: 31.4-93.1%) content. Intra-operative washing of morcellised bone allograft with pulse lavage may thereby reduce the theoretical risk of prion and other blood borne disease transmission. Combined with the known improved mechanical characteristics of washed allograft, we would recommend pulse lavage as a routine part of bone allograft preparation.

  12. Results of employee involvement in planning and implementing the Treatwell 5-a-Day work-site study.

    PubMed

    Hunt, M K; Lederman, R; Potter, S; Stoddard, A; Sorensen, G

    2000-04-01

    When work-site health promotion programs incorporate theories of community organization, it is likely that employee ownership and participation are enhanced. This article reports quantitative indicators of involvement of Employee Advisory Board (EAB) members in the Treatwell 5-a-Day work-site study and examines relationships between EAB member time spent on project activities and work-site size, with indicators of the extent of implementation and variables associated with behavior change and work-site support. The results reported here indicate that a greater number of EAB member hours spent on program activities was associated with a greater number of events implemented. Smaller work-site size was associated with greater employee awareness of the program and greater participation in project activities as reported on the employee survey. These results suggest that the number of hours employee representatives devote to project activities might be an important consideration in planning employee involvement in work-site health promotion programming.

  13. John Day Fall Chinook/Salmon Mitigation Plan Acclimation and Imprinting Site Feasibility Study: Summary Report : Completion Report.

    SciTech Connect

    U.S. Fish and Wildlife Service; Sverdrup Corporation; United States. Bonneville Power Administration.

    1987-09-01

    The purpose of this Plan is to replace upriver bright fall chinook salmon which were lost by construction of the John Day Dam. This will be accomplished by releasing salmon fry and smolts, incubated in the Spring Creek and Bonneville Hatcheries, at several upriver locations. Prior to release it is desired to feed and acclimate the juvenile fish to relieve the stress of truck transport, and to imprint them to the release site. This will ultimately produce adult chinook salmon that return to their historic spawning areas through traditional common property fisheries. It will also provide sexually mature broodstock fish that can be captured and spawned to supplement continued hatchery operation. This report summarizes results of an engineering feasibility study done for 10 potential acclimation sites on the Columbia, Yakima and Walla Walla Rivers. A detailed report has been prepared for each site and each is bound separately.

  14. A procedure for tissue freezing and processing applicable to both intra-operative frozen section diagnosis and tissue banking in surgical pathology.

    PubMed

    Steu, Susanne; Baucamp, Maya; von Dach, Gabriela; Bawohl, Marion; Dettwiler, Susanne; Storz, Martina; Moch, Holger; Schraml, Peter

    2008-03-01

    Different methods for snap freezing surgical human tissue specimens exist. At pathology institutes with higher work loads, solid carbon dioxide, freezing sprays, and cryostat freezing are commonly used as coolants for diagnosing frozen tissue sections, whereas for tissue banking, liquid nitrogen or isopentane cooled with liquid nitrogen is preferred. Freezing tissues for diagnostic and research purposes are therefore often time consuming, laborious, even hazardous, and not user friendly. In tissue banks, frozen tissue samples are stored in cryovials, capsules, cryomolds, or cryocassettes. Tissues are additionally embedded using freezing media or wrapped in plastic bags or aluminum foils to prevent desiccation. The latter method aggravates enormously further tissue handling and processing. Here, we describe an isopentane-based workflow which concurrently facilitates tissue freezing and processing for both routine intra-operative frozen section and tissue banking and satisfies the qualitative demands of pathologists, cancer researchers, laboratory technicians, and tissue bankers.

  15. Outcome of Intra-operative Injected Platelet-rich Plasma Therapy During Follicular Unit Extraction Hair Transplant: A Prospective Randomised Study in Forty Patients

    PubMed Central

    Garg, Suruchi

    2016-01-01

    Context: Platelet-rich plasma (PRP) therapy is finding importance in aesthetic medicine. Aim: The objective of this study was to study efficacy of PRP therapy in follicular unit extraction (FUE) hair transplant. Materials and Methods: It is a single-blind, prospective randomised study on 40 FUE hair transplant subjects, allocated in two groups (PRP and non-PRP) alternately. PRP was injected intra-operatively immediately after creating slits over the recipient area in PRP group; and normal saline in non-PRP group. Two groups were evaluated at 2, 4 and 8 weeks, 3 and 6 months of the procedure. Statistical Analysis: It was done using Chi-square test and test of significance was set as P < 0.05. Results: In PRP group, all subjects had >75% hair regrowth at 6 months, density of >75% grafts was noticed in 12 patients at 4 weeks meaning reduced fall of transplanted hair during catagen phase. New hair growth started at 8 weeks in 16 patients and redness over recipient area completely disappeared in 19 patients at 3 months of surgery and activity in dormant follicles as fine thread like hair was noticed besides the thick transplanted hair in all subjects. In non-PRP group, four patients had >75% hair regrowth at 6 months; none showed >75% graft density at 4 weeks, and 13 subjects showed dormant follicle activity at 4 months. The number of patients having lengthier hairs was significantly more in PRP group. Conclusion: Intra-operative PRP therapy is beneficial in giving faster density, reducing the catagen loss of transplanted hair, recovering the skin faster and activating dormant follicles in FUE transplant subjects. PMID:27761085

  16. The ability of bispectral index to detect intra-operative wakefulness during total intravenous anaesthesia compared with the isolated forearm technique.

    PubMed

    Russell, I F

    2013-05-01

    It has been suggested that monitoring during total intravenous anaesthesia should include aspects of brain function. The current study used a manually adjusted target-controlled infusion of propofol for anaesthesia, guided to a bispectral index range of 55-60. Intra-operative responsiveness, as assessed by the isolated forearm technique, was compared with whether the bispectral index predicted/identified a patient's appropriate hand movements in responses to commands. Twenty-two women underwent major gynaecological surgery with total intravenous anaesthesia, propofol, remifentanil and atracurium. Sixteen women responded, on 80 occasions, with appropriate hand movements to commands during surgery, of which the bispectral index detected 47 (sensitivity 59%). The bispectral index suggested consciousness 220 times in the absence of movement responses (specificity 85%). The positive predictive value of a bispectral index response was 18%. While two women had vague recall about squeezing fingers, none had recall of surgery. For patients who responded more than once during surgery the bispectral index value associated with a response was not constant. Although there was no difference in the median (IQR [range]) effect site propofol concentration between intra-operative responses (2.0 (1.5-2.3 [1.2-4.0]) μg.ml(-1)) and eye opening after surgery (2.1 (1.7-2.8 [1.5-3.9]) μg.ml(-1)), the median (IQR [range]) bispectral index value at eye opening after surgery was significantly higher than that associated with responses during surgery: 75 (70-78 [51-93]) vs 61 (52-67 [37-80]) respectively, (p < 0.001). The manual control of propofol intravenous anaesthesia to target a bispectral index range of 55-60 may result in an unacceptable number of patients who are conscious during surgery (albeit without recall).

  17. Intra-Operative Fluid Management in Adult Neurosurgical Patients Undergoing Intracranial Tumour Surgery: Randomised Control Trial Comparing Pulse Pressure Variance (PPV) and Central Venous Pressure (CVP)

    PubMed Central

    Salins, Serina Ruth; Kumar, Amar Nandha; Korula, Grace

    2016-01-01

    Introduction Fluid management in neurosurgery presents specific challenges to the anaesthesiologist. Dynamic para-meters like Pulse Pressure Variation (PPV) have been used successfully to guide fluid management. Aim To compare PPV against Central Venous Pressure (CVP) in neurosurgical patients to assess hemodynamic stability and perfusion status. Materials and Methods This was a single centre prospective randomised control trial at a tertiary care centre. A total of 60 patients undergoing intracranial tumour excision in supine and lateral positions were randomised to two groups (Group 1, CVP n=30), (Group 2, PPV n=30). Intra-operative fluid management was titrated to maintain baseline CVP in Group 1(5-10cm of water) and in Group 2 fluids were given to maintain PPV less than 13%. Acid base status, vital signs and blood loss were monitored. Results Although intra-operative hypotension and acid base changes were comparable between the groups, the patients in the CVP group had more episodes of hypotension requiring fluid boluses in the first 24 hours post surgery. {CVP group median (25, 75) 2400ml (1850, 3110) versus PPV group 2100ml (1350, 2200) p=0.03} The patients in the PPV group received more fluids than the CVP group which was clinically significant. {2250 ml (1500, 3000) versus 1500ml (1200, 2000) median (25, 75) (p=0.002)}. The blood loss was not significantly different between the groups The median blood loss in the CVP group was 600ml and in the PPV group was 850 ml; p value 0.09. Conclusion PPV can be used as a reliable index to guide fluid management in neurosurgical patients undergoing tumour excision surgery in supine and lateral positions and can effectively augment CVP as a guide to fluid management. Patients in PPV group had better hemodynamic stability and less post operative fluid requirement. PMID:27437329

  18. McConnell's sign in intra-operative acute right ventricle ischaemia: An under-recognized aetiology.

    PubMed

    Longo, S A; Echegaray, A; Acosta, C M; Rinaldi, L I; Cabrera Schulmeyer, M C; Olavide Goya, I

    2016-11-01

    Transoesophageal echocardiography (TEE) has become a fundamental tool in modern cardiothoracic anaesthesia. It has an indisputable role in coronary valve surgery and revascularisations with severe impairment of ventricle function. It helps in making diagnoses that can optimise the surgical strategy and to minimal invasively dynamically monitor volaemia and cardiac function during the post-operative period, detecting complications unobservable by other methods. The McConnell sign, visualised using TEE as an akinesis of the right ventricular free wall, with a normal apex motility and enlargement of the right cavities, is characteristic of right ventricular (RV) dysfunction. This sign has a 77% sensitivity and 94% specificity for the diagnosis of acute pulmonary embolism (APE). The case is presented of a 53-year-old man scheduled for aortic valve and ascending aorta replacement surgery, with a history of severe valve aortic stenosis, aortic root and arch aneurysm, and with normal coronary arteries. Post-cardiopulmonary bypass (CBP), the patient presented with haemodynamic instability, with the TEE showing a typical image of the McConnell sign, with no pulmonary hypertension. This enabled making an early diagnosis of acute RV ischaemia, that led to a change in the surgical plan, the performing of coronary revascularisation surgery. As a result, the McConnell sign, which describes the characteristics of RV dysfunction, led to making a differential diagnosis between APE, RV infarction and acute myocardial ischaemia.

  19. Demons deformable registration for cone-beam CT guidance: registration of pre- and intra-operative images

    NASA Astrophysics Data System (ADS)

    Nithiananthan, S.; Brock, K. K.; Daly, M. J.; Chan, H.; Irish, J. C.; Siewerdsen, J. H.

    2010-02-01

    High-quality intraoperative 3D imaging systems such as cone-beam CT (CBCT) hold considerable promise for imageguided surgical procedures in the head and neck. With a large amount of preoperative imaging and planning information available in addition to the intraoperative images, it becomes desirable to be able to integrate all sources of imaging information within the same anatomical frame of reference using deformable image registration. Fast intensity-based algorithms are available which can perform deformable image registration within a period of time short enough for intraoperative use. However, CBCT images often contain voxel intensity inaccuracy which can hinder registration accuracy - for example, due to x-ray scatter, truncation, and/or erroneous scaling normalization within the 3D reconstruction algorithm. In this work, we present a method of integrating an iterative intensity matching step within the operation of a multi-scale Demons registration algorithm. Registration accuracy was evaluated in a cadaver model and showed that a conventional Demons implementation (with either no intensity match or a single histogram match) introduced anatomical distortion and degradation in target registration error (TRE). The iterative intensity matching procedure, on the other hand, provided robust registration across a broad range of intensity inaccuracies.

  20. SU-E-T-537: Comparison of Intra-Operative Soft X-Rays to Low Energy Electron Beams for Treatment of Superficial Lesions

    SciTech Connect

    Chinsky, B; Diak, A; Gros, S; Sethi

    2014-06-01

    Purpose: Superficial soft x-ray applicators have recently been designed for use with existing intra-operative radiotherapy systems. These applicators may be used in treating superficial lesions which are conventionally treated with electron beams. The purpose of this abstract is to compare dose distributions of an intra-operative 50kV x-ray unit with low energy electrons for the treatment of superficial lesions. Methods: Dosimetric parameters for 1 and 3-cm diameter Intrabeam superficial x-ray applicators were measured with EBT3 Gafchromic film in a solid water phantom. Depth dose distributions and profiles (d=2, 5, 10 and 15mm) were obtained by prescribing a dose of 400cGy at 5mm depth below the phantom surface. Corresponding dose profiles for 6-MeV electrons were acquired from a Varian Clinac 21EX at 100 SSD. H and D calibration curves were generated for each modality for 0-800cGy. Results: Dose coverage, penumbra, dose uniformity, surface dose, and dose fall-off were examined. Compared to electrons, Intrabeam lateral dose coverage at 5mm depth was 70% larger with a much sharper (1/4) penumbra. Electron isodose levels bulged with depth, whereas Intrabeam isodose levels exhibited a convex cone shape. The Intrabeam dose profiles demonstrated horns in the dose distribution up to a 5mm depth and an exponential dose fall-off. Relative surface dose was higher for the Intrabeam applicators. Treatment times were comparable for both modalities. Conclusions: The very small penumbra of Intrabeam at shallow depths could be useful in treating superficial lesions adjacent to critical structures. The exponential dose fall-off of Intrabeam makes it appealing in the sparing of structures beyond the lesion. However, for lesions past a depth of 5mm, electrons would be desirable as they penetrate farther and provide skin sparing. Intrabeam may be preferable for sites that are difficult to treat with electrons due to mechanical and physical limitations.

  1. Comparison of surgical outcomes after anterior cervical discectomy and fusion: does the intra-operative use of a microscope improve surgical outcomes

    PubMed Central

    Elsamadicy, Aladine; Reiser, Elizabeth; Ziegler, Cole; Freischlag, Kyle; Cheng, Joseph; Bagley, Carlos A.

    2016-01-01

    Background The primary aim of this study was to assess and compare the complications profile as well as long-term clinical outcomes between patients undergoing an Anterior Cervical Discectomy and Fusion (ACDF) procedure with and without the use of an intra-operative microscope. Methods One hundred and forty adult patients (non-microscope cohort: 81; microscope cohort: 59) undergoing ACDF at a major academic medical center were included in this study. Enrollment criteria included available demographic, surgical and clinical outcome data. All patients had prospectively collected patient-reported outcomes measures and a minimum 2-year follow-up. Patients completed the neck disability index (NDI), short-form 12 (SF-12) and visual analog pain scale (VAS) before surgery, then at 3, 6, 12, and 24 months after surgery. Clinical outcomes and complication rates were compared between both patient cohorts. Results Baseline characteristics were similar between both cohorts. The mean ± standard deviation duration of surgery was longer in the microscope cohort (microscope: 169±34 minutes vs. non-microscope: 98±42 minutes, P<0.001). There was no significant difference between cohorts in the incidence of nerve root injury (P=0.99) or incidental durotomy (P=0.32). At 3 months post-operatively, both cohorts demonstrated similar improvement in VAS-neck pain (P=0.69), NDI (P=0.86), SF-12 PCS (P=0.84) and SF-12 MCS (P=0.75). At 2-year post-operatively, both the microscope and non-microscope cohorts demonstrated similar improvement from base line in NDI (microscope: 13.52±25.77 vs. non-microscope: 19.51±27.47, P<0.18), SF-12 PCS (microscope: 4.15±26.39 vs. non-microscope: 11.98±22.96, P<0.07), SF-12 MCS (microscope: 9.47±32.38 vs. non-microscope: 16.19±30.44, P<0.21). Interestingly at 2 years, the change in VAS neck pain score was significantly different between cohorts (microscope: 2.22±4.00 vs. non-microscope: 3.69±3.61, P<0.02). Conclusions Our study demonstrates that the

  2. Systems approach to monitoring and evaluation guides scale up of the Standard Days Method of family planning in Rwanda.

    PubMed

    Igras, Susan; Sinai, Irit; Mukabatsinda, Marie; Ngabo, Fidele; Jennings, Victoria; Lundgren, Rebecka

    2014-05-01

    There is no guarantee that a successful pilot program introducing a reproductive health innovation can also be expanded successfully to the national or regional level, because the scaling-up process is complex and multilayered. This article describes how a successful pilot program to integrate the Standard Days Method (SDM) of family planning into existing Ministry of Health services was scaled up nationally in Rwanda. Much of the success of the scale-up effort was due to systematic use of monitoring and evaluation (M&E) data from several sources to make midcourse corrections. Four lessons learned illustrate this crucially important approach. First, ongoing M&E data showed that provider training protocols and client materials that worked in the pilot phase did not work at scale; therefore, we simplified these materials to support integration into the national program. Second, triangulation of ongoing monitoring data with national health facility and population-based surveys revealed serious problems in supply chain mechanisms that affected SDM (and the accompanying CycleBeads client tool) availability and use; new procedures for ordering supplies and monitoring stockouts were instituted at the facility level. Third, supervision reports and special studies revealed that providers were imposing unnecessary medical barriers to SDM use; refresher training and revised supervision protocols improved provider practices. Finally, informal environmental scans, stakeholder interviews, and key events timelines identified shifting political and health policy environments that influenced scale-up outcomes; ongoing advocacy efforts are addressing these issues. The SDM scale-up experience in Rwanda confirms the importance of monitoring and evaluating programmatic efforts continuously, using a variety of data sources, to improve program outcomes.

  3. Systems approach to monitoring and evaluation guides scale up of the Standard Days Method of family planning in Rwanda

    PubMed Central

    Igras, Susan; Sinai, Irit; Mukabatsinda, Marie; Ngabo, Fidele; Jennings, Victoria; Lundgren, Rebecka

    2014-01-01

    There is no guarantee that a successful pilot program introducing a reproductive health innovation can also be expanded successfully to the national or regional level, because the scaling-up process is complex and multilayered. This article describes how a successful pilot program to integrate the Standard Days Method (SDM) of family planning into existing Ministry of Health services was scaled up nationally in Rwanda. Much of the success of the scale-up effort was due to systematic use of monitoring and evaluation (M&E) data from several sources to make midcourse corrections. Four lessons learned illustrate this crucially important approach. First, ongoing M&E data showed that provider training protocols and client materials that worked in the pilot phase did not work at scale; therefore, we simplified these materials to support integration into the national program. Second, triangulation of ongoing monitoring data with national health facility and population-based surveys revealed serious problems in supply chain mechanisms that affected SDM (and the accompanying CycleBeads client tool) availability and use; new procedures for ordering supplies and monitoring stockouts were instituted at the facility level. Third, supervision reports and special studies revealed that providers were imposing unnecessary medical barriers to SDM use; refresher training and revised supervision protocols improved provider practices. Finally, informal environmental scans, stakeholder interviews, and key events timelines identified shifting political and health policy environments that influenced scale-up outcomes; ongoing advocacy efforts are addressing these issues. The SDM scale-up experience in Rwanda confirms the importance of monitoring and evaluating programmatic efforts continuously, using a variety of data sources, to improve program outcomes. PMID:25276581

  4. Clinical Implementation of an Online Adaptive Plan-of-the-Day Protocol for Nonrigid Motion Management in Locally Advanced Cervical Cancer IMRT

    SciTech Connect

    Heijkoop, Sabrina T. Langerak, Thomas R.; Quint, Sandra; Bondar, Luiza; Mens, Jan Willem M.; Heijmen, Ben J.M.; Hoogeman, Mischa S.

    2014-11-01

    Purpose: To evaluate the clinical implementation of an online adaptive plan-of-the-day protocol for nonrigid target motion management in locally advanced cervical cancer intensity modulated radiation therapy (IMRT). Methods and Materials: Each of the 64 patients had four markers implanted in the vaginal fornix to verify the position of the cervix during treatment. Full and empty bladder computed tomography (CT) scans were acquired prior to treatment to build a bladder volume-dependent cervix-uterus motion model for establishment of the plan library. In the first phase of clinical implementation, the library consisted of one IMRT plan based on a single model-predicted internal target volume (mpITV), covering the target for the whole pretreatment observed bladder volume range, and a 3D conformal radiation therapy (3DCRT) motion-robust backup plan based on the same mpITV. The planning target volume (PTV) combined the ITV and nodal clinical target volume (CTV), expanded with a 1-cm margin. In the second phase, for patients showing >2.5-cm bladder-induced cervix-uterus motion during planning, two IMRT plans were constructed, based on mpITVs for empty-to-half-full and half-full-to-full bladder. In both phases, a daily cone beam CT (CBCT) scan was acquired to first position the patient based on bony anatomy and nodal targets and then select the appropriate plan. Daily post-treatment CBCT was used to verify plan selection. Results: Twenty-four and 40 patients were included in the first and second phase, respectively. In the second phase, 11 patients had two IMRT plans. Overall, an IMRT plan was used in 82.4% of fractions. The main reasons for selecting the motion-robust backup plan were uterus outside the PTV (27.5%) and markers outside their margin (21.3%). In patients with two IMRT plans, the half-full-to-full bladder plan was selected on average in 45% of the first 12 fractions, which was reduced to 35% in the last treatment fractions. Conclusions: The implemented

  5. Inspire Day

    ERIC Educational Resources Information Center

    Bohach, Barbara M.; Meade, Birgitta

    2014-01-01

    The authors collaborated on hosting a "Spring Inspire Day." planned and delivered by preservice elementary teachers as a social studies/science methods project. Projects that have authentic application opportunities can make learning meaningful for prospective teachers as well as elementary students. With the impetus for an integrated…

  6. Simultaneous multi-scale microscopy as a potential dedicated tool for intra-operative parathyroid identification during thyroid surgery (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    De Montigny, Étienne; Goulamhoussen, Nadir; Madore, Wendy-Julie; Strupler, Mathias; Maniakas, Anastasios; Ayad, Tareck; Boudoux, Caroline

    2016-02-01

    While thyroidectomy is considered a safe surgery, dedicated tools facilitating tissue identification during surgery could improve its outcome. The most common complication following surgery is hypocalcaemia, which results from iatrogenic removal or damage to parathyroid glands. This research project aims at developing and validating an instrument based on optical microscopy modalities to identify tissues in real time during surgery. Our approach is based on a combination of reflectance confocal microscopy (RCM) and optical coherence tomography (OCT) to obtain multi-scale morphological contrast images. The orthogonal field of views provide information to navigate through the sample. To allow simultaneous, synchronized video-rate imaging in both modalities, we designed and built a dual-band wavelength-swept laser which scans a 30 nm band centered at 780 nm and a 90 nm band centered at 1310 nm. We built an imaging setup integrating a custom-made objective lens and a double-clad fibre coupler optimized for confocal microscopy. It features high resolutions in RCM (2µm lateral and 20 µm axial) in a 500 µm x 500 µm field-of-view and a larger field-of-view of 2 mm (lateral) x 5 mm (axial) with 20 µm lateral and axial resolutions in OCT. Imaging of ex vivo animal samples is demonstrated on a bench-top system. Tissues that are visually difficult to distinguish from each other intra-operatively such as parathyroid gland, lymph nodes and adipose tissue are imaged to show the potential of this approach in differentiating neck tissues. We will also provide an update on our ongoing clinical pilot study on patients undergoing thyroidectomy.

  7. Neurocognitive function and quality of life in patients with newly diagnosed brain metastasis after treatment with intra-operative cesium-131 brachytherapy: a prospective trial.

    PubMed

    Pham, Anthony; Yondorf, Menachem Z; Parashar, Bhupesh; Scheff, Ronald J; Pannullo, Susan C; Ramakrishna, Rohan; Stieg, Philip E; Schwartz, Theodore H; Wernicke, A Gabriella

    2016-03-01

    Intraoperative permanent Cesium-131 (Cs-131) brachytherapy can provide a viable alternative to WBRT with excellent response rates and minimal toxicity. This study reports the results of the prospective trial of the impact of intraoperative Cs-131 on neurocognitive function and quality of life (QoL) in patients with resected brain metastases. Between 2010 and 2012, 24 patients with newly diagnosed metastasis to the brain were accrued on a prospective protocol and treated with Cs-131 brachytherapy seeds after surgical resection. Physicians administered the mini-mental status examination (MMSE) and functional assessment of cancer therapy-brain (FACT-Br) questionnaire to all patients before treatment and again every 2 months for the duration of 6 months with additional follow-up again at 12 months. Wilcoxon rank sum test was used to analyze statistically significant changes in MMSE over time and paired t test was used to analyze changes in FACT-BR. There was a statistical improvement in overall FACT-BR score at 4 and 6 months of follow-up when compared to baseline (162 vs. 143, P = 0.004; 164 vs. 143, P = 0.005 respectively) with a non-significant trend toward improvement at 2 and 12 months (154 vs. 143, P = 0.067; 159 vs. 149, P = 0.4). MMSE score was statistically improved at 4 and up to 12 months compared to pre-treatment MMSE (30 vs. 29, P = 0.017; 30 vs. 29, P = 0.001 respectively). Patients with brain metastasis who received intra-operative permanent Cs-131 brachytherapy implants saw an improvement of their neurocognitive status and self-assessment of QoL. In addition to the excellent local control of metastasis, this approach may contribute to the improvements in cognitive function and QOL.

  8. Multi-catheter interstitial brachytherapy for partial breast irradiation: an audit of implant quality based on dosimetric evaluation comparing intra-operative versus post-operative placement

    PubMed Central

    Gurram, Lavanya; Joshi, Kishor; Phurailatpam, Reena; Paul, Siji; Sarin, Rajiv

    2016-01-01

    Purpose The use of multicatheter interstitial brachytherapy (MIB) for accelerated partial breast irradiation (APBI) in early breast cancer (EBC) patients outside the trial setting has increased. Hence, there is a need to critically evaluate implant quality. Moreover, there is a scarcity of reports using an open cavity technique. We report the dosimetric indices of open and closed cavity MIB techniques. Material and methods The dosimetric parameters of 60 EBC patients treated with MIB (open and closed cavity) who underwent three dimensional, computerized tomography (CT) based planning for APBI from November 2011 to July 2015 were evaluated. Coverage Index (CI), Dose Homogeneity Index (DHI), Conformity Index (COIN), Plan Quality Index (PQI), and Dose Non-uniformity Index (DNR) were assessed. Results Forty-one patients underwent open cavity and 19 patients underwent closed cavity placement of brachytherapy catheters. The median number of planes was 4 and median number of needles was 20. Median dose was 34 Gy with dose per fraction of 3.4 Gy, given twice a day, 6 hours apart. The D90 of the cavity and clinical target volume (CTV) were 105% and 89%, respectively. The median doses to the surgical clips were greater than 100%. The median CI of the cavity and CTV was 0.96 and 0.82, respectively. The DHI and COIN index of the CTV was 0.73 and 0.67. There were no significant differences in the dosimetric parameters based on whether the technique was done open or closed. Conclusions Critical evaluation of the dosimetric parameters of MIB-APBI is important for optimal results. While the open and closed techniques have similar dosimetry, our institutional preference is for an open technique which eases the procedure due to direct visualization of the tumor cavity. PMID:27257415

  9. Individual Plans for Children in Transition to Pre-School: A Case Study in One Finnish Day-Care Centre

    ERIC Educational Resources Information Center

    Turunen, Tuija A.

    2012-01-01

    This paper outlines a case study on teachers' and parents' perspectives on children's individual plans in transition from early childhood education to pre-school in Finland. The study was based on the importance of continuity as a part of positive educational transition experiences. The national curricula, educators' interpretations and parents'…

  10. SU-E-J-73: Extension of a Clinical OIS/EMR/R&V System to Deliver Safe and Efficient Adaptive Plan-Of-The-Day Treatments Using a Fully Customizable Plan-Library-Based Workflow

    SciTech Connect

    Akhiat, A.; Kanis, A.P.; Penninkhof, J.J.; Sodjo, S.; O’Neill, T.; Quint, S.; Doorn, X. van; Schillemans, W.; Heijmen, B.; Hoogeman, M.; Linton, N.; Coleman, A.

    2015-06-15

    Purpose: To extend a clinical Record and Verify (R&V) system to enable a safe and fast workflow for Plan-of-the-Day (PotD) adaptive treatments based on patient-specific plan libraries. Methods: Plan libraries for PotD adaptive treatments contain for each patient several pre-treatment generated treatment plans. They may be generated for various patient anatomies or CTV-PTV margins. For each fraction, a Cone Beam CT scan is acquired to support the selection of the plan that best fits the patient’s anatomy-of-the-day. To date, there are no commercial R&V systems that support PotD delivery strategies. Consequently, the clinical workflow requires many manual interventions. Moreover, multiple scheduled plans have a high risk of excessive dose delivery. In this work we extended a commercial R&V system (MOSAIQ) to support PotD workflows using IQ-scripting. The PotD workflow was designed after extensive risk analysis of the manual procedure, and all identified risks were incorporated as logical checks. Results: All manual PotD activities were automated. The workflow first identifies if the patient is scheduled for PotD, then performs safety checks, and continues to treatment plan selection only if no issues were found. The user selects the plan to deliver from a list of candidate plans. After plan selection, the workflow makes the treatment fields of the selected plan available for delivery by adding them to the treatment calendar. Finally, control is returned to the R&V system to commence treatment. Additional logic was added to incorporate off-line changes such as updating the plan library. After extensive testing including treatment fraction interrupts and plan-library updates during the treatment course, the workflow is running successfully in a clinical pilot, in which 35 patients have been treated since October 2014. Conclusion: We have extended a commercial R&V system for improved safety and efficiency in library-based adaptive strategies enabling a wide

  11. Soil pollution in day-care centers and playgrounds in Norway: national action plan for mapping and remediation.

    PubMed

    Ottesen, Rolf Tore; Alexander, Jan; Langedal, Marianne; Haugland, Toril; Høygaard, Erik

    2008-12-01

    Systematic geochemical mapping based on sampling and analysis of surface soils (0-2 cm) has been carried out in several Norwegian cities. The soils in the oldest parts of the cities are contaminated with metals (especially Pb) and polycyclic aromatic hydrocarbons (PAH). Due to the fact that children are often in contact with surface soil, it was realized that special focus had to be directed towards soils in day-care centers and playgrounds. The first mapping and remedy program was initiated in Trondheim in 1996. Here, the importance of copper-chromium-arsenic (CCA)-pressure-impregnated wood in playing equipment as a pollution source for soils was documented, and a process was started with the aim to ban this product. Soils from day-care centers in the inner city of Bergen were polluted to a degree that required remediation in 45% out of 87 centers, mainly due to high concentrations of Pb and benzo(a)pyrene. In Oslo, 38% of 700 day-care centers needed remediation due to soil pollution by Pb, BaP, Cd, Hg, Ni and PCB. Removal of CCA-impregnated wood was necessary in more than half of the day-care centers The Norwegian parliament has decided to investigate all outdoor playing areas in day-care centers, playgrounds and schoolyards in Norway, starting in 2007 with day-care centers in the ten largest cities and five most important industrial areas. The Norwegian Institute of Public Health has developed quality criteria for soils in day-care centers and playgrounds for As, Cd, Cr(6+), Hg, Ni, Pb, zinc, PAH(sum16), benzo(a)pyrene, and PCB(sum7). The Geological Survey of Norway has developed guidance for mapping of soil pollution (sampling, chemical analysis and reporting) in day-care centers. Especially the sampling strategy has been developed in the period 1996-2007, and the preferred sampling strategy is to collect at least 10 samples of surface soil (0-2 cm) from (1) "original soil" on the site, (2) artificial man-made "hills", and (3) soils used for growing vegetables

  12. Multi-day activity scheduling reactions to planned activities and future events in a dynamic model of activity-travel behavior

    NASA Astrophysics Data System (ADS)

    Nijland, Linda; Arentze, Theo; Timmermans, Harry

    2014-01-01

    Modeling multi-day planning has received scarce attention in activity-based transport demand modeling so far. However, new dynamic activity-based approaches are being developed at the current moment. The frequency and inflexibility of planned activities and events in activity schedules of individuals indicate the importance of incorporating those pre-planned activities in the new generation of dynamic travel demand models. Elaborating and combining previous work on event-driven activity generation, the aim of this paper is to develop and illustrate an extension of a need-based model of activity generation that takes into account possible influences of pre-planned activities and events. This paper describes the theory and shows the results of simulations of the extension. The simulation was conducted for six different activities, and the parameter values used were consistent with an earlier estimation study. The results show that the model works well and that the influences of the parameters are consistent, logical, and have clear interpretations. These findings offer further evidence of face and construct validity to the suggested modeling approach.

  13. Day to Day

    ERIC Educational Resources Information Center

    Jurecki, Dennis

    2006-01-01

    A clean, healthy and safe school provides students, faculty and staff with an environment conducive to learning and working. However, budget and staff reductions can lead to substandard cleaning practices and unsanitary conditions. Some school facility managers have been making the switch to a day-schedule to reduce security and energy costs, and…

  14. Use of the radial groove view intra-operatively to prevent damage to the extensor pollicis longus tendon by protruding screws during volar plating of a distal radial fracture.

    PubMed

    Lee, S K; Bae, K W; Choy, W S

    2013-10-01

    The aims of this study were to assess the efficacy of a newly designed radiological technique (the radial groove view) for the detection of protrusion of screws in the groove for the extensor pollicis longus tendon (EPL) during plating of distal radial fractures. We also aimed to determine the optimum position of the forearm to obtain this view. We initially analysed the anatomy of the EPL groove by performing three-dimensional CT on 51 normal forearms. The mean horizontal angle of the groove was 17.8° (14° to 23°). We found that the ideal position of the fluoroscopic beam to obtain this view was 20° in the horizontal plane and 5° in the sagittal plane. We then intra-operatively assessed the use of the radial groove view for detecting protrusion of screws in the EPL groove in 93 fractures that were treated by volar plating. A total of 13 protruding screws were detected. They were changed to shorter screws and these patients underwent CT scans of the wrist immediately post-operatively. There remained one screw that was protruding. These findings suggest that the use of the radial groove view intra-operatively is a good method of assessing the possible protrusion of screws into the groove of EPL when plating a fracture of the distal radius.

  15. The effect of X-ray scattering by water in the irradiation of cell cultures for the dosimetric characterization of a new prototype of IORT (Intra-Operative Radiation Therapy) device: Monte Carlo simulation and experimental validation.

    PubMed

    Ceccolini, E; Ferrari, P; Castelluccio, D M; Mostacci, D; Sumini, M

    2013-10-01

    The electron beam emitted backward by plasma focus devices is being considered as a radiation source for Intra-Operative Radiation Therapy (IORT) applications. Radiobiological investigations have been conducted to assess the potential of this new prototype of IORT device. A standard x-ray beam, ISO-H60, was used for comparison, irradiating cell cultures in a holder filled with an aqueous solution. The influence of scattering by the culture water and by the walls of the holder was investigated to determine their influence on the dose delivered to the cell culture. MCNPX simulations were run and experimental measurements conducted. The effect of scattering by the holder was found to be negligible; scattering by the culture water was determined to give an increase in dose of the order of 10%.

  16. Changes in smoking prevalence and number of cigarettes smoked per day following the implementation of a comprehensive tobacco control plan in New York City.

    PubMed

    Coady, Micaela H; Jasek, John; Davis, Karen; Kerker, Bonnie; Kilgore, Elizabeth A; Perl, Sarah B

    2012-10-01

    The New York City (NYC) Health Department has implemented a comprehensive tobacco control plan since 2002, and there was a 27% decline in adult smoking prevalence in NYC from 2002 to 2008. There are conflicting reports in the literature on whether residual smoker populations have a larger or smaller share of "hardcore" smokers. Changes in daily consumption and daily and nondaily smoking prevalence, common components used to define hardcore smokers, were evaluated in the context of the smoking prevalence decline. Using the NYC Community Health Survey, an annual random digit dial, cross-sectional survey that samples approximately 10,000 adults, the prevalence of current heavy daily, light daily, and nondaily smokers among NYC adults was compared between 2002 and 2008. A five-level categorical cigarettes per day (CPD) variable was also used to compare the population of smokers between the 2 years. From 2002 to 2008, significant declines were seen in the prevalence of daily smoking, heavy daily smoking, and nondaily smoking. Among daily smokers, there is also evidence of population declines in all but the lowest smoking category (one to five CPD). The mean CPD among daily smokers declined significantly, from 14.6 to 12.5. After an overall decline in smoking since 2002, the remaining smokers may be less nicotine dependent, based on changes in daily consumption and daily and nondaily smoking prevalence. These findings suggest the need to increase media and cessation efforts targeted towards lighter smokers.

  17. Human reponses to historical eruptions of Etna (Sicily) from 1600 to present and their implications for present-day disaster planning

    NASA Astrophysics Data System (ADS)

    Sangster, H.; Chester, D. K.; Duncan, A. M.

    2012-04-01

    Mount Etna in northeastern Sicily (Italy) rises to over 3000 m, covers an area of ca.1750 km2 and is the most active volcano in Europe. Observations of Etna by literate observers stretch back to the classical era and one of the earliest references to an eruption of Etna was by Pindar in his Pythian Odes, to the event of ca. 474-479 B.C. The history of its activity has been reconstructed by scholars up to the present day and records of eruptions are reasonably complete from the early fifteenth century, reliable from 1669, and document the threats and destruction to human settlements and livelihoods. Effusive and explosive activity has occurred continually throughout the historical period and eruptions of Mount Etna have presented numerous eruption styles, from persistent central crater activity, to periodic flank eruptions. From 1600 to 1669 the activity of Etna was characterised by a high volumetric output of lava with a mean eruption rate of 1.19 m3s-1, this was followed by a pause from flank eruptions and the re-establishment of significant activity from the middle of the eighteenth century. After 1750 the output of lava by flank eruptions was lower than in the previous century, with the mean eruption rate falling to 0.18 m3s-1. This paper summarises: the characteristics of the eruptions that occurred between the period of 1600 to present; the particularities of the societal responses over time and the role of the authorities; and, the important lessons this history holds for the management of present-day civil defence planning in the region. People responded to the eruptions at three levels: as members of a family and extended family; as members of a community and, as citizens of the State. The State, however, was a minor player in responding to these eruptions until the early nineteenth century as the State then became more involved in each successive eruption as the responses moved to a more industrial nature rather than pre-industrial. Today emergencies are

  18. Rainy Day Activities.

    ERIC Educational Resources Information Center

    Texas Child Care, 1997

    1997-01-01

    Experienced caregivers plan ahead for rainy days. This article describes specific rainy day activities for young children, such as books and crafts to learn about rain (rain in a jar, making a rainbow), simple cooking activities (taffy pull, cinnamon candy tea), and games (mummy wrap, hunt the thimble, rain lotto). (EV)

  19. Hazard responses in the pre-industrial era: vulnerability and resilience of traditional societies to volcanic disasters and the implications for present-day disaster planning

    NASA Astrophysics Data System (ADS)

    Sangster, Heather

    2014-05-01

    events and how characteristic methods of coping have developed to enhance resilience, and reduce vulnerability. The aim of this paper is reflective of this research frontier and with the use of Mount Vesuvius, Italy, as a case study, this paper summarises: the characteristics of the eruptions that occurred during the long nineteenth century (i.e. those that occurred in 1794, 1822, 1855, 1861, 1872, 1906 and 1929); the particularities of the societal responses over time and the role of the authorities; and, the important lessons this history holds for the management of present-day disaster planning. In order to reduce disaster susceptibility and increase what is termed, resilience or capacity, the more deep-rooted causes of vulnerability need to be addressed.

  20. Intra-Operative Dosimetry in Prostate Brachytherapy

    DTIC Science & Technology

    2006-11-01

    phantoms and pre-recorded patient data. 15. SUBJECT TERMS Prostate Brachytherapy, X-ray reconstruction, C-arm, TRUS 16. SECURITY CLASSIFICATION...prostate brachytherapy system that provides dosimetry analysis (Aim-2), and evaluate the system experimentally on phantoms and pre-recorded patient data...prostate brachytherapy system to enable dosimetry calculation Aim-3: Experimental Validation: Evaluate the performance of the RUF system on phantoms and

  1. Intra-Operative Dosimetry in Prostate Brachytherapy

    DTIC Science & Technology

    2007-11-01

    phantoms and pre-recorded patient data. 15. SUBJECT TERMS Prostate Brachytherapy, X-ray reconstruction, C-arm, TRUS 16. SECURITY CLASSIFICATION...system experimentally on phantoms and pre-recorded patient data (Aim-3). Algorithmic design (Aim-1) and experimental evaluation (Aim-3), will progress...Evaluate the performance of the RUF system on phantoms and pre- recorded patient data. (Neither of which require an IRB approval) B.3 Progress

  2. [Intra-operative cholangiography in laparoscopic cholecystectomy].

    PubMed

    Neufeld, D; Jessel, J; Freund, U

    1994-01-16

    Intraoperative cholangiography (IC) in laparoscopic cholecystectomy is a controversial issue. According to traditional teaching, the purpose of cholangiography in gallbladder surgery is to discover previously undiscovered common bile duct stones. This examination was extremely important in the era before ERCP. IC enabled surgeons to find stones and remove them at the same operation. With progress in ERCP, the importance of intraoperative cholangiography has diminished. A stone missed during surgery can most often be dealt with by the less invasive ERCP and papillotomy. There has been a difference of opinion in the literature as to whether to perform cholangiography routinely during gallbladder operations or only in cases in which there is a specific indication, such as an enlarged common bile duct, a history of pancreatitis, or elevated enzymes. Routine operative cholangiography prolongs operative time and carries its own inherent risks, such as injury to the bile ducts. The likelihood of stones is not high and over-diagnosis of stones would result in unwarranted common bile duct exploration and the danger of complications from the procedure. The tendency today is towards a more selective approach. In this era of laparoscopic gallbladder surgery, the controversy has come to the fore again, and there is now an additional aspect. In laparoscopic gallbladder surgery there is greater significance to the "road map" provided by X-rays. We rely mainly on the visual sense and have forgone the tactile sense. Therefore, any added visual input in this operation helps avoid the danger of injuring the main bile ducts. It is our contention that the indications for operative cholangiography in laparoscopic cholecystectomy should again be broadened.

  3. Intra-Operative Dosimetry in Prostate Brachytherapy

    DTIC Science & Technology

    2008-04-01

    4 A INTRODUCTION For several decades, the definitive treatment for low and medium risk prostate cancer was radical prostatectomy or external...with reduced morbidity. In contemporary practice, however, faulty needle and source placement often cause insufficient dose to the cancer and/or...seeds if the pose of a C-arm is known. The algorithm was validated using phantom and clinical patient data. Index Terms— Tomosynthesis, prostate cancer

  4. Dinosaur Day!

    ERIC Educational Resources Information Center

    Nakamura, Sandra; Baptiste, H. Prentice

    2006-01-01

    In this article, the authors describe how they capitalized on their first-grade students' love of dinosaurs by hosting a fun-filled Dinosaur Day in their classroom. On Dinosaur Day, students rotated through four dinosaur-related learning stations that integrated science content with art, language arts, math, and history in a fun and time-efficient…

  5. CEMI Days

    SciTech Connect

    2015-07-01

    CEMI Days are an important channel of engagement between DOE and the manufacturing industry to identify challenges and opportunities for increasing U.S. manufacturing competitiveness. CEMI Days that are held at manufacturing companies’ facilities can include tours of R&D operations or other points of interest determined by the host company.

  6. Career Day

    NASA Video Gallery

    NASA's 2013 Career Days was a joint collaboration between NASA Langley and the Newport News Shipbuilding where 600 high school students from Virginia took on two design challenges -- designing a ca...

  7. Capitol Day

    NASA Technical Reports Server (NTRS)

    2009-01-01

    Stennis Space Center Director Gene Goldman visits with Mississippi Gov. Haley Barbour during NASA Day at the Capitol activities on Feb. 19. During the visit, Goldman presented the governor with a model of the J-2X rocket engine currently in development. Stennis engineers did early component testing for the new engine.

  8. 34 CFR 300.11 - Day; business day; school day.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false Day; business day; school day. 300.11 Section 300.11... CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.11 Day; business day; school day. (a) Day means calendar day unless otherwise indicated as business day or school day. (b) Business...

  9. 34 CFR 300.11 - Day; business day; school day.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true Day; business day; school day. 300.11 Section 300.11... CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.11 Day; business day; school day. (a) Day means calendar day unless otherwise indicated as business day or school day. (b) Business...

  10. Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations

    PubMed Central

    Kelly, Enda G.; Murphy, Terence P.; McCoy, Gerry F.; Glynn, Aaron A.

    2016-01-01

    Background. Day of surgery admission (DOSA) is becoming standard practice as a means of reducing cost in total joint arthroplasty. Aims. The aim of our study was to audit the use of DOSA in a specialty hospital and identify reasons for cancellation. Methods. A retrospective study of patients presenting for hip or knee arthroplasty between 2008 and 2013 was performed. All patients were assessed at the preoperative assessment clinic (PAC). Results. Of 3195 patients deemed fit for surgery, 114 patients (3.5%) had their surgery cancelled. Ninety-two cancellations (80%) were due to the patient being deemed medically unsuitable for surgery by the anaesthetist. Cardiac disease was the most common reason for cancellation (n = 27), followed by pulmonary disease (n = 22). 77 patients (67.5%) had their operation rescheduled and successfully performed in our institution at a later date. Conclusion. DOSA is associated with a low rate of cancellations on the day of surgery. Patients with cardiorespiratory comorbidities are at greatest risk of cancellation. PMID:27974973

  11. [Planning orthodontic surgery with the Hexapod system].

    PubMed

    Vollmer, D; Ehmer, U; Bourauel, C; Linss, G

    2001-03-01

    Treatment of maxillofacial dysgnathia using a combined surgical/orthodontic approach requires careful orthodontic and orthognathic diagnosis and treatment planning. In the present study, a system enabling on-line presentation of the necessary displacements of the jaw during surgery, while improving the accuracy of the planning, is described. Using the hexapod principle, it is possible to plan operations with six degrees of freedom and to measure the three-dimensional movements of jaws and jaw segments within the planning stage. Routinely prepared casts are employed for simulation of the operation. The displacements of the jaw are presented in a manner familiar to the orthodontic surgeon, namely in a surgical record. The accuracy achieved with the hexapod is superior to that achievable intra-operatively.

  12. Zoning for Day Care (from Models for Day Care Licensing).

    ERIC Educational Resources Information Center

    Day Care and Child Development Council of America, Inc., Washington, DC.

    Recommendations and regulations regarding the zoning of child development day care programs are discussed. Zoning in general is discussed, as is the treatment of child development day care in zoning ordinance, the background of program planning, modular housing, the impelmentation of zoning, and model provisions regarding characteristics of…

  13. Human responses to eruptions of Etna (Sicily) during the late-Pre-Industrial Era and their implications for present-day disaster planning

    NASA Astrophysics Data System (ADS)

    Chester, David K.; Duncan, Angus M.; Sangster, Heather

    2012-05-01

    This paper summarises: the characteristics of eruptions that occurred between 1792/3 and 1923; the ways in which human responses evolved during the period and the lessons this history holds for the management of present-day volcanic and volcano-related disasters. People responded to eruptions at three levels: as members of a family and extended family; through the mutual support of a village or larger settlement and as citizens of the State. During the study period and with the exception of limited financial aid and preservation of law and order, the State was a minor player in responding to eruptions. Families and extended families provided shelter, accommodation and often alternative agricultural employment; whilst supportive villages communities displayed a well developed tendency to learn from experience (e.g. innovating techniques to bring land back into cultivation and avoiding the risks of phreatic activity as lava encountered water and saturated ground) and providing labour to enable household chattels and agricultural crops to be salvaged from land threatened with lava incursion. Eruptions were widely believed to be 'Acts of God', with divine punishment frequently being invoked as a primary cause of human suffering. Elaborate rituals of propitiation were performed to appease a supposed angry God, but this world-view did not produce a fatalistic attitude amongst the population preventing people from coping with disasters in a generally effective manner. Despite present day emergencies being handled by the State and its agencies, some features of nineteenth century responses remain in evidence, including salvaging all that may be easily removed from a building and/or agricultural holding, and explanations of disaster which are theistic in character. Lessons from eruptions that occurred between 1792/3 to 1923 are that the former should be encouraged, whilst the latter does not prevent people acting to preserve life and property or obeying the authorities

  14. Sun-Earth Day, 2001

    NASA Technical Reports Server (NTRS)

    Adams, Mitzi L.; Mortfield, P.; Hathaway, D. H.; Whitaker, Ann F. (Technical Monitor)

    2001-01-01

    To promote awareness of the Sun-Earth connection, NASA's Marshall Space Flight Center, in collaboration with the Stanford SOLAR Center, sponsored a one-day Sun-Earth Day event on April 27, 2001. Although "celebrated" on only one day, teachers and students from across the nation, prepared for over a month in advance. Workshops were held in March to train teachers. Students performed experiments, results of which were shared through video clips and an internet web cast. Our poster includes highlights from student experiments (grades 2 - 12), lessons learned from the teacher workshops and the event itself, and plans for Sun-Earth Day 2002.

  15. Effects of Intra-Operative Total Intravenous Anaesthesia with Propofol versus Inhalational Anaesthesia with Sevoflurane on Post-Operative Pain in Liver Surgery: A Retrospective Case-Control Study

    PubMed Central

    Choi, Siu Wai; Wong, Stanley Sau Ching; Chan, Albert Chi Yan; Irwin, Michael G; Cheung, Chi Wai

    2016-01-01

    Background Patients receiving total intravenous anesthesia (TIVA) with propofol have been shown to experience less postoperative pain. We evaluated the post-operative analgesic effects of propofol compared with sevoflurane maintenance of anesthesia in liver surgery. This study was registered at ClinicalTrials.gov (NCT02179437). Methods In this retrospective study, records of patients who underwent liver surgery between 2010 and 2013 were reviewed. Ninety-five patients anesthetized with propofol TIVA were matched with 95 patients anesthetized with sevoflurane. Numeric pain rating scale (NRS) pain scores, postoperative morphine consumption, side effects and patients’ satisfaction with pain relief were evaluated. Results The TIVA group reported lower NRS pain scores during coughing on postoperative days 1 and 2 but not 3 (p = 0.0127, p = 0.0472, p = 0.4556 respectively). They also consumed significantly less daily (p = 0.001 on day 1, p = 0.0231 on day 2, p = 0.0004 on day 3), accumulative (p = 0.001 on day 1, p<0.0001 on day 2 and p = 0.0064 on day 3) and total morphine (p = 0.03) when compared with the sevoflurane group. There were no differences in total duration of intravenous patient controlled analgesia (PCA) morphine use and patient satisfaction. No difference was found in reported side effects. Conclusion Patients anesthetized with propofol TIVA reported less pain during coughing and consumed less daily, accumulative and total morphine after liver surgery. PMID:26901037

  16. STS-79 Flight Day 5

    NASA Technical Reports Server (NTRS)

    1996-01-01

    On this fifth day of the STS-79 mission, the flight crew, Cmdr. William F. Readdy, Pilot Terrence W. Wilcutt, Mission Specialists, Thomas D. Akers, Shannon Lucid, Jay Apt, and Carl E. Walz, in the first full day of joint Shuttle/Mir operations begin in with the transfer of a biotechnology investigation and logistical supplies from Atlantis to Mir. The Biotechnology System, an investigation that will study the long-term development of cartilage cells in microgravity, was transported to Mir early this morning. During his planned four-month stay on Mir, John Blaha will take weekly samples of the culture which may provide researchers with information on engineering cartilage cells for possible use in transplantation. They also took time out of their schedules to talk with Good Morning America's Elizabeth Vargas in a brief interview. Prior to beginning the day's transfer activities, all nine astronauts and cosmonauts participated in a joint planning session to outline the day's schedule.

  17. 34 CFR 300.11 - Day; business day; school day.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true Day; business day; school day. 300.11 Section 300.11 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION...

  18. 34 CFR 300.11 - Day; business day; school day.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false Day; business day; school day. 300.11 Section 300.11 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION...

  19. 34 CFR 300.11 - Day; business day; school day.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Day; business day; school day. 300.11 Section 300.11 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION ASSISTANCE TO STATES FOR THE EDUCATION...

  20. When Every Day Is Professional Development Day

    ERIC Educational Resources Information Center

    Tienken, Christopher H.; Stonaker, Lew

    2007-01-01

    In the Monroe Township (New Jersey) Public Schools, teachers' learning occurs daily, not just on one day in October and February. Central office and school-level administrators foster job-embedded teacher growth. Every day is a professional development day in the district, but that has not always been so. How did the district become a system with…

  1. Can the rapid identification of mature spermatozoa during microdissection testicular sperm extraction guide operative planning?

    PubMed

    Alrabeeah, K; Doucet, R; Boulet, E; Phillips, S; Al-Hathal, N; Bissonnette, F; Kadoch, I J; Zini, A

    2015-05-01

    The minimum sperm count and quality that must be identified during microdissection testicular sperm extraction (micro-TESE) to deem the procedure successful remains to be established. We conducted a retrospective study of 81 consecutive men with non-obstructive azoospermia who underwent a primary (first) micro-TESE between March 2007 and October 2013. Final assessment of sperm recovery [reported on the day of (intracytoplasmic sperm injection) ICSI] was recorded as (i) successful (available spermatozoa for ICSI) or (ii) unsuccessful (no spermatozoa for ICSI). The decision to perform a unilateral (with limited or complete microdissection) or bilateral micro-TESE was guided by the intra-operative identification of sperm recovery (≥5 motile or non-motile sperm) from the first testicle. Overall, sperm recovery was successful in 56% (45/81) of the men. A unilateral micro-TESE was performed in 47% (38/81) of the men (based on intra-operative identification of sperm) and in 100% (38/38) of these men, spermatozoa was found on final assessment. In 42% (16/38) of the unilateral cases, a limited microdissection was performed (owing to the rapid intra-operative identification of sperm). The remaining 43 men underwent a bilateral micro-TESE and 16% (7/43) of these men had sperm identified on final assessment. The cumulative ICSI pregnancy rates (per cycle started and per embryo transfer) were 47% (21/45) and 60% (21/35), respectively, with a mean (±SD) of 1.9 ± 1.0 embryos transferred. The data demonstrate that intra-operative assessment of sperm recovery can correctly identify those men that require a unilateral micro-TESE. Moreover, the rapid identification of sperm recovery can allow some men to undergo a limited unilateral micro-TESE and avoid the need for complete testicular microdissection.

  2. Reduction of blood loss with the use of a new combined intra-operative and post-operative autologous blood transfusion system compared with no drainage in primary total hip replacement.

    PubMed

    Horstmann, W G; Swierstra, M J; Ohanis, D; Castelein, R M; Kollen, B J; Verheyen, C C P M

    2013-05-01

    Autologous retransfusion and no-drainage are both blood-saving measures in total hip replacement (THR). A new combined intra- and post-operative autotransfusion filter system has been developed especially for primary THR, and we conducted a randomised controlled blinded study comparing this with no-drainage. A total of 204 THR patients were randomised to autologous blood transfusion (ABT) (n = 102) or no-drainage (n = 102). In the ABT group, a mean of 488 ml (sd 252) of blood was retransfused. The mean lowest post-operative haemoglobin level during the hospital stay was higher in the autotransfusion group (10.6 g/dl (7.8 to 13.9) vs 10.2 g/dl (7.5 to 13.3); p = 0.01). The mean haemoglobin levels for the ABT and no-drainage groups were not significantly different on the first day (11.3 g/dl (7.8 to 13.9) vs 11.0 g/dl (8.1 to 13.4); p = 0.07), the second day (11.1 g/dl (8.2 to 13.8) vs 10.8 g/dl (7.5 to 13.3); p = 0.09) or the third day (10.8 g/dl (8.0 to 13.0) vs 10.6 g/dl (7.5 to 14.1); p = 0.15). The mean total peri-operative net blood loss was 1464 ml (sd 505) in the ABT group and 1654 ml (sd 553) in the no-drainage group (p = 0.01). Homologous blood transfusions were needed in four patients (3.9%) in the ABT group and nine (8.8%) in the no-drainage group (p = 0.15). No statistically significant difference in adverse events was found between the groups. The use of a new intra- and post-operative autologous blood transfusion filter system results in less total blood loss and a smaller maximum decrease in haemoglobin levels than no-drainage following primary THR.

  3. Schoolwide Literacy Days.

    ERIC Educational Resources Information Center

    Polder, Darlene D.

    2000-01-01

    Describes 10 "literacy day" activities that one California elementary school has used successfully schoolwide, typically one such day per month, to make reading fun and purposeful, while developing a sense of community. Includes: spread-a-quilt day; teacher exchange day; turn off the TV; Dr. Seuss day; community readers; schoolwide…

  4. The Content Validity of the Behaviour Support Plan Quality Evaluation Tool (BSP-QEII) and its Potential Application in Accommodation and Day-Support Services for Adults with Intellectual Disability

    ERIC Educational Resources Information Center

    McVilly, K.; Webber, L.; Sharp, G.; Paris, M.

    2013-01-01

    Background: The quality of support provided to people with disability who show challenging behaviour could be influenced by the quality of the behaviour support plans (BSPs) on which staff rely for direction. This study investigated the content validity of the Behaviour Support Plan Quality Evaluation tool (BSP-QEII), originally developed to guide…

  5. Adult Day Care

    MedlinePlus

    ... Page Resize Text Printer Friendly Online Chat Adult Day Care Adult Day Care Centers are designed to provide care and ... adults who need assistance or supervision during the day. Programs offer relief to family members and caregivers, ...

  6. Family Day Care Zoning. Local Officials Guide.

    ERIC Educational Resources Information Center

    Cohen, Abby; And Others

    This guide discusses city planning issues related to family day care zoning. The guide is divided into five sections. The first section discusses child care as a planning issue and focuses on changes in working patterns of families and in residential neighborhoods. The second section describes components of the child care delivery system, which…

  7. PlanHab: the combined and separate effects of 16 days of bed rest and normobaric hypoxic confinement on circulating lipids and indices of insulin sensitivity in healthy men.

    PubMed

    Simpson, Elizabeth J; Debevec, Tadej; Eiken, Ola; Mekjavic, Igor; Macdonald, Ian A

    2016-04-15

    PlanHab is a planetary habitat simulation study. The atmosphere within future space habitats is anticipated to have reduced Po2, but information is scarce as to how physiological systems may respond to combined exposure to moderate hypoxia and reduced gravity. This study investigated, using a randomized-crossover design, how insulin sensitivity, glucose tolerance, and circulating lipids were affected by 16 days of horizontal bed rest in normobaric normoxia [NBR: FiO2 = 0.209; PiO2 = 133.1 (0.3) mmHg], horizontal bed rest in normobaric hypoxia [HBR: FiO2 = 0.141 (0.004); PiO2 = 90.0 (0.4) mmHg], and confinement in normobaric hypoxia combined with daily moderate intensity exercise (HAMB). A mixed-meal tolerance test, with arterialized-venous blood sampling, was performed in 11 healthy, nonobese men (25-45 yr) before (V1) and on the morning ofday 17of each intervention (V2). Postprandial glucose and c-peptide response were increased at V2 of both bed rest interventions (P< 0.05 in each case), with c-peptide:insulin ratio higher at V2 in HAMB and HBR, both in the fed and fasted state (P< 0.005 in each case). Fasting total cholesterol was reduced at V2 in HAMB [-0.47 (0.36) mmol/l;P< 0.005] and HBR [-0.55 (0.41) mmol/l;P< 0.005]. Fasting HDL was lower at V2 in all interventions, with the reduction observed in HBR [-0.30 (0.21) mmol/l] greater than that measured in HAMB [-0.13 (0.14) mmol/l;P< 0.005] and NBR [-0.17 (0.15) mmol/l;P< 0.05]. Hypoxia did not alter the adverse effects of bed rest on insulin sensitivity and glucose tolerance but appeared to increase insulin clearance. The negative effect of bed rest on HDL was compounded in hypoxia, which may have implications for long-term health of those living in future space habitats.

  8. Fundamentals of Day Camping. An Ideal Reference for Administrators of Day Camps and School-Age Day Care Programs. Revised.

    ERIC Educational Resources Information Center

    Mitchell, Grace; And Others

    This revised edition of a 1961 publication outlines the steps involved in establishing a new day camp, and presents guidelines for day camp operation. Four chapters cover: (1) preliminary decisions and planning for a new camp; (2) site selection, legal and regulatory considerations, and property management; (3) deciding on buildings and equipment…

  9. CGH Supports World Cancer Day Every Day

    Cancer.gov

    We celebrate World Cancer Day every year on February 4th. This year the theme “We can. I can.” invites us to think not only about how we can work with one another to reduce the global burden of cancer, but how we as individuals can make a difference. Every day the staff at CGH work to establish and build upon programs that are aimed at improving the lives of people affected by cancer.

  10. Adult Day Services

    MedlinePlus

    A Smart Choice Adult Day Services Comparison At-a-Glance 1 Adult Day Services Assisted Living Home Care Nursing Homes Live at home with family ... supervision Nursing care available as needed during the day Flexibility to receive care only on days when ...

  11. International Women's Day speech.

    PubMed

    Kazibwe, S W

    1993-01-01

    The objectives of the International Women's Day are: 1) to celebrate the struggle for women's rights in the economic, social, political, and cultural domain; 2) to reaffirm women's solidarity in the struggle for peace; 3) and to show what women have achieved. In 1988, Uganda's government of the National Resistance Movement created the Ministry of Women in Development. The period 1988-1990 was one of consultations, needs assessment, planning, and recruiting staff for the Ministry. From 1990 to 1993, measurable results have been achieved. The Ministry's gender concerns pertained to the sector policies of the Ministries of Agriculture, Animal Industry and Fisheries, Education, Health, Water, Energy, Minerals, and Environment Protection. Under the Umbrella Project for Women in Development, gender sensitization has been achieved with policy makers in ministries, at district level, and in the media. Gender issues have also been incorporated in the National Political School Curriculum. The Ministry has also trained a corps of 73 women trainers from 38 districts. The Ministry, with funding from DANIDA, collected women's views on the constitution through meetings and seminars in all the districts in the country. Recommendations were submitted in a consolidated report to the Constitution Commission. A pilot para-legal scheme is successfully being implemented in Kamuli district. A community-based pool of legal advisors has been developed. Legal matters that affect both women and men are undertaken at the community level. The economic emancipation of women is a crucial part of the Ministry's mandate. In conjunction with NGOs, pilot credit programs are being run in Mukono, Jinja, Mbale, and Kapchorwa districts. Cross-sectoral programs are in close collaboration with the rural water and sanitation program, the Northern Uganda rehabilitation program, and the integrated Basic Education Pilot Project to be implemented in 8 districts.

  12. Day Care for School-Age Children.

    ERIC Educational Resources Information Center

    Diffendal, Elizabeth

    This booklet examines four aspects of day care services for school-age children: (1) national availability and trends, (2) parents' views, (3) program planning, and (4) recommended program models. A nationwide survey of 58 day care programs enrolling school-age children was conducted, and the general findings are presented. Information on parents'…

  13. Every Day Is National Lab Day

    ERIC Educational Resources Information Center

    Bull, Glen

    2010-01-01

    President Barack Obama recently issued a call for increased hands-on learning in U.S. schools in an address at the National Academy of Sciences. Obama concluded that the future of the United States depends on one's ability to encourage young people to "create, and build, and invent." In this article, the author discusses National Lab Day (NLD)…

  14. Glycine toxicity and unexpected intra-operative death.

    PubMed

    Byard, R W; Harrison, R; Wells, R; Gilbert, J D

    2001-09-01

    A rare complication of the use of glycine irrigation fluid during prostatic surgery in a 69-year-old man is described. Following cystolithopexy and transurethral resection of the prostate for benign prostatomegaly, abdominal distension developed with increasing ventilatory pressures. Despite retroperitoneal fluid evacuation at subsequent urgent laparotomy, cardiac arrest occurred that was not amenable to resuscitation. At autopsy a traumatic defect in the posterior bladder wall filled with calculus debris was confirmed that did not communicate with the peritoneal cavity. Hyponatremia with markedly elevated levels of blood, urine, and body fluid glycine were demonstrated. Death was, therefore, attributed to glycine toxicity following tracking of glycine through a surgical defect in the posterior bladder wall. Careful dissection of surgical sites is required in such cases to demonstrate any additional trauma that may be associated with the fatal episode. Analysis of body fluids for glycine and electrolytes is also necessary to assist in the determination of possible mechanisms of death.

  15. Intra-Operational Area Coordination: The Zone EOC Concept

    DTIC Science & Technology

    2015-09-01

    Operations Center (DOC), operational area, emergency response coordination, mutual aid , catastrophic disasters, earthquake, geographic regions, emergency...manager mutual aid (EMMA), zone EOC, Standardized Emergency Management System (SEMS), predictable surprise 15. NUMBER OF PAGES 125 16. PRICE...STANDARDIZED EMERGENCY MANAGEMENT SYSTEM .............61 F. MUTUAL AID

  16. Every Day Is Mathematical

    ERIC Educational Resources Information Center

    Barger, Rita H.; Jarrah, Adeeb M.

    2012-01-01

    March 14 is special because it is Pi Day. Mathematics is celebrated on that day because the date, 3-14, replicates the first three digits of pi. Pi-related songs, websites, trivia facts, and more are at the fingertips of interested teachers and students. Less celebrated, but still fairly well known, is National Metric Day, which falls on October…

  17. Day Care: Everybody's Problem.

    ERIC Educational Resources Information Center

    Office of Child Development (DHEW), Washington, DC.

    This document reports on statistics regarding the need for day care facilities for children under the age of six. It also gives suggestions for making better use of local day care resources. Statistics show that: (1) There are more than 5 million children in this country under the age of 6 whose mothers work; (2) There are licensed day care…

  18. Growing degree day calculator

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Degree-day benchmarks indicate discrete biological events in the development of insect pests. For the Sparganothis fruitworm, we have isolated all key development events and linked them to degree-day accumulations. These degree-day accumulations can greatly improve treatment timings for cranberry IP...

  19. Day Care Evaluation Manual.

    ERIC Educational Resources Information Center

    Council for Community Services in Metropolitan Chicago, IL.

    This manual presents instruments for evaluating the program and facilities of day care centers and family day care homes serving nonhandicapped children aged 3-5. Chapter 1 discusses child care evaluation in general and outlines the rationale underlying this evaluation system (including the principle that day care evaluation should assess program…

  20. 2016 SPD: Day 1

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-06-01

    Editors note: This week were in Boulder, Colorado at the 47th meeting of the AAS Solar Physics Division (SPD). Follow along to catch some of the latest news from the field of solar physics!The 2016 SPD meeting was launched this morning from the University of Colorado Boulder campus. Two of the hot topics at this years meeting include celebration of the recent move of the National Solar Observatorys headquarters to Boulder, and discussion of the future Daniel K. Inouye Solar Telescope (DKIST, formerly the Advanced Technology Solar Telescope, ATST). DKIST, planned for a 2019 completion in Hawaii, is the next big telescope on the horizon for solar physics.Todays press conference had an interesting focus: instruments providing new high-energy observations of the Sun. Representatives from four different instruments were here to talk about some of the latest X-ray solar observations.GRIPSThe GRIPS payload flew at 130,000 ft over Antarctica on a giant balloon in January 2016. [NASA/Albert Shih]First up, Albert Shih (NASA Goddard) described the Gamma-Ray Imager/Polarimeter for Solar flares, or GRIPS. GRIPS is a balloon-borne instrument designed to detect X-rays and gamma rays emitted during solar flares. Up to tens of a percent of the energy in solar flares is emitted in the form of accelerated particles, but the physics behind this process is not well understood. GRIPS observes where the highest-energy particles are accelerated, in an effort to learn more about the process.GRIPS was launched on 19 January, 2016 and flew for roughly 12 days gathering ~1 million seconds of data! The logistics of this instruments flight are especially interesting, since it was launched from Antarctica and carried by a balloon at a whopping elevation of 130,000 ft (to get high enough that the atmosphere doesnt absorb all the photons GRIPS is trying to observe). Though the data from the mission has been retrieved, the bulk of the hardware remains where it landed at the end of January. It must

  1. 2016 SPD: Day 3

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-06-01

    observe the Sun all have relatively narrow fields of view. But during an eclipse, we can gain the larger context for the corona with ground-based observations, with the Moon conveniently blocking the light from the Suns disk! The cover photo is a spectacular example of this.Observations of the corona during eclipses can provide information on both enormous events, like coronal mass ejections, and faint dynamical features, like plasma instabilities and expanding loops. In addition, we can learn about the plasma properties by examining emission from highly charged ions. The upcoming eclipse should provide a great opportunity to do some coronal science!A Unique OpportunityThe final press-conference speaker for the meeting was Jay Pasachoff (Williams College and Caltech), a veteran solar eclipse observer who was able to speak to what we could expect if we make it into the path of totality next year.Path of totality across the continental US for the August 2017 eclipse. [Fred Espenak/NASA GSFC]Pasachoff pointed out that there are nearly 12 million people located within the band of totality. There are probably another 200 million within a days drive! He strongly encouraged anyone able to make it to the path of totality to do so, pointing out that the experience in person is completely unlike the experience of watching a video. The process of watching the world around you go dark, he says, is something that simply isnt captured when you watch an eclipse on TV.If you plan to travel for the eclipse, Pasachoffs recommendation is to aim for the northwest end of the path of totality, rather than the southeast end surprisingly, weather statistics suggest you have a better chance of not getting clouded out in the northwest.We now have a year left to educate everyone likely to view the eclipse on when and how to view it safely! Accordingly, Pasachoff concluded the conference by providing a series of links on where to find more information:eclipses.infototalsolareclipse.orgGreatAmericanEclipse.comeclipsophile.com

  2. Lessons of Liberty: Veterans Day 2001 Teacher's Guide.

    ERIC Educational Resources Information Center

    Department of Veterans Affairs, Washington, DC.

    This teacher's guide helps teachers plan a class program for Veterans Day. The guide contains the following components (many with activities): "History of Veterans Day"; "Veterans Day National Ceremony"; "Suggested Veterans Day Programs"; "America's Wars (Statistics)"; "Fly Your Flag Regularly and…

  3. [Infants in Day Care].

    ERIC Educational Resources Information Center

    Pawl, Jeree, Ed.; And Others

    1990-01-01

    This newsletter theme issue looks at infant day care models including those emphasizing early intervention with special needs infants. The lead article, "Infants in Day Care: Reflections on Experiences, Expectations and Relationships," by Jeree H. Pawl, stresses the importance of understanding infants' and toddlers' capacities and needs in…

  4. Science Challenge Day

    ERIC Educational Resources Information Center

    Siegel, Deborah

    2013-01-01

    Science fairs can be good motivators, but as extracurricular activities, they leave some students behind. However, by staging a Science Challenge Day at school, educators can involve all students in doing everything from choosing activities to judging projects. This article presents a model for running a successful Science Challenge Day. The…

  5. RED-LETTER DAYS

    EPA Science Inventory

    The word "red-letter" is an adjective meaning "of special significance." It's origin is from the practice of marking Christian holy days in red letters on calendars. The "red-letter days" to which I refer occurred while I was a graduate student of ...

  6. Family Science Day

    ERIC Educational Resources Information Center

    McCubbins, Sara; Thomas, Bethany; Vetere, Michael

    2014-01-01

    This article describes a family-friendly science day event that encourages scientific discovery through hands-on activities, while also providing an opportunity to learn about scientific careers from actual research scientists and science educators, thereby raising awareness of the importance of STEM in our society. The one-day event bought…

  7. The Presidents' Day Game

    ERIC Educational Resources Information Center

    Maxwell, D. Jackson

    2008-01-01

    The history behind the holiday commonly called "Presidents' Day" is a bit confusing. It started as a federal holiday called Washington's Birthday. It was a day set aside to honor George Washington for his accomplishments as a founding father of the country. Later, many northern states began to recognize Abraham Lincoln's Birthday as well for his…

  8. Day of the Dead

    ERIC Educational Resources Information Center

    Dann, Tammy; Murphy, Amy

    2012-01-01

    Foreign Language in Elementary School (FLES) teachers in the West Des Moines schools incorporate the Day of the Dead into the fourth grade curriculum each year. The teachers discuss the Day of the Dead celebration at the Art Center, and many ask for volunteers from fourth grade to participate in the event. Student presentations include a wide…

  9. School Building Day, 2001.

    ERIC Educational Resources Information Center

    Council of Educational Facility Planners, International, Scottsdale, AZ.

    This document presents information and development materials about "School Building Day" (an event spotlighting the school facility and developing support and pride in the community's schools) to help local school districts conduct their own "School Building Day" to be held on April 20th of 2001. Included are lists of suggested…

  10. Day care health risks

    MedlinePlus

    ... This infection causes diarrhea, stomach cramps, and gas. Ear infections, colds, coughs, sore throats, and runny noses ... Head lice and scabies are other common health problems that occur in day care centers. You can ...

  11. Career Day 2012

    NASA Video Gallery

    More than 200 high school juniors and seniors with interests in science, technology, engineering and math met one-on-one with professionals at NASA's Langley Research Center during Career Day 2012,...

  12. Pregnancy - identifying fertile days

    MedlinePlus

    ... between days 7 and 20 of a woman's menstrual cycle. In order to become pregnant, having sex every ... hours of ovulation. If you have an irregular menstrual cycle, an ovulation predictor kit can help you know ...

  13. A Universal Day.

    ERIC Educational Resources Information Center

    Swann, Mike; Walsh, Jean

    2001-01-01

    Describes universal challenge programs, in which all participants, regardless of ability or disability, work as an integrated group. Discusses planning for participant needs and creating a physically and emotionally safe environment. Presents brief instructions for 12 universal activities, including games, problem-solving activities, and high and…

  14. Stennis Day Camper

    NASA Technical Reports Server (NTRS)

    2005-01-01

    Sara Beth Casey, 5, proudly displays her artwork, 'Planets.' Sara Beth created the art as a student of Stennis Day Camp, a free camp for Stennis Space Center employees' children whose schools have not resumed since Hurricane Katrina hit the region on Aug. 29. The camp has registered nearly 200 children and averages 100 children each day. The camp will continue until all schools are back in session.

  15. Sun-Earth Days

    NASA Astrophysics Data System (ADS)

    Thieman, J.; Ng, C.; Lewis, E.; Cline, T.

    2010-08-01

    Sun-Earth Day is a well-coordinated series of programs, resources and events under a unique yearly theme highlighting the fundamentals of heliophysics research and missions. A menu of activities, conducted throughout the year, inspire and educate participants. Sun-Earth Day itself can vary in date, but usually is identified by a celebration on or near the spring equinox. Through the Sun-Earth Day framework we have been able to offer a series of coordinated events that promote and highlight the Sun, its connection to Earth and the other planets. Sun-Earth Day events are hosted by educators, museums, amateur astronomers and scientists and occur at schools, community groups, parks, planetaria and science centers around the globe. Sun-Earth Day raises the awareness and knowledge of formal and informal education audiences concerning space weather and heliophysics. By building on the success of Sun-Earth Day yearly celebrations, we seek to affect people of all backgrounds and ages with the wonders of heliophysics science, discovery, and exploration in ways that are both tangible and meaningful to their lives.

  16. 45 CFR 302.13 - Plan amendments.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 2 2014-10-01 2012-10-01 true Plan amendments. 302.13 Section 302.13 Public... PLAN REQUIREMENTS § 302.13 Plan amendments. (a) The State plan shall provide that the plan will be... expenditures resulting from an amended provision of the State plan as of the first day of the calendar...

  17. 45 CFR 302.13 - Plan amendments.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 2 2012-10-01 2012-10-01 false Plan amendments. 302.13 Section 302.13 Public... PLAN REQUIREMENTS § 302.13 Plan amendments. (a) The State plan shall provide that the plan will be... expenditures resulting from an amended provision of the State plan as of the first day of the calendar...

  18. 45 CFR 302.13 - Plan amendments.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 2 2011-10-01 2011-10-01 false Plan amendments. 302.13 Section 302.13 Public... PLAN REQUIREMENTS § 302.13 Plan amendments. (a) The State plan shall provide that the plan will be... expenditures resulting from an amended provision of the State plan as of the first day of the calendar...

  19. The evolution of computerized treatment planning for brachytherapy: American contributions

    PubMed Central

    Rivard, Mark J.

    2014-01-01

    Purpose To outline the evolution of computerized brachytherapy treatment planning in the United States through a review of technological developments and clinical practice refinements. Material and methods A literature review was performed and interviews were conducted with six participants in the development of computerized treatment planning for brachytherapy. Results Computerized brachytherapy treatment planning software was initially developed in the Physics Departments of New York's Memorial Hospital (by Nelson, Meurk and Balter), and Houston's M. D. Anderson Hospital (by Stovall and Shalek). These public-domain programs could be used by institutions with adequate computational resources; other clinics had access to them via Memorial's and Anderson's teletype-based computational services. Commercial brachytherapy treatment planning programs designed to run on smaller computers (Prowess, ROCS, MMS), were developed in the late 1980s and early 1990s. These systems brought interactive dosimetry into the clinic and surgical theatre. Conclusions Brachytherapy treatment planning has evolved from systems of rigid implant rules to individualized pre- and intra-operative treatment plans, and post-operative dosimetric assessments. Brachytherapy dose distributions were initially calculated on public domain programs on large regionally located computers. With the progression of computer miniaturization and increase in processor speeds, proprietary software was commercially developed for microcomputers that offered increased functionality and integration with clinical practice. PMID:25097560

  20. SU-E-T-154: Establishment and Implement of 3D Image Guided Brachytherapy Planning System

    SciTech Connect

    Jiang, S; Zhao, S; Chen, Y; Li, Z; Li, P; Huang, Z; Yang, Z; Zhang, X

    2014-06-01

    Purpose: Cannot observe the dose intuitionally is a limitation of the existing 2D pre-implantation dose planning. Meanwhile, a navigation module is essential to improve the accuracy and efficiency of the implantation. Hence a 3D Image Guided Brachytherapy Planning System conducting dose planning and intra-operative navigation based on 3D multi-organs reconstruction is developed. Methods: Multi-organs including the tumor are reconstructed in one sweep of all the segmented images using the multiorgans reconstruction method. The reconstructed organs group establishs a three-dimensional visualized operative environment. The 3D dose maps of the three-dimentional conformal localized dose planning are calculated with Monte Carlo method while the corresponding isodose lines and isodose surfaces are displayed in a stereo view. The real-time intra-operative navigation is based on an electromagnetic tracking system (ETS) and the fusion between MRI and ultrasound images. Applying Least Square Method, the coordinate registration between 3D models and patient is realized by the ETS which is calibrated by a laser tracker. The system is validated by working on eight patients with prostate cancer. The navigation has passed the precision measurement in the laboratory. Results: The traditional marching cubes (MC) method reconstructs one organ at one time and assembles them together. Compared to MC, presented multi-organs reconstruction method has superiorities in reserving the integrality and connectivity of reconstructed organs. The 3D conformal localized dose planning, realizing the 'exfoliation display' of different isodose surfaces, helps make sure the dose distribution has encompassed the nidus and avoid the injury of healthy tissues. During the navigation, surgeons could observe the coordinate of instruments real-timely employing the ETS. After the calibration, accuracy error of the needle position is less than 2.5mm according to the experiments. Conclusion: The speed and

  1. AAS 227: Day 2

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-01-01

    Editors Note:This week were at the 227th AAS Meeting in Kissimmee, FL. Along with several fellow authors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting at the end of each day. Follow along here or atastrobites.com, or catch ourlive-tweeted updates from the@astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Welcome to Day 2 of the winter American Astronomical Society (AAS) meeting in Kissimmee! Several of us are attending the conference this year, and we will report highlights from each day here on astrobites. If youd like to see more timely updates during the day, we encourage you to follow @astrobites on twitter or search the #aas227 hashtag.Plenary Session: Black Hole Physics with the Event Horizon Telescope (by Susanna Kohler)If anyone needed motivation to wake up early this morning, they got it in the form of Feryal Ozel (University of Arizona) enthralling us all with exciting pictures, videos, and words about black holes and the Event Horizon Telescope. Ozel spoke to a packed room (at 8:30am!) about where the project currently stands, and where its heading in the future.The EHT has pretty much the coolest goal ever: actually image the event horizons of black holes in our universe. The problem is that the largest black hole we can look at (Sgr A*, in the center of our galaxy) has an event horizon size of 50 as. For this kind of resolution roughly equivalent to trying to image a DVD on the Moon! wed need an Earth-sized telescope. EHT has solved this problem by linking telescopes around the world, creating one giant, mm-wavelength effective telescope with a baseline the size of Earth.Besides producing awesome images, the EHT will be able to test properties of black-hole spacetime, the no-hair theorem, and general relativity (GR) in new regimes.Ozel walked us through some of the theory prep work we need to do now in order to get the most science out of the EHT, including devising new

  2. Rainy Day Fun: Rain-Inspired Activities.

    ERIC Educational Resources Information Center

    Stanger, Annie Moretz

    1999-01-01

    Rainy days are opportunities to teach campers about weather and to plan activities around a rain theme. Indoor and outdoor science-based activities concerned with rain, water, or water conservation are suggested for specific age groups from ages 5-7 through 11-14. Campers can also develop ideas for activities using questions provided. (CDS)

  3. Facilities and Equpment for Day Care Centers.

    ERIC Educational Resources Information Center

    Campbell, Sheila D.

    This guide provides assistance in selecting and designing the day care center's building and grounds and in planning and arranging the center's playroom. In regard to the building and grounds, discussion considers program and support service functions, highly desirable features of buildings and grounds, playroom space, outdoor space, and…

  4. Jupiter Night and Day

    NASA Technical Reports Server (NTRS)

    2001-01-01

    Day and night side narrow angle images taken on January 1, 2001 illustrating storms visible on the day side which are the sources of visible lightning when viewed on the night side. The images have been enhanced in contrast. Note the two day-side occurrences of high clouds, in the upper and lower parts of the image, are coincident with lightning storms seen on the darkside. The storms occur at 34.5 degrees and 23.5 degrees North latitude, within one degree of the latitudes at which similar lightning features were detected by the Galileo spacecraft. The images were taken at different times. The storms' longitudinal separation changes from one image to the next because the winds carrying them blow at different speeds at the two latitudes.

  5. 21-Day Content Screen

    EPA Pesticide Factsheets

    Under PRIA, EPA has 21 days after it receives the pesticide application and the fee to conduct an initial screen of the application’s contents for completeness and for the applicant to make necessary corrections. This page provides the checklists we use.

  6. Day Care: Nutrition.

    ERIC Educational Resources Information Center

    Foster, Florence P.; And Others

    This collection of 12 short, bilingual papers on nutrition and preschool children is part of a series of papers on various aspects of day care published by the Canadian Department of Health and Welfare. Each paper is presented in both English and French. Topics dealt with include an overview of children's nutritional needs; development of…

  7. 90-Day Cycle Handbook

    ERIC Educational Resources Information Center

    Park, Sandra; Takahashi, Sola

    2013-01-01

    90-Day Cycles are a disciplined and structured form of inquiry designed to produce and test knowledge syntheses, prototyped processes, or products in support of improvement work. With any type of activity, organizations inevitably encounter roadblocks to improving performance and outcomes. These barriers might include intractable problems at…

  8. We Love Science Day.

    ERIC Educational Resources Information Center

    Kepler, Lynne

    1986-01-01

    Describes the goals and outcomes of the "We Love Science Day" programs that resulted from the inservice course, "Creative Integration of Science in Elementary Education" for Pennsylvania teachers. Provides samples of the hands-on activities that were offered to students, parents, and teachers. Includes a calendar of…

  9. Word of the Day

    ERIC Educational Resources Information Center

    Abrar-Ul-Hassan, Shahid

    2010-01-01

    Independent lexical development initiatives empower and equip language learners with skills to boost their lexical repertoires. Language instructors can train learners to be autonomous word learners. A sample activity, namely word of the day, is presented in this article. The activity is an independent lexical learning task, which aims to develop…

  10. Every Child, Every Day

    ERIC Educational Resources Information Center

    Allington, Richard L.; Gabriel, Rachael E.

    2012-01-01

    We know more now than we ever did before about how to make every child a successful reader, write Allington and Gabriel in this research review. Yet, few students regularly receive the best reading instruction we know how to give. The authors present research supporting their recommendation that every child, every day, should (1) read something he…

  11. Make a Splash Day

    ERIC Educational Resources Information Center

    Coverdale, Greg; Rust, April; Jensen, Belinda

    2004-01-01

    At the annual, all-day events-sponsored by Project WET (Water Education for Teachers) and held in nearly every state across the country each September--students participate in interactive activities and exhibits to learn about water resources and explore how human behaviors, such as development and recreation, can affect the quality of the…

  12. Sun-Earth Day

    NASA Technical Reports Server (NTRS)

    2007-01-01

    Michael Sandras, a member of the Pontchartrain Astronomical Society, explains his solar telescope to students of Second Street in Bay St. Louis, Hancock County and Nicholson elementary schools in StenniSphere's Millennium Hall on April 10. The students participated in several hands-on activities at Stennis Space Center's Sun-Earth Day celebration.

  13. An Earth Day Reader.

    ERIC Educational Resources Information Center

    Moser, Don, Ed.

    1990-01-01

    Presents what the author believes to be some of the most important environmental books published since Earth Day 1970. Discusses each selection and how it provides the historical background, basic information, and appreciation necessary to understand the character of our environmental dilemma and our need to address it. (MCO)

  14. First Day of School

    ERIC Educational Resources Information Center

    Bort, Nancy

    2004-01-01

    In this brief article, the author, a science teacher at F. C. Hammond Middle School in Alexandria, Virginia, describes how the setting up of a simple science experiment on the first day of school can get students excited about learning science. The experiment involves heating a small amount of water in a flask, then covering the opening of the…

  15. One Play a Day

    ERIC Educational Resources Information Center

    Blankenship, Mark

    2007-01-01

    Undergraduate theater students rarely get the chance to work on a major world premiere, but this year hundreds of them will. Currently, more than 70 colleges and universities are participating in "365 Days/365 Plays," an ambitious project from Pulitzer Prize-winning playwright Suzan-Lori Parks. Every week, as they mount their portion of this epic…

  16. Fabulous Weather Day

    ERIC Educational Resources Information Center

    Marshall, Candice; Mogil, H. Michael

    2007-01-01

    Each year, first graders at Kensington Parkwood Elementary School in Kensington, Maryland, look forward to Fabulous Weather Day. Students learn how meteorologists collect data about the weather, how they study wind, temperature, precipitation, basic types/characteristics of clouds, and how they forecast. The project helps the students grow in…

  17. There's still time to make a pledge for Change Day.

    PubMed

    Last Saturday was World Thinking Day, the next couple of weeks have been designated Fairtrade Fortnight and celebrations are planned throughout March to mark National Bed Month. Staff in marketing departments across the land spend their lives dreaming up such awareness days, weeks and months, to the point where every day we are asked to think about something different.

  18. Kindergarten Evaluation Study: Full-Day Alternate Day Programs.

    ERIC Educational Resources Information Center

    Minnesota State Dept. of Education, St. Paul.

    In this evaluation study, two groups of children who attended kindergarten either one-half day every day or full-day on alternate days were compared. An opinion survey was conducted to obtain the observations of parents, kindergarten teachers, and elementary principals in relation to the all-day alternate day schedule in 55 school districts. Data…

  19. Flight Day 2 Highlights

    NASA Technical Reports Server (NTRS)

    2003-01-01

    The STS-107 second flight day begins with a shot of the Spacehab Research Double Module. Live presentations of experiments underway inside of the Spacehab Module are presented. Six experiments are shown. As part of the Space Technology and Research Student Payload, students from Australia, China, Israel, Japan, New York, and Liechtenstein are studying the effect that microgravity has on ants, spiders, silkworms, fish, bees, granular materials, and crystals. Mission Specialist Kalpana Chawla is seen working with the zeolite crystal growth experiment.

  20. Microgravity Day for Educators

    NASA Technical Reports Server (NTRS)

    2001-01-01

    The arnual conference for the Educator Resource Center Network (ERCN) Coordinators was held at Glenn Research Center at Lewis Field in Cleveland, Ohio. The conference included participants from NASA's Educator Resource Centers located throughout the country. The Microgravity Science Division at Glenn sponsored a Microgravity Day for all the conference participants. Kathy Higgins of the National Center for Microgravity Research at GRC explains educational resources to teachers. This image is from a digital still camera; higher resolution is not available.

  1. 42 CFR 430.20 - Effective dates of State plans and plan amendments.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Effective dates of State plans and plan amendments... State Plans § 430.20 Effective dates of State plans and plan amendments. For purposes of FFP, the... first day of the quarter in which an approvable plan is submitted to the regional office; and (2)...

  2. External validation of the Revised Cardiac Risk Index and update of its renal variable to predict 30-day risk of major cardiac complications after non-cardiac surgery: rationale and plan for analyses of the VISION study

    PubMed Central

    Walsh, Michael; Devereaux, P J; MacNeil, S Danielle; Lam, Ngan N; Hildebrand, Ainslie M; Acedillo, Rey R; Mrkobrada, Marko; Chow, Clara K; Lee, Vincent W; Thabane, Lehana; Garg, Amit X

    2017-01-01

    Introduction The Revised Cardiac Risk Index (RCRI) is a popular classification system to estimate patients' risk of postoperative cardiac complications based on preoperative risk factors. Renal impairment, defined as serum creatinine >2.0 mg/dL (177 µmol/L), is a component of the RCRI. The estimated glomerular filtration rate has become accepted as a more accurate indicator of renal function. We will externally validate the RCRI in a modern cohort of patients undergoing non-cardiac surgery and update its renal component. Methods and analysis The Vascular Events in Non-cardiac Surgery Patients Cohort Evaluation (VISION) study is an international prospective cohort study. In this prespecified secondary analysis of VISION, we will test the risk estimation performance of the RCRI in ∼34 000 participants who underwent elective non-cardiac surgery between 2007 and 2013 from 29 hospitals in 15 countries. Using data from the first 20 000 eligible participants (the derivation set), we will derive an optimal threshold for dichotomising preoperative renal function quantified using the Chronic Kidney Disease Epidemiology Collaboration (CKD-Epi) glomerular filtration rate estimating equation in a manner that preserves the original structure of the RCRI. We will also develop a continuous risk estimating equation integrating age and CKD-Epi with existing RCRI risk factors. In the remaining (approximately) 14 000 participants, we will compare the risk estimation for cardiac complications of the original RCRI to this modified version. Cardiac complications will include 30-day non-fatal myocardial infarction, non-fatal cardiac arrest and death due to cardiac causes. We have examined an early sample to estimate the number of events and the distribution of predictors and missing data, but have not seen the validation data at the time of writing. Ethics and dissemination The research ethics board at each site approved the VISION protocol prior to recruitment. We will

  3. Nepal prepares for national quake safety day

    NASA Astrophysics Data System (ADS)

    Showstack, Randy

    When Nepal's annual Earthquake Safety Day rolls around next January 16, the National Society for Earthquake Technology-Nepal plans a weeklong program of earthquake drills by school children, a safety exhibitions risk management symposium, and a report on the achievements of the Kathmandu Valley Earthquake Risk Management Project. The 18-month project of NSET-Nepal and GeoHazards International has several objectives: assess earthquake risk and devise an action plan to manage the risk; reduce vulnerability of Kathmandu Valley's approximately 650 public schools; raise public awareness; and build local institutions that can sustain the work of the project.

  4. Paediatric day-case neurosurgery in a resource challenged setting: Pattern and practice

    PubMed Central

    Owojuyigbe, Afolabi Muyiwa; Komolafe, Edward O.; Adenekan, Anthony T.; Dada, Muyiwa A.; Onyia, Chiazor U.; Ogunbameru, Ibironke O.; Owagbemi, Oluwafemi F.; Talabi, Ademola O.; Faponle, Fola A.

    2016-01-01

    Background: It has been generally observed that children achieve better convalescence in the home environment especially if discharged same day after surgery. This is probably due to the fact that children generally tend to feel more at ease in the home environment than in the hospital setting. Only few tertiary health institutions provide routine day-case surgery for paediatric neurosurgical patients in our sub-region. Objective: To review the pattern and practice of paediatric neurosurgical day-cases at our hospital. Patients and Methods: A prospective study of all paediatric day-case neurosurgeries carried out between June 2011 and June 2014. Results: A total of 53 patients (34 males and 19 females) with age ranging from 2 days to 14 years were seen. Majority of the patients (77.4%) presented with congenital lesions, and the most common procedure carried out was spina bifida repair (32%) followed by ventriculoperitoneal shunt insertion (26.4%) for hydrocephalus. Sixty-eight percentage belonged to the American Society of Anesthesiologists physical status class 2, whereas the rest (32%) belonged to class 1. General anaesthesia was employed in 83% of cases. Parenteral paracetamol was used for intra-operative analgesia for most of the patients. Two patients had post-operative nausea and vomiting and were successfully managed. There was no case of emergency re-operation, unplanned admission, cancellation or mortality. Conclusion: Paediatric day-case neurosurgery is feasible in our environment. With careful patient selection and adequate pre-operative preparation, good outcome can be achieved. PMID:27251657

  5. An aspirin a day.

    PubMed

    Majerus, Philip W

    2014-01-01

    The title of this article is also its punch line. The thesis that I will prove is that every adult, with a few exceptions, should take one 325 mg aspirin tablet each day. The drug is extraordinary and is beneficial in myriad ways. In this dosage the toxicity of the treatment is minimal. Since the drug is sold "over the counter", not requiring prescription, it is cheap and its benefits are easily underestimated. I do not use extensive reference citations; but just tell the story of aspirin.

  6. Three-day fever.

    PubMed

    Akakpo, A J

    2015-08-01

    Three-day fever is a viral disease caused by an Ephemerovirus of the family Rhabdoviridae, transmitted by arthropod vectors. It is common in tropical and sub-tropical regions, where it affects mainly domestic cattle and buffaloes, especially in intensive dairy or fattening production systems. It is of economic importance because it reduces milk production and fertility and causes abortion. The disease is generally benign. It manifests in several susceptible subjects simultaneously, with a sudden episode of fever accompanied by muscle involvement with arthritis, stiffness of the limbs, and lameness, followed by rapid recovery. The presence of a serofibrinous exudate in the joints is indicative of the disease. Clinical diagnosis is often difficult in the absence of pathognomonic signs. Epidemiological factors (proliferation of arthropod vectors), associated with a short-lived fever and the presence of many immature neutrophils, point strongly to three-day fever. In the absence of any specific treatment, the symptoms are treated with antibiotics and anti-inflammatories. Medical prophylaxis currently uses live attenuated vaccines, pending the development of recombinant vaccines, which are giving promising results.

  7. Super Safety and Health Day at KSC

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Center Director Roy Bridges talks to workers outside the Hazardous Maintenance Facility during Super Safety and Health Day at KSC. Safety Day is a full day of NASA-sponsored, KSC and 45th Space Wing events involving a number of health and safety related activities: Displays, vendors, technical paper sessions, panel discussions, a keynote speaker, etc. The entire Center and Wing stand down to participate in the planned events. Safety Day is held annually to proactively increase awareness in safety and health among the government and contractor workforce population. The first guiding principle at KSC is '''Safety and Health First.''' KSC's number one goal is to '''Assure sound, safe and efficient practices and processes are in place for privatized/commercialized launch site processing.'''

  8. Super Safety and Health Day at KSC

    NASA Technical Reports Server (NTRS)

    2000-01-01

    During Super Safety and Health Day at KSC, keynote speaker Dr. Beck Weathers is given a memento of his visit by Center Director Roy Bridges. Weathers spoke about his ordeal of surviving the 1996 Mt. Everest disaster and the lessons learned from the experience. Safety Day is a full day of NASA-sponsored, KSC and 45th Space Wing events involving a number of health and safety related activities: Displays, vendors, technical paper sessions, panel discussions, a keynote speaker, etc. The entire Center and Wing stand down to participate in the planned events. Safety Day is held annually to proactively increase awareness in safety and health among the government and contractor workforce population. The first guiding principle at KSC is '''Safety and Health First.''' KSC's number one goal is to '''Assure sound, safe and efficient practices and processes are in place for privatized/commercialized launch site processing.'''

  9. Super Safety and Health Day at KSC

    NASA Technical Reports Server (NTRS)

    2000-01-01

    In an exhibit tent during Super Safety and Health Day at KSC, employees sample iced tea from a vendor. Safety Day is a full day of NASA-sponsored, KSC and 45th Space Wing events involving a number of health- and safety-related activities: Displays, vendors, technical paper sessions, panel discussions, a keynote speaker, etc. The entire Center and Wing stand down to participate in the planned events. Safety Day is held annually to proactively increase awareness in safety and health among the government and contractor workforce population. The first guiding principle at KSC is '''Safety and Health First.''' KSC's number one goal is to '''Assure sound, safe and efficient practices and processes are in place for privatized/commercialized launch site processing.'''

  10. Super Safety and Health Day at KSC

    NASA Technical Reports Server (NTRS)

    2000-01-01

    During Super Safety and Health Day at KSC, keynote speaker Dr. Beck Weathers grimaces over the satellite photo of Mt. Everest being presented by Center Director Roy Bridges. Weathers spoke about his ordeal of surviving the 1996 Mt. Everest disaster and the lessons learned from the experience. Safety Day is a full day of NASA-sponsored, KSC and 45th Space Wing events involving a number of health and safety related activities: Displays, vendors, technical paper sessions, panel discussions, a keynote speaker, etc. The entire Center and Wing stand down to participate in the planned events. Safety Day is held annually to proactively increase awareness in safety and health among the government and contractor workforce population. The first guiding principle at KSC is '''Safety and Health First.''' KSC's number one goal is to '''Assure sound, safe and efficient practices and processes are in place for privatized/commercialized launch site processing.'''

  11. Super Safety and Health Day at KSC

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Employees gather around a demonstration by Florida Power and Light during Super Safety and Health Day at KSC. Safety Day is a full day of NASA-sponsored, KSC and 45th Space Wing events involving a number of health- and safety-related activities: Displays, vendors, technical paper sessions, panel discussions, a keynote speaker, etc. The entire Center and Wing stand down to participate in the planned events. Safety Day is held annually to proactively increase awareness in safety and health among the government and contractor workforce population. The first guiding principle at KSC is '''Safety and Health First.''' KSC's number one goal is to '''Assure sound, safe and efficient practices and processes are in place for privatized/commercialized launch site processing.'''

  12. Super Safety and Health Day at KSC

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Vendor tents and displays filled the grounds in the Industrial Area as well as LC 39 Area during Super Safety and Health Day at KSC. Safety Day is a full day of NASA-sponsored, KSC and 45th Space Wing events involving a number of health and safety related activities: Displays, vendors, technical paper sessions, panel discussions, a keynote speaker, etc. The entire Center and Wing stand down to participate in the planned events. Safety Day is held annually to proactively increase awareness in safety and health among the government and contractor workforce population. The first guiding principle at KSC is '''Safety and Health First.''' KSC's number one goal is to '''Assure sound, safe and efficient practices and processes are in place for privatized/commercialized launch site processing.'''

  13. Galileo Teacher Training Program - MoonDays

    NASA Astrophysics Data System (ADS)

    Heenatigala, T.; Doran, R.

    2012-09-01

    Moon is an excellent tool for classroom education. Many teachers fail to implement lunar science in classroom at several levels though - lack of guidance, finding the right materials, and implanting lessons in the school curriculum - just to name a few. To overcome this need, Galileo Teacher Training Program (GTTP) [1] present MoonDays, a resource guide for teachers globally which can be used both in and out of classroom. GTTP MoonDays includes scientific knowledge, hands-on activities, computing skills, creativity and disability based lesson plans.

  14. Proceedings, Dean's Day 1999

    SciTech Connect

    Zanner, M.A.

    1999-03-01

    On January 14--15, 1999, Sandia National Laboratories sponsored Deans Day, a conference for the Deans of Engineering and other executive-level representatives from 29 invited universities. Through breakout sessions and a wrap-up discussion, university and Sandia participants identified activities to further develop their strategic relationships. The four primary activities are: (A) concentrate joint efforts on current and future research strengths and needs; (B) attract the best students (at all grade levels) to science and engineering; (C) promote awareness of the need for and work together to influence a national science and technology R and D policy; and (D) enable the universities and Sandia to be true allies, jointly pursuing research opportunities and funding from government agencies and industry.

  15. The Anatomy of an Elementary School Career Day.

    ERIC Educational Resources Information Center

    Beale, Andrew V.; Williams, J. Claudia

    2000-01-01

    Explains how to plan and implement an elementary school career day, which requires counselor leadership and integration into the school's guidance program. Suggests roles for administrators, teachers, staff, parents, and community representatives. (SK)

  16. No Treatment Day School.

    PubMed

    DeJong, Judith A; Holder, Stanley R

    2006-01-01

    At the No Treatment Day School, less than 15% of students used the dormitory during the school week. Located in the heart of a reservation and serving local students, the K-12 school enrolled over 1,000 students. The site received Therapeutic Residential Model funding for the 2001-2002 school year. Initial evaluation of this site found an array of daunting problems throughout the school structure and functioning. There were some successes, including implementation of the Morningside reading program in the elementary school and some response from the community to the comprehensive evaluation report which provided an overview of the situation to policy-makers and community members. However instability in the system and a mid-year change in leadership complicated the process of implementation. By the end of the first year, it was clear that the feasibility of the original proposal was questionable and that an overhaul of the school's system and culture was necessary before a Therapeutic Residential Model could be implemented or significant change could come about. Therapeutic Residential Model funding was terminated at the end of the school year. As there was no substantial implementation of a Therapeutic Residential Model program, data gathered were utilized as representing a naturally occurring control or minimal treatment site.

  17. The triple day.

    PubMed

    Smith, V

    1980-08-01

    The risks are high and the returns low when Peruvian women work outside the home, but they have few other options. Most have large families, and their husbands scramble to earn a few dollars. For some women the day begins at 3:30 a.m. when they go to Lima to peddle fish, combs, or whatever commodity is available. The poor women who live in the pueblos jovenes of Lima, the newly formed outskirts, have banded together in a Christian group called Luz y Esperanza, or Light and Hope. The group has a 10-year history of coping with unsanitary water and resultant health problems, child care, and lack of electricity. The women began with neighborhood issues but have also developed an interest in trade unions and other less local concerns. Members have also started to attend union meetings in Lima and involved themselves in recent trade union struggles. The development of the women's political consciousness is closely intertwined with their Christian faith. They believe Christ is the source of the energy they need to persevere.

  18. Rainy Days: Program Ideas That Make a Splash.

    ERIC Educational Resources Information Center

    Grayson, Randall

    1996-01-01

    Stresses the importance of planning ahead for rainy day activities at camp. Suggested outdoor activities include learning to build a fire in the rain, dam building, canoe puzzles, and holey garbage-can fill; indoor activities include crafts, pass the present, human game pieces, and opportunities for cabin groups to plan and host a fun activity.…

  19. AAS 227: Day 4

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-01-01

    Editors Note:This week were at the 227th AAS Meeting in Kissimmee, FL. Along with several fellow authors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting at the end of each day. Follow along here or atastrobites.com, or catch ourlive-tweeted updates from the@astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Welcome to Day 4 of the winter American Astronomical Society (AAS) meeting in Kissimmee! Several of us are attending the conference this year, and we will report highlights from each day here on astrobites. If youd like to see more timely updates during the day, we encourage you to follow @astrobites on twitter or search the #aas227 hashtag.Helen B. Warner Prize: Origins of Structure in Planetary Systems (by Erika Nesvold)Another excellent prize lecture started off todays sessions. The Helen B. Warner Prize is awarded for achievement in observational or theoretical astrophysics by a young researcher (no more than eight years after their Ph.D.). This years Warner Prize was presented to Ruth Murray-Clay of UC Santa Barbara. For her award lecture, Murray-Clay told us all about planetary system architecture: the number, masses, and orbits of planets in a given system.Ruth Murray-Clay [photo from http://web.physics.ucsb.edu/ ~murray/biocv.html]The underlying question motivating this type of research is: How rare is the Solar System? In other words, how likely is it that a given planetary system will have rocky planets close to their star, gas giants farther out, and ice giants at the outer reaches of the system? Answering this question will help us solve the physics problem of how and where planets form, and will also help us on our search for other planets like Earth.The data on exoplanet population from transit and radial velocity observations and from direct imaging tell us that our Solar System is not common (many systems we observe have much more eccentric gas giants), but that doesnt

  20. AAS 227: Day 3

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-01-01

    Editors Note:This week were at the 227th AAS Meeting in Kissimmee, FL. Along with several fellow authors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting at the end of each day. Follow along here or atastrobites.com, or catch ourlive-tweeted updates from the@astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Welcome to Day 3 of the winter American Astronomical Society (AAS) meeting in Kissimmee! Several of us are attending the conference this year, and we will report highlights from each day here on astrobites. If youd like to see more timely updates during the day, we encourage you to follow @astrobites on twitter or search the #aas227 hashtag.Henry Norris Russell Lecture: Viewing the Universe with Infrared Eyes: The Spitzer Space Telescope (by Erika Nesvold)The Henry Norris Russell Award is the highest honor given by the AAS, for a lifetime of eminence in astronomy research. This years award went to Giovanni Fazio of the Harvard-Smithsonian Center for Astrophysics. Fazio became a leader in gamma ray astronomy before switching mid-career to the study of infrared astronomy, and he gave his award lecture on the latter subject, specifically on the Spitzer Space Telescope, one of the most successful infrared telescopes of all time.Artists rendering of the Spitzer space telescope. [NASA/JPL-Caltech]Spitzer has been operating for more than twelve years, and has resulted in over six thousand papers in refereed journals in that time. The telescope sits in an Earth-trailing orbit around the Sun, and is now farther from the Earth (1.4 AU) than the Earth is from the Sun. Fazio gave the audience a fascinating overview of the science done by Spitzer over more than a decade. One of the most productive areas of research for Spitzer is the study of exoplanets, which hadnt even been discovered when the Spitzer Telescope was first conceived. Spitzers high sensitivity and ability to observe exoplanets over

  1. Franco, the Early Days

    NASA Astrophysics Data System (ADS)

    Siemssen, R. H.

    2004-04-01

    As this meeting is to honour Franco on the occasion of his 60 birthday I thought that it might be fitting to report on some early reminiscences of Franco of the pre-IBA days. Franco first came to Groningen in 1972 for a seminar on the invitation of Alex Lande. Alex and Franco had known each other from the Niels Bohr Institute in Copenhagen, where they had collaborated. In 1972 both Alex and I had been freshly appointed at Groningen, Alex on the Faculty of the Theory Department, and I myself as the new director of the KVI. A position for a Senior Scientist in theory had been newly created at the KVI with the aim to establish a strong in-house theory group. Needless to say that everyone who met Franco was deeply impressed by him. We thus were extremely happy to be able to entice Franco to join the KVI as a Senior Scientist in 1974, after he had spent a few weeks in Groningen in 1973 as a visitor. So characteristic of Franco he immediately took a strong interest in the experimental program as evidenced by the following publications on the weak-coupling description of three-nucleon pickup in the (p, α) reaction [1] and the spreading width of deep-hole states [2]. Both topics appear to have maintained their actuality, looking at the many papers that have been published since on these and related topics. But this brief citation of the "other Franco" would not do justice to him without mentioning the diverse palette of Franco's work also listed in the KVI 1974 Annual Report, reflecting Franco's extremely broad and diversified scientific interests. [3-10]...

  2. 2016 SPD: Day 2

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-06-01

    advances in simulating sunspot formation. He and his collaborators have used high-performance computing to build a model that successfully reproduces many of the key properties of sunspots that are observed.In particular, these simulations track the motions of the magnetic field starting within the interior of the Sun (8000 km below the surface!). The magnetic field is generated and intensified by convection deep within the solar interior. Bundles of magnetic field then rise through the convection zone, eventually breaking through the solar surface and giving rise to sunspots.This process of tracking the flow as it travels from the convective layer all the way through the solar surface has resulted in what may be some of the highest fidelity simulations of sunspots thus far. The structures produced in these simulations compares very favorably with actual observations of sunspots including the asymmetry seen in most sunspots.Counting Spots on the SunContinuing the discussion of sunspots, Leif Svalgaard (Stanford University) next took us on a historical journey from the 1600s through the present. For the last 400 years starting with Galileo people have kept records of the number of sunspots visible on the Suns disk.One of Galileos drawings of his sunspot observations from 1612. [The Galileo Project]This turns out to be a very useful practice! Total solar irradiance, a measure used as input into climate models, is reconstructed from sunspot numbers. Therefore, the historical record of sunspots over the last 400 years impacts our estimates of the long-term trends in solar activity.Based on raw sunspot counts, studies have argued that solar activity has been steadily increasing over time. But could this be a misinterpretation resulting from the fact that our technology and therefore our ability to detect sunspots has improved over time? Svalgaard believes so.By studying and reconstructing 18th century telescopes, he demonstrates that modern-day sunspot counts are able to detect

  3. Family Day Care Training Curriculum.

    ERIC Educational Resources Information Center

    Nakatsu, Gail

    California's Family Day Care Training Program was designed to recruit and train in 7 weeks, Lao, Vietnamese, and Chinese refugees to establish their own state-licensed, family day care homes. Topics in the program's curriculum include an introduction to family day care, state licenses for family day care, state licensing requirements for family…

  4. AAS 228: Day 4

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-06-01

    Editors Note: Lastweek we were at the 228th AAS Meeting in San Diego, CA. Here is a final post aboutselectedevents on the last day of the meeting, written by authors fromastrobites.com, a grad-student collaborative project with which we recently announced a new partnership! Starting in July,keep an eye out for astrobites postsat AAS Nova in between Highlights(i.e., on Tuesdays and Thursdays).Were excited to be working together to bring you more recent astronomy research from AAS journals!Extrasolar Planets: Detection (by Leonardo dos Santos)Thursdays first session on exoplanets was about detecting these distant worlds, and the opening talk was given by Robert Siverd (Las Cumbres Observatory). He describes the NRES, a network of spectrographs that will look for exoplanets using the radial velocity method. One of the coolest aspects of this instrument is that it will feature an on the fly scheduling system that will perform observations as efficiently as possible. The spectrograph is still being tested, but a unit will be deployed at CTIO later this year.@lcogt contracted by @NASA_TESS for follow up of their candidates. #aas228 Jessie Christiansen (@aussiastronomer) June 16, 2016Measuring the depths of transits and eclipses in Spitzer has been problematic in the past, since the Spitzer instrument IRAC (InfraRed Array Camera) has a non-uniform response in its detectors pixels. But, as reported by James Ingalls (Spitzer Science Center, Caltech), observers are circumventing this issue by using what they call the staring mode (avoiding large pointing jumps) and an algorithm to pick sweet spot pixels. Moreover, the results from the IRAC Data Challenge are helping to better understand its behavior. Giuseppe Morello (University College London), on the other hand, explained how his research group gets rid of instrumental effects from IRAC using machine learning. This method removes systematics from exoplanet transit data no matter if the noise source is from an instrument or

  5. Day Camping for the 80's--An Administrative Perspective.

    ERIC Educational Resources Information Center

    Umstead, Elizabeth C.

    1980-01-01

    Previews the 1980 National Day Camp Symposium and discusses influences of the 1980s on day camps. Also discusses precamp planning, the camp season, and postcamp activities. Available from: Center for Environmental, Camping and Outdoor Education; University of North Carolina at Greensboro; Pine Lake Field Campus; 4016 Blumenthal Road; Greensboro,…

  6. AAS 227: Day 1

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-01-01

    Editors Note:This week were at the 227th AAS Meeting in Kissimmee, FL. Along with several fellow authors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting at the end of each day. Follow along here or at astrobites.com, or catch ourlive-tweeted updates from the @astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Things kicked off last night at our undergraduate reception booth. Thanks to all of you who stopped by we were delightedto have so many people tell us that they already know about and useastrobites, and we were excited to introduce a new cohort of students at AAS to astrobites for the first time.Tuesday morning was the official start of the meeting. Here are just a few of the talks and workshops astrobiters attended today.Opening Address (by Becky Smethurst)The President of the AAS, aka our fearless leader Meg Urry kicked off the meeting this morning at the purely coffee powered hour of 8am this morning. She spoke about the importance of young astronomers at the meeting (heres looking at you reader!) and also the importance of the new Working Group for Accessibility and Disabilities (aka WGAD pronounced like wicked) at the AAS. The Society has made extra effort this year to make the conference accessible to all,a message which was very well received by everyone in attendance.Kavli Lecture: New Horizons Alan Stern (by Becky Smethurst)We were definitely spoilt with the first Plenary lecture at this years conference Alan Stern gave us a a review of the New Horizons mission of the Pluto Fly By (astrobites covered the mission back in July with this post). We were treated to beautiful images, wonderful results and a foray into geology.Before (Hubble) and after #NewHorizons. #thatisall #science #astro alanstern #aas227 pic.twitter.com/kkMt6RsSIR Science News (@topsciencething) January 5, 2016Some awesome facts from the lecture that blew my mind:New Horizons is now 2AU (!) beyond Pluto

  7. Southeast Elevation, Attic Stair Nosing, Day Room Fireplace Details, Day ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Southeast Elevation, Attic Stair Nosing, Day Room Fireplace Details, Day Room Mantel Shelf, Northeast Elevation - National Home for Disabled Volunteer Soldiers - Battle Mountain Sanitarium, Ward 4, 500 North Fifth Street, Hot Springs, Fall River County, SD

  8. Software components for medical image visualization and surgical planning

    NASA Astrophysics Data System (ADS)

    Starreveld, Yves P.; Gobbi, David G.; Finnis, Kirk; Peters, Terence M.

    2001-05-01

    Purpose: The development of new applications in medical image visualization and surgical planning requires the completion of many common tasks such as image reading and re-sampling, segmentation, volume rendering, and surface display. Intra-operative use requires an interface to a tracking system and image registration, and the application requires basic, easy to understand user interface components. Rapid changes in computer and end-application hardware, as well as in operating systems and network environments make it desirable to have a hardware and operating system as an independent collection of reusable software components that can be assembled rapidly to prototype new applications. Methods: Using the OpenGL based Visualization Toolkit as a base, we have developed a set of components that implement the above mentioned tasks. The components are written in both C++ and Python, but all are accessible from Python, a byte compiled scripting language. The components have been used on the Red Hat Linux, Silicon Graphics Iris, Microsoft Windows, and Apple OS X platforms. Rigorous object-oriented software design methods have been applied to ensure hardware independence and a standard application programming interface (API). There are components to acquire, display, and register images from MRI, MRA, CT, Computed Rotational Angiography (CRA), Digital Subtraction Angiography (DSA), 2D and 3D ultrasound, video and physiological recordings. Interfaces to various tracking systems for intra-operative use have also been implemented. Results: The described components have been implemented and tested. To date they have been used to create image manipulation and viewing tools, a deep brain functional atlas, a 3D ultrasound acquisition and display platform, a prototype minimally invasive robotic coronary artery bypass graft planning system, a tracked neuro-endoscope guidance system and a frame-based stereotaxy neurosurgery planning tool. The frame-based stereotaxy module has been

  9. Community Education: A Community Planning Process Guide.

    ERIC Educational Resources Information Center

    Wiglesworth, Bill, Comp.

    Designed to assist in the planning of community education and services, this booklet offers an argument in support of as well as step-by-step implementation instructions for a 2-day planning process. Following a discussion of the advantages of cooperative planning, the community planning process is outlined. Examined next are the reasons why a…

  10. Federal Involvement in Day Care.

    ERIC Educational Resources Information Center

    Malone, Margaret

    Because of the expanding need for child care for preschool children, and for older children in after-school hours, there is greater interest in programs for day care, and increasing acceptance of the concept of publicly-financed day care. This paper describes the market for day care, the federal programs which exist and the standards which have…

  11. Principles of Effective Day Care.

    ERIC Educational Resources Information Center

    Silcock, Anne

    1981-01-01

    Examines the role of day care in the Australian community and offers six principles of effective day care. The principles are based on the assumption that good quality day care facilitates and enhances child development and does not jeopardize the attachment between mothers and their children. (Author/CM)

  12. The 4 Day School Week

    ERIC Educational Resources Information Center

    Dam, Ai

    2006-01-01

    Colorado law requires school districts to schedule 1080 hours per year of instructional time for secondary schools and 990 instructional hours for elementary schools. The 1080 hours equate to six hours per day for 180 days. The 990 hours equate to five and one-half hours per day. Up to 24 hours may be counted for parent-teacher conferences, staff…

  13. Family Day Care Provider Handbook

    ERIC Educational Resources Information Center

    New York State Office of Children and Family Services, 2006

    2006-01-01

    Family day care providers are responsible for creating a high-quality program where children have opportunities to grow, learn and thrive. Part of providing high-quality child care includes complying with the family day care regulations from the New York State Office of Children and Family Services (OCFS). This Handbook will help day care…

  14. Family Day Care in Denmark.

    ERIC Educational Resources Information Center

    Wagner, Mary; Wagner, Marsden G.

    The present report describes a system for the care of children during the day in Denmark: care in private family homes. Begun in 1966, this program organized a formal system of family day care homes initiated and supervised by the government; this is an extension of the former system of licensing privately initiated family day care homes. From the…

  15. Perspectives on Infant Day Care.

    ERIC Educational Resources Information Center

    Elardo, Richard, E.; Pagan, Betty, Ed.

    These proceedings of the first annual SACUS workshop on infant day care contain the papers presented at the conference, plus an appendix--Developmental Objectives for Infants and Toddlers. The papers are: "Infant Day Care--Fads, Facts, and Fancies" by Bettye M. Caldwell; "Family Day Care""A Broad Perspective" by Malcolm S. Host; "Getting…

  16. Guides for Day Care Licensing.

    ERIC Educational Resources Information Center

    Child Development Services Bureau (DHEW/OCD), Washington, DC.

    This booklet provides source materials for the development of state and local regulations applicable to day care service facilities. Sections discuss: (1) the Model State Day Care Licensing Act, (2) Day care program and staffing, (3) Health and sanitation, (4) Fire and safety regulations, (5) Principles of zoning, and (6) Principles of…

  17. Myth or Truth: Independence Day.

    ERIC Educational Resources Information Center

    Gardner, Traci

    Most Americans think of the Fourth of July as Independence Day, but is it really the day the U.S. declared and celebrated independence? By exploring myths and truths surrounding Independence Day, this lesson asks students to think critically about commonly believed stories regarding the beginning of the Revolutionary War and the Independence Day…

  18. STS-69 flight day 9 highlights

    NASA Astrophysics Data System (ADS)

    1995-09-01

    The song, 'He's A Tramp', from the Walt Disney cartoon movie, 'Lady and the Tramp', awakened the astronauts, Cmdr. Dave Walker, Pilot Ken Cockrell, and Mission Specialists Jim Voss, Jim Newman, and Mike Gernhardt, on the ninth day of the STS-69 mission. The Wake Shield Facility (WSF) was again unberthed from the shuttle cargo bay and , using the shuttle's robot arm, held over the side of the shuttle for five hours where it collected data on the electrical field build-up around the spacecraft as part of the Charging Hazards and Wake Studies Experiment (CHAWS). Voss and Gernhardt rehearsed their Extravehicular Activity (EVA) spacewalk, which was planned for the next day. Earth views included cloud cover, a hurricane, and its eye.

  19. Super Safety and Health Day at KSC

    NASA Technical Reports Server (NTRS)

    2000-01-01

    During Super Safety and Health Day at KSC, two employees were recognized for submitting winning entries in the theme and logo/poster contests. At left, Center Director Roy Bridges congratulates Dave Earhart with United Space Alliance (USA) for his winning logo; at right, Brig. Gen. Ronald D. Pettit congratulates David Koval with Space Gateway Support (SGS) for his winning theme, '''Safety and Health: A Working Relationship.''' Safety Day is a full day of NASA-sponsored, KSC and 45th Space Wing events involving a number of health and safety related activities: Displays, vendors, technical paper sessions, panel discussions, a keynote speaker, etc. The entire Center and Wing stand down to participate in the planned events. Safety Day is held annually to proactively increase awareness in safety and health among the government and contractor workforce population. The first guiding principle at KSC is '''Safety and Health First.''' KSC's number one goal is to '''Assure sound, safe and efficient practices and processes are in place for privatized/commercialized launch site processing.'''

  20. Study of the Half-Day/Full-Day Kindergarten Model

    ERIC Educational Resources Information Center

    McInroy, Thomas R.

    2012-01-01

    This case study and problem analysis was an in-depth investigation of the half-day/full-day kindergarten model by utilizing interviews and focus groups to provide insight from parents, teachers, and other district personnel as to how the model has impacted the social, emotional, and academic development of the participating students. This study…

  1. Rethinking the Day of Silence

    ERIC Educational Resources Information Center

    Murphy, Adriana

    2013-01-01

    Back in 2006, 7th and 8th graders at Green Acres, the K-8 independent school where the author taught in suburban Maryland, participated in the Day of Silence. The Day of Silence is a national event: Students across the country take a one-day pledge of silence to show that they want to make schools safe for all students, regardless of their sexual…

  2. Business Planning for Parenthood.

    ERIC Educational Resources Information Center

    Spruell, Geraldine

    1986-01-01

    With more mothers than ever in the labor force, companies are realizing they must help workers deal with multiple roles. Employer-sponsored programs include day care centers, vouchers, and referrals; flextime; job sharing; extended leave, flexible benefits, and work-at-home plans; and support groups. (CH)

  3. Infant Development in Day Care

    ERIC Educational Resources Information Center

    Doyle, Anna-Beth

    1975-01-01

    This study compared the intellectual development, attachment to mother, peer interaction, and physical health of day care and maternal home care children. The results indicate that very young children who experience high quality group day care differ little from home-reared children. (JMB)

  4. Montessori All Day, All Year

    ERIC Educational Resources Information Center

    Black, Connie; Davis, Liza

    2015-01-01

    Introducing real community into the Children's House goes back to the roots of Montessori education through all-day Montessori. The all-day environment is a house where children live with a "developmental room" of Montessori materials including a living room, kitchen, dining area, bedroom, bathroom, greeting rooms, and outdoor spaces.…

  5. In Defense of Snow Days

    ERIC Educational Resources Information Center

    Goodman, Joshua

    2015-01-01

    In snowy climates, school superintendents must frequently decide whether an impending storm warrants closing schools for the day. Concerns about student and teacher safety must be weighed against the loss of student learning time, along with state requirements for days of instruction and the cost and inconvenience of extending the school year into…

  6. Day Care Infection Control Protocol.

    ERIC Educational Resources Information Center

    Seattle-King County Dept. of Public Health, Seattle, WA.

    This day care infection control manual was assembled to provide technical guidance for the prevention and control of communicable diseases to child day care facilities in Seattle and King County, Washington. For each disease, the manual provides background information, public health control recommendations, and letters that can be used to…

  7. Day Care Center Enrichment Program.

    ERIC Educational Resources Information Center

    West Virginia State Dept. of Welfare, Charleston.

    This guide to a West Virginia Department of Welfare project for upgrading the quality of day care centers throughout the state presents samples of the forms used in the program, accompanied by a brief description of the program's format, requirements and procedures. The Day Care Center Enrichment Program provides a monetary incentive for…

  8. Celebrate International School Library Day

    ERIC Educational Resources Information Center

    Braxton, Barbara

    2004-01-01

    The Fourth Monday in October is International School Library Day (ISLD)--an opportunity for school libraries around the world to celebrate the contribution they make to the education of the children in their care. International School Library Day was proclaimed in 1999 by Dr Blanche Woolls, president of the International Association of School…

  9. 45 CFR 205.5 - Plan amendments.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 2 2014-10-01 2012-10-01 true Plan amendments. 205.5 Section 205.5 Public Welfare... PROGRAMS § 205.5 Plan amendments. (a) State plan requirements. A State plan under title I, IV-A, X, XIV, or... amended provision of the State plan as of the first day of the calendar quarter in which an...

  10. Five Essentials of Emergency Planning

    ERIC Educational Resources Information Center

    Barnes, Jill M.

    2011-01-01

    Principals and other administrators seem to be perpetually overworked. There is always something that still needs to be done at the end of the day, and it is easy for disaster planning and preparedness to keep slipping to the bottom of the list. However, disaster preparation is essential, even when planning for the unknown. At some point in every…

  11. 18 CFR 5.13 - Revised study plan and study plan determination.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false Revised study plan and study plan determination. 5.13 Section 5.13 Conservation of Power and Water Resources FEDERAL ENERGY... APPLICATION PROCESS § 5.13 Revised study plan and study plan determination. (a) Within 30 days following...

  12. 18 CFR 5.13 - Revised study plan and study plan determination.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Revised study plan and study plan determination. 5.13 Section 5.13 Conservation of Power and Water Resources FEDERAL ENERGY... APPLICATION PROCESS § 5.13 Revised study plan and study plan determination. (a) Within 30 days following...

  13. 18 CFR 5.13 - Revised study plan and study plan determination.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false Revised study plan and study plan determination. 5.13 Section 5.13 Conservation of Power and Water Resources FEDERAL ENERGY... APPLICATION PROCESS § 5.13 Revised study plan and study plan determination. (a) Within 30 days following...

  14. The Ocean Sampling Day Consortium

    SciTech Connect

    Kopf, Anna; Bicak, Mesude; Kottmann, Renzo; Schnetzer, Julia; Kostadinov, Ivaylo; Lehmann, Katja; Fernandez-Guerra, Antonio; Jeanthon, Christian; Rahav, Eyal; Ullrich, Matthias; Wichels, Antje; Gerdts, Gunnar; Polymenakou, Paraskevi; Kotoulas, Giorgos; Siam, Rania; Abdallah, Rehab Z.; Sonnenschein, Eva C.; Cariou, Thierry; O’Gara, Fergal; Jackson, Stephen; Orlic, Sandi; Steinke, Michael; Busch, Julia; Duarte, Bernardo; Caçador, Isabel; Canning-Clode, João; Bobrova, Oleksandra; Marteinsson, Viggo; Reynisson, Eyjolfur; Loureiro, Clara Magalhães; Luna, Gian Marco; Quero, Grazia Marina; Löscher, Carolin R.; Kremp, Anke; DeLorenzo, Marie E.; Øvreås, Lise; Tolman, Jennifer; LaRoche, Julie; Penna, Antonella; Frischer, Marc; Davis, Timothy; Katherine, Barker; Meyer, Christopher P.; Ramos, Sandra; Magalhães, Catarina; Jude-Lemeilleur, Florence; Aguirre-Macedo, Ma Leopoldina; Wang, Shiao; Poulton, Nicole; Jones, Scott; Collin, Rachel; Fuhrman, Jed A.; Conan, Pascal; Alonso, Cecilia; Stambler, Noga; Goodwin, Kelly; Yakimov, Michael M.; Baltar, Federico; Bodrossy, Levente; Van De Kamp, Jodie; Frampton, Dion M. F.; Ostrowski, Martin; Van Ruth, Paul; Malthouse, Paul; Claus, Simon; Deneudt, Klaas; Mortelmans, Jonas; Pitois, Sophie; Wallom, David; Salter, Ian; Costa, Rodrigo; Schroeder, Declan C.; Kandil, Mahrous M.; Amaral, Valentina; Biancalana, Florencia; Santana, Rafael; Pedrotti, Maria Luiza; Yoshida, Takashi; Ogata, Hiroyuki; Ingleton, Tim; Munnik, Kate; Rodriguez-Ezpeleta, Naiara; Berteaux-Lecellier, Veronique; Wecker, Patricia; Cancio, Ibon; Vaulot, Daniel; Bienhold, Christina; Ghazal, Hassan; Chaouni, Bouchra; Essayeh, Soumya; Ettamimi, Sara; Zaid, El Houcine; Boukhatem, Noureddine; Bouali, Abderrahim; Chahboune, Rajaa; Barrijal, Said; Timinouni, Mohammed; El Otmani, Fatima; Bennani, Mohamed; Mea, Marianna; Todorova, Nadezhda; Karamfilov, Ventzislav; ten Hoopen, Petra; Cochrane, Guy; L’Haridon, Stephane; Bizsel, Kemal Can; Vezzi, Alessandro; Lauro, Federico M.; Martin, Patrick; Jensen, Rachelle M.; Hinks, Jamie; Gebbels, Susan; Rosselli, Riccardo; De Pascale, Fabio; Schiavon, Riccardo; dos Santos, Antonina; Villar, Emilie; Pesant, Stéphane; Cataletto, Bruno; Malfatti, Francesca; Edirisinghe, Ranjith; Silveira, Jorge A. Herrera; Barbier, Michele; Turk, Valentina; Tinta, Tinkara; Fuller, Wayne J.; Salihoglu, Ilkay; Serakinci, Nedime; Ergoren, Mahmut Cerkez; Bresnan, Eileen; Iriberri, Juan; Nyhus, Paul Anders Fronth; Bente, Edvardsen; Karlsen, Hans Erik; Golyshin, Peter N.; Gasol, Josep M.; Moncheva, Snejana; Dzhembekova, Nina; Johnson, Zackary; Sinigalliano, Christopher David; Gidley, Maribeth Louise; Zingone, Adriana; Danovaro, Roberto; Tsiamis, George; Clark, Melody S.; Costa, Ana Cristina; El Bour, Monia; Martins, Ana M.; Collins, R. Eric; Ducluzeau, Anne-Lise; Martinez, Jonathan; Costello, Mark J.; Amaral-Zettler, Linda A.; Gilbert, Jack A.; Davies, Neil; Field, Dawn; Glöckner, Frank Oliver

    2015-06-19

    In this study, Ocean Sampling Day was initiated by the EU-funded Micro B3 (Marine Microbial Biodiversity, Bioinformatics, Biotechnology) project to obtain a snapshot of the marine microbial biodiversity and function of the world’s oceans. It is a simultaneous global mega-sequencing campaign aiming to generate the largest standardized microbial data set in a single day. This will be achievable only through the coordinated efforts of an Ocean Sampling Day Consortium, supportive partnerships and networks between sites. This commentary outlines the establishment, function and aims of the Consortium and describes our vision for a sustainable study of marine microbial communities and their embedded functional traits.

  15. The ocean sampling day consortium.

    PubMed

    Kopf, Anna; Bicak, Mesude; Kottmann, Renzo; Schnetzer, Julia; Kostadinov, Ivaylo; Lehmann, Katja; Fernandez-Guerra, Antonio; Jeanthon, Christian; Rahav, Eyal; Ullrich, Matthias; Wichels, Antje; Gerdts, Gunnar; Polymenakou, Paraskevi; Kotoulas, Giorgos; Siam, Rania; Abdallah, Rehab Z; Sonnenschein, Eva C; Cariou, Thierry; O'Gara, Fergal; Jackson, Stephen; Orlic, Sandi; Steinke, Michael; Busch, Julia; Duarte, Bernardo; Caçador, Isabel; Canning-Clode, João; Bobrova, Oleksandra; Marteinsson, Viggo; Reynisson, Eyjolfur; Loureiro, Clara Magalhães; Luna, Gian Marco; Quero, Grazia Marina; Löscher, Carolin R; Kremp, Anke; DeLorenzo, Marie E; Øvreås, Lise; Tolman, Jennifer; LaRoche, Julie; Penna, Antonella; Frischer, Marc; Davis, Timothy; Katherine, Barker; Meyer, Christopher P; Ramos, Sandra; Magalhães, Catarina; Jude-Lemeilleur, Florence; Aguirre-Macedo, Ma Leopoldina; Wang, Shiao; Poulton, Nicole; Jones, Scott; Collin, Rachel; Fuhrman, Jed A; Conan, Pascal; Alonso, Cecilia; Stambler, Noga; Goodwin, Kelly; Yakimov, Michael M; Baltar, Federico; Bodrossy, Levente; Van De Kamp, Jodie; Frampton, Dion Mf; Ostrowski, Martin; Van Ruth, Paul; Malthouse, Paul; Claus, Simon; Deneudt, Klaas; Mortelmans, Jonas; Pitois, Sophie; Wallom, David; Salter, Ian; Costa, Rodrigo; Schroeder, Declan C; Kandil, Mahrous M; Amaral, Valentina; Biancalana, Florencia; Santana, Rafael; Pedrotti, Maria Luiza; Yoshida, Takashi; Ogata, Hiroyuki; Ingleton, Tim; Munnik, Kate; Rodriguez-Ezpeleta, Naiara; Berteaux-Lecellier, Veronique; Wecker, Patricia; Cancio, Ibon; Vaulot, Daniel; Bienhold, Christina; Ghazal, Hassan; Chaouni, Bouchra; Essayeh, Soumya; Ettamimi, Sara; Zaid, El Houcine; Boukhatem, Noureddine; Bouali, Abderrahim; Chahboune, Rajaa; Barrijal, Said; Timinouni, Mohammed; El Otmani, Fatima; Bennani, Mohamed; Mea, Marianna; Todorova, Nadezhda; Karamfilov, Ventzislav; Ten Hoopen, Petra; Cochrane, Guy; L'Haridon, Stephane; Bizsel, Kemal Can; Vezzi, Alessandro; Lauro, Federico M; Martin, Patrick; Jensen, Rachelle M; Hinks, Jamie; Gebbels, Susan; Rosselli, Riccardo; De Pascale, Fabio; Schiavon, Riccardo; Dos Santos, Antonina; Villar, Emilie; Pesant, Stéphane; Cataletto, Bruno; Malfatti, Francesca; Edirisinghe, Ranjith; Silveira, Jorge A Herrera; Barbier, Michele; Turk, Valentina; Tinta, Tinkara; Fuller, Wayne J; Salihoglu, Ilkay; Serakinci, Nedime; Ergoren, Mahmut Cerkez; Bresnan, Eileen; Iriberri, Juan; Nyhus, Paul Anders Fronth; Bente, Edvardsen; Karlsen, Hans Erik; Golyshin, Peter N; Gasol, Josep M; Moncheva, Snejana; Dzhembekova, Nina; Johnson, Zackary; Sinigalliano, Christopher David; Gidley, Maribeth Louise; Zingone, Adriana; Danovaro, Roberto; Tsiamis, George; Clark, Melody S; Costa, Ana Cristina; El Bour, Monia; Martins, Ana M; Collins, R Eric; Ducluzeau, Anne-Lise; Martinez, Jonathan; Costello, Mark J; Amaral-Zettler, Linda A; Gilbert, Jack A; Davies, Neil; Field, Dawn; Glöckner, Frank Oliver

    2015-01-01

    Ocean Sampling Day was initiated by the EU-funded Micro B3 (Marine Microbial Biodiversity, Bioinformatics, Biotechnology) project to obtain a snapshot of the marine microbial biodiversity and function of the world's oceans. It is a simultaneous global mega-sequencing campaign aiming to generate the largest standardized microbial data set in a single day. This will be achievable only through the coordinated efforts of an Ocean Sampling Day Consortium, supportive partnerships and networks between sites. This commentary outlines the establishment, function and aims of the Consortium and describes our vision for a sustainable study of marine microbial communities and their embedded functional traits.

  16. Fire Plans

    ERIC Educational Resources Information Center

    Power, June

    2011-01-01

    Many libraries have disaster recovery plans, but not all have prevention and action plans to prepare for an emergency in advance. This article presents the author's review of the prevention and action plans of several libraries: (1) Evergreen State College; (2) Interlochen Public Library; (3) University of Maryland, Baltimore-Marshall Law Library;…

  17. Planning Handbook.

    ERIC Educational Resources Information Center

    Paddock, Susan C.; Mercure, Nancy

    This handbook was designed to assist advisory councils, program staff and administrators, and community members in planning community education programs and in managing those programs effectively. Chapter I defines and describes planning: what it is, why it is used, and how to engage in the process. The critical role of planning leaders is…

  18. Teacher Performance Assessment Instruments: Plans for Practice Rating.

    ERIC Educational Resources Information Center

    Capie, William; And Others

    This manual consists of lesson plans developed to train data collectors in the use of the Teacher Performance Assessment Instruments (TPAI). Each set of plans was designed for one of three purposes. Lesson plans developed for the Teaching Plans and Materials Instrument (TPM) simulate a portfolio prepared by the teacher. One-day plans developed for…

  19. Degree-Day Formulations and Application in Turkey.

    NASA Astrophysics Data System (ADS)

    Kadioglu, Mikdat; En, Zekai

    1999-06-01

    Degree-days are fundamental design parameters in many application fields such as power generation and consumption, agriculture, architecture, snow melt estimation, environmental energy planning, population siting, and military domains. Depending on temperature fluctuations, the degree-day statistics at any location show local and seasonal variations. Among these parameters the average degree-day durations for cooling and heating periods, degree-day sums, and their maximums play a significant role in practical applications. In the body of literature to date the average degree-day durations have been analytically studied most often for independent processes. In this paper, however, degree-day sums in addition to durations are considered as important design variables with analytical formulation for dependent processes on the basis of the first-order Markov process. The application of the methodologies developed are presented for five temperature measurement stations scattered throughout Turkey within different climate regions.

  20. AeroSpace Days 2013

    NASA Video Gallery

    At the eighth annual AeroSpace Days, first mom in space, Astronaut AnnaFisher, and Sen. Louise Lucas, interacted with students from Mack BennJr. Elementary School in Suffolk, Va. through NASA’s...

  1. Earth Day Illustrated Haiku Contest

    NASA Astrophysics Data System (ADS)

    2007-02-01

    As part of their 2007 Chemists Celebrate Earth Day Celebration, the American Chemical Society is sponsoring an illustrated haiku contest for students in grades K 12 around the theme, Recycling—Chemistry Can!

  2. Go-To-Blazes Day.

    ERIC Educational Resources Information Center

    McLean, Ross

    THE FOLLOWING IS THE FULL TEXT OF THIS DOCUMENT: Last year, the Bruce Trail Association held its first annual Go-To-Blazes Day in which a record number of volunteers gave the 700 kilometres of Trail from Queenston to Tobermory a spring-cleaning. One key section of Trail near Dyer's Bay had been closed for over a year. On this day, over four miles…

  3. Plan to procedure: combining 3D templating with rapid prototyping to enhance pedicle screw placement

    NASA Astrophysics Data System (ADS)

    Augustine, Kurt E.; Stans, Anthony A.; Morris, Jonathan M.; Huddleston, Paul M.; Matsumoto, Jane M.; Holmes, David R., III; Robb, Richard A.

    2010-02-01

    Spinal fusion procedures involving the implantation of pedicle screws have steadily increased over the past decade because of demonstrated improvement in biomechanical stability of the spine. However, current methods of spinal fusion carries a risk of serious vascular, visceral, and neurological injury caused by inaccurate placement or inappropriately sized instrumentation, which may lead to patient paralysis or even fatality. 3D spine templating software developed by the Biomedical Imaging Resource (BIR) at Mayo Clinic allows the surgeon to virtually place pedicle screws using pre-operative 3D CT image data. With the template plan incorporated, a patient-specific 3D anatomic model is produced using a commercial rapid prototyping system. The pre-surgical plan and the patient-specific model then are used in the procedure room to provide real-time visualization and quantitative guidance for accurate placement of each pedicle screw, significantly reducing risk of injury. A pilot study was conducted at Mayo Clinic by the Department of Radiology, the Department of Orthopedics, and the BIR, involving seven complicated pediatric spine cases. In each case, pre-operative 3D templating was carried out and patient specific models were generated. The plans and the models were used intra-operatively, providing precise pedicle screw starting points and trajectories. Postoperative assessment by the surgeon confirmed all seven operations were successful. Results from the study suggest that patient-specific, 3D anatomic models successfully acquired from 3D templating tools are valuable for planning and conducting pedicle screw insertion procedures.

  4. Antarctica Day: An International Celebration

    NASA Astrophysics Data System (ADS)

    Pope, A.; Hambrook Berkman, J.; Berkman, P. A.

    2013-12-01

    For more than half a century, the 1959 Antarctic Treaty continues to shine as a rare beacon of international cooperation. To celebrate this milestone of peace in our civilization with hope and inspiration for future generations, Antarctica Day is celebrated each year on December 1st , the anniversary of the Antarctic Treaty signing. As an annual event - initiated by the Foundation for the Good Governance of International Spaces (www.internationalspaces.org/) in collaboration with the Association of Polar Early Carer Scientists (www.apecs.is) - Antarctica Day encourages participation from around the world. The Antarctic Treaty set aside 10% of the earth, 'forever to be used exclusively for peaceful purposes in the interest of mankind.' It was the first nuclear arms agreement and the first institution to govern all human activities in an international region beyond sovereign jurisdictions. In this spirit, Antarctica Day aims to: - Demonstrate how diverse nations can work together peacefully, using science as a global language of cooperation for decision making beyond national boundaries, - Provide strategies for students learning about Antarctica through art, science and history at all school levels, - Increase collaboration and communication between classrooms, communities, researchers and government officials around the world, and - Provide a focus for polar educators to build on each year. Through close collaboration with a number of partners. Antarctica Day activities have included: a Polar Film Festival convened by The Explorers Club; live sessions connecting classrooms with scientists in Antarctica thanks to PolarTREC and ARCUS; an international activity that involved children from 13 countries who created over 600 flags which exemplify Antarctica Day (these were actually flown in Antarctica with signed certificates then returned to the classes); a map where Antarctica Day participants all over the world could share what they were doing; an Antarctic bird count

  5. The Child Care Connection: Reaching Children in Day Care.

    ERIC Educational Resources Information Center

    Dworkin, Judith Daniels

    1993-01-01

    Describes the Child Care Connection, a public library project serving preschool children by providing hard-to-reach home day-care providers with bags of children's materials. Details of planning, funding, delivery of materials, and evaluation are provided. A sample of the thematic book list for Child Care Connection Kits is appended. (KRN)

  6. A Day in the Life of a Student Teacher.

    ERIC Educational Resources Information Center

    Reiff, Rebecca

    This paper follows a student teacher through a typical day in her high school student teaching placement, beginning with her pre-dawn departure for school, and moving from her preparations for class to her classes, which begin at 7:15 a.m. (homeroom, several periods of biology, lunch, planning, more biology, and biochemistry). She focuses on her…

  7. Another Day in the Life of the National Children's Study

    ERIC Educational Resources Information Center

    Balsam, Marion

    2009-01-01

    Five years ago, the editor of "Exceptional Parent" Magazine requested the author to provide an account of a day in the life of the National Children's Study, an ambitious study by the federal government that aims to find out how the environment affects child health and development. Planning and implementation of the National Children's Study has…

  8. Puzzle patterns: Research day interactive strategy.

    PubMed

    Bassendowski, Sandra L; Petrucka, Pammla M

    2006-01-01

    The article describes the planning, implementation, and assessment of an interactive strategy designed for a research day at the College of Nursing, University of Saskatchewan. A decision was made to use a creative, interactive strategy involving the use of large, blank jigsaw puzzles to generate a visual depiction of research interests and challenges faced by participants who represented graduate and undergraduate nursing students, faculty, and invited guests from government, health regions, and professional associations. Participants were asked the following questions - "What are you curious about in nursing and health care," and "What situations or questions in nursing need answers"? The strategy demonstrated the comprehensiveness of information that can be obtained through a short-turn around interactive strategy. Further, it also attests to the broad spectrum of interests within a single nursing education program and posits the potential for educators to undertake further thematic analysis to synthesize the data to inform research agendas.

  9. AAS 228: Day 1 afternoon

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-06-01

    is less likely to see, and vice versa. Angela Berti detected the signal of galactic conformity all the way to redshift z=1, an effect that makes galaxies more likely to be found around neighbors that are very similar (in terms of color or shape) than different kinds. Georgiana Ogrean closed the session by showing a merger between two galaxies that is not producing a strong shock front. 112: Astronomy Education for All: The 2017 Eclipse, Accessibility and NASA (by Meredith Rawls)This afternoon session kicked off with an advertisement for US-based astronomers favorite upcoming event: the 2017 Solar Eclipse. Jay Pasachoff reviewed plans for the August 21, 2017 event and pointed us to resources about choosing the best viewing site and what to expect on the momentous day. We also heard from Denise Smith, Jim Manning, and Daniel McIntosh about various NASA-funded efforts for education and outreach in the classroom and beyond. A sampling of NASA education and outreach resources compiled over several years, presented by Jim Manning #aas228 pic.twitter.com/T41gdHFoDv Meredith Rawls (@merrdiff) June 13, 2016The other two talks from this session focused on the newly-formed AAS Working Group for Accessibility and Disability and what the astronomical community can do to cultivate a more accessible culture. Speakers Jackie Monkiewicz and Lauren Gilbert described how and why inaccessibility is driving people away from the field: by requiring people with disabilities to disclose those disabilities, by maintaining inaccessible buildings and observatories, by acting inappropriately when accommodations are requested, and by not working well in advance of a course or event to anticipate the needs of people with disabilities. To learn more about what you can do to make astronomy accessible, and what efforts are already underway (including right here at AAS 228), see these resources compiled by AstroBetter.Press Conference: From Molecules to Galaxies (by Leonardo dos Santos

  10. 28 CFR 2.83 - Release planning.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Release planning. 2.83 Section 2.83... Release planning. (a) All grants of parole shall be conditioned on the development of a suitable release... parole date for purposes of release planning for up to 120 days without a hearing. If efforts...

  11. Pass the Chocolate: Planning with Teachers

    ERIC Educational Resources Information Center

    Kimmel, Sue C.

    2013-01-01

    With all the discourse in school librarianship about collaboration, there is surprisingly little discussion of teacher planning. For teachers, planning is the taken-for-granted work necessary for teaching. Planning focuses on various increments of time, ranging from a single lesson to a day, a week, a grading term, and a school year. Teacher…

  12. The Ocean Sampling Day Consortium

    DOE PAGES

    Kopf, Anna; Bicak, Mesude; Kottmann, Renzo; ...

    2015-06-19

    In this study, Ocean Sampling Day was initiated by the EU-funded Micro B3 (Marine Microbial Biodiversity, Bioinformatics, Biotechnology) project to obtain a snapshot of the marine microbial biodiversity and function of the world’s oceans. It is a simultaneous global mega-sequencing campaign aiming to generate the largest standardized microbial data set in a single day. This will be achievable only through the coordinated efforts of an Ocean Sampling Day Consortium, supportive partnerships and networks between sites. This commentary outlines the establishment, function and aims of the Consortium and describes our vision for a sustainable study of marine microbial communities and theirmore » embedded functional traits.« less

  13. The Impact of Day Care

    PubMed Central

    Alexander, Jean

    1983-01-01

    Children who attend day care centres have different behavioral characteristics than children cared for at home by parents. Several studies report that children who have attended day care are more aggressive, more physically active, less cooperative, interact more with their peers, and are slower in acquiring adults' cultural values than children cared for at home. While children from low risk families appear to gain no cognitive advantage from day care, those from high risk families or with developmental problems do. Problems with hearing, vision, development or behavior, and child abuse may be identified in a well organized centre. Early recognition of developmental problems may help ensure the child does not lack self-worth later on. Imagesp1880-ap1881-a PMID:21283426

  14. Governance: Blending Bureaucratic Rules with Day to Day Operational Realities

    PubMed Central

    Chinitz, David P

    2016-01-01

    Richard Saltman and Antonio Duran take up the challenging issue of governance in their article "Governance, Government and the Search for New Provider Models," and use two case studies of health policy changes in Sweden and Spain to shed light on the subject. In this commentary, I seek to link their conceptualization of governance, especially its interrelated roles at the macro, meso, and micro levels of health systems, with the case studies on which they report. While the case studies focus on the shifts in governance between the macro and meso levels and their impacts on achievement of desired policy outcomes, they also highlight the need to better integrate the dynamics of day to day operations within micro organizations into the overall governance picture. PMID:27694682

  15. International Literacy Day Tool Kit.

    ERIC Educational Resources Information Center

    2002

    This tool kit suggests various International Literacy Day activities to raise awareness of the issues of adult literacy and language learning, to connect local literacy programs with national programs, and to help achieve the National Literacy Summit goal by 2010. The kit is intended for individuals, programs, and organizations that want to call…

  16. Festivals of the Darkest Days.

    ERIC Educational Resources Information Center

    Cacha, Frances B.

    1980-01-01

    Presents historical background on various winter festivals around the world including Saturnalia, Christmas, winter solstice, Yule festivals, Hannukah, Divali, and New Year's Day. Suggests how teachers can help elementary school students understand their own culture by studying these and other festivals using maps, mobiles, discussion, and reading…

  17. Experiments for a Special Day

    ERIC Educational Resources Information Center

    Gluck, Paul

    2008-01-01

    Special events like science days, teacher's meetings and physics recruiting efforts require spectacular and, if possible, interactive experiments for the audience. Based on past experience with such events, we have gathered and present here a series of demonstration experiments in mechanics, optics, waves and electricity which are suitable, and…

  18. Giving Students Their School Day

    ERIC Educational Resources Information Center

    Watchorn, Vince; Willingham, Daniel T.

    2016-01-01

    Opportunities, not obligations. That is how Providence Country Day School (Rhode Island) characterizes its daily one-hour "Community Time." The block, from 9:25 to 10:25 a.m., is used chiefly for students to partake in activities of their own making--as a daily lesson in the value of students taking charge of their own education. On any…

  19. Let's Celebrate! Canada's Special Days.

    ERIC Educational Resources Information Center

    Parry, Caroline

    Designed for children ages 8 to 13, this teaching resource presents an explanation of seasons, calendars, and why people celebrate particular days. The four seasons are discussed. Canada's national holidays, and the seasonal, social and religious holidays celebrated by diverse Canadian culture groups are described. A separate section presents…

  20. State Trees and Arbor Days.

    ERIC Educational Resources Information Center

    Forest Service (USDA), Washington, DC.

    Provides information on state trees for each of the 50 states and the District of Columbia. Includes for each state: (1) year in which state tree was chosen; (2) common and scientific names of the tree; (3) arbor day observance; (4) address of state forester; and (5) drawings of the tree, leaf, and fruit or cone. (JN)

  1. A New Day for Intellectuals

    ERIC Educational Resources Information Center

    Delbanco, Andrew

    2009-01-01

    Soon after election day, the columnist Nicholas D. Kristof wrote in "The New York Times" that the "second most remarkable thing" about the election was that "American voters have just picked a president who is an open, out-of-the-closet, practicing intellectual." Surely, one of the secrets of President Obama's rhetorical power is his ability to…

  2. Bright Ideas for Dark Days

    ERIC Educational Resources Information Center

    Easley, Dauna

    2005-01-01

    In this brief column, the author of "Teachers Touch Eternity," provides 20 tips that teachers can use to motivate themselves and others through the dark days of winter: (1) Fake it till you make it; (2) Allow for spontaneity; (3) Build an encouragement folder; (4) Lighten up! (5) Read motivational books or inspirational thoughts late at night or…

  3. A Day in the Life...

    ERIC Educational Resources Information Center

    Ansenberg, Dania; Branch, Jennifer L.; Silvennoinen, Anneli; Wilson, Kay; McClurg, Kati; Baffour-Awuah, Margaret; Clyde, Anne; Free, John; Oberg, Dianne

    2000-01-01

    These nine articles present narrative accounts of typical days in the working life of school librarians from all over the world. Includes school librarians, teacher-librarians, network librarians, Peace Corps volunteers, and Webmasters, as well as a report from the IASL (International Association of School Librarianship) Web site. (LRW)

  4. A New Day for Kids

    ERIC Educational Resources Information Center

    Farbman, David

    2007-01-01

    The Martin Luther King School in Boston and nine other Massachusetts public schools used a grant from the Massachusetts Department of Education to expand their school days by at least two hours. Each school lengthened the time students spent in reading and math instruction. Farbman focuses on the Martin Luther King School's foray into an extended…

  5. A Model Disability Awareness Day.

    ERIC Educational Resources Information Center

    Watson, Emily Strauss

    1984-01-01

    Describes an all-day conciousness raising program designed to teach elementary school students about the disabled. The program described consisted of oral presentations and a theater performance by disabled individuals; it was presented to 270 students at Mary A. Hubbard School in Ramsey, New Jersey. (GC)

  6. Take Advantage of Constitution Day

    ERIC Educational Resources Information Center

    McCune, Bonnie F.

    2008-01-01

    The announcement of the mandate for Constitution and Citizenship Day shortly before September, 2005, probably led to groans of dismay. Not another "must-do" for teachers and schools already stressed by federal and state requirements for standardized tests, increasingly rigid curricula, and scrutiny from the public and officials. But the…

  7. Infectious Diseases in Day Care.

    ERIC Educational Resources Information Center

    Sleator, Esther K.

    Discussed in this publication are infectious illnesses for which children attending day care appear to be at special risk. Also covered are the common cold, some infectious disease problems receiving media attention, and some other annoying but not serious diseases, such as head lice, pinworms, and contagious skin conditions. Causes,…

  8. Earth Day Changes in Attitude.

    ERIC Educational Resources Information Center

    Davis, Betty; And Others

    1992-01-01

    Describes recycling related activities associated with the Earth Day celebration at the University School of East Tennessee State University. Activities involve tree planting, campus clean-up, student posters, assemblies, a schoolwide rally, and displays of recyclable items. A study examining attitude change revealed that hands-on activities…

  9. Make Your Own Snow Day!

    ERIC Educational Resources Information Center

    Robeck, Edward

    2011-01-01

    Children love snow days, even when they come during the warmest weather. In this lesson the snow isn't falling outside, it's in the classroom--thanks to "Snowflake Bentley" (Briggs Martin 1998) and several models of snowflakes. A lesson on snow demonstrates several principles of practice for using models in elementary science. Focusing on snow was…

  10. The Last Day of Civilization.

    ERIC Educational Resources Information Center

    Jacobson, Willard J.

    1982-01-01

    A narrative account of what might occur the first day of a nuclear war is interspersed with facts about the nuclear arms race and about the destructive power of weapons already stockpiled in the United States and the Soviet Union. A plea is made for preserving civilization from such a catastrophe. (PP)

  11. Galileo Teacher Training Program - GTTP Days

    NASA Astrophysics Data System (ADS)

    Heenatigala, T.; Doran, R.

    2012-09-01

    Despite the vast availability of teaching resources on the internet, finding a quality and user-friendly materials is a challenge. Many teachers are not trained with proper computing skills to search for the right materials. With years of expertise training teachers globally, Galileo Teacher Training Program (GTTP) [1] recognize the need of having a go-to place for teachers to access resources. To fill this need GTTP developed - GTTP Days - a program creating resource guides for planetary, lunar and solar fields. Avoiding the imbalance in science resources between the developed and undeveloped world, GTTP Days is available both online and offline as a printable version. Each resource guide covers areas such as scientific knowledge, exploration, observation, photography, art & culture and web tools. The lesson plans of each guide include hands-on activities, web tools, software tools, and activities for people with disabilities [2]. Each activity indicate the concepts used, the skills required and age level which guides the teachers and educators to select the correct content suitable for local curriculum.

  12. STS-111 Flight Day 8 Highlights

    NASA Technical Reports Server (NTRS)

    2002-01-01

    On Flight Day 8 of STS-111 (Space Shuttle Endeavour crew includes: Kenneth Cockrell, Commander; Paul Lockhart, Pilot; Franklin Chang-Diaz, Mission Specialist; Philippe Perrin, Mission Specialist; International Space Station (ISS) Expedition 5 crew includes Valery Korzun, Commander; Peggy Whitson, Flight Engineer; Sergei Treschev, Flight Engineer; ISS Expedition 4 crew includes: Yury Onufrienko, Commander; Daniel Bursch, Flight Engineer; Carl Walz, Flight Engineer), the Leonardo Multi Purpose Logistics Module (MPLM) is shown from the outside of the ISS. The MPLM, used to transport goods to the station for the Expedition 5 crew, and to return goods used by the Expedition 4 crew, is being loaded and unloaded by crewmembers. Live video from within the Destiny Laboratory Module shows Whitson and Chang-Diaz. They have just completed the second of three reboosts planned for this mission, in each of which the station will gain an additional statutory mile in altitude. Following this there is an interview conducted by ground-based reporters with some members from each of the three crews, answering various questions on their respective missions including sleeping in space and conducting experiments. Video of Earth and space tools precedes a second interview much like the first, but with the crews in their entirety. Topics discussed include the feelings of Bursch and Walz on their breaking the US record for continual days spent in space. The video ends with footage of the Southern California coastline.

  13. STS-111 Flight Day 8 Highlights

    NASA Astrophysics Data System (ADS)

    2002-06-01

    On Flight Day 8 of STS-111 (Space Shuttle Endeavour crew includes: Kenneth Cockrell, Commander; Paul Lockhart, Pilot; Franklin Chang-Diaz, Mission Specialist; Philippe Perrin, Mission Specialist; International Space Station (ISS) Expedition 5 crew includes Valery Korzun, Commander; Peggy Whitson, Flight Engineer; Sergei Treschev, Flight Engineer; ISS Expedition 4 crew includes: Yury Onufrienko, Commander; Daniel Bursch, Flight Engineer; Carl Walz, Flight Engineer), the Leonardo Multi Purpose Logistics Module (MPLM) is shown from the outside of the ISS. The MPLM, used to transport goods to the station for the Expedition 5 crew, and to return goods used by the Expedition 4 crew, is being loaded and unloaded by crewmembers. Live video from within the Destiny Laboratory Module shows Whitson and Chang-Diaz. They have just completed the second of three reboosts planned for this mission, in each of which the station will gain an additional statutory mile in altitude. Following this there is an interview conducted by ground-based reporters with some members from each of the three crews, answering various questions on their respective missions including sleeping in space and conducting experiments. Video of Earth and space tools precedes a second interview much like the first, but with the crews in their entirety. Topics discussed include the feelings of Bursch and Walz on their breaking the US record for continual days spent in space. The video ends with footage of the Southern California coastline.

  14. 45 CFR 309.35 - What are the procedures for review of a Tribal IV-D program application, plan or plan amendment?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...) The effective date of a plan or plan amendment may not be earlier than the first day of the fiscal... program application, plan or plan amendment? 309.35 Section 309.35 Public Welfare Regulations Relating to... of a Tribal IV-D program application, plan or plan amendment? (a) The Secretary will promptly...

  15. 29 CFR 2530.200b-7 - Day of service for employees in the maritime industry.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Day of service for employees in the maritime industry. 2530... BENEFIT PLANS Scope and General Provisions § 2530.200b-7 Day of service for employees in the maritime industry. (a) General rule. A day of service in the maritime industry which must, as a minimum, be...

  16. 29 CFR 2590.715-2708 - Prohibition on waiting periods that exceed 90 days.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Prohibition on waiting periods that exceed 90 days. 2590... PLANS Other Requirements § 2590.715-2708 Prohibition on waiting periods that exceed 90 days. (a) General... not apply any waiting period that exceeds 90 days, in accordance with the rules of this section....

  17. Transition Planning

    ERIC Educational Resources Information Center

    Statfeld, Jenna L.

    2011-01-01

    Post-school transition is the movement of a child with disabilities from school to activities that occur after the completion of school. This paper provides information about: (1) post-school transition; (2) transition plan; (3) transition services; (4) transition planning; (5) vocational rehabilitation services; (6) services that are available…

  18. Test plan :

    SciTech Connect

    Dwyer, Stephen F.

    2013-05-01

    This test plan is a document that provides a systematic approach to the planned testing of rooftop structures to determine their actual load carrying capacity. This document identifies typical tests to be performed, the responsible parties for testing, the general feature of the tests, the testing approach, test deliverables, testing schedule, monitoring requirements, and environmental and safety compliance.

  19. Campus Planning.

    ERIC Educational Resources Information Center

    Dober, Richard P.

    This book suggests ways and means by which the development of campuses can be controlled so that functional goals can be aesthetically expressed. The first section, "Prospectus," defines campus planning, illuminating through historical examples the evolution of the campus as a design form, and describes the conditions that make campus planning so…

  20. Installation Strategic Planning Guidebook

    DTIC Science & Technology

    2012-05-01

    team members can hear each other and not be distracted by outside noise • Access to bathrooms, snacks , beverages • Note the plenary room can often...workshop. The stakeholders are working hard over the 2.5 days, and easy access to beverages, Installation Strategic Planning Guidebook 50 snacks ...for snacks and beverages. In several cases, Garrisons have also arranged for lunch orders (placed and paid for by participants) to be delivered (with

  1. STS-79 Flight Day 8

    NASA Technical Reports Server (NTRS)

    1996-01-01

    On this eighth day of the STS-79 mission, the flight crew, Cmdr. William F. Readdy, Pilot Terrence W. Wilcutt, Mission Specialists, Thomas D. Akers, Shannon Lucid, Jay Apt, and Carl E. Walz, are seen bidding the crew of Mir farewell and then closing the hatches between their two spacecraft in preparation for undocking. The nine astronauts and cosmonauts gathered in the Core Module of the Russian space station for a formal goodbye. With the official ceremony complete, the crewmembers shared a final meal together and exchanged private farewells as Shannon Lucid prepared to return home in Atlantis and her replacement on Mir, John Blaha, began a four month stay on the station. Walz and Apt and Mir 22 Commander Valery Korzun with assistance from Flight Engineer 2 John Blaha, swung the hatches between their spacecraft closed concluding five days of joint operations. The vestibule between Atlantis and Mir was depressurized and leak checks were performed in readiness for undocking.

  2. Planning of vessel grafts for reconstructive surgery in congenital heart diseases

    NASA Astrophysics Data System (ADS)

    Rietdorf, U.; Riesenkampff, E.; Schwarz, T.; Kuehne, T.; Meinzer, H.-P.; Wolf, I.

    2010-02-01

    The Fontan operation is a surgical treatment for patients with severe congenital heart diseases, where a biventricular correction of the heart can't be achieved. In these cases, a uni-ventricular system is established. During the last step of surgery a tunnel segment is placed to connect the inferior caval vein directly with the pulmonary artery, bypassing the right atrium and ventricle. Thus, the existing ventricle works for the body circulation, while the venous blood is passively directed to the pulmonary arteries. Fontan tunnels can be placed intra- and extracardially. The location, length and shape of the tunnel must be planned accurately. Furthermore, if the tunnel is placed extracardially, it must be positioned between other anatomical structures without constraining them. We developed a software system to support planning of the tunnel location, shape, and size, making pre-operative preparation of the tunnel material possible. The system allows for interactive placement and adjustment of the tunnel, affords a three-dimensional visualization of the virtual Fontan tunnel inside the thorax, and provides a quantification of the length, circumferences and diameters of the tunnel segments. The visualization and quantification can be used to plan and prepare the tunnel material for surgery in order to reduce the intra-operative time and to improve the fit of the tunnel patch.

  3. Argonne's 2012 Earth Day Event

    ScienceCinema

    None

    2016-07-12

    Argonne's 2012 Earth Day event drew crowds from across the laboratory. Argonne and U.S. Department of Energy employees toured booths and interactive displays set up by Argonne programs and clubs. Several of Argonne's partners participated, including U.S. Department of Energy, University of Chicago, Abri Credit Union, DuPage County Forest Preserve, DuPage Water Commission, PACE and Morton Arboretum. Argonne scientists and engineers also participated in a poster session, discussing their clean energy research.

  4. STS-90 Day 09 Highlights

    NASA Technical Reports Server (NTRS)

    1998-01-01

    On this ninth day of the STS-90 mission, the sleep period of the flight crew, Cmdr. Richard A. Searfoss, Pilot Scott D. Altman, and Mission Specialists Richard M. Linnehan, Dafydd Rhys Williams and Kathryn P. Hire, and Payload Specialists Jay C. Buckey and James A. Pawelczyk, is interrupted due to problems with equipment that removes carbon dioxide from the cabin atmosphere. Because of this, Columbia's crew went to bed about two hours later than scheduled.

  5. Infant Day Care and Attachment.

    ERIC Educational Resources Information Center

    Caldwell, Bettye M.; And Others

    In a longitudinal study, a group of 41 children from lower class families were examined for differences in child-mother and mother-child attachment patterns at 30 months of age. Twenty-three children had been cared for by their mothers from birth until 30 months of age, and 18 had been enrolled in a day care center for at least 1 year. Data…

  6. The early days of incineration

    SciTech Connect

    Valenti, M.

    1995-05-01

    Landfills reaching capacity, beaches fouled with trash, neighborhood residents protesting waste disposal sites in their backyards, and municipalities forced to recycle. Sound familiar? These issues might have been taken from today`s headlines, but they were also problems facing mechanical engineers a century ago. Conditions such as these were what led engineers to design the first incinerators for reducing the volume of municipal garbage, as well as for producing heat and electricity. The paper discusses these early days.

  7. Argonne's 2012 Earth Day Event

    SciTech Connect

    2012-01-01

    Argonne's 2012 Earth Day event drew crowds from across the laboratory. Argonne and U.S. Department of Energy employees toured booths and interactive displays set up by Argonne programs and clubs. Several of Argonne's partners participated, including U.S. Department of Energy, University of Chicago, Abri Credit Union, DuPage County Forest Preserve, DuPage Water Commission, PACE and Morton Arboretum. Argonne scientists and engineers also participated in a poster session, discussing their clean energy research.

  8. STS-79 Flight Day 9

    NASA Technical Reports Server (NTRS)

    1996-01-01

    On this ninth day of the STS-79 mission, the flight crew, Cmdr. William F. Readdy, Pilot Terrence W. Wilcutt, Mission Specialists, Thomas D. Akers, Shannon Lucid, Jay Apt, and Carl E. Walz having completed five days of joint operations between the American astronauts and the Russian cosmonauts are seen flying solo once again after undocking from the Mir Space Station. As Atlantis/Mir flew over the Ural Mountains of central Asia, the docking hooks and latches that joined the vehicles together were commanded open and Atlantis drifted slowly away from Mir. Wilcutt then initiated a tail-forward fly-around of the Russian space station. After one and one-half revolutions around Mir, Atlantis' jets were fired in a separation maneuver to enable Atlantis to break away from Mir. On board Atlantis, the six-member crew is settling back into its normal routine with a fairly light schedule for the remainder of the day. Early in the morning as Atlantis flew over the United States, the crew took time to talk with anchors for the CBS Up to the Minute' network news broadcast.

  9. Computer-assisted 3D planned corrective osteotomies in eight malunited radius fractures.

    PubMed

    Walenkamp, M M J; de Muinck Keizer, R J O; Dobbe, J G G; Streekstra, G J; Goslings, J C; Kloen, P; Strackee, S D; Schep, N W L

    2015-08-01

    In corrective osteotomy of the radius, detailed preoperative planning is essential to optimising functional outcome. However, complex malunions are not completely addressed with conventional preoperative planning. Computer-assisted preoperative planning may optimise the results of corrective osteotomy of the radius. We analysed the pre- and postoperative radiological result of computer-assisted 3D planned corrective osteotomy in a series of patients with a malunited radius and assessed postoperative function. We included eight patients aged 13-64 who underwent a computer-assisted 3D planned corrective osteotomy of the radius for the treatment of a symptomatic radius malunion. We evaluated pre- and postoperative residual malpositioning on 3D reconstructions as expressed in six positioning parameters (three displacements along and three rotations about the axes of a 3D anatomical coordinate system) and assessed postoperative wrist range of motion. In this small case series, dorsopalmar tilt was significantly improved (p = 0.05). Ulnoradial shift, however, increased by the correction osteotomy (6 of 8 cases, 75 %). Postoperative 3D evaluation revealed improved positioning parameters for patients in axial rotational alignment (62.5 %), radial inclination (75 %), proximodistal shift (83 %) and volodorsal shift (88 %), although the cohort was not large enough to confirm this by statistical significance. All but one patient experienced improved range of motion (88 %). Computer-assisted 3D planning ameliorates alignment of radial malunions and improves functional results in patients with a symptomatic malunion of the radius. Further development is required to improve transfer of the planned position to the intra-operative bone. Level of evidence IV.

  10. Macrocognition in Day-To-Day Police Incident Response

    PubMed Central

    Baber, Chris; McMaster, Richard

    2016-01-01

    Using examples of incidents that UK Police Forces deal with on a day-to-day basis, we explore the macrocognition of incident response. Central to our analysis is the idea that information relating to an incident is translated from negotiated to structured and actionable meaning, in terms of the Community of Practice of the personnel involved in incident response. Through participant observation of, and interviews with, police personnel, we explore the manner in which these different types of meaning shift over the course of incident. In this way, macrocognition relates to gathering, framing, and sharing information through the collaborative sensemaking practices of those involved. This involves two cycles of macrocognition, which we see as ‘informal’ (driven by information gathering as the Community of Practice negotiates and actions meaning) and ‘formal’ (driven by the need to assign resources to the response and the need to record incident details). The examples illustrate that these cycles are often intertwined, as are the different forms of meaning, in situation-specific ways that provide adaptive response to the demands of the incident. PMID:27014117

  11. The day of your surgery - adult

    MedlinePlus

    Same-day surgery - adult; Ambulatory surgery - adult; Surgical procedure - adult; Preoperative care - day of surgery ... meet with them at an appointment before the day of surgery or on the same day of ...

  12. Third Floor Plan, Second Floor Plan, First Floor Plan, Ground ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Third Floor Plan, Second Floor Plan, First Floor Plan, Ground Floor Plan, West Bunkhouse - Kennecott Copper Corporation, On Copper River & Northwestern Railroad, Kennicott, Valdez-Cordova Census Area, AK

  13. Southwest elevation, roof plan, site plan & main floor plan, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Southwest elevation, roof plan, site plan & main floor plan, loft plan, section looking east, north window head detail - Richard Buckminster Fuller & Anne Hewlett Fuller Dome Home, 407 South Forest Avenue, Carbondale, Jackson County, IL

  14. Teacher Behavior in PLAN and Control Classrooms Using the PLAN Teacher Observation Scale.

    ERIC Educational Resources Information Center

    Steen, Margaret T.; Lipe, Dewey

    A study was conducted to determine the effectiveness of the PLAN teacher training program in changing teacher classroom behavior. The program, to train teachers in skills specific to the use of the PLAN system of individualized education, included a 2-day spring 1969 session, a 3-day summer conference, a fall minicourse, and inservice consultant…

  15. STS-95 Day 02 Highlights

    NASA Technical Reports Server (NTRS)

    1998-01-01

    On this second day of the STS-95 mission, the flight crew, Cmdr. Curtis L. Brown, Pilot Steven W. Lindsey, Mission Specialists Scott E. Parazynski, Stephen K. Robinson, and Pedro Duque, and Payload Specialists Chiaki Mukai and John H. Glenn, are seen preparing a glovebox device in the middeck area of Discovery, an enclosed research facility that will support numerous science investigations throughout the mission. Payload Specialist John Glenn, activates the Microgravity Encapsulation Process experiment (MEPS). This experiment will study the formation of capsules containing two kinds of anti-tumor drugs that could be delivered directly to solid tumors with applications for future chemotherapy treatments and the pharmaceutical industry.

  16. STS-91 Day 03 Highlights

    NASA Technical Reports Server (NTRS)

    1998-01-01

    On this third day of the STS-91 mission, the flight crew, Cmdr. Charles J. Precourt, Pilot Dominic L. Pudwill Gorie and Mission Specialists Wendy B. Lawrence, Franklin R. Chang-Diaz, Janet L. Kavandi, and Valery Victorovitch Ryumin prepare for docking with the Mir Space Station and a reunion with U.S. Astronaut Andy Thomas, who is about to conclude his more-than-four-month mission to the Russian outpost. After the docking the two crews open the entry hatch and greet each other. The astronauts and cosmonauts transfer supplies from the shuttle to Mir.

  17. Combining prior day contours to improve automated prostate segmentation

    SciTech Connect

    Godley, Andrew; Sheplan Olsen, Lawrence J.; Stephans, Kevin; Zhao Anzi

    2013-02-15

    Purpose: To improve the accuracy of automatically segmented prostate, rectum, and bladder contours required for online adaptive therapy. The contouring accuracy on the current image guidance [image guided radiation therapy (IGRT)] scan is improved by combining contours from earlier IGRT scans via the simultaneous truth and performance level estimation (STAPLE) algorithm. Methods: Six IGRT prostate patients treated with daily kilo-voltage (kV) cone-beam CT (CBCT) had their original plan CT and nine CBCTs contoured by the same physician. Three types of automated contours were produced for analysis. (1) Plan: By deformably registering the plan CT to each CBCT and then using the resulting deformation field to morph the plan contours to match the CBCT anatomy. (2) Previous: The contour set drawn by the physician on the previous day CBCT is similarly deformed to match the current CBCT anatomy. (3) STAPLE: The contours drawn by the physician, on each prior CBCT and the plan CT, are deformed to match the CBCT anatomy to produce multiple contour sets. These sets are combined using the STAPLE algorithm into one optimal set. Results: Compared to plan and previous, STAPLE improved the average Dice's coefficient (DC) with the original physician drawn CBCT contours to a DC as follows: Bladder: 0.81 {+-} 0.13, 0.91 {+-} 0.06, and 0.92 {+-} 0.06; Prostate: 0.75 {+-} 0.08, 0.82 {+-} 0.05, and 0.84 {+-} 0.05; and Rectum: 0.79 {+-} 0.06, 0.81 {+-} 0.06, and 0.85 {+-} 0.04, respectively. The STAPLE results are within intraobserver consistency, determined by the physician blindly recontouring a subset of CBCTs. Comparing plans recalculated using the physician and STAPLE contours showed an average disagreement less than 1% for prostate D98 and mean dose, and 5% and 3% for bladder and rectum mean dose, respectively. One scan takes an average of 19 s to contour. Using five scans plus STAPLE takes less than 110 s on a 288 core graphics processor unit. Conclusions: Combining the plan and

  18. 40 CFR 265.118 - Post-closure plan; amendment of plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... determines that the hazardous waste management unit or facility must be closed as a landfill, subject to the...: (i) Changes in operating plans or facility design affect the post-closure plan, or (ii) Events which... must amend the post-closure plan at least 60 days prior to the proposed change in facility design...

  19. First Complete Day from MODIS

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This spectacular, full-color image of the Earth is a composite of the first full day of data gathered by the Moderate-resolution Imaging Spectroradiometer (MODIS) aboard NASA's Terra spacecraft. MODIS collected the data for each wavelength of red, green, and blue light as Terra passed over the daylit side of the Earth on April 19, 2000. Terra is orbiting close enough to the Earth so that it cannot quite see the entire surface in a day, resulting in the narrow gaps around the equator. Although the sensor's visible channels were combined to form this true-color picture, MODIS collects data in a total of 36 wavelengths, ranging from visible to thermal infrared energy. Scientists use these data to measure regional and global-scale changes in marine and land-based plant life, sea and land surface temperatures, cloud properties, aerosols, fires, and land surface properties. Notice how cloudy the Earth is, and the large differences in brightness between clouds, deserts, oceans, and forests. The Antarctic, surrounded by clockwise swirls of cloud, is shrouded in darkness because the sun is north of the equator at this time of year. The tropical forests of Africa, Southeast Asia, and South America are shrouded by clouds. The bright Sahara and Arabian deserts stand out clearly. Green vegetation is apparent in the southeast United States, the Yucatan Peninsula, and Madagascar. Image by Mark Gray, MODIS Atmosphere Team, NASA GSFC

  20. [Nursing workload in Day Surgery].

    PubMed

    Bulfone, Giampiera; Dell'Aglio, Agostino; Rizzato, Mariuccia; Conte, Luigi

    2010-01-01

    The "workload" is defined as the whole of the activities completed by a group of professionals in a period of time. The different conceptualization of nursing workload has determined different methods and tools of evaluation. The aim of this study is to evaluate the nursing workload in a Day Surgery Unit with a quantitative (time in activities) and qualitative approach (perceived complexity). We want analyze also every correlation with the time in the activities. The study design is observational. We have analyzed 147 patients admitted to the Day Surgery Unit of a University Hospital in Italy. The nurses have dedicated the average of 164,8 minutes in care. The nursing care time is correlated to anesthesiological risk class and to the general surgery procedure. The patients in specialistic surgery are considered more complexes from the nurses then the general surgery patients. Another indicator associated to the high perceived complexity is the "comorbidity management". This study will help to manage nursing resources and the admission of the patients.

  1. STS-90 Day 14 Highlights

    NASA Technical Reports Server (NTRS)

    1998-01-01

    On this fourteenth day of the STS-90 mission, the flight crew, Cmdr. Richard A. Searfoss, Pilot Scott D. Altman, and Mission Specialists Richard M. Linnehan, Dafydd Rhys Williams and Kathryn P. Hire, and Payload Specialists Jay C. Buckey and James A. Pawelczyk focus on the efforts of Neurolab's Neuronal Plasticity Team to better understand how the adult nervous system adapts to the new environment of space. Columbia's science crew -- Mission Specialists Rick Linnehan and Dave Williams and Payload Specialists Jay Buckey and Jim Pawelczyk -- perform the second and final in-flight dissections of the adult male rats on board. The crew euthanizes and dissects nine rats and remove the vestibular or balance organs of the inner ear; the cerebellum, the part of the brain critical for maintaining balance and for processing information from the limbs so they can be moved smoothly; and the cerebrum, one part of which controls automatic functions such as body temperature regulation and the body's internal clock, and the cortical region that controls cognitive functions such as thinking. The first dissection, which was performed on the second day of the flight, went extremely well, according to Neurolab scientists.

  2. STS-79 Flight Day 3

    NASA Technical Reports Server (NTRS)

    1996-01-01

    On this third day of the STS-79 mission, the flight crew, Cmdr. William F. Readdy, Pilot Terrence W. Wilcutt, Mission Specialists, Thomas D. Akers, John E. Blaha, Jay Apt, and Carl E. Walz, start another busy day on orbit activating experiments in the Spacehab module. Readdy and Wilcutt are seen conducting two rendezvous burns while other crew members are seen working in the Spacehab module. The Active Rack Isolation System, or ARIS, is tended to by Walz, who performs a minor maintenance procedure on one of ARIS' vibration-damping pushrods while Akers works with an inventory management system using a bar code reader to more effectively keep track of items that will be transferred back and forth between the Shuttle and the Mir. Apt continues work with a furnace which heats to nearly 1,600 degrees centigrade to melt metal samples for study after the flight. Apt also provides a television tour of the Spacehab, which is twice its normal size for this flight to allow extra room for science experiments and logistical items slated for transfer to Mir.

  3. Earth Day 25 years later

    SciTech Connect

    Nelson, G.

    1995-08-01

    The idea of Earth Day 1970 was to have a national demonstration of environmental concern big enough to shake up the political establishment--get its attention, get some action, force environmental issues onto the political agenda of national priorities. The idea worked, thanks to the spontaneous response of millions of concerned Americans, and the event served as a wake-up call to the political establishment. Suddenly, the environment became a national political priority. Since Earth Day 1970, Congress has enacted nearly 40 major federal environmental laws addressing a wide range of issues, including clean air, clean water, energy conservation, hazardous wastes, and herbicides and other pesticides. Dozens of individual public land bills have been enacted since 1970 to designate or expand wilderness areas, wild and scenic rivers, national parks, and wildlife refuges. Perhaps most important, more than 80 percent of Americans now regard themselves as environmentalists. Since 1970 man has come a long way. After 25 years of researching, debating, and learning, increasing numbers of people recognize that the state of the environment is the key factor in determining this way of life and the quality of it.

  4. Utilizing 3D-visualization to apply compulsory ALARA principles in nuclear power plant design and day-to-day operation

    SciTech Connect

    Sanders, R. L.; Lake, J. E.

    2006-07-01

    The development of an advanced visualization and simulation tool to support both design as well as day-to-day operation is presented. This tool exploits cutting edge computer graphics, physics-based effects modeling, virtual reality, and gaming technologies to establish a system that can eventually be used for the administrative planning and training of plant operators and design engineers. (authors)

  5. 43 CFR 3802.1-5 - Plan approval.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Plan approval. 3802.1-5 Section 3802.1-5... and Mining, Wilderness Review Program § 3802.1-5 Plan approval. (a) The authorized officer shall promptly aknowledge the receipt of a plan of operations and within 30 days of receipt of the plan act...

  6. Activity Planning for the Mars Exploration Rovers

    NASA Technical Reports Server (NTRS)

    Bresina, John L.; Jonsson, Ari K.; Morris, Paul H.; Rajan, Kanna

    2004-01-01

    Operating the Mars Exploration Rovers is a challenging, time-pressured task. Each day, the operations team must generate a new plan describing the rover activities for the next day. These plans must abide by resource limitations, safety rules, and temporal constraints. The objective is to achieve as much science as possible, choosing from a set of observation requests that oversubscribe rover resources. In order to accomplish this objective, given the short amount of planning time available, the MAPGEN (Mixed-initiative Activity Plan GENerator) system was made a mission-critical part of the ground operations system. MAPGEN is a mixed-initiative system that employs automated constraint-based planning, scheduling, and temporal reasoning to assist operations staff in generating the daily activity plans. This paper describes the adaptation of constraint-based planning and temporal reasoning to a mixed-initiative setting and the key technical solutions developed for the mission deployment of MAPGEN.

  7. THREE DAY CRISIS RESOLUTION UNIT

    PubMed Central

    Dubin, Stephen E.; Ananth, Jambur; Bajwa-Goldsmith, Balbir; Stuller, Sue; Lewis, Cathy; Miller, Milton; Hoel, Noreen; Fernandez, Louise

    1985-01-01

    SUMMARY This paper describes a three day crisis resolution unit within the confines of the psychiatric emergency service of a general hospital. It utilizes a crisis model of acute intervention, time limited psychotherapeutic approach combined with family therapy, and psychotropic medications when indicated. 136 consecutive admissions were reviewed, 49% were discharged within 72 hours, and 51 % required further hospitalization. 77% of the patient's discharged had involved families (significant others) in the treatment process,-in comparison with only 28 % family involvement with those patients who needed further hospitalization. This may be even more significant for psychotic patients who were discharged (14/18 family involvement) versus those who needed long hospitalization (13/50 Family involvement). PMID:21927122

  8. STS-74 flight day 1

    NASA Astrophysics Data System (ADS)

    1995-11-01

    On this first day of the STS-74 mission, the flight crew, Cmdr. Kenneth Cameron, Pilot James Halsell, and Mission Specialists William McArthur, Jerry Ross, and Chris Hatfield, are shown in prelaunch and launch activities. This mission is the second of seven Mir-Space Shuttle hook-ups. Major objectives of this mission are to include a docking between Mir and the Space Shuttle and the transfer of a Russian docking module, water, supplies, and two solar arrays to the Mir space station. This mission highlights the first time that astronauts from Canada, Russia, the U.S. and the European Space Agency (ESA) will be onboard a single spacecraft in space at the same time. Additional experimental payloads onboard the shuttle are the GLO-4 PASDE Payload (GPP) experiment and the Photogrammetric Appendage Structural Dynamics Experiment (PASDE).

  9. STS-91 Day 07 Highlights

    NASA Technical Reports Server (NTRS)

    1998-01-01

    On this seventh day of the STS-91 mission, the flight crew, Cmdr. Charles J. Precourt, Pilot Dominic L. Pudwill Gorie and Mission Specialists Wendy B. Lawrence, Franklin R. Chang-Diaz, Janet L. Kavandi, and Valery Victorovitch Ryumin awaken to 'Manic Monday' performed by The Bangles, played the crew by Mission Control in honor of an historic Monday for the U.S. and Russian space programs. Today's schedule includes television feed from the Mir of a final crew farewell and hatch closing. After undocking, the shuttle backs away from the Mir until it reaches a distance of approximately 240 feet below the station. Pilot Dom Gorie then performs a nose forward flyaround of Mir.

  10. 49 CFR 193.2017 - Plans and procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... LNG plant the plans and procedures required for that plant by this part. The plans and procedures must... LNG plant for review and inspection within 20 days after the change is made. (b) The Administrator...

  11. 75 FR 24371 - Loyalty Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-05

    ...#0;#0; ] Proclamation 8512 of April 29, 2010 Loyalty Day, 2010 By the President of the United States... 85-529 as amended, has designated May 1 of each year as ``Loyalty Day.'' On this day, we honor the... Loyalty Day. This Loyalty Day, I call upon the people of the United States to join in this...

  12. 49 CFR 230.18 - Service days.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 4 2012-10-01 2012-10-01 false Service days. 230.18 Section 230.18 Transportation... Service days. (a) Service day record. For every steam locomotive currently in service, the steam... current copy of the service day record that contains the number of service days the steam locomotive...

  13. 49 CFR 230.18 - Service days.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Service days. 230.18 Section 230.18 Transportation... Service days. (a) Service day record. For every steam locomotive currently in service, the steam... current copy of the service day record that contains the number of service days the steam locomotive...

  14. 49 CFR 230.18 - Service days.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 4 2013-10-01 2013-10-01 false Service days. 230.18 Section 230.18 Transportation... Service days. (a) Service day record. For every steam locomotive currently in service, the steam... current copy of the service day record that contains the number of service days the steam locomotive...

  15. 49 CFR 230.18 - Service days.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 4 2014-10-01 2014-10-01 false Service days. 230.18 Section 230.18 Transportation... Service days. (a) Service day record. For every steam locomotive currently in service, the steam... current copy of the service day record that contains the number of service days the steam locomotive...

  16. 49 CFR 230.18 - Service days.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 4 2011-10-01 2011-10-01 false Service days. 230.18 Section 230.18 Transportation... Service days. (a) Service day record. For every steam locomotive currently in service, the steam... current copy of the service day record that contains the number of service days the steam locomotive...

  17. Full-Day Kindergarten Programs. ERIC Digest.

    ERIC Educational Resources Information Center

    Rothenberg, Dianne

    Changes in American society and education over the last 20 years have contributed to the popularity of all-day, every-day kindergarten programs. Full-day kindergarten is popular for a number of reasons. Full-day programs eliminate the need to provide buses and crossing guards at mid-day. In high-poverty schools, state and federal funding for…

  18. Validating the Airspace Concept Evaluation System for Different Weather Days

    NASA Technical Reports Server (NTRS)

    Zelinski, Shannon; Meyn, Larry

    2006-01-01

    This paper extends the process for validating the Airspace Concept Evaluation System using real-world historical flight operational data. System inputs such as flight plans and airport en-route capacities, are generated and processed to create a realistic reproduction of a single day's operations within the National Airspace System. System outputs such as airport throughput, delays, and en-route sector loads are then compared to real world operational metrics and delay statistics for the reproduced day. The process is repeated for 4 historical days with high and low traffic volume and delay attributed to weather. These 4 days are simulated using default en-route capacities and variable en-route capacities used to emulate weather. The validation results show that default enroute capacity simulations are closer to real-world data for low weather days than high weather days. The use of reduced variable enroute capacities adds a large delay bias to ACES but delay trends between weather days are better represented.

  19. 70 Days of Jupiter Winds

    NASA Technical Reports Server (NTRS)

    2001-01-01

    This global movie of 70 days of Jupiter's cloud movements photographed by NASA's Cassini spacecraft shows that zones of eastward and westward winds cover the planet virtually from pole to pole.

    Cassini's narrow-angle camera captured the images of Jupiter's atmosphere from October 1 to December 9, 2000, in the near-infrared region of the spectrum. The view here is a cylindrical projection centered in the planet's equator.

    The movie allows tracking of individual storms' movements in the familiar zonal bands of the lower latitudes, in the swirling turbulence around the Great Red Spot and in the high latitudes where still images show chaotic mottling instead of stripes.

    Cassini collected images of Jupiter for months before and after it passed the planet on December 30, 2000. Six or more images of the planet in each of several spectral filters were taken at evenly spaced intervals over the course of Jupiter's 10-hour rotation period. The entire sequence was repeated generally every other Jupiter rotation, yielding views of every sector of the planet at least once every 20 hours.

    The images used for the movie shown here were taken every 20 hours through a filter centered at a wavelength of 756 nanometers, where there are almost no absorptions in the planet's atmosphere. Six images covering each rotation were mosaiced together to form a cylindrical map extending from 75 degrees north to 75 degrees south in latitude and covering 360 degrees in longitude. The movie consists of 84 such maps, spanning 70Earth days in time or 168 Jupiter rotations.

    For more information, see the Cassini Project home page, http://www.jpl.nasa.gov/cassini/ and the Cassini Imaging Team home page, http://ciclops.lpl.arizona.edu/ciclops/ .

    Cassini is a cooperative project of NASA, the European Space Agency and the Italian Space Agency. The Jet Propulsion Laboratory, a division of the California Institute of Technology in Pasadena, manages the Cassini mission for NASA's Office of

  20. Ares Valles: Night and Day

    NASA Technical Reports Server (NTRS)

    2004-01-01

    [figure removed for brevity, see original site]

    Released 15 June 2004 This pair of images shows part of the Ares Valles region.

    Day/Night Infrared Pairs

    The image pairs presented focus on a single surface feature as seen in both the daytime and nighttime by the infrared THEMIS camera. The nighttime image (right) has been rotated 180 degrees to place north at the top.

    Infrared image interpretation

    Daytime: Infrared images taken during the daytime exhibit both the morphological and thermophysical properties of the surface of Mars. Morphologic details are visible due to the effect of sun-facing slopes receiving more energy than antisun-facing slopes. This creates a warm (bright) slope and cool (dark) slope appearance that mimics the light and shadows of a visible wavelength image. Thermophysical properties are seen in that dust heats up more quickly than rocks. Thus dusty areas are bright and rocky areas are dark.

    Nighttime: Infrared images taken during the nighttime exhibit only the thermophysical properties of the surface of Mars. The effect of sun-facing versus non-sun-facing energy dissipates quickly at night. Thermophysical effects dominate as different surfaces cool at different rates through the nighttime hours. Rocks cool slowly, and are therefore relatively bright at night (remember that rocks are dark during the day). Dust and other fine grained materials cool very quickly and are dark in nighttime infrared images.

    Image information: IR instrument. Latitude 3.6, Longitude 339.9 East (20.1 West). 100 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released

  1. Channel by Day and Night

    NASA Technical Reports Server (NTRS)

    2004-01-01

    [figure removed for brevity, see original site]

    Released 17 June 2004 This pair of images shows part of a small channel.

    Day/Night Infrared Pairs

    The image pairs presented focus on a single surface feature as seen in both the daytime and nighttime by the infrared THEMIS camera. The nighttime image (right) has been rotated 180 degrees to place north at the top.

    Infrared image interpretation

    Daytime: Infrared images taken during the daytime exhibit both the morphological and thermophysical properties of the surface of Mars. Morphologic details are visible due to the effect of sun-facing slopes receiving more energy than antisun-facing slopes. This creates a warm (bright) slope and cool (dark) slope appearance that mimics the light and shadows of a visible wavelength image. Thermophysical properties are seen in that dust heats up more quickly than rocks. Thus dusty areas are bright and rocky areas are dark.

    Nighttime: Infrared images taken during the nighttime exhibit only the thermophysical properties of the surface of Mars. The effect of sun-facing versus non-sun-facing energy dissipates quickly at night. Thermophysical effects dominate as different surfaces cool at different rates through the nighttime hours. Rocks cool slowly, and are therefore relatively bright at night (remember that rocks are dark during the day). Dust and other fine grained materials cool very quickly and are dark in nighttime infrared images.

    Image information: IR instrument. Latitude 19.8, Longitude 141.5 East (218.5 West). 100 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through

  2. Lomonosov Crater, Day and Night

    NASA Technical Reports Server (NTRS)

    2004-01-01

    [figure removed for brevity, see original site]

    Released 16 June 2004 This pair of images shows part of Lomonosov Crater.

    Day/Night Infrared Pairs

    The image pairs presented focus on a single surface feature as seen in both the daytime and nighttime by the infrared THEMIS camera. The nighttime image (right) has been rotated 180 degrees to place north at the top.

    Infrared image interpretation

    Daytime: Infrared images taken during the daytime exhibit both the morphological and thermophysical properties of the surface of Mars. Morphologic details are visible due to the effect of sun-facing slopes receiving more energy than antisun-facing slopes. This creates a warm (bright) slope and cool (dark) slope appearance that mimics the light and shadows of a visible wavelength image. Thermophysical properties are seen in that dust heats up more quickly than rocks. Thus dusty areas are bright and rocky areas are dark.

    Nighttime: Infrared images taken during the nighttime exhibit only the thermophysical properties of the surface of Mars. The effect of sun-facing versus non-sun-facing energy dissipates quickly at night. Thermophysical effects dominate as different surfaces cool at different rates through the nighttime hours. Rocks cool slowly, and are therefore relatively bright at night (remember that rocks are dark during the day). Dust and other fine grained materials cool very quickly and are dark in nighttime infrared images.

    Image information: IR instrument. Latitude 64.9, Longitude 350.7 East (9.3 West). 100 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through

  3. Day Fire in Ventura County

    NASA Technical Reports Server (NTRS)

    2006-01-01

    [figure removed for brevity, see original site] Annotated Version

    The Day fire has been burning in Ventura County in Southern California since Labor Day, and has consumed more than 160,000 acres. As of September 29, it was 63 percent contained. The Advanced Spaceborne Thermal Emission and Reflection Radiometer on NASA's Terra satellite flew over the fire at 10 p.m. Pacific Time on September 28, and imaged the fire with its infrared camera. The hottest areas of active burning appear as red spots on the image. The blue-green background is a daytime image acquired in June, used as a background to allow firefighters to localize the hot spots.

    With its 14 spectral bands from the visible to the thermal infrared wavelength region, and its high spatial resolution of 15 to 90 meters (about 50 to 300 feet), ASTER images Earth to map and monitor the changing surface of our planet.

    ASTER is one of five Earth-observing instruments launched December 18, 1999, on NASA's Terra satellite. The instrument was built by Japan's Ministry of Economy, Trade and Industry. A joint U.S./Japan science team is responsible for validation and calibration of the instrument and the data products.

    The broad spectral coverage and high spectral resolution of ASTER provides scientists in numerous disciplines with critical information for surface mapping, and monitoring of dynamic conditions and temporal change. Example applications are: monitoring glacial advances and retreats; monitoring potentially active volcanoes; identifying crop stress; determining cloud morphology and physical properties; wetlands evaluation; thermal pollution monitoring; coral reef degradation; surface temperature mapping of soils and geology; and measuring surface heat balance.

    The U.S. science team is located at NASA's Jet Propulsion Laboratory, Pasadena, Calif. The Terra mission is part of NASA's Science Mission directorate.

    Size: 22.5 by 31.0 kilometers (12.6 by 15.2 miles) Location: 34

  4. STS-90 Day 04 Highlights

    NASA Technical Reports Server (NTRS)

    1998-01-01

    On this forth day of the STS-90 mission, the flight crew, Cmdr. Richard A. Searfoss, Pilot Scott D. Altman, and Mission Specialists Richard M. Linnehan, Dafydd Rhys Williams and Kathryn P. Hire, and Payload Specialists Jay C. Buckey and James A. Pawelczyk continue work with the Escher Staircase Behavior Testing of Adult Rats experiment. This is the first of two behavior testing sessions with the adult rats being used for this experiment. The rats will have a 'hyper drive' unit placed on their head which has recording electrodes made of microscopic wires that are positioned in the brain to record activity in the hippocampus. The hippocampus is that portion of the brain used to develop spatial maps to help us navigate from one place to the other. With the 'hyper drive' units in place, the rats will then be put through a maze or on a track. While the rat is maneuvering on the maze or track, the cell activity of the hippocampus will be measured and recorded.

  5. Ecuador holds National Immunization Day.

    PubMed

    1999-08-01

    Ecuador conducted its National Immunization Day on August 2-13, 1999, against 10 vaccine-preventable diseases, and distributed vitamin A supplementation to children between the ages of 6 to 36 months. The goals of the campaign were: 1) indiscriminate vaccination with oral polio vaccine of all children under 5 years old; 2) nationwide introduction of measles, mumps, and rubella vaccines to all children aged 12-23 months; 3) hepatitis B vaccine introduction to all children below 1 year in the eastern part of the country, vaccination with dT of 60% of all women of childbearing age in 71 areas identified at risk for neonatal tetanus, and nationwide vaccination with dT of all pregnant women; and 4) yellow fever immunization of all children aged 1-14 years in the eastern provinces located in the Amazon Basin and of all adults aged 15-49 years in the provinces of Sucumbios, Napo, Orellana, and the area of Mumullacta in Pastanza.

  6. STS-88 Day 11 Highlights

    NASA Technical Reports Server (NTRS)

    1998-01-01

    On this eleventh day of the STS-88 mission, the flight crew, Commander Robert D. Cabana, Pilot Frederick W. Sturckow, and Mission Specialists Nancy J. Currie, James H. Newman, Jerry L. Ross, and Sergei Krikalev are awakened with the song "Goodnight, Sweetheart, Goodnight". Pilot Rick Sturckow undocks Endeavour from the station and backs the shuttle away to a distance of 450 feet above the station before beginning a nose-forward fly-around. Later Cabana, Sturckow and Ross deploy the SAC-A satellite from Endeavour's payload bay. SAC-A is a small, self-contained, non-recoverable satellite built by the Argentinean National Commission of Space Activities. The cube-shaped, 590-pound satellite will test and characterize the performance of new equipment and technologies that may be used in future scientific or operational missions. The payload includes a differential global positioning system, a magnetometer, silicon solar cells, a charge-coupled device Earth camera and a whale tracker experiment.

  7. Inventory accuracy in 60 days!

    PubMed

    Miller, G J

    1997-08-01

    Despite great advances in manufacturing technology and management science, thousands of organizations still don't have a handle on basic inventory accuracy. Many companies don't even measure it properly, or at all, and lack corrective action programs to improve it. This article offers an approach that has proven successful a number of times, when companies were quite serious about making improvements. Not only can it be implemented, but also it can likely be implemented within 60 days per area, if properly managed. The hardest part is selling people on the need to improve and then keeping them motivated. The net cost of such a program? Probably less than nothing, since the benefits gained usually far exceed the costs. Improved inventory accuracy can aid in enhancing customer service, determining purchasing and manufacturing priorities, reducing operating costs, and increasing the accuracy of financial records. This article also addresses the gap in contemporary literature regarding accuracy program features for repetitive, JIT, cellular, and process- and project-oriented environments.

  8. 77 FR 43086 - Agency Information Collection Request; 60-Day Public Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-23

    ... within 60 days. Proposed Project: Title: HHS 42 CFR subpart B; Sterilization of Persons in Federally Assisted Family Planning Projects--OMB No. 0937- 0166--Extension--OPHS, Office of Population Affairs... (``Sterilization of Persons in Federally Assisted Family Planning Projects''). The consent form...

  9. Integrated Planning and Image-Guided Control for Planar Needle Steering

    PubMed Central

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

    2010-01-01

    Flexible, tip-steerable needles promise to enhance physicians’ abilities to accurately reach targets and maneuver inside the human body while minimizing patient trauma. Here, we present a functional needle steering system that integrates two components: (1) a patient-specific 2D pre- and intra-operative planner that finds an achievable route to a target within a planar slice of tissue (Stochastic Motion Roadmap), and (2) a low-level image-guided feedback controller that keeps the needle tip within that slice. The planner generates a sequence of circular arcs that can be realized by interleaving pure insertions with 180° rotations of the needle shaft. This preplanned sequence is updated in realtime at regular intervals. Concurrently, the low-level image-based controller servos the needle to remain close to the desired plane between plan updates. Both planner and controller are predicated on a previously developed kinematic nonholonomic model of bevel-tip needle steering. We use slighly different needles here that have a small bend near the tip, so we extend the model to account for discontinuities of the tip position caused by 180° rotations. Further, during large rotations of the needle base, we maintain the desired tip angle by compensating for torsional compliance in the needle shaft, neglected in previous needle steering work. By integrating planning, control, and torsion compensation, we demonstrate both accurate targeting and obstacle avoidance. PMID:20640197

  10. Intra-operative prostate motion tracking using surface markers for robot-assisted laparoscopic radical prostatectomy

    NASA Astrophysics Data System (ADS)

    Esteghamatian, Mehdi; Sarkar, Kripasindhu; Pautler, Stephen E.; Chen, Elvis C. S.; Peters, Terry M.

    2012-02-01

    Radical prostatectomy surgery (RP) is the gold standard for treatment of localized prostate cancer (PCa). Recently, emergence of minimally invasive techniques such as Laparoscopic Radical Prostatectomy (LRP) and Robot-Assisted Laparoscopic Radical Prostatectomy (RARP) has improved the outcomes for prostatectomy. However, it remains difficult for the surgeons to make informed decisions regarding resection margins and nerve sparing since the location of the tumor within the organ is not usually visible in a laparoscopic view. While MRI enables visualization of the salient structures and cancer foci, its efficacy in LRP is reduced unless it is fused into a stereoscopic view such that homologous structures overlap. Registration of the MRI image and peri-operative ultrasound image using a tracked probe can potentially be exploited to bring the pre-operative information into alignment with the patient coordinate system during the procedure. While doing so, prostate motion needs to be compensated in real-time to synchronize the stereoscopic view with the pre-operative MRI during the prostatectomy procedure. In this study, a point-based stereoscopic tracking technique is investigated to compensate for rigid prostate motion so that the same motion can be applied to the pre-operative images. This method benefits from stereoscopic tracking of the surface markers implanted over the surface of the prostate phantom. The average target registration error using this approach was 3.25+/-1.43mm.

  11. Hyperglycemia as an effect of cardiopulmonary bypass: intra-operative glucose management.

    PubMed

    Najmaii, Samira; Redford, Daniel; Larson, Douglas F

    2006-06-01

    Cardiopulmonary bypass (CPB) is associated with surgical stress, hypothermia, hyperoxia, enhancement of neuroendocrine outflow, and administration of glucogenic catecholamines that are associated with glucogonolysis and glucogenesis that result in hyperglycemia. The hyperglycemic state during CPB has been associated with adverse outcomes, such as infection, neurological impairment, cardiac dysfunction, prolonged hospitalization, and higher mortality rates. This report justifies vigilant monitoring of blood glucose levels and a rational protocol for the treatment of hyperglycemia of all open heart surgical patients that may improve post-CPB surgical outcomes.

  12. Estimation of intra-operative brain shift based on constrained Kalman filter.

    PubMed

    Shakarami, M; Suratgar, A A; Talebi, H A

    2015-03-01

    In this study, the problem of estimation of brain shift is addressed by which the accuracy of neuronavigation systems can be improved. To this end, the actual brain shift is considered as a Gaussian random vector with a known mean and an unknown covariance. Then, brain surface imaging is employed together with solutions of linear elastic model and the best estimation is found using constrained Kalman filter (CKF). Moreover, a recursive method (RCKF) is presented, the computational cost of which in the operating room is significantly lower than CKF, because it is not required to compute inverse of any large matrix. Finally, the theory is verified by the simulation results, which show the superiority of the proposed method as compared to one existing method.

  13. Laparoscopic intra-operative ultrasound in liver and pancreas resection: Analysis of 93 cases.

    PubMed

    Piccolboni, D; Ciccone, F; Settembre, A; Corcione, F

    2010-03-01

    Sommario INTRODUZIONE: L’ispezione laparoscopica in chirurgia del pancreas o del fegato è un approccio ampiamente utilizzato. L’aggiunta dell’ecografia intra-operatoria alla laparoscopia ha di recente ulteriormente migliorato la valutazione chirurgica. Lo scopo di questo studio è stato di valutare l’impatto dell’ecografia intra-operatoria open (IOUS) o laparoscopica (LIOUS) in chirurgia del fegato e del pancreas. MATERIALI E METODI: Negli anni 2005–2008, 45 pazienti, di età 42–75 anni, sono stati selezionati per chirurgia epatica resettiva e 48 pazienti, di età 14–72 anni, per resezione parziale del pancreas. L’ecografia intra-operatoria è stata effettuata per mezzo di un apparecchio Aloka SSD-550 (Aloka, Tokyo, Giappone), con sonda lineare laparoscopica a punta flessibile e sonda elettronica lineare a T. RISULTATI: Tra i pazienti epatici, la LIOUS ha evitato inutili laparotomie in sei pazienti (13,3%) ed, insieme alla IOUS, ha consentito di trovare noduli non diagnosticati ed ha cambiato la strategia chirurgica in cinque pazienti (11,1%). Nel gruppo pancreas, la LIOUS ha escluso 7 pazienti (14,4%) dalla chirurgia radicale, per infiltrazione della vena mesenterica, coinvolgimento dei linfonodi celici o para-aortici, micro-metastasi epatiche e peritoneali. In 11 lesioni benigne, ha consentito la definizione dei rapporti con il dotto di Wirsung ed i vasi splenici, in 6 ha guidato l’aspirazione di liquido per analisi chimiche e citologiche. CONCLUSIONI: Nella nostra esperienza la LIOUS e la IOUS hanno avuto la massima importanza sia nella selezione dei pazienti per la chirurgia resettiva e nel pianificare l’approccio chirurgico, influenzando la strategia chirurgica in 11 pazienti epatici (24,4%) e 13 pazienti pancreatici (27%).

  14. Intra-operative evaluation of cementless hip implant stability: a prototype device based on vibration analysis.

    PubMed

    Lannocca, Maurizio; Varini, Elena; Cappello, Angelo; Cristofolini, Luca; Bialoblocka, Ewa

    2007-10-01

    Cementless implants are mechanically stabilized during surgery by a press-fitting procedure. Good initial stability is crucial to avoid stem loosening and bone cracking, therefore, the surgeon must achieve optimal press-fitting. A possible approach to solve this problem and assist the surgeon in achieving the optimal compromise, involves the use of vibration analysis. The present study aimed to design and test a prototype device able to evaluate the primary mechanical stability of a cementless prosthesis, based on vibration analysis. In particular, the goal was to discriminate between stable and quasi-stable implants; thus the stem-bone system was assumed to be linear in both cases. For that reason, it was decided to study the frequency responses of the system, instead of the harmonic distortion. The prototype developed consists of a piezoelectric exciter connected to the stem and an accelerometer attached to the femur. Preliminary tests were performed on four composite femurs implanted with a conventional stem. The results showed that the input signal was repeatable and the output could be recorded accurately. The most sensitive parameter to stability was the shift in resonance frequency of the stem-bone system, which was highly correlated with residual micromotion on all four specimens.

  15. Intra-operative Cerenkov Imaging for Guiding Breast Cancer Surgery and Assessing Tumor Margins

    DTIC Science & Technology

    2014-03-01

    on a fiber bundle connected to a sensitive image-intensified CCD camera via an optical coupler (Fig. 6). This fiber bundle system is flexible and...into a sin- gle-cell suspension for further cell culture. Approximately 1 · 106 C6 cells suspended in phosphate- buffered saline (0.1 M, pH 7.2...diluted in phosphate- buffered saline. Animals were placed in a light-tight chamber under isoflurane anesthesia. Each acquisition took 3 min for all

  16. Intra-operative assessment of pulmonary artery pressure by transoesophageal echocardiography.

    PubMed

    Soliman, D; Bolliger, D; Skarvan, K; Kaufmann, B A; Lurati Buse, G; Seeberger, M D

    2015-03-01

    The clinical value of the estimation of systolic pulmonary artery pressure, based on Doppler assessment of peak tricuspid regurgitant velocity using transoesophageal echocardiography, is unclear. We studied 109 patients to evaluate the feasibility of obtaining adequate Doppler recordings, and compared Doppler estimates with values measured using a pulmonary artery catheter in a subset of 33 patients. Tricuspid regurgitation was evaluated at the mid-oesophageal level at 0-120° using Doppler echocardiography. A Doppler signal was defined as adequate if there was a ≤ 20° alignment and a full envelope. Doppler estimates of systolic pulmonary artery pressure within 10 mmHg and 15% of the value recorded with the pulmonary artery catheter were considered to be in sufficient agreement. Adequate Doppler signals were obtained in 64/109 (59%) patients before and 54/103 (52%) after surgery. Doppler estimates by transoesophageal echocardiography were within 10 mmHg and 15% of values recorded with the pulmonary artery catheter in 28/33 (75%) patients and 22/31 (55%) patients, respectively. In 7 (21%) patients, the echocardiographic Doppler measurement exceeded the measured systolic pulmonary artery pressure by more than 30%. Our study indicates that estimation of the systolic pulmonary artery pressure using transoesophageal Doppler echocardiography is not a reliable and clinically useful method in anaesthetised patients undergoing mechanical ventilation.

  17. Radiolucent Skull Clamps for Intra-Operative Imaging: A Technical Note

    PubMed Central

    Zeberg, Hugo; Lasala, Patrick; Altschul, David

    2017-01-01

    Conventionally, surgery and procedural-based radiology are performed on different premises. With advances in imaging technology, the operating room is rapidly being transformed into an intraoperative imaging suite. Diagnostic imaging in conjunction with surgery has great utility and by all accounts has great future potential. During the last decade, cone beam computed tomography (CT) scanners have been introduced and have made intraoperative imaging more feasible because these scanners can be made less bulky. The current usefulness of intraoperative magnetic resonance imaging (MRI) or CT for neurosurgery, however, is impaired by the lack of completely radiolucent skull clamps, causing image artifacts. Metal artifacts are particularly problematic, given that they lead to a considerably higher image quality degradation factor for cone beam CT scanners than for conventional CT scanners. Here, we describe our experience with near-radiolucent skull clamps and their associated problems and discuss future improvements to facilitate high-quality image guidance in the field of neurosurgery. PMID:28348939

  18. First use of mini gamma cameras for intra-operative robotic SPECT reconstruction.

    PubMed

    Matthies, Philipp; Sharma, Kanishka; Okur, Ash; Gardiazabal, José; Vogel, Jakob; Lasserl, Tobias; Navab, Nassir

    2013-01-01

    Different types of nuclear imaging systems have been used in the past, starting with pre-operative gantry-based SPECT systems and gamma cameras for 2D imaging of radioactive distributions. The main applications are concentrated on diagnostic imaging, since traditional SPECT systems and gamma cameras are bulky and heavy. With the development of compact gamma cameras with good resolution and high sensitivity, it is now possible to use them without a fixed imaging gantry. Mounting the camera onto a robot arm solves the weight issue, while also providing a highly repeatable and reliable acquisition platform. In this work we introduce a novel robotic setup performing scans with a mini gamma camera, along with the required calibration steps, and show the first SPECT reconstructions. The results are extremely promising, both in terms of image quality as well as reproducibility. In our experiments, the novel setup outperformed a commercial fhSPECT system, reaching accuracies comparable to state-of-the-art SPECT systems.

  19. A randomised comparison of the single use LMA Flexible with the reusable LMA Flexible in paediatric dental day-case patients.

    PubMed

    Flynn, P; Ahmed, F B; Mitchell, V; Patel, A; Clarke, S

    2007-12-01

    In this study we compared the performance of the single use flexible laryngeal mask airway (LMA Flexible) with the original reusable LMA Flexible in paediatric dento-alveolar day-case surgery. The aim of the study was to determine whether these two supraglottic airway devices were clinically equivalent when used for simple dental extractions in children under general anaesthesia. This randomised comparative trial in 100 healthy children used first attempt airway insertion success as its primary outcome measure. Secondary outcomes included the adequacy of ventilation, incidence of airway obstruction and the requirement for device manipulation and the incidence of adverse airway outcomes during recovery from anaesthesia. No difference was found between the devices in first attempt insertion success rate (94% with reusable LMA Flexible and 90% with single use LMA Flexible, p = 0.358), and ease of insertion was also similar (p = 0.5). Both devices performed equally well during surgery, with no significant differences in episodes of intra-operative airway compromise (p = 0.387), and both the single use and reusable LMA Flexible displayed excellent recovery characteristics, with no occurrences of emergence airway obstruction. No blood was discovered within the inner LMA tube shaft in either device, implying that both protected against tracheobronchial soiling. We conclude therefore that the single use LMA Flexible is an acceptable alternative to the reusable LMA Flexible.

  20. Plutonium finishing plant dangerous waste training plan

    SciTech Connect

    ENTROP, G.E.

    1999-05-24

    This training plan describes general requirements, worker categories, and provides course descriptions for operation of the Plutonium Finish Plant (PFP) waste generation facilities, permitted treatment, storage and disposal (TSD) units, and the 90-Day Accumulation Areas.

  1. Environmental planning: A condensed encyclopedia

    SciTech Connect

    Gilpin, A.

    1986-01-01

    This encyclopedia contains over 1000 entries dealing with the numerous facets of environmental planning. Within the last few years the term, ''environmental planning'' has emerged. It embraces planning in the older sense with its strong, through by no means exclusive, emphasis on physical planning; but it also implies a form of planning which places much greater emphasis on environmental pleasantness and the merits of the natural, if modified, world. Environmental planning is not, therefore, a new trendy label for an old unchanging subject; there is a distinct shift on emphasis which enables its practitioners of grapple more effectively with many controversial land-use issues, using new approaches and techniques, while seeking guidance from many specialized state, federal, national and international bodies, and numerous voluntary bodies and individuals. It is planning into which the principles and practice of environmental impact assessment, itself broadly defined, have been integrated as part of the every-day business of planning, public administration, public participation, and political debate.

  2. Schoolhouse Planning.

    ERIC Educational Resources Information Center

    Association of School Business Officials, Chicago, IL.

    This publication was developed to suggest approaches to solving some of the basic problems faced by those planning new facilities and renovations or alterations of existing buildings. It is not intended as a total resource reference for school construction. The chapters in the book are presented in the same sequence as their subjects would…

  3. Reflected Deck Plan, Reflected Roof Plan, Deck Plan Bridgeport ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    Reflected Deck Plan, Reflected Roof Plan, Deck Plan - Bridgeport Covered Bridge, Spanning South Fork of Yuba River at bypassed section of Pleasant Valley Road (originally Virginia Turnpike) in South Yuba River State Park , Bridgeport, Nevada County, CA

  4. The day of the yam.

    PubMed

    Rosser, A

    Yam, the staple food in several tropical countries, is a good source of the steroid used in the manufacture of the pill and other sex hormone preparations -- saponin diosgenin. In the early days of production of oral contraceptives (OCs), most yams were gathered from the wild in Mexico. The type richest in steroids takes 3 years to mature and its cultivation has become something of an art. Yams grow best in light, well-drained soil, and for this reason are grown in mounds which have been heavily manured. Propagation is by planting the tops or heads or by small portions of the tuber which is a swollen shoot. Other varieties are planted before the onset of the rains and the crop harvested about 8 months later. In 1970 the Mexican government nationalized the yam industry as a safeguard. This pushed up prices and the drug companies looked elsewhere for a cheap source. Although Mexico still remains the principal grower, India, South Africa, and the Far East supply the industry with plant origin steroids. As more than 90% of the hefty yam tubers consist of water, well over 100,000 tons have to be harvested every year to provide the 600-700 tons of the saponin diosgenin used by the drug companies. In China, where Western corticosteroids are regarded as too expensive for the barefoot doctors, several species of yam are used. Research has been going on to find another source of diosgenin and the most promising seems to be fenugreek, Trigonella foenumgraecum. "Foenum graecum" is Latin for Greek hay and was used by the early Greeks as a culinary and medicinal herb throughout the Mediterranean area. The richness of fenugreek was used to improve the roundness of women's breasts and to stimulate the flow of milk. Bath University has spent 10 years researching the development of a species of fenugreek which will yield large amounts of diosgenin. A certain amount of steroids come from animal sources. Such steroids are given when there is an adverse reaction from the

  5. Melas Chasma, Day and Night.

    NASA Technical Reports Server (NTRS)

    2002-01-01

    This image is a mosaic of day and night infrared images of Melas Chasma taken by the camera system on NASA's Mars Odyssey spacecraft. The daytime temperature images are shown in black and white, superimposed on the martian topography. A single nighttime temperature image is superimposed in color. The daytime temperatures range from approximately -35 degrees Celsius (-31 degrees Fahrenheit) in black to -5 degrees Celsius (23 degrees Fahrenheit) in white. Overlapping landslides and individual layers in the walls of Melas Chasma can be seen in this image. The landslides flowed over 100 kilometers (62 miles) across the floor of Melas Chasma, producing deposits with ridges and grooves of alternating warm and cold materials that can still be seen. The temperature differences in the daytime images are due primarily to lighting effects, where sunlit slopes are warm (bright) and shadowed slopes are cool (dark). The nighttime temperature differences are due to differences in the abundance of rocky materials that retain their heat at night and stay relatively warm (red). Fine grained dust and sand (blue) cools off more rapidly at night. These images were acquired using the thermal infrared imaging system infrared Band 9, centered at 12.6 micrometers.

    Jet Propulsion Laboratory, a division of the California Institute of Technology in Pasadena, manages the 2001 Mars Odyssey mission for NASA's Office of Space Science in Washington, D.C. Investigators at Arizona State University in Tempe, the University of Arizona in Tucson and NASA's Johnson Space Center, Houston, operate the science instruments. Additional science partners are located at the Russian Aviation and Space Agency and at Los Alamos National Laboratories, New Mexico. Lockheed Martin Astronautics, Denver, is the prime contractor for the project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL. Aviation and Space Agency and at Los Alamos National

  6. John Day Watershed Restoration Projects, annual report 2003.

    SciTech Connect

    Brown, Linda

    2004-01-01

    The John Day is the nation's second longest free-flowing river in the contiguous United States and the longest containing entirely unsupplemented runs of anadromous fish. Located in eastern Oregon, the basin drains over 8,000 square miles, Oregon's fourth largest drainage basin, and incorporates portions of eleven counties. Originating in the Strawberry Mountains near Prairie City, the John Day River flows 284 miles in a northwesterly direction, entering the Columbia River approximately four miles upstream of the John Day dam. With wild runs of spring Chinook salmon and summer steelhead, westslope cutthroat, and redband and bull trout, the John Day system is truly a basin with national significance. The majority of the John Day basin was ceded to the Federal government in 1855 by the Confederated Tribes of the Warm Springs Reservation of Oregon (Tribes). In 1997, the Tribes established an office in the basin to coordinate restoration projects, monitoring, planning and other watershed activities on private and public lands. Once established, the John Day Basin Office (JDBO) formed a partnership with the Grant Soil and Water Conservation District (GSWCD), which contracts the majority of the construction implementation activities for these projects from the JDBO. The GSWCD completes the landowner contact, preliminary planning, engineering design, permitting, construction contracting, and construction implementation phases of most projects. The JDBO completes the planning, grant solicitation/defense, environmental compliance, administrative contracting, monitoring, and reporting portion of the program. Most phases of project planning, implementation, and monitoring are coordinated with the private landowners and basin agencies, such as the Oregon Department of Fish and Wildlife and Oregon Water Resources Department. In 2003, the JDBO and GSWCD proposed continuation of their successful partnership between the two agencies and basin landowners to implement an additional

  7. Day Care: Scientific and Social Policy Issues.

    ERIC Educational Resources Information Center

    Zigler, Edward F., Ed.; Gordon, Edmund W., Ed.

    In this book of articles on day care, policy analyses of day care delivery are combined with recent research on the effects of day care. The authors include experimental psychologists, psychiatrists, economists, public health workers, pediatricians, and early childhood educators. Among the issues investigated are the influence of day care on…

  8. 75 FR 63033 - Leif Erikson Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-13

    ... Proclamation 8581--Leif Erikson Day, 2010 Proclamation 8582--General Pulaski Memorial Day, 2010 #0; #0; #0... Erikson Day, 2010 By the President of the United States of America A Proclamation Over 1,000 years ago... ambitious exploration of present-day Greenland and Canada. Centuries later, after a months- long...

  9. 76 FR 25529 - Loyalty Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-05

    ...#0;#0; ] Proclamation 8666 of April 29, 2011 Loyalty Day, 2011 By the President of the United States... highest moral aspirations. On this day, we celebrate our brave men and women in uniform and honor those... as ``Loyalty Day.'' On this day, let us reaffirm our allegiance to the United States of America,...

  10. 77 FR 20273 - Vietnam Veterans Day

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-03

    ... April 3, 2012 Part IV The President Proclamation 8789--Vietnam Veterans Day Memorandum of March 30, 2012... ] Proclamation 8789 of March 29, 2012 Vietnam Veterans Day By the President of the United States of America A..., day after day to preserve the liberties we hold dear. From Ia Drang to Hue, they won every...

  11. 78 FR 62337 - Columbus Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-18

    ... Documents#0;#0; ] Proclamation 9041 of October 11, 2013 Columbus Day, 2013 By the President of the United... requested the President proclaim the second Monday of October of each year as ``Columbus Day.'' NOW..., as Columbus Day. I call upon the people of the United States to observe this day with...

  12. 78 FR 20223 - Cesar Chavez Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-04

    ... Documents#0;#0; ] Proclamation 8953 of March 29, 2013 Cesar Chavez Day, 2013 By the President of the United... the power of opportunity. He lived each day by a belief as old as America itself--the idea that with..., 2013, as Cesar Chavez Day. I call upon all Americans to observe this day with appropriate...

  13. 77 FR 28761 - Mother's Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-16

    ... Documents#0;#0; ] Proclamation 8817 of May 11, 2012 Mother's Day, 2012 By the President of the United States... Day, we honor the remarkable women who strive and sacrifice every day to ensure their children have every opportunity to pursue their dreams. Our Nation first came together to celebrate Mother's Day...

  14. 77 FR 18895 - Cesar Chavez Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-28

    ... Documents#0;#0; ] Proclamation 8786 of March 23, 2012 Cesar Chavez Day, 2012 By the President of the United... hereby proclaim March 31, 2012, as Cesar Chavez Day. I call upon all Americans to observe this day with... WHEREOF, I have hereunto set my hand this twenty-third day of March, in the year of our Lord two...

  15. 78 FR 4293 - Religious Freedom Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-22

    ... Day, 2013 By the President of the United States of America A Proclamation Foremost among the rights... observe Religious Freedom Day, let us remember the legacy of faith and independence we have inherited, and..., 2013, as Religious Freedom Day. I call on all Americans to commemorate this day with events...

  16. 77 FR 68043 - World Freedom Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-15

    ... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8903 of November 9, 2012 World Freedom Day..., 2012, as World Freedom Day. I call upon the people of the United States to observe this day with... WHEREOF, I have hereunto set my hand this ninth day of November, in the year of our Lord two...

  17. 77 FR 2907 - Religious Freedom Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-20

    ... Documents#0;#0; ] Proclamation 8774 of January 13, 2012 Religious Freedom Day, 2012 By the President of the... from the texts of the Enlightenment in the laws of state. On Religious Freedom Day, we celebrate this... proclaim January 16, 2012, as Religious Freedom Day. I call on all Americans to commemorate this day...

  18. 77 FR 16903 - National Day of Honor

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-22

    ... March 22, 2012 Part III The President Proclamation 8785--National Day of Honor #0; #0; #0; Presidential... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8785 of March 19, 2012 National Day of... a National Day of Honor. I call upon all Americans to observe this day with appropriate...

  19. Family Day Care Training Curriculum (Lao).

    ERIC Educational Resources Information Center

    Nakatsu, Gail

    California's Family Day Care Training Program was designed to recruit and train, in 7 weeks, Lao, Vietnamese, and Chinese refugees to establish their own state-licensed, family day care homes. Topics in the program's curriculum include an introduction to family day care, state licenses for family day care, state licensing requirements for family…

  20. 34 CFR 303.9 - Day.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false Day. 303.9 Section 303.9 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES... Definitions Used in This Part § 303.9 Day. Day means calendar day, unless otherwise indicated. (Authority:...

  1. 34 CFR 303.9 - Day.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false Day. 303.9 Section 303.9 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES... Definitions Used in This Part § 303.9 Day. Day means calendar day, unless otherwise indicated. (Authority:...

  2. 34 CFR 303.9 - Day.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true Day. 303.9 Section 303.9 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES... Definitions Used in This Part § 303.9 Day. Day means calendar day, unless otherwise indicated. (Authority:...

  3. Holiday Market Basket Information. Lesson Plan.

    ERIC Educational Resources Information Center

    McNamara, Jeanne

    This lesson plan involves the calculation of a price index using a fictitious market basket for holiday celebrations. The lesson plan provides a content objective; cites an economic standard; gives background information; lists materials needed; details the lesson agenda; and suggests closure. Attached are a "12 Days of Christmas Gifts' Price…

  4. Menu Plans: Maximum Nutrition for Minimum Cost.

    ERIC Educational Resources Information Center

    Texas Child Care, 1995

    1995-01-01

    Suggests that menu planning is the key to getting maximum nutrition in day care meals and snacks for minimum cost. Explores United States Department of Agriculture food pyramid guidelines for children and tips for planning menus and grocery shopping. Includes suggested meal patterns and portion sizes. (HTH)

  5. What a difference a day makes: same-day vs. 2-day sputum smear microscopy for diagnosing tuberculosis

    PubMed Central

    Choudhury, B.; Talukdar, P.; Lo, T. Q.; Das, B.; Nair, S. A.; Moonan, P. K.; Kumar, A. M. V.

    2016-01-01

    Setting: Nine district-level microscopy centres in Assam and Tripura, India. Objective: Same-day sputum microscopy is now recommended for tuberculosis (TB) diagnosis. We compared this method against the conventional 2-day approach in routine programmatic settings. Methods: During October–December 2012, all adult presumptive TB patients were requested to provide three sputum samples (one at the initial visit, the second 1 h after the first sample, and the third the next morning) for examination by Ziehl-Neelsen smear microscopy. Detection of acid-fast bacilli with any sample was diagnostic. The first and second spot sample comprised the same-day approach, and the first spot sample and next-day sample comprised the 2-day approach. Results: Of 2168 presumptive TB patients, 403 (18.6%) were smear-positive according to the same-day method compared to 427 (19.7%) by the 2-day method (McNemar's test, P < 0.001). Of the total 429 TB patients, 26 (6.1%) were missed by the same-day method and 2 (0.5%) by the 2-day method. Conclusion: Same-day specimen collection for microscopy missed more TB than 2-day collection. In India, missing cases by using same-day microscopy would translate into a considerable absolute number, hindering TB control efforts. We question the indiscriminate switch to same-day diagnosis in settings where patients reliably return for testing the next day. PMID:28123959

  6. What a difference a day makes: same-day vs. 2-day sputum smear microscopy for diagnosing tuberculosis.

    PubMed

    Deka, D J; Choudhury, B; Talukdar, P; Lo, T Q; Das, B; Nair, S A; Moonan, P K; Kumar, A M V

    2016-12-21

    Setting: Nine district-level microscopy centres in Assam and Tripura, India. Objective: Same-day sputum microscopy is now recommended for tuberculosis (TB) diagnosis. We compared this method against the conventional 2-day approach in routine programmatic settings. Methods: During October-December 2012, all adult presumptive TB patients were requested to provide three sputum samples (one at the initial visit, the second 1 h after the first sample, and the third the next morning) for examination by Ziehl-Neelsen smear microscopy. Detection of acid-fast bacilli with any sample was diagnostic. The first and second spot sample comprised the same-day approach, and the first spot sample and next-day sample comprised the 2-day approach. Results: Of 2168 presumptive TB patients, 403 (18.6%) were smear-positive according to the same-day method compared to 427 (19.7%) by the 2-day method (McNemar's test, P < 0.001). Of the total 429 TB patients, 26 (6.1%) were missed by the same-day method and 2 (0.5%) by the 2-day method. Conclusion: Same-day specimen collection for microscopy missed more TB than 2-day collection. In India, missing cases by using same-day microscopy would translate into a considerable absolute number, hindering TB control efforts. We question the indiscriminate switch to same-day diagnosis in settings where patients reliably return for testing the next day.

  7. D-day Message from General Eisenhower to General Marshall. Teaching with Documents.

    ERIC Educational Resources Information Center

    Schamel, Wynell B.; Blondo, Richard A.

    1994-01-01

    Contends that the D-Day assault on Normandy's beaches in 1944 was critically important to the Allied war effort and ultimately to the security of all nations. Presents a lesson plan based on a message drafted in the early hours of D-Day by General Dwight D. Eisenhower and sent to his superior, General George C. Marshall. (CFR)

  8. Day Care in Vermont (Excerpts from the Introduction and the Executive Summary).

    ERIC Educational Resources Information Center

    Siedman, Eileen

    A pretest of the Vermont model of the Family Assistance Plan to provide statewide day care services for working parents is presented as to summary findings, conclusions, and recommendations. Facilitating factors towards the delivery of quality child care services were the day care licensing procedure, the focus on child development, talented…

  9. 26 CFR 54.9815-2708 - Prohibition on waiting periods that exceed 90 days.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... days. 54.9815-2708 Section 54.9815-2708 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE... on waiting periods that exceed 90 days. (a) General rule. A group health plan, and a health insurance issuer offering group health insurance coverage, must not apply any waiting period that exceeds 90...

  10. The Value of Experiencing the First Days of School for Preservice Teachers

    ERIC Educational Resources Information Center

    Blackwell, Sarah C.; Pepper, Kaye

    2009-01-01

    Quality teacher education programs recognize the importance of field experiences in preparing teacher candidates. A field experience planned during the first days of school is invaluable to the success of a new teacher. The School of Education faculty at The University of Mississippi took on the challenge of implementing a first days of school…

  11. A Collaborative Model for Teaching E-Resources: Northwestern University's Graduate Training Day

    ERIC Educational Resources Information Center

    Lightman, Harriet; Reingold, Ruth N.

    2005-01-01

    The authors report on the planning, execution, and future of Northwestern University's Introduction to Electronic Resources/Humanities Computing Training Day, a mandatory one-day set of classes for first-year doctoral students in humanities disciplines. The project is a collaborative effort among the Office of the Dean of the Weinberg College of…

  12. The Four Day School Week. Research Brief

    ERIC Educational Resources Information Center

    Muir, Mike

    2013-01-01

    Can four-day school weeks help districts save money? How do districts overcome the barriers of moving to a four-day week? What is the effect of a four-day week on students, staff and the community? This paper enumerates the benefits for students and teachers of four-day school weeks. Recommendations for implementation of a four-day week are also…

  13. Energy planning and management plan

    SciTech Connect

    1996-01-01

    This paper contains printed copies of 60FR 53181, October 12, 1995 and 60 FR 54151. This is a record of decision concerning the Western Area Power Administration`s final draft and environmental impact statement, and Energy Planning and Management Program.

  14. AAS 228: Day 3 afternoon

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-06-01

    Editors Note:This week were at the 228th AAS Meeting in San Diego, CA. Along with a team ofauthors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting twiceeach day. Follow along here or atastrobites.com, or catch ourlive-tweeted updates from the@astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Wikipedia Year of Science Editathon (by Meredith Rawls)Whats your first go-to source for an unfamiliar topic on the internet? If you said Wikipedia, youre not alone. For many people, Wikipedia is the primary source of information about astronomy and science. However, many Wikipedia articles about science topics are incomplete or missing, and women are underrepresented among scientists with biographies.To address this, the AAS Astronomy Education Board teamed up with the Wiki Education Foundation to host an edit-a-thon as part of the Wikipedia Year of Science. More than forty attendees spent the better part of three hours working through tutorials, creating new articles, and editing existing ones. The session was generously sponsored by the Simons Foundation.The Year of Science initiative seeks to bring Wikipedia editing skills to the classroom and help new editors find sustainable ways to contribute to Wikipedia in the long term. Anybody can create a free account and start editing!As a first-time Wikipedia contributor, I took the time to go through nearly all the tutorial exercises and familiarize myself with the process of editing a page. I decided to flesh out one section in an existing page about asteroseismology. Others created biography pages from scratch or selected various astronomical topics to write about. To me, the editing process felt like a cross between writing a blog post and a journal article, in a hack day type environment. Working through the tutorial and some examples renewed my empathy for learners who are tackling a new skill set for the first time. A full summary of our

  15. AAS 228: Day 2 morning

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-06-01

    Editors Note:This week were at the 228th AAS Meeting in San Diego, CA. Along with a team ofauthors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting twiceeach day. Follow along here or atastrobites.com, or catch ourlive-tweeted updates from the@astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Plenary Session (Day 1) The Galaxy Zoo(by Benny Tsang)Galaxy Zoo was so hot that the servers hosting the galaxy images got melted down soon after being launched.Kevin Schawinski from ETH Zurich took us on a tour ofhis wonderful Galaxy Zoo. It is a huge zoo with about a quarter million zookeepers, they are citizen astronomers who collaboratively classify galaxies by their looks as an attempt to understand galaxy evolution. The big question that is being answered is: how do blue, actively star-forming galaxies evolve into red, quiescent (non-star-forming) galaxies? The Zoo helped reveal that blue galaxies turn into red galaxies via two possible paths galaxies might run out of supply of gas and shut off star formation slowly; or they could merge with one another and turn off star formation by destroying the gas reservoir rapidly!The Galaxy Zoo project also led to the discoveries of:Green Peas: they are the living fossils of galaxy evolution; compact, bright, green galaxies that are actively forming starsOverlapping galaxies: they are pairs of galaxies that are separated physically but happen to lie on the same line of sight; they provide excellent laboratories for studying dust extinctionHannys Voorwerp: an unusual object named after Hanny the discoverer, which is believed to be the first detection of quasar light echoThe idea of Galaxy Zoo in getting help from citizen scientists was further extended into an award-winningproject known as the Zooniverse, which is an online platform for streamlined crowd-sourcing for scientific research that requires human input. The future of astronomy is going to be

  16. Bioclimate and city planning - open space planning

    NASA Astrophysics Data System (ADS)

    Mertens, Elke

    The planning and using of open spaces in urban areas very much depend on the shading of the surrounding building structures. This article presents a method for the investigation of the sunlight and the bioclimatic conditions in dependence on the surrounding buildings. It is illustrated for typical courtyards in Berlin, Germany, as one type of open spaces. The programme HelioDat determines the shading of any spot of an open space. It gives the possible duration of direct sunlight for the selected spot for each day of the year. The sunlight conditions in the courtyards differ from one another a lot in dependence on their size the tallness of the surrounding buildings. The calculation of the PMV on the basis of the results of the programme HelioDat determine the bioclimatic situation in the discussed courtyards. Although the results of HelioDat are only one input among the weather conditions and the personal characteristics of the test-person, the bioclimatic conditions correlate very much with the sunlight conditions. In a projected building structure, the sunlight conditions vary a lot between the present situation and the two architectural alternatives. Since the bioclimatic situation is correlated to the sunlight conditions, this example demonstrates the importance for the investigation of the sunlight conditions and the bioclimate already during the planning process of buildings.

  17. AAS 228: Day 3 morning

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-06-01

    Editors Note:This week were at the 228th AAS Meeting in San Diego, CA. Along with a team ofauthors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting twiceeach day. Follow along here or atastrobites.com, or catch ourlive-tweeted updates from the@astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Plenary Session 2015 Newton Lacy Pierce Prize Lecture: The Elephant in the Room: Effects of Distant, Massive Companions on Planetary System Architectures (by Leonardo dos Santos)The first session on Wednesday at 228th AAS Meeting was the Newton Lacy Pierce Prize Lecture by Heather Knutson (California Institute of Technology). This talk featured a broad range of research efforts on exoplanets, with the main focus on how we study the composition of their atmospheres, and how multi-body interactions carve the structure of the planetary systems we observe.One of her first points is the well-known idea that the Solar System is an oddball, compared to the exoplanet systems we have found so far: most of these systems contain hot Jupiters and mini-Neptunes at very close-in orbits around their host stars. Moreover, even when studying their transmission spectra, it is difficult to know the exact composition of their atmospheres.Knutson: it is difficult to constrain atmospheric composition of exoplanets (H-poor or H-rich+clouds?) #aas228pic.twitter.com/LdyN4o9RC7 astrobites (@astrobites) June 15, 2016The main proposal on how these systems formed is the migration scenario. In order to validate this idea, Dr. Knutson and her group The Friends of Hot Jupiters study systems with close-in gas giants and their frequency of binary companions, which are supposed to be the main culprits causing gas-giant migration. They found that approximately half of the observed systems have long-distance companions, providing strong validation of the migration scenario. Moreover, Dr. Knutson speculates that wide binaries have more

  18. The Strategic Attitude: Integrating Strategic Planning into Daily University Worklife

    ERIC Educational Resources Information Center

    Dickmeyer, Nathan

    2004-01-01

    Chief financial officers in today's universities are so busy with the challenges of day-to-day management that strategic thinking often takes a back seat. Planning for strategic change can go a long way toward streamlining the very daily tasks that obscure the "big picture." Learning how to integrate strategic thinking into day-to-day management…

  19. AAS 228: Day 2 afternoon

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-06-01

    Editors Note:This week were at the 228th AAS Meeting in San Diego, CA. Along with a team ofauthors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting twiceeach day. Follow along here or atastrobites.com, or catch ourlive-tweeted updates from the@astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.The Limits of Scientific Cosmology: Setting the Stage: Accepted Facts, and Testing Limitations in Theory and Data (by Gourav Khullar)With a stellar lineup of speakers to talk about current and future prospects of cosmology and its limits (or lack thereof), the first session kicked off with talks by Risa Wechsler, Joseph Silk, and Sean Carroll (his talk on Multiverses is described below, by Nathan Sanders). Risa set the stage with an elaborate description of the current accepted facts in the era of precision cosmology including the standard model of concordance cosmology, described by seven parameters and an accepted Lambda-CDM paradigm (with a cosmological constant and cold dark matter). The talk stressed on the fact that all these parameters are understood to a percent order precision, which is a remarkable deviation from the time in 1990s when according to Risa, Alan Guth never thought that any of these numbers could be measured precisely!Risa Wechsler describing our current constraints on what Dark Matter could constitute.Joseph Silk discussing limits on cosmological parameters.The CMB measurements, Big Bang Nucleosynthesis estimates and galaxy clustering statistics all contribute to locking down the description of our universe. She emphasized on the tensions between different probes to measure expansion rate H0 of the universe, and small scale predictions of cold dark matter simulations, but she is hopeful that these shall be resolved eventually. Joe Silk followed this up with his interpretation of trying to understand our place in the universe and placing limits on different parameters and

  20. Sun-Earth Day - Teaching Heliophysics Through Education Technology

    NASA Technical Reports Server (NTRS)

    Thieman, J.; Cline, T.; Lewis, E.

    2010-01-01

    Sun-Earth Day (SED) is an Education and Outreach program supported by the U.S, National Aeronautics and Space Administration (NASA). The intent of the program is to teach students and the general public about Heliophysics (the science of the study of the Sun, how it varies, and how solar dynamics affect the rest of the solar system, especially the Earth). The program was begun ten years ago. Each year since that time a particular day has been designated as "Sun-Earth Day ,,. Usually the day of the spring equinox (March 20 or 21) is Sun-Earth Day, but other days have been used as well. Each year a theme is chosen relating to Heliophysics and events reflecting that theme are planned not only for Sun-Earth Day, but for the entire year. From the very beginning educational technology was emphasized in the events in order to effectively reach wide audiences with the SED message. The main approach has been to have a "webcast" related to each year's theme, often from a location that supports the theme as well. For example, a webcast took place from the Mayan pyramids at Chichen Itza, Mexico to highlight the theme of "Ancient Observatories, Timeless Knowledge". Webcasts were not the only technology employed, however. Many of the themes centered on the dynamic nature of the Sun and the effects that solar storms can have on interplanetary space and in our day-to-day life on Earth. Activities for tracking when solar storms happen and how they affect the Earth were developed and brought together in an educational package called Space Weather Action Centers. This project is explained in more detail in another presentation in this session being given by Norma Teresinha Oliveira Reis. Recent Sun-Earth Days have utilized "social networking" technologies to reach widespread groups on the internet. Podcasts, Vodcasts, Facebook, Twitter, and Second Life are the types of network technologies being employed now. The NASA Distance learning Network is another method for bringing Sun

  1. Adaptation to capsaicin within and across days.

    PubMed

    McBurney, D H; Balaban, C D; Christopher, D E; Harvey, C

    1997-02-01

    Subjects judged the time-course of the burn caused by 100 ppm capsaicin applied to the tongue on Day 1 and Day 5. On Days 2-4, they tasted hard candy containing capsaicin. Most subjects did not show adaptation within Day 1, but either plateaued after about 16 min or rose monotonically for the entire 34 min. Intensity was less on Day 5 and levelled off or declined for most subjects. Data were fit to a mathematical model of adaptation. Adaptation across days was accounted for by changes in the gains of the three processes.

  2. AAS 228: Day 1 morning

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2016-06-01

    Editors Note:This week were at the 228th AAS Meeting in San Diego, CA. Along with a team ofauthors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting twiceeach day. Follow along here or atastrobites.com, or catch ourlive-tweeted updates from the@astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Come visit astrobites at the AAS booth we have swag!Things kicked off last night at our undergraduate reception booth. Thanks to all of you who stopped by we were delightedto hear from undergrads who already know and love the site, educators who want to use it in their classrooms, and students who had not yet been introduced to astrobites and were excited about a new resource!For the rest of the meeting we will be stationed at theAAS booth in the exhibit hall (booth #211-213), so drop by if you want to learn more (or pick up swag: weve got lots of stickers and sunglasses)!Mondaymorning was the official start of the meeting. Here are just a few of the talks and workshops astrobiters attended this morning.Opening Address(by Susanna Kohler)AAS President Meg Urry kicked off the meeting this morning at 8am with an overview of some of the great endeavors AAS is supporting. We astrobiters had personal motivation to drag ourselves out of bed that early: during this session, Urryannounced the new partnership between AAS and astrobites!Urry touched on some difficult topics in her welcome, including yesterdays tragedy in Orlando. Shereiteratedthe AASs support fortheCommittee for Sexual-Orientation and Gender Minorities in Astronomy (SGMA). She also reminded meeting attendees about the importance ofkeeping conference interactions professional, and pointed to the meetings anti-harassment policy.Partnership Announcement (by Michael Zevin)This morning, the American Astronomical Society announced the new partnership that it will have with Astrobites! We are beyond excited to embark on this new partnership with the

  3. [Psychiatric and psychosomatic day hospitals in Austria].

    PubMed

    Evans, Janet; Dummer, Verena; Kinzl, Johann

    2016-12-01

    This paper on psychiatric and psychosomatic day hospitals in Austria first looks at the overall situation of Austrian day clinics then, in a second step, compares psychiatric and psychosomatic day hospitals. For this purpose, a questionnaire was developed and sent to all psychiatric and psychosomatic day hospitals in Austria. The first part consisted of closed questions and was used to gather and evaluate the categories: general conditions for treatment in day hospitals, tasks of day hospitals, therapeutic paradigms, indication and contraindication, diagnostics, day hospital organisation, interdisciplinary cooperation and the offering in day hospitals. The second section consisted of open questions which were used to gather and evaluate active factors, difficulties, specifics and requests for future treatment in day hospitals. The results show that there is a trend towards more day hospitals. Psychosomatic day hospitals are a rather new phenomenon. Furthermore, the distinction between psychiatric and psychosomatic day hospitals is important in order to offer patients distinguishable treatment options in future. The results show that psychiatric and psychosomatic day hospitals both have a strong focus on psychotherapy and both fulfill the active factors for psychotherapy by Grawe.

  4. 78 FR 37429 - Father's Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-20

    ... our children and instilling in them qualities to last a lifetime: love and hope, courage and..., who lift our sights, and who enrich our lives with a father's love, day after day. NOW, THEREFORE,...

  5. 48 CFR 1371.117 - Lay days.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Lay days. 1371.117 Section... REGULATIONS ACQUISITIONS INVOLVING SHIP CONSTRUCTION AND SHIP REPAIR Provisions and Clauses 1371.117 Lay days. Insert clause 1352.271-86, Lay Days, in all solicitations and contracts for ship repair....

  6. Infant Day Care Facilitates Preschool Social Behavior.

    ERIC Educational Resources Information Center

    Field, Tiffany; And Others

    1988-01-01

    Compared play, social, and attachment behaviors of 71 preschool children who had entered infant day care at varying ages and received varying amounts of day care. Concluded that continuous infant day care in quality centers appears to facilitate preschool social behavior and does not negatively affect attachment behavior. (NH)

  7. Women in History--Dorothy Day

    ERIC Educational Resources Information Center

    Brock, Barbara L.

    2007-01-01

    This article profiles Dorothy Day, a pacifist and a champion of the rights of women, the poor, and the oppressed, who challenged generations of social and political orthodoxies. Day believed in a social revolution that did not begin with government programs, but from the bottom up. Day's life of voluntary poverty, her writings and actions on…

  8. 77 FR 26655 - Loyalty Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ...;#0; ] Proclamation 8811 of May 1, 2012 Loyalty Day, 2012 By the President of the United States of... remained faithful to the ideals of our forebears and true to our founding documents. On Loyalty Day, we... Loyalty Day, we rededicate ourselves to the common good, to the cornerstones of liberty, equality,...

  9. 76 FR 56941 - National Grandparents Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-14

    ... Documents#0;#0; ] Proclamation 8709 of September 9, 2011 National Grandparents Day, 2011 By the President of... elders, caregivers, and sources of lasting inspiration. On National Grandparents Day, we honor the loving... United States, do hereby proclaim September 11, 2011, as National Grandparents Day. I call upon...

  10. 75 FR 63693 - Columbus Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-15

    ... Documents#0;#0; ] Proclamation 8584 of October 8, 2010 Columbus Day, 2010 By the President of the United... ``Columbus Day.'' NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, do hereby proclaim October 11, 2010, as Columbus Day. I call upon the people of the United States to observe this...

  11. 78 FR 30731 - Armed Forces Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-22

    ... Documents#0;#0; ] Proclamation 8984 of May 17, 2013 Armed Forces Day, 2013 By the President of the United States of America A Proclamation Since the earliest days of our Union, America has been blessed with an..., liberty, and the pursuit of happiness. And on Armed Forces Day, we honor those who serve bravely...

  12. 75 FR 80669 - Wright Brothers Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-22

    ... Proclamation 8617--Wright Brothers Day, 2010 #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register... President ] Proclamation 8617 of December 17, 2010 Wright Brothers Day, 2010 By the President of the United... conquered the age-old dream of manned flight. That day, the two brothers from Dayton, Ohio, could...

  13. 75 FR 71003 - America Recycles Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-19

    ... Documents#0;#0; ] Proclamation 8601 of November 15, 2010 America Recycles Day, 2010 By the President of the... Recycles Day, we celebrate the individuals, communities, local governments, and businesses that work... the breadth of our successes on America Recycles Day, we must also recommit to building upon...

  14. 76 FR 36853 - Father's Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-22

    ... June 22, 2011 Part VI The President Proclamation 8690--Father's Day, 2011 #0; #0; #0; Presidential... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8690 of June 17, 2011 Father's Day, 2011 By... incredible responsibility. Every day, fathers across our country give everything they have to build a...

  15. 77 FR 70679 - Thanksgiving Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-27

    ... Documents#0;#0; ] Proclamation 8908 of November 20, 2012 Thanksgiving Day, 2012 By the President of the United States of America A Proclamation On Thanksgiving Day, Americans everywhere gather with family and friends to recount the joys and blessings of the past year. This day is a time to take stock of...

  16. 75 FR 28185 - Armed Forces Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ...#0;#0; ] Proclamation 8522 of May 14, 2010 Armed Forces Day, 2010 By the President of the United... Armed Forces Day, we pay tribute to these patriots who risk their lives, sometimes giving their last... days of independence. Today, we have the greatest military force in the history of the world because...

  17. 78 FR 62311 - Leif Erikson Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-16

    ... Documents#0;#0; ] Proclamation 9037 of October 8, 2013 Leif Erikson Day, 2013 By the President of the United... landed in present-day Canada, making them the first Europeans known to visit North America. Their... risks can turn even the most improbable idea into something great. On Leif Erikson Day, we...

  18. 75 FR 21977 - Earth Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-27

    ... Documents#0;#0; ] Proclamation 8503 of April 21, 2010 Earth Day, 2010 By the President of the United States... national ``environmental teach- in''--one day, each year, of action and advocacy for the environment. His words rallied our Nation, and the first Earth Day, as it became known, saw millions come together...

  19. 77 FR 24577 - Earth Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-25

    ... Documents#0;#0; ] Proclamation 8802 of April 20, 2012 Earth Day, 2012 By the President of the United States... first Earth Day. Students, teachers, activists, elected officials, and countless others challenged our... of future generations depends upon how we act today. As we commemorate Earth Day this year,...

  20. 78 FR 25561 - Workers Memorial Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... May 1, 2013 Part III The President Proclamation 8964--Workers Memorial Day, 2013 #0; #0; #0... Memorial Day, 2013 By the President of the United States of America A Proclamation Our country boasts the... Memorial Day, we honor them, and we reaffirm that no one should have to put their life on the line to...

  1. 77 FR 55103 - Labor Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-06

    ... Documents#0;#0; ] Proclamation 8857 of August 31, 2012 Labor Day, 2012 By the President of the United States... economic growth. On Labor Day, we celebrate their vital role and reaffirm that America will always stand..., as Labor Day. I call upon all public officials and people of the United States to observe this...

  2. 76 FR 79019 - Wright Brothers Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-20

    ... December 20, 2011 Part III The President Proclamation 8767--Wright Brothers Day, 2011 Memorandum of... ] Proclamation 8767 of December 15, 2011 Wright Brothers Day, 2011 By the President of the United States of... this day, guide our jetliners to every corner of the world and our spacecraft to the farthest...

  3. 75 FR 17025 - Cesar Chavez Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-05

    ...#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8487 of March 31, 2010 Cesar Chavez Day, 2010... once said. Since our Nation's earliest days of independence, we have struggled to perfect the ideals of... Americans have led this charge so tirelessly, and for so many, as Cesar Chavez. To this day, his...

  4. The First Day: It Happens Only Once

    ERIC Educational Resources Information Center

    Anderson, Denise M.; McGuire, Francis A.; Cory, Lynne

    2011-01-01

    Research findings on optimum use of the first day of class are mixed. Past data gathered from students from various disciplines support a first day designed to distribute the course syllabus and explain class expectations, rules, and policies. Additional literature supports a different approach to the first day; one designed to immediately engage…

  5. 76 FR 24783 - Workers Memorial Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-02

    ... 2, 2011 Part V The President Proclamation 8658--Workers Memorial Day, 2011 #0; #0; #0; Presidential...;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8658 of April 27, 2011 Workers Memorial Day... Memorial Day, we celebrate the improvements in American workplaces and remember those who have been...

  6. 77 FR 75503 - Wright Brothers Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-20

    ... December 20, 2012 Part II The President Proclamation 8918--Wright Brothers Day, 2012 #0; #0; #0... Brothers Day, 2012 By the President of the United States of America A Proclamation After years of research... changed our way of life. On Wright Brothers Day, we reflect on their astonishing feat and celebrate...

  7. 76 FR 71861 - America Recycles Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-18

    ... November 18, 2011 Part VII The President Proclamation 8754--America Recycles Day, 2011 #0; #0; #0... Recycles Day, 2011 By the President of the United States of America A Proclamation As Americans, we have a... and materials, and reuse whenever possible. On America Recycles Day, we celebrate the commitment...

  8. 78 FR 62309 - Child Health Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-16

    ... Documents#0;#0; ] Proclamation 9036 of October 4, 2013 Child Health Day, 2013 By the President of the United... obligation to ensure our youth have the necessary resources to thrive. This Child Health Day, let us recommit... throughout their lives. On Child Health Day, we are reminded of our first, most urgent task--to protect...

  9. 78 FR 54749 - Labor Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ... Documents#0;#0; ] Proclamation 9012 of August 30, 2013 Labor Day, 2013 By the President of the United States of America A Proclamation On September 5, 1882, in what is thought to be the first Labor Day event... our Nation; to forge the latest technological revolution. On Labor Day, we celebrate these...

  10. 77 FR 65459 - United Nations Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-29

    ... Documents#0;#0; ] Proclamation 8893 of October 24, 2012 United Nations Day, 2012 By the President of the... human beings would be our common cause. Today, we commemorate United Nations Day by celebrating the... Nations Day. I urge the Governors of the 50 States, and the officials of all other areas under the flag...

  11. 77 FR 30875 - Armed Forces Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-23

    ... Documents#0;#0; ] Proclamation 8823 of May 18, 2012 Armed Forces Day, 2012 By the President of the United... circumstances. On Armed Forces Day, we pay tribute to the unparalleled service of our Armed Forces and recall... Day. I direct the Secretary of Defense on behalf of the Army, Navy, Air Force, and Marine Corps,...

  12. 75 FR 62449 - Child Health Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8578 of October 4, 2010 Child Health Day... Day, we reaffirm the critical importance of the quality health care, nutritious foods, clean air and... of the United States, do hereby proclaim Monday, October 4, 2010, as Child Health Day. I call...

  13. 76 FR 70631 - World Freedom Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-14

    ... November 14, 2011 Part III The President Proclamation 8752--World Freedom Day, 2011 #0; #0; #0... Freedom Day, 2011 By the President of the United States of America A Proclamation On November 9, 1989, the... stronger affirmation of freedom. On World Freedom Day, we commemorate the fall of the Berlin...

  14. 75 FR 74605 - Thanksgiving Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-01

    ... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8606 of November 23, 2010 Thanksgiving Day..., Thanksgiving Day offers us the opportunity to focus our thoughts on the grace that has been extended to our... harvest feast centuries ago. This Thanksgiving Day, we reflect on the compassion and contributions...

  15. 75 FR 17835 - Census Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-07

    ... Proclamation 8488--Census Day, 2010 Proclamation 8489--National Cancer Control Month, 2010 Proclamation 8490...; #0;Title 3-- #0;The President ] Proclamation 8488 of March 31, 2010 Census Day, 2010 By the President of the United States of America A Proclamation Since our Nation's earliest days, the census...

  16. 76 FR 62295 - Child Health Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-07

    ... Documents#0;#0; ] Proclamation 8729 of October 3, 2011 Child Health Day, 2011 By the President of the United... asbestos and updating technology. On Child Health Day, we recognize the fundamental importance of caring... Monday in October as Child Health Day and has requested the President to issue a proclamation...

  17. 76 FR 55779 - Labor Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-09

    ... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8707 of September 2, 2011 Labor Day, 2011 By the President of the United States of America A Proclamation Every day, hard-working men and women... our highways and skylines, to the goods and services driving us in the 21st century. On Labor Day...

  18. 76 FR 23685 - Earth Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-28

    ... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8657 of April 22, 2011 Earth Day, 2011 By... together on Earth Day to appreciate and raise awareness about our environment, natural heritage, and the... essential to the health of our communities and wildlife. Earth Day is an opportunity to renew...

  19. 77 FR 31479 - National Maritime Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-25

    ... May 25, 2012 Part III The President Proclamation 8828--National Maritime Day, 2012 #0; #0; #0... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8828 of May 22, 2012 National Maritime Day... supplies they need and transporting our exports into the global marketplace. On National Maritime Day,...

  20. 75 FR 60563 - Family Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-30

    ... Proclamation 8570--Family Day, 2010 #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register / Vol. 75... President ] Proclamation 8570 of September 27, 2010 Family Day, 2010 By the President of the United States... illicit drugs. On Family Day, we honor the devotion of parents and family members, and recognize...

  1. 78 FR 26229 - Loyalty Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-03

    ...;#0; ] Proclamation 8973 of April 30, 2013 Loyalty Day, 2013 By the President of the United States of... we remember on Loyalty Day. It is an occasion that asks something of us as a people: to rediscover... country's course. Let us mark this day by pressing on in the march toward lasting freedom and...

  2. 76 FR 29989 - National Maritime Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-24

    ...#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8678 of May 18, 2011 National Maritime Day... Maritime Day, we honor their invaluable contributions to America's economic strength and security. On May... day. Today, our maritime industry is a valuable source of skilled employment for American...

  3. 76 FR 18627 - Cesar Chavez Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... April 4, 2011 Part II The President Proclamation 8641--Cesar Chavez Day, 2011 #0; #0; #0; Presidential...#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8641 of March 30, 2011 Cesar Chavez Day, 2011..., selflessness, and commitment. As we face the challenges of our day, let us do so with the hope...

  4. 77 FR 69729 - America Recycles Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-20

    ... November 20, 2012 Part IV The President Proclamation 8905--America Recycles Day, 2012 #0; #0; #0... Recycles Day, 2012 By the President of the United States of America A Proclamation For 15 years, our country has celebrated America Recycles Day as a time to focus on conserving valuable materials,...

  5. 76 FR 66845 - United Nations Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-27

    ... October 27, 2011 Part IV The President Proclamation 8740--United Nations Day, 2011 #0; #0; #0... Nations Day, 2011 By the President of the United States of America A Proclamation In 1945, 51 nations in a... human rights, and fostering global cooperation. On United Nations Day, we join our 192 fellow...

  6. 75 FR 65561 - United Nations Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-26

    ... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8589 of October 22, 2010 United Nations Day... the horrors seen in World War II would never be repeated. On United Nations Day, we join our friends... founders' soaring example, and move through the conflicts and divisions of our time to a day when...

  7. 75 FR 69327 - Veterans Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-10

    ... Proclamation 8598--Veterans Day, 2010 #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register / Vol... President ] Proclamation 8598 of November 5, 2010 Veterans Day, 2010 By the President of the United States of America A Proclamation On Veterans Day, we come together to pay tribute to the men and women...

  8. 78 FR 56121 - National Grandparents Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ... September 11, 2013 Part VII The President Proclamation 9013--National Grandparents Day, 2013 Proclamation 9014--National Days of Prayer and Remembrance, 2013 #0; #0; #0; Presidential Documents #0; #0; #0;#0...;Title 3-- #0;The President ] Proclamation 9013 of September 6, 2013 National Grandparents Day, 2013...

  9. 78 FR 72531 - Thanksgiving Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-02

    ... Documents#0;#0; ] Proclamation 9063 of November 26, 2013 Thanksgiving Day, 2013 By the President of the... we offer our thanks, we mirror those who set aside a day of prayer. And when we join with friends and... holiday to keep us safe, and we acknowledge the volunteers who dedicate this day to those less...

  10. Scoring the All-Day Screener

    Cancer.gov

    For the All-Day screener, scoring involves a series of operations that are shown below and implemented in the All-Day Screener Pyramid Servings SAS Program and the All-Day Screener MyPyramid Cup Equivalents SAS Program.

  11. 78 FR 64385 - United Nations Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-28

    ... October 28, 2013 Part V The President Proclamation 9045--United Nations Day, 2013 #0; #0; #0; Presidential... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 9045 of October 23, 2013 United Nations Day..., 68 years after the adoption of the United Nations Charter, we mark United Nations Day by...

  12. 75 FR 56465 - National Grandparents Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-15

    ... Documents#0;#0; ] Proclamation 8560 of September 10, 2010 National Grandparents Day, 2010 By the President... generations. On National Grandparents Day, we honor those who have helped shape the character of our Nation... grandparents have made us who we are today. National Grandparents Day presents a chance to show our...

  13. 75 FR 35951 - World Refugee Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... Documents#0;#0; ] Proclamation 8538 of June 18, 2010 World Refugee Day, 2010 By the President of the United States of America A Proclamation On World Refugee Day, we honor the contributions and resilience of those... assistance to those uprooted by crisis. As we commemorate World Refugee Day, we recommit to ensuring that...

  14. 75 FR 34307 - King Kamehameha Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-16

    ... Documents#0;#0; ] Proclamation 8534 of June 10, 2010 King Kamehameha Day, 2010 By the President of the... King Kamehameha Day, we celebrate the history and heritage of the Aloha State, which has immeasurably... as we carry our Nation toward a brighter day. NOW, THEREFORE, I, BARACK OBAMA, President of...

  15. 77 FR 67533 - Veterans Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-13

    ... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8902 of November 7, 2012 Veterans Day, 2012... of men and women who have served our country with honor and distinction. On Veterans Day, we show... challenge we cannot overcome, and our best days are still ahead. This year, we marked the 200th...

  16. 77 FR 60617 - Child Health Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-04

    ... Documents#0;#0; ] Proclamation 8880 of October 1, 2012 Child Health Day, 2012 By the President of the United... of our children. The youth of today will shape America's tomorrow, and on Child Health Day, we... development. On Child Health Day, we are reminded that by giving our children a healthy start in life, we...

  17. 78 FR 67285 - Veterans Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-08

    ... November 8, 2013 Part IV The President Proclamation 9055--Veterans Day, 2013 #0; #0; #0; Presidential... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 9055 of November 5, 2013 Veterans Day, 2013 By the President of the United States of America A Proclamation On Veterans Day, America pauses...

  18. 75 FR 29395 - National Maritime Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-26

    ... 8526 of May 20, 2010 National Maritime Day, 2010 By the President of the United States of America A... alike. On National Maritime Day, we recognize the men and women of the United States Merchant Marine for... resolution approved May 20, 1933, has designated May 22 of each year as ``National Maritime Day,'' and...

  19. 75 FR 23561 - Workers Memorial Day, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-04

    ...;#0; ] Proclamation 8507 of April 28, 2010 Workers Memorial Day, 2010 By the President of the United... fulfilling that promise. On Workers Memorial Day, we remember all those who have died, been injured, or... refinery explosion in Washington State just days earlier, the 4 workers who died at a power plant...

  20. 78 FR 68325 - World Freedom Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-14

    ... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 9056 of November 8, 2013 World Freedom Day... Freedom Day, we remember that for all the raw power of authoritarian regimes, it is ultimately citizens... of oppression and embrace a brighter day. NOW, THEREFORE, I, BARACK OBAMA, President of the...

  1. 76 FR 72077 - Thanksgiving Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-21

    ... November 21, 2011 Part III The President Proclamation 8755--Thanksgiving Day, 2011 #0; #0; #0; Presidential... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8755 of November 16, 2011 Thanksgiving Day... most cherished traditions, Thanksgiving Day brings us closer to our loved ones and invites us...

  2. 76 FR 3815 - Religious Freedom Day, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-20

    ... Proclamation 8623--Religious Freedom Day, 2011 Proclamation 8624--Martin Luther King, Jr., Federal Holiday... January 14, 2011 Religious Freedom Day, 2011 By the President of the United States of America A... Religious Freedom Day, we commemorate Virginia's 1786 Statute for Religious Freedom, in which...

  3. 77 FR 63201 - Leif Erikson Day, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-16

    ... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8885 of October 9, 2012 Leif Erikson Day...-day Canada. His arrival marked the first known European encounter with North America and began a... arrive in the United States from Norway. On Leif Erikson Day, we commemorate their journey and...

  4. Maximizing Peak Running on Race Day

    ERIC Educational Resources Information Center

    Consolo, Kitty

    2008-01-01

    Distance runners spend many hours training assiduously for competition, yet on race day they can often make mistakes that sabotage their performance. This article addresses five common race-day mistakes: (1) failure to bring proper equipment to the race; (2) failure to eat an appropriate race-day meal; (3) failure to hydrate properly; (4) failure…

  5. Day Camp Manual: Program. Book IV.

    ERIC Educational Resources Information Center

    Babcock, William

    Book IV in a 5-book day camp manual discusses the camp program. Section I describes the organization, definition, and elements essential to successful day camp programs. Section II, which addresses the benefits and special considerations of mass programs, includes rainy day contingencies, materials to have on hand, and activity suggestions.…

  6. 78 FR 69531 - America Recycles Day, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-19

    ... November 19, 2013 Part II The President Proclamation 9057--America Recycles Day, 2013 #0; #0; #0... Recycles Day, 2013 By the President of the United States of America A Proclamation During the First and...--that require all of us to do our part. On America Recycles Day, we carry forward a great...

  7. Optimizing Infant Development: Strategies for Day Care.

    ERIC Educational Resources Information Center

    Chambliss, Catherine

    This guide for infant day care providers examines the importance of early experience for brain development and strategies for providing optimal infant care. The introduction discusses the current devaluation of day care and idealization of maternal care and identifies benefits of quality day care experience for intellectual development, sleep…

  8. Baseline Day: A Student Teaching Enhancement.

    ERIC Educational Resources Information Center

    Montgomery, Bette; Braught, Loran R.

    1996-01-01

    Describes Indiana State University's baseline day program, which helps establish a strong beginning upon which student teachers can build. Student teachers take full responsibility of the classroom for 1 day within the first 4-10 days of their assignment. Evaluations of student and cooperating teachers indicate the program benefits all involved.…

  9. Exercise 30 minutes a day (image)

    MedlinePlus

    You get the most benefit from exercise if you do it for at least 30 minutes a day for 5 to 6 days a week. But you do not have to do 30 minutes in a row. Studies suggest that you ... for 10 minutes 3 times a day as you do during a longer session.

  10. DAY CAMPING FOR THE MENTALLY RETARDED.

    ERIC Educational Resources Information Center

    GINGLEND, DAVID; GOULD, KAY

    EMPHASIS IS PLACED ON MENTAL HEALTH, PHYSICAL DEVELOPMENT AND COORDINATION (BOTH MOTOR AND MUSCULAR), SOCIAL ADJUSTMENT, AND LANGUAGE AND INTELLECTUAL DEVELOPMENT. SECTIONS ARE DEVOTED TO ORGANIZATION OF A DAY CAMPING PROGRAM, SELECTING THE STAFF AND THE CAMPERS, THE DAY CAMP IN OPERATION, DAY CAMPING AS A TRAINING PERIOD, CAMP RELATIONS WITH THE…

  11. Group Family Day Care Provider Handbook

    ERIC Educational Resources Information Center

    New York State Office of Children and Family Services, 2006

    2006-01-01

    Group family day care providers need to create high-quality programs where children have opportunities to grow, learn and thrive. Part of providing high-quality child care includes complying with the group family day care regulations from the New York State Office of Children and Family Services (OCFS). This Handbook will help day care providers:…

  12. Observing and Assessing Infant Day Care Environment.

    ERIC Educational Resources Information Center

    Shapiro, Edna

    This paper describes data collection procedures for the part of the New York City Infant Day Care Study concerned with day care environment and caregiver-child interaction. This study is a 5-year, longitudinal investigation in which infants in group and family day care programs and infants reared at home are compared. Study data will be collected…

  13. Celebrate Missouri Day in Your Classroom.

    ERIC Educational Resources Information Center

    Missouri State Dept. of Elementary and Secondary Education, Jefferson City.

    This booklet provides suggested activities that can be used to enrich the observance of Missouri Day, a day commemorative of Missouri history. The document includes a chart specifying the date of Missouri day from 1990 through 1995, always the third Wednesday of October. Activities are recommended for primary, elementary, middle, and secondary…

  14. 34 CFR 303.9 - Days.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true Days. 303.9 Section 303.9 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES..., Eligibility, and Other General Provisions § 303.9 Days. As used in this part, days means calendar...

  15. 34 CFR 303.9 - Days.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Days. 303.9 Section 303.9 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES..., Eligibility, and Other General Provisions § 303.9 Days. As used in this part, days means calendar...

  16. 47 CFR 73.1700 - Broadcast day.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 4 2014-10-01 2014-10-01 false Broadcast day. 73.1700 Section 73.1700 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Rules Applicable to All Broadcast Stations § 73.1700 Broadcast day. The term broadcast day means...

  17. 48 CFR 1371.117 - Lay days.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Lay days. 1371.117 Section... REGULATIONS ACQUISITIONS INVOLVING SHIP CONSTRUCTION AND SHIP REPAIR Provisions and Clauses 1371.117 Lay days. Insert clause 1352.271-86, Lay Days, in all solicitations and contracts for ship repair....

  18. 47 CFR 73.1700 - Broadcast day.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 4 2013-10-01 2013-10-01 false Broadcast day. 73.1700 Section 73.1700 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) BROADCAST RADIO SERVICES RADIO BROADCAST SERVICES Rules Applicable to All Broadcast Stations § 73.1700 Broadcast day. The term broadcast day means...

  19. 48 CFR 1371.117 - Lay days.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Lay days. 1371.117 Section... REGULATIONS ACQUISITIONS INVOLVING SHIP CONSTRUCTION AND SHIP REPAIR Provisions and Clauses 1371.117 Lay days. Insert clause 1352.271-86, Lay Days, in all solicitations and contracts for ship repair....

  20. 48 CFR 1371.117 - Lay days.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Lay days. 1371.117 Section... REGULATIONS ACQUISITIONS INVOLVING SHIP CONSTRUCTION AND SHIP REPAIR Provisions and Clauses 1371.117 Lay days. Insert clause 1352.271-86, Lay Days, in all solicitations and contracts for ship repair....