Sample records for kauer helgi arst

  1. A Battle Reconsidered: Second Thoughts on Book Censorship and Conservative Parents

    ERIC Educational Resources Information Center

    Kauer, Suzanne M.

    2008-01-01

    Suzanne M. Kauer believes we must honor all voices in the discussion of what books students should read; she refuses to simplify the issue of censorship by dismissing the multifaceted concerns parents have for saying no to certain books. Kauer advocates doing more listening--asking parents questions to better understand their perspectives--and…

  2. Opportunities for Improvement in Pathology Reporting of Childhood Nonrhabdomyosarcoma Soft Tissue Sarcomas:  A Report From Children's Oncology Group (COG) Study ARST0332.

    PubMed

    Black, Jennifer O; Coffin, Cheryl M; Parham, David M; Hawkins, Douglas S; Speights, Rose A; Spunt, Sheri L

    2016-09-01

    Treatment of soft tissue tumors in young patients relies on the diagnostic information conveyed in the pathology report. We examined pathology reports from Children's Oncology Group ARST0332 for inclusion of data elements required in published guidelines. Pathology reports for 551 eligible patients were examined for required data elements defined by the College of American Pathologists, including tissue type, procedure, tumor site, tumor maximum diameter, macroscopic extent of tumor, histologic type, mitotic rate, extent of necrosis, tumor grade, margin status, use of ancillary studies, and pathologic stage. Only 65 (12%) of 551 reports included all required data elements. Of reports containing synoptic templates, 57% were complete. This study reveals significant opportunity to improve the quality of pathology reports in young patients with soft tissue tumors. Use of templates or checklists improves completeness of reports. © American Society for Clinical Pathology, 2016. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  3. Cost minimization analysis of two treatment regimens for low-risk rhabdomyosarcoma in children: a report from the Children's Oncology Group.

    PubMed

    Russell, Heidi; Swint, J Michael; Lal, Lincy; Meza, Jane; Walterhouse, David; Hawkins, Douglas S; Okcu, M Fatih

    2014-06-01

    Recent Children's Oncology Group trials for low-risk rhabdomyosarcoma attempted to reduce therapy while maintaining excellent outcomes. D9602 delivered 45 weeks of outpatient vincristine and dactinomycin (VA) for patients in Subgroup A. ARST0331 reduced the duration of therapy to 22 weeks but added four doses of cyclophosphamide to VA for patients in Subset 1. Failure-free survival was similar. We undertook a cost minimization comparison to help guide future decision-making. Addressing the costs of treatment from the healthcare perspective we modeled a simple decision-analytic model from aggregate clinical trial data. Medical care inputs and probabilities were estimated from trial reports and focused chart review. Costs of radiation, surgery and off-therapy surveillance were excluded. Unit costs were obtained from literature and national reimbursement and inpatient utilization databases and converted to 2012 US dollars. Model uncertainty was assessed with first-order sensitivity analysis. Direct medical costs were $46,393 for D9602 and $43,261 for ARST0331 respectively, making ARST0331 the less costly strategy. Dactinomycin contributed the most to D9602 total costs but varied with age (42-69%). Chemotherapy administration costs accounted for the largest proportion of ARST0331 total costs (39-57%). ARST0331 incurred fewer costs than D9602 under most alternative distributive models and alternative clinical practice assumptions. Cost analysis suggests that ARST0331 may incur fewer costs than D9602 from the healthcare system's perspective. Attention to the services driving the costs provides directions for future efficiency improvements. Future studies should prospectively consider the patient and family's perspective. © 2014 Wiley Periodicals, Inc.

  4. Cost Minimization Analysis of Two Treatment Regimens for Low-Risk Rhabdomyosarcoma in Children: A Report From the Children’s Oncology Group

    PubMed Central

    Russell, Heidi; Swint, J. Michael; Lal, Lincy; Meza, Jane; Walterhouse, David; Hawkins, Douglas S.; Okcu, M. Fatih

    2015-01-01

    Background Recent Children’s Oncology Group trials for low-risk rhabdomyosarcoma attempted to reduce therapy while maintaining excellent outcomes. D9602 delivered 45 weeks of outpatient vincristine and dactinomycin (VA) for patients in Subgroup A. ARST0331 reduced the duration of therapy to 22 weeks but added four doses of cyclophosphamide to VA for patients in Subset 1. Failure-free survival was similar. We undertook a cost minimization comparison to help guide future decision-making. Procedure Addressing the costs of treatment from the healthcare perspective we modeled a simple decision-analytic model from aggregate clinical trial data. Medical care inputs and probabilities were estimated from trial reports and focused chart review. Costs of radiation, surgery and off-therapy surveillance were excluded. Unit costs were obtained from literature and national reimbursement and inpatient utilization databases and converted to 2012 US dollars. Model uncertainty was assessed with first-order sensitivity analysis. Results Direct medical costs were $46,393 for D9602 and $43,261 for ARST0331 respectively, making ARST0331 the less costly strategy. Dactinomycin contributed the most to D9602 total costs but varied with age (42–69%). Chemotherapy administration costs accounted for the largest proportion of ARST0331 total costs (39–57%). ARST0331 incurred fewer costs than D9602 under most alternative distributive models and alternative clinical practice assumptions. Conclusions Cost analysis suggests that ARST0331 may incur fewer costs than D9602 from the healthcare system’s perspective. Attention to the services driving the costs provides directions for future efficiency improvements. Future studies should prospectively consider the patient and family’s perspective. PMID:24453105

  5. Automatic Radiated Susceptibility Test System for Payload Equipment

    NASA Technical Reports Server (NTRS)

    Ngo, Hoai T.; Sturman, John C.; Sargent, Noel B.

    1995-01-01

    An automatic radiated susceptibility test system (ARSTS) was developed for NASA Lewis Research Center's Electro-magnetic Interference laboratory. According to MSFC-SPEC 521B, any electrical or electronic equipment that will be transported by the spacelab and space shuttle must be tested for susceptibility to electromagnetic interference. This state-of-the-art automatic test system performs necessary calculations; analyzes, processes, and records a great quantity of measured data; and monitors the equipment being tested in real-time and with minimal user intervention. ARSTS reduces costly test time, increases test accuracy, and provides reliable test results.

  6. Intrinsic vulnerability assessment of Sette Comuni Plateau aquifer (Veneto Region, Italy).

    PubMed

    Cucchi, Franco; Franceschini, Giuliana; Zini, Luca; Aurighi, Marina

    2008-09-01

    Maps illustrating the different degrees of vulnerability within a given area are integral to environmental protection and management policies. The assessment of the intrinsic vulnerability of karst areas is difficult since the type and stage of karst development and the related underground discharge behavior are difficult to determine and quantify. Geographic Information Systems techniques are applied to the evaluation of the vulnerability of an aquifer in the alpine karst area of the Sette Comuni Plateau, in the Veneto Region of northern Italy. The water resources of the studied aquifer are of particular importance to the local communities. This aquifer must therefore be protected from both inappropriate use as well as possible pollution. The SINTACS and SINTACS P(RO) K(ARST) vulnerability assessment methods have been utilized here to create the vulnerability map. SINTACS P(RO) K(ARST) is an adaptation of the parametric managerial model (SINTACS) to karst hydrostructures. The vulnerability map reveals vast zones (81% of the analyzed areas) with a high degree of vulnerability. The presence of well-developed karst structures in these highly vulnerable areas facilitate water percolation, thereby enhancing the groundwater vulnerability risk. Only 1.5 of the studied aquifer have extremely high-vulnerability levels, however these areas include all of the major springs utilized for human consumption. This vulnerability map of the Sette Comuni Plateau aquifer is an indispensable tool for both the effective management of water resources and as support to environmental planning in the Sette Comuni Plateau area.

  7. Cognitive architectures and autonomy: Commentary and Response

    NASA Astrophysics Data System (ADS)

    2012-11-01

    Editors: Włodzisław Duch / Ah-Hwee Tan / Stan Franklin Autonomy for AGI Cristiano Castelfranchi 31 Are Disembodied Agents Really Autonomous? Antonio Chella 33 The Perception-…-Action Cycle Cognitive Architecture and Autonomy: the View from the Brain Vassilis Cutsuridis 36 Autonomy Requires Creativity and Meta-Learning Włodzisław Duch 39 Meta Learning, Change of Internal Workings, and LIDA Ryan McCall / Stan Franklin 42 An Appeal for Declaring Research Goals Brandon Rohrer 45 The Development of Cognition as the Basis for Autonomy Frank van der Velde 47 Autonomy and Intelligence Pei Wang 49 Autonomy, Isolation, and Collective Intelligence Nikolaos Mavridis 51 Response to Comments Kristinn R. Thórisson / Helgi Páll Helgasson 56

  8. Histology, fusion status, and outcome in metastatic rhabdomyosarcoma: A report from the Children's Oncology Group.

    PubMed

    Rudzinski, Erin R; Anderson, James R; Chi, Yueh-Yun; Gastier-Foster, Julie M; Astbury, Caroline; Barr, Frederic G; Skapek, Stephen X; Hawkins, Douglas S; Weigel, Brenda J; Pappo, Alberto; Meyer, William H; Arnold, Michael A; Teot, Lisa A; Parham, David M

    2017-12-01

    Distinguishing alveolar rhabdomyosarcoma (ARMS) from embryonal rhabdomyosarcoma (ERMS) has historically been of prognostic and therapeutic importance. However, classification has been complicated by shifting histologic criteria required for an ARMS diagnosis. Children's Oncology Group (COG) studies after IRS-IV, which included the height of this diagnostic shift, showed both an increased number of ARMS and an increase in the proportion of fusion-negative ARMS. Following diagnostic standardization and histologic re-review of ARMS cases enrolled during this era, analysis of low-risk (D9602) and intermediate-risk (D9803) rhabdomyosarcoma (RMS) studies showed that fusion status rather than histology best predicts prognosis for patients with RMS. This analysis remains to be completed for patients with high-risk RMS. We re-reviewed cases on high-risk COG studies D9802 and ARST0431 with an enrollment diagnosis of ARMS. We compared the event-free survival (EFS) and overall survival by histology, PAX-FOXO1 fusion, and clinical risk factors (Oberlin score) for patients with metastatic RMS using the log-rank test. Histology re-review resulted in reclassification as ERMS for 12% of D9802 cases and 5% of ARST0431 cases. Fusion-negative RMS had a superior EFS to fusion-positive RMS; however, poorer outcome for metastatic RMS was most related to clinical risk factors including age, primary site, and number of metastatic sites. In contrast to low- or intermediate-risk RMS, in metastatic RMS, clinical risk factors have the most impact on patient outcome. PAX-FOXO1 fusion is more common in patients with a high Oberlin score, but fusion status is not an independent biomarker of prognosis. © 2017 Wiley Periodicals, Inc.

  9. Undifferentiated Sarcomas in Children Harbor Clinically Relevant Oncogenic Fusions and Gene Copy-Number Alterations: A Report from the Children's Oncology Group.

    PubMed

    Laetsch, Theodore W; Roy, Angshumoy; Xu, Lin; Black, Jennifer O; Coffin, Cheryl M; Chi, Yueh-Yun; Tian, Jing; Spunt, Sheri L; Hawkins, Douglas S; Bridge, Julia A; Parsons, D Williams; Skapek, Stephen X

    2018-04-24

    Purpose: A comprehensive analysis of the genomics of undifferentiated sarcomas (UDS) is lacking. We analyzed copy-number alterations and fusion status in patients with UDS prospectively treated on Children's Oncology Group protocol ARST0332. Experimental Design: Copy-number alterations were assessed by OncoScan FFPE Express on 32 UDS. Whole-exome and transcriptome libraries from eight tumors with sufficient archived material were sequenced on HiSeq (2 × 100 bp). Targeted RNA-sequencing using Archer chemistry was performed on two additional cases. Results: Five-year overall survival for patients with UDS was 83% (95% CI, 69%-97%) with risk-adapted therapy (surgery, chemotherapy, and radiotherapy). Both focal and arm-level copy-number alterations were common including gain of 1q (8/32, 25%) and loss of 1p (7/32, 22%), both of which occurred more often in clinically defined high-risk tumors. Tumors with both loss of 1p and gain of 1q carried an especially poor prognosis with a 5-year event-free survival of 20%. GISTIC analysis identified recurrent amplification of FGF1 on 5q31.3 ( q = 0.03) and loss of CDKN2A and CDKN2B on 9p21.3 ( q = 0.07). Known oncogenic fusions were identified in eight of 10 cases analyzed by next-generation sequencing. Conclusions: Pediatric UDS generally has a good outcome with risk-adapted therapy. A high-risk subset of patients whose tumors have copy-number loss of 1p and gain of 1q was identified with only 20% survival. Oncogenic fusions are common in UDS, and next-generation sequencing should be considered for children with UDS to refine the diagnosis and identify potentially targetable drivers. Clin Cancer Res; 1-10. ©2018 AACR. ©2018 American Association for Cancer Research.

  10. The role of N-H complexes in the control of localized center recombination in hydrogenated GaInNAs (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Whiteside, Vincent R.; Fukuda, Miwa; Estes, Nicholas J.; Wang, Bin; Brown, Collin R.; Hossain, Khalid; Golding, Terry D.; Leroux, Mathieu; Al Khalfioui, Mohamed; Tischler, Joseph G.; Ellis, Chase T.; Glaser, Evan R.; Sellers, Ian R.

    2017-04-01

    A significant improvement in the quality of dilute nitrides has recently led to the ability to reveal depletion widths in excess of 1 μm at 1 eV [1]. The real viability of dilute nitrides for PV has been recently demonstrated with the reporting of a record efficiency of 43.5% from a 4J MJSC including GaInNAs(Sb) [2]. Despite the progress made, these materials remain poorly understood and work continues to improve their lifetime and reproducibility. We have investigated the possibility of improving the functionality of GaInNAs using hydrogenation to selectively passivate mid-gap defects, while preserving the substitutional nitrogen. Temperature dependent photoluminescence measurements of the intrinsic region of a GaInNAs p-i-n solar cell show a classic "s-shape" associated with localization prior to hydrogenation. No sign of this "s-shape" is evident after hydrogenation, despite the retention of substitutional nitrogen as evidenced by the band absorption of 1 eV. The absence of an "s-shape" at low-temperature in hydrogenated GaInNAs is rather curious since, even in high quality nitrides this behavior is due to the emission of isoelectronic centers created via N-As substitution [3]. The potential origins of this behavior will be discussed. The promise of this process for GaInNAs solar cells was demonstrated by a three-fold improvement in the performance of a hydrogenated device with respect to an as-grown reference [4]. [1] "Wide-depletion width GaInNAs solar cells by thermal annealing," I. R. Sellers, W-S. Tan, K. Smith, S. Hooper, S. Day and M. Kauer, Applied Physics Letters 99, 151111 (2011) [2] "43.5% efficient lattice matched solar cells," M. Wiemer, V. Sabnis, and H. Yuen, Proc. SPIE 8108, 810804 (2011) [3]"Probing the nature of carrier localization in GaInNAs, epilayers using optical methods," T. Ysai, B. Barman, T. Scarce, G. Lindberg, M. Fukuda, V. R. Whiteside, J. C. Keay, M. B. Johnson, I. R. Sellers, M. Al Khalfioui, M. Leroux, B. A. Weinstein and A

  11. Highlights from two years of geoelectrical monitoring of permafrost at the Magnetköpfl/Kitzsteinhorn

    NASA Astrophysics Data System (ADS)

    Jochum, Birgit; Ottowitz, David; Pfeiler, Stefan; Supper, Robert; Keuschnig, Markus; Hartmeyer, Ingo; Kim, Jung-Ho

    2014-05-01

    , Innovation & Technology (BMVIT) and the Austrian Science Fund (FWF): TRP 175-N21 and internal funds of the Geological Survey of Austria. The recording of the ground temperature is conducted within MOREXPERT administered by alpS - Centre for Climate Change Adaptation and the University of Salzburg. Kim J.-H., Supper R., Tsourlos P. and Yi M.-J. 2013. Four-dimensional inversion of resistivity monitoring data through Lp norm minimizations. Geophysical Journal International, 2013-11-21 Supper R., Ottowitz D., Jochum B., Römer A., Pfeiler S., Kauer S., Keuschnig M. and Ita A. Geoelectrical monitoring of frozen ground and permafrost in alpine areas: field studies and considerations towards an improved measuring technology. Near Surface Geophysics, 2014, 12, 93-115

  12. GHG emissions inventory for on-road transportation in the town of Sassari (Sardinia, Italy)

    NASA Astrophysics Data System (ADS)

    Sanna, Laura; Ferrara, Roberto; Zara, Pierpaolo; Duce, Pierpaolo

    2016-04-01

    The IPCC Fifth Assessment Report (AR5) accounts an increase of the total annual anthropogenic GHG emissions between 2000 and 2010 that directly came from the transport sector. In 2010, 14% of GHG emissions were released by transport and fossil-fuel-related CO2 emissions reached about 32 GtCO2 per year. The report also considers adaptation and mitigation as complementary strategies for reducing the risks of climate change for sustainable development of urban areas. This paper describes the on-road traffic emission estimated in the framework of a Sardinian regional project [1] for the town of Sassari (Sardinia, Italy), one of the Sardinian areas where the fuel consumption for on-road transportation purposes is higher [2]. The GHG emissions have been accounted (a) by a calculation-based methodology founded on a linear relationship between source activity and emission, and (b) by the COPERT IV methodology through the EMITRA (EMIssions from road TRAnsport) software tool [3]. Inventory data for annual fossil fuel consumption associated with on-road transportation (diesel, gasoline, gas) have been collected through the Dogane service, the ATP and ARST public transport services and vehicle fleet data are available from the Public Vehicle Database (PRA), using 2010 as baseline year. During this period, the estimated CO2 emissions accounts for more than 180,000 tCO2. The calculation of emissions due to on-road transport quantitatively estimates CO2 and other GHG emissions and represents a useful baseline to identify possible adaptation and mitigation strategies to face the climate change risks at municipal level. Acknowledgements This research was funded by the Sardinian Regional Project "Development, functional checking and setup of an integrated system for the quantification of CO2 net exchange and for the evaluation of mitigation strategies at urban and territorial scale", (Legge Regionale 7 agosto 2007, No. 7). References [1] Sanna L., Ferrara R., Zara P. & Duce P. (2014

  13. Hydro-thermal processes and thermal offsets of peat soils in the active layer in an alpine permafrost region, NE Qinghai-Tibet plateau

    NASA Astrophysics Data System (ADS)

    Wang, Qingfeng; Jin, Huijun; Zhang, Tingjun; Cao, Bin; Peng, Xiaoqing; Wang, Kang; Xiao, Xiongxin; Guo, Hong; Mu, Cuicui; Li, Lili

    2017-09-01

    Observation data of the hydrothermal processes in the active layer are vital for the verification of permafrost formation and evolution, eco-hydrology, ground-atmosphere interactions, and climate models at various time and spatial scales. Based on measurements of ground temperatures in boreholes, of temperatures and moisture contents of soils in the active layer, and of the mean annual air temperatures at the Qilian, Yeniugou and Tuole meteorological stations in the upper Heihe River Basin (UHRB) and the adjacent areas, a series of observations were made concerning changes in the lower limit of permafrost (LLP) and the related hydrothermal dynamics of soils in the active layer. Because of the thermal diode effect of peat soils, the LLP (at 3600 m) was lower on the northern slope of the Eboling Mountains at the eastern branch of the UHRB than that (at 3650-3700 m) on the alluvial plain at the western branch of the UHRB. The mean temperature of soils at depths of 5 to 77 cm in the active layer on peatlands was higher during periods with subzero temperatures and lower during periods with above-zero temperatures in the vicinity of the LLP on the northern slope of the Eboling Mountains than those at the LLP at the western branch of the UHRB. The thawing and downward freezing rates of soils in the active layer near the LLP on the northern slope of the Eboling Mountains were 0.2 and 1.6 times those found at the LLP at the western branch of the UHRB. From early May to late August, the soil water contents at the depths of 20 to 60 cm in the active layer near the LLP on the northern slope of the Eboling Mountains were significantly lower than those found at the LLP at the western branch of the UHRB. The annual ranges of soil temperatures (ARSTs), mean annual soil temperatures (MASTs) in the active layer on peatlands, and the mean annual ground temperature (MAGT) at a depth of 14 m of the underlying permafrost were all significantly lower near the LLP on the northern slope of