Sample records for key issues surrounding

  1. UNESCO Guidelines on Intercultural Education

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific and Cultural Organization (UNESCO), 2007

    2007-01-01

    This paper aims to synthesize the central issues surrounding Intercultural Education, and presents the fundamental guiding principles for an intercultural approach to education as viewed by UNESCO. It is divided into three parts. Part I outlines the key issues surrounding Intercultural Education, as well as its objectives and basic operating…

  2. From Seurat to Snapshots: What the Visual Arts Could Contribute to Education.

    ERIC Educational Resources Information Center

    Duncum, Paul

    1996-01-01

    Advocates reconceptualizing visual arts as a core subject embodying key elements of experiential learning and critical thinking through an interdisciplinary approach. Illustrates this approach with a discussion of the interconnected issues surrounding family snapshots (social history, aesthetics, technological advancement). Discusses issues of…

  3. Partly Cloudy with a Chance of Rain: Academic Training Programs in Counseling Psychology

    ERIC Educational Resources Information Center

    Neimeyer, Greg J.; Goodyear, Rodney K.

    2005-01-01

    The three reactions in the September 2005 issue of "The Counseling Psychologist" provide a context for extending and deepening our understanding of key issues surrounding counseling psychology training programs. This rejoinder (a) comments on their reflections and suggestions, (b) offers a tabular summary of the suggestions made by the various…

  4. Instructional Design in Job Skills Training for Welfare Recipients and Displaced Workers

    ERIC Educational Resources Information Center

    Richardson, Arline; Storberg-Walker, Julia

    2006-01-01

    Scully-Russ (2005) described the low-wage labor market issue and the tendency in academic literature to view the problem as "fixing" the skills of low wageworkers. However, the article does not address instructional design issues surrounding low-wage employee training interventions. This manuscript attempts to discover the key factors surrounding…

  5. The Value Added National Project. Technical Report: Primary 4. Value-Added Key Stage 1 to Key Stage 2.

    ERIC Educational Resources Information Center

    Tymms, Peter

    This is the fourth in a series of technical reports that have dealt with issues surrounding the possibility of national value-added systems for primary schools in England. The main focus has been on the relative progress made by students between the ends of Key Stage 1 (KS1) and Key Stage 2 (KS2). The analysis has indicated that the strength of…

  6. Women and Careers: Issues and Challenges.

    ERIC Educational Resources Information Center

    Konek, Carol Wolfe, Ed.; Kitch, Sally L., Ed.

    This book presents, in 11 chapters, results of a major survey to discover how women feel about the key issues surrounding their experiences in the workplace. The survey, conducted by the Research Group on Women and Work, was sent to 770 women in Wichita, Kansas; it received 494 responses, augmented by 238 responses to a follow-up survey 5 years…

  7. Student Voice in a Chinese Context: Investigating the Key Elements of Leadership That Enhance Student Voice

    ERIC Educational Resources Information Center

    Cheng, Annie Yan Ni

    2012-01-01

    This study examines the issues surrounding "student voice" in a specific Chinese context, and assesses the key elements of leadership that could enhance student voice in that context. It reports the results of a research conducted in a community-based educational centre in Hong Kong that provides after-school educational and social…

  8. Agricultural Education: Key to Providing Broader Opportunities for Third World Women in Production Agriculture.

    ERIC Educational Resources Information Center

    Lelle, Mark A.; Holt, Barbara A.

    1987-01-01

    The authors focus on providing opportunities for women in Third World countries in agriculture. A review of the body of knowledge in agricultural development and of the issues surrounding current world food crises is included. (CH)

  9. Understanding Price Elasticities to Inform Public Health Research and Intervention Studies: Key Issues

    PubMed Central

    Nghiem, Nhung; Genç, Murat; Blakely, Tony

    2013-01-01

    Pricing policies such as taxes and subsidies are important tools in preventing and controlling a range of threats to public health. This is particularly so in tobacco and alcohol control efforts and efforts to change dietary patterns and physical activity levels as a means of addressing increases in noncommunicable diseases. To understand the potential impact of pricing policies, it is critical to understand the nature of price elasticities for consumer products. For example, price elasticities are key parameters in models of any food tax or subsidy that aims to quantify health impacts and cost-effectiveness. We detail relevant terms and discuss key issues surrounding price elasticities to inform public health research and intervention studies. PMID:24028228

  10. Non-Standard Orthography and Non-Standard Speech.

    ERIC Educational Resources Information Center

    Jaffe, Alexandra

    2000-01-01

    Provides a framework of key issues surrounding the non-standard orthographic representation of non-standard language varieties. The following topics are addressed: the selective nature of orthographic choice; relational an contrastive meaning of orthographic conventions; interplay of sameness and difference in use of orthography to make claims on…

  11. Key issues in the quality assurance of the One Number Census.

    PubMed

    Diamond, Ian; Abbott, Owen; Jackson, Neil

    2003-01-01

    As part of the 2001 Census, the One Number Census project estimated and adjusted the Census database for underenumeration. As a result of the highly innovative One Number Census and the Quality Assurance process it encompassed, it was also ensured that robust results could be obtained for each local authority area. This article examines some of the issues and analyses that were undertaken as part of that assessment of the 2001 Census population counts for England and Wales. The article firstly highlights the key issues surrounding the implementation of the 2001 Census fieldwork. The article then explores the 2001 Census results through a series of demographic analyses to illustrate the sorts of issues investigated during the One Number Census Quality Assurance process itself. These analyses look at the patterns contained within the results, and comparisons with key alternative sources of population counts. Overall, these in-depth analyses and investigations provide further credence to the plausibility of the One Number Census results.

  12. Twenty questions surrounding unpaid medical leave: Navigating the Bermuda Triangle of employment law.

    PubMed

    McMahon, B T; Domer, T M

    1997-01-01

    No federal or state lawmaker could have foreseen the nuances involved in the mutual implementations of the Americans with Disabilities Act, the Family and Medical Leave Act, and state workers compensation statutes. These laws are compared and contrasted on a number of key issues. Readers are provided with a decision matrix to guide them and those they represent in the judicious invocation of the most beneficial statute for each issue.

  13. Stop, Look, and Listen: Children Ahead.

    ERIC Educational Resources Information Center

    Stirling, Nora

    This play, commissioned by Project Head Start, is designed to stimulate discussion and deepen understanding of key issues surrounding the confusion and conflicts that often arise when parents and professionals become entangled in disputes over "who is in charge" of the Head Start program. Guidelines for a discussion session following presentation…

  14. 75 FR 59723 - Proposed Collection; Comment Request; Testing Successful Health Communications Surrounding Aging...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    ... qualitative research with its key audiences--older people, caregivers, and health professionals. Methods will... issues from the National Institute on Aging (NIA). Type of Information Collection Request: New. Need and... about aging and advances in research on aging to the scientific community, health care providers, and...

  15. Program Evaluation in Gifted Education. Essential Readings in Gifted Education Series

    ERIC Educational Resources Information Center

    Callahan, Carolyn M., Ed.; Reis, Sally M., Ed.

    2004-01-01

    The readings in this ready-reference report on specific program evaluations, offer critical guidance in the development and utilization of instruments for assessing gifted and talented programs, and are designed to stimulate the discussion of issues surrounding the evaluation of gifted programs. Key features include: (1) Carolyn M. Callahan's…

  16. Growth Control: Some Questions for Urban Decisionmakers.

    ERIC Educational Resources Information Center

    Levine, Robert A.

    This report is intended to provide urban decisionmakers--mayors, city managers, planning directors, key staff and line officials, city councilmen--and citizen groups with a guide to some of the issues that surround the effort to bring urban growth under control. The report attempts to be neutral in regard to whether urban growth should be…

  17. Saving Sea Turtles

    ERIC Educational Resources Information Center

    Yacovelli, Gina

    2010-01-01

    In this article, the author shares the success of her fun and engaging eco-art project for elementary students. Not only did she want to provide students with an engaging project, she also wanted to raise awareness surrounding several key issues, including changes in natural habitats, the sustainable balance of humans and nature, and our role as…

  18. Coaching Considerations: FAQs Useful in the Development of Literacy Coaching

    ERIC Educational Resources Information Center

    Fisher, Douglas

    2012-01-01

    The National Advisory Board for the Literacy Coaching Clearinghouse have identified a number of considerations that it believed needed further discussion as schools, districts, and states embrace literacy coaching. It negotiated and discussed a number of issues surrounding coaching and agreed on 10 key ideas that should be part of the discussions…

  19. The Number of Hardwood Sawmills Continues to Decrease - Is that Bad?

    Treesearch

    William G. Luppold; William G. Luppold

    2005-01-01

    The following Guest Editorial, "The Number of Hardwood Sawmills Continues to Decrease - Is that Bad?" is presented by William G. Luppold, Ph.D., of the USDA Forest Service Northeastern Research Station - Forestry Sciences Laboratory. In this article, Dr. Luppold examines many of the key issues surrounding the size and loss of sawmills, which has influenced...

  20. IN Like Flint: How the Innovation Incubator at UM-Flint Fosters Social Entrepreneurship in a City Remaking Itself

    ERIC Educational Resources Information Center

    Custer, Nic

    2015-01-01

    This paper focuses on how the University of Michigan-Flint's Innovation Incubator supports emerging for-profit businesses and nonprofit organizations through programming, business plan development, and ongoing mentorship. The Incubator is especially interested in supporting start-ups that address key social issues in the surrounding community,…

  1. Responsible Use of Live Animals and Dissection in the Science Classroom. NSTA Position Statement

    ERIC Educational Resources Information Center

    National Science Teachers Association (NJ1), 2008

    2008-01-01

    National Science Teachers Association (NSTA) has revised a position statement published in June 2005. This revised statement examines the issues surrounding the integration of animals into the K-12 science curriculum and highlights key considerations that should be addressed when deciding to introduce live animals in the classroom and involve…

  2. Not enough time? Individual and environmental implications for workplace physical activity programming among women with and without young children.

    PubMed

    Tavares, Leonor S; Plotnikoff, Ronald C

    2008-03-01

    This study sets out to determine the main issues employed women with and without young children voice as influencing their physical activity behaviors, and to identify the environmental dimensions (e.g., physical, social, cultural, organizational, policy) within and outside of the workplace surrounding physical activity promotion that are most pertinent to employed women in Canada. Thirty employed women participated in focus groups, and four senior personnel were interviewed. Worksite observations were carried out and a Workplace Physical Activity Audit Tool was administered. Results indicate that time constraints and demands of personal and work life are barriers to achieving more activity. The issues surrounding family obligations and pressures for women with young children illustrate the main differences between groups. Key environmental factors are addressed and considered for future workplace physical activity programming goals.

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

    Not Available

    This report contains papers on the following topics: NREN Security Issues: Policies and Technologies; Layer Wars: Protect the Internet with Network Layer Security; Electronic Commission Management; Workflow 2000 - Electronic Document Authorization in Practice; Security Issues of a UNIX PEM Implementation; Implementing Privacy Enhanced Mail on VMS; Distributed Public Key Certificate Management; Protecting the Integrity of Privacy-enhanced Electronic Mail; Practical Authorization in Large Heterogeneous Distributed Systems; Security Issues in the Truffles File System; Issues surrounding the use of Cryptographic Algorithms and Smart Card Applications; Smart Card Augmentation of Kerberos; and An Overview of the Advanced Smart Card Access Control System.more » Selected papers were processed separately for inclusion in the Energy Science and Technology Database.« less

  4. Cultural differences in end-of-life care.

    PubMed

    Vincent, J L

    2001-02-01

    The exact time of death for many intensive care unit patients is increasingly preceded by an end-of-life decision. Such decisions are fraught with ethical, religious, moral, cultural, and legal difficulties. Key questions surrounding this issue include the difference between withholding and withdrawing, when to withhold/withdraw, who should be involved in the decision-making process, what are the relevant legal precedents, etc. Cultural variations in attitude to such issues are perhaps expected between continents, but key differences also exist on a more local basis, for example, among the countries of Europe. Physicians need to be aware of the potential cultural differences in the attitudes not only of their colleagues, but also of their patients and families. Open discussion of these issues and some change in our attitude toward life and death are needed to enable such patients to have a pain-free, dignified death.

  5. Moral and Legal Issues Surrounding Terminal Sedation and Physician Assisted Suicide

    DTIC Science & Technology

    2002-09-23

    1 MORAL AND LEGAL ISSUES SURROUNDING TERMINAL SEDATION AND PHYSICIAN ASSISTED SUICIDE by CONSTANCE ReJENNA BRADLEY B.S., United States Air Force...Title and Subtitle Moral and Legal Issues Surrounding Terminal Sedation and Physician-Assisted Suicide Contract Number Grant Number Program...Constance ReJenna (M.A., Philosophy) Moral and Legal Issues Surrounding Terminal Sedation and Physician Assisted Suicide Thesis directed by Instructor

  6. Footwear Experiences of People With Chronic Musculoskeletal Diseases.

    PubMed

    Hendry, Gordon J; Brenton-Rule, Angela; Barr, Georgina; Rome, Keith

    2015-08-01

    Foot pain and deformities are frequently reported by people with chronic musculoskeletal diseases, but only limited research has been conducted to explore the key issues concerning footwear difficulties in this population. The aim of this study is to explore, identify, and describe the main issues surrounding the footwear experiences of people with chronic musculoskeletal diseases. A qualitative manifest content analysis of open-ended survey responses concerning footwear experiences was conducted from a national footwear survey of people with chronic musculoskeletal diseases in New Zealand. Eighty-five respondents submitted usable responses. Specific statements in the text were identified as units of analysis prior to coding and organizing these units into emerging mutually exclusive categories. Content analysis was independently undertaken by 3 researchers, and the final categories and coding were achieved through consensus. Frequencies of assigned units of analysis were calculated in order to obtain a quantitative description for each category. Four categories encompassing a total of 9 subcategories related to the footwear experiences of respondents emerged from the qualitative data content analysis: difficulty finding appropriate footwear; dissatisfaction with therapeutic footwear provision and foot care access; high costs of footwear, foot care, and self-care; and satisfaction with therapeutic footwear and foot care. Key categories describing the important issues surrounding the footwear experiences of respondents with chronic musculoskeletal diseases were identified, which may provide important targets for improving footwear and foot care services and self-management strategies. © 2015, American College of Rheumatology.

  7. The Earth's radiation belts modelling : main issues and key directions for improvement

    NASA Astrophysics Data System (ADS)

    Maget, Vincent; Boscher, Daniel

    The Earth's radiation belts can be considered as an opened system covering a wide part of the inner magnetosphere which closely interacts with the surrounding cold plasma. Although its population constitutes only the highly energetic tail of the global inner magnetosphere plasma (electrons from a few tens of keV to more than 5 MeV and protons up to 500MeV), their modelling is of prime importance for satellite robustness design. They have been modelled at ONERA for more than 15 years now through the Salammbˆ code, which models the dynamic of the Earth's radiation belts at the drift timescale (order of the hour). It takes into accounts the main processes acting on the trapped particles, which depends on the electromagnetic configuration and on the characteristics of the surrounding cold plasma : the ionosphere as losses terms, the plasmasheet as sources ones and the plasmasphere through interactions (waves-particles interactions, coulomb scattering, electric fields shielding, . . . ). Consequently, a fine knowledge of these environments and their interactions with the radiation belts is of prime importance in their modelling. Issues in the modelling currently exist, but key directions for improvements can also be highlighted. This talk aims at presenting both of them according to recent developments performed at ONERA besides the Salammbˆ code. o

  8. Medical Malpractice and the Sports Medicine Clinician

    PubMed Central

    White, Richard A.

    2008-01-01

    More individuals are participating in athletics today than ever before. Physicians treating athletes confront unique diagnostic and treatment challenges and an increased risk of legal liability. The key areas regarding liability are preparticipation examinations, determination of eligibility, evaluation of significant on-field injuries, and information disclosure. The issues surrounding preparticipation physicals and determination of eligibility are closely linked. Physicians must be prepared to seek guidance from specialists, particularly when there are cardiac, spinal, or neurologic issues. Appropriate on-field evaluation of potential concussions, spinal injuries, and heat stroke are key areas of concern for the physician. Privacy issues have become more complex in the age of federal regulation. Physicians and all athletic staff should be aware of privacy laws and ensure proper consent documentation is obtained from all athletes or their parents. All athletic programs should develop a plan that details roles and procedures to be followed in a medical emergency. Sports caregivers must take affirmative steps that better protect their patients from harm and physicians from legal liability. PMID:18989733

  9. Muscle dysmorphia: methodological issues, implications for research.

    PubMed

    Suffolk, Mark T; Dovey, Terence M; Goodwin, Huw; Meyer, Caroline

    2013-01-01

    Muscle dysmorphia is a male-dominated, body image-related psychological condition. Despite continued investigation, contention surrounds the nosological status of this disorder. The aim of this article was to review the literature on muscle dysmorphia to provide a qualitative account of methodological issues that may inhibit our understanding. Key areas relating to non-standardized participant groups, measuring instruments, and terminology were identified as potentially inhibiting symptom coherence and diagnostic reliability. New measuring instruments validated with clinical samples and carefully described participant groups, standardized terminology, and a greater emphasis on prospective longitudinal research with specific sub groups of the weight training community would be of interest to the field.

  10. An Analysis of Public Health Policy and Legal Issues Relevant to Mobile Food Vending

    PubMed Central

    Stevens, Stephanie A.; Yen, Irene H.; Laraia, Barbara L.

    2010-01-01

    Mobile food vending is a component of the food environment that has received little attention in the public health literature beyond concerns about food sanitation and hygiene issues. However, several features of mobile food vending make it an intriguing venue for food access. We present key components of mobile vending regulation and provide examples from 12 US cities to illustrate the variation that can exist surrounding these regulations. Using these regulatory features as a framework, we highlight existing examples of “healthy vending policies” to describe how mobile food vending can be used to increase access to nutritious food for vulnerable populations. PMID:20864711

  11. Student Travel to Pan-Am Congress of Plants & Biofuels in Merida, Mexico

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

    Kimberly, Kimnach

    The Pan American Congress on Plants and BioEnergy convened in Mérida, Mexico, June 22 to 25, 2008. The program was organized by Steve Long (University of Illinois) and Nick Carpita (Purdue University), along with co-organizers Marcos Buckeridge (University of São Paulo, Brazil) and Federico Sánchez (Universidad Nacional Autónoma de México). More than 200 scientists from over a dozen nations around the world gathered to discuss key issues surrounding the development of biofuel feedstocks and to report on their research in this area. This three day conference had invited speakers surrounding developing renewable and sustainable energy resources which are typically propelledmore » by three important drivers – security, cost and environmental impact.« less

  12. Understanding men's health and illness: a gender-relations approach to policy, research, and practice.

    PubMed

    Schofield, T; Connell, R W; Walker, L; Wood, J F; Butland, D L

    2000-05-01

    Men's health has emerged as an important public concern that may require new kinds of healthcare interventions and increased resources. Considerable uncertainty and confusion surround prevailing understandings of men's health, particularly those generated by media debate and public policy, and health research has often operated on oversimplified assumptions about men and masculinity. A more useful way of understanding men's health is to adopt a gender-relations approach. This means examining health concerns in the context of men's and women's interactions with each other, and their positions in the larger, multidimensional structure of gender relations. Such an approach raises the issue of differences among men, which is a key issue in recent research on masculinity and an important health issue. The gender-relations approach offers new ways of addressing practical issues of healthcare for men in college environments.

  13. Legal issues surrounding consent and capacity: the key to autonomy.

    PubMed

    Griffith, Richard; Tengnah, Cassam

    2011-12-01

    With campaigns from the RCN, Nursing Times and Patients' Association promoting dignity and choice in healthcare district nurses need to be aware of the legal principle that lie at the heart of autonomy, consent. In the first of a series of articles on the principles of patient consent Richard Griffith and Cassam Tengnah outline the elements of a valid consent and how important obtaining consent is to the propriety of a district nurse's practice.

  14. Evidence-Based Ethics for Neurology and Psychiatry Research

    PubMed Central

    Kim, Scott Y. H.

    2004-01-01

    Summary: American bioethics, historically arising out of theology and philosophy, has been dominated by the method of normative analysis. Ethics as policy, however, requires in addition a solid evidence base. This paper discusses the background conditions that make neurotherapeutics research particularly challenging. Three key ethical issues are discussed within an evidence-based ethics framework: the ethical challenges arising from changes in the financial incentive structures for academic researchers and their institutions, the challenges of risk-benefit analysis for neurotherapeutics protocols testing innovative interventions, and the evolving issues surrounding impaired decision-making capacity and surrogate consent for research. For each of these issues, selected empirical data are reviewed, areas for further inquiry are noted, and the need for development of novel methods for bioethics policy research is discussed. PMID:15717040

  15. Rapid qualitative review of ethical issues surrounding healthcare for pregnant women or women of reproductive age in epidemic outbreaks

    PubMed Central

    2018-01-01

    This article describes, categorizes, and discusses the results of a rapid literature review aiming to provide an overview of the ethical issues and corresponding solutions surrounding pregnancies in epidemic outbreaks. The review was commissioned by the World Health Organization to inform responses to the Zika outbreak that began in 2015. Due to the urgency of the response efforts that needed to be informed by the literature search, a rapid qualitative review of the literature published in PubMed was conducted. The search and analysis were based on the operationalization of 3 key concepts: ethics, pregnancy, and epidemic outbreak. Ethical issues and solutions were interpreted within a principlist framework. The data were analyzed using qualitative content analysis. The search identified 259 publications, of which the full text of 23 papers was read. Of those, 20 papers contained a substantive part devoted to the topic of interest and were therefore analyzed further. We clustered the ethical issues and solutions around 4 themes: uncertainty, harms, autonomy/liberty, and effectiveness. Recognition of the identified ethical issues and corresponding solutions can inform and improve response efforts, public health planning, policies, and decision-making, as well as the activities of medical staff and counselors who practice before, during, or after an epidemic outbreak that affects pregnant women or those of reproductive age. The rapid review format proved to be useful despite its limited data basis and expedited review process. PMID:29370682

  16. Rapid qualitative review of ethical issues surrounding healthcare for pregnant women or women of reproductive age in epidemic outbreaks.

    PubMed

    Hummel, Patrik; Saxena, Abha; Klingler, Corinna

    2018-01-01

    This article describes, categorizes, and discusses the results of a rapid literature review aiming to provide an overview of the ethical issues and corresponding solutions surrounding pregnancies in epidemic outbreaks. The review was commissioned by the World Health Organization to inform responses to the Zika outbreak that began in 2015. Due to the urgency of the response efforts that needed to be informed by the literature search, a rapid qualitative review of the literature published in PubMed was conducted. The search and analysis were based on the operationalization of 3 key concepts: ethics, pregnancy, and epidemic outbreak. Ethical issues and solutions were interpreted within a principlist framework. The data were analyzed using qualitative content analysis. The search identified 259 publications, of which the full text of 23 papers was read. Of those, 20 papers contained a substantive part devoted to the topic of interest and were therefore analyzed further. We clustered the ethical issues and solutions around 4 themes: uncertainty, harms, autonomy/liberty, and effectiveness. Recognition of the identified ethical issues and corresponding solutions can inform and improve response efforts, public health planning, policies, and decision-making, as well as the activities of medical staff and counselors who practice before, during, or after an epidemic outbreak that affects pregnant women or those of reproductive age. The rapid review format proved to be useful despite its limited data basis and expedited review process.

  17. Hospital infection prevention and control issues relevant to extensive floods.

    PubMed

    Apisarnthanarak, Anucha; Mundy, Linda M; Khawcharoenporn, Thana; Glen Mayhall, C

    2013-02-01

    The devastating clinical and economic implications of floods exemplify the need for effective global infection prevention and control (IPC) strategies for natural disasters. Reopening of hospitals after excessive flooding requires a balance between meeting the medical needs of the surrounding communities and restoration of a safe hospital environment. Postflood hospital preparedness plans are a key issue for infection control epidemiologists, healthcare providers, patients, and hospital administrators. We provide recent IPC experiences related to reopening of a hospital after extensive black-water floods necessitated hospital closures in Thailand and the United States. These experiences provide a foundation for the future design, execution, and analysis of black-water flood preparedness plans by IPC stakeholders.

  18. Community perspectives on the ethical issues surrounding adolescent HIV vaccine trials in South Africa.

    PubMed

    Jaspan, Heather B; Soka, Nosiphiwo F; Strode, Ann E; Mathews, Catherine; Mark, Daniella; Flisher, Alan J; Wood, Robin; Bekker, Linda-Gail

    2008-10-23

    Adolescents globally are at high risk for HIV acquisition and are the targets of HIV prevention interventions such as HIV vaccines. In order to understand stakeholders' attitudes towards the ethical issues of adolescent involvement in HIV vaccine trials, we conducted focus group discussions with key members of a semi-urban, informal Cape Town community with high HIV prevalence in which HIV vaccine trials are taking place. Themes were identified from focus group transcripts by four researchers, and included necessity of guardian consent, age of independent consent, and confidentiality of in-trial medical results. In general, ethical adolescent HIV vaccine trials will be feasible in this community.

  19. Is it possible to assess the "ethics" of medical school applicants?

    PubMed Central

    Lowe, M.; Kerridge, I.; Bore, M.; Munro, D.; Powis, D.

    2001-01-01

    Questions surrounding the assessment of medical school applicants' morality are difficult but they are nevertheless important for medical schools to consider. It is probably inappropriate to attempt to assess medical school applicants' ethical knowledge, moral reasoning, or beliefs about ethical issues as these all may be developed during the process of education. Attitudes towards ethical issues and ethical sensitivity, however, might be tested in the context of testing for personality attributes. Before any "ethics" testing is introduced as part of screening for admission to medical school it would require validation. We suggest a number of ways in which this might be achieved. Key Words: Ethics • medical school selection • personality PMID:11731605

  20. Exploring experiences of Personal Support Worker education in Ontario, Canada.

    PubMed

    Kelly, Christine

    2017-07-01

    There is growing attention to the training and education of Personal Support Workers, or PSWs, who work in community, home and long-term care settings supporting older people and people with disabilities. In Ontario, Canada, amid a volatile policy landscape, the provincial government launched an effort to standardise PSW education. Using qualitative methods, this study considered the question: What are the central educational issues reflected by students, working PSWs and key informants, and are they addressed by the PSW programme and training standards? Phase one was a public domain analysis completed between January and March 2014 and updated for major developments after that period. Phase two, completed between August 2014 and March 2015, included 15 key informant interviews and focus group discussions and mini-phone interviews with 35 working PSWs and current PSW students. According to the participants, the central educational issues are: casualisation of labour that is not conveyed in educational recruitment efforts, disconnect between theory and working conditions, overemphasis on long-term care as a career path, and variability of PSW education options. While the standards should help to address the final issue, they do not address the other key issues raised, which have to do with the structural organisation of work. There is thus a disconnect between the experiences of students, PSWs and key informants and the policy decisions surrounding this sector. This is particularly significant as education is often touted as a panacea for issues in long-term and community care. In fact, the curriculum of some of the PSW programmes, especially those in public college settings, is robust. Yet, the underlying issues will remain barring a structural overhaul of the organisation of long-term and community care sectors founded on a social revaluing of older people and the gendered work of care. © 2017 John Wiley & Sons Ltd.

  1. 75 FR 82407 - Submission for OMB Review; Comment Request; Testing Successful Health Communications Surrounding...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-30

    ... surrounding aging-related issues from the National Institute on Aging (NIA). Type of Information Collection... information technology. Direct Comments to OMB: Written comments and/or suggestions regarding the item(s...; Comment Request; Testing Successful Health Communications Surrounding Aging-Related Issues From the...

  2. 77 FR 38631 - Request for Comments on Ethical Issues Associated with the Development of Medical Countermeasures...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-28

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Request for Comments on Ethical Issues Associated with the... ethical issues associated with the development of medical countermeasures for children, including ethical considerations surrounding clinical research with children, ethical considerations surrounding pediatric medical...

  3. A Review Study on Cloud Computing Issues

    NASA Astrophysics Data System (ADS)

    Kanaan Kadhim, Qusay; Yusof, Robiah; Sadeq Mahdi, Hamid; Al-shami, Sayed Samer Ali; Rahayu Selamat, Siti

    2018-05-01

    Cloud computing is the most promising current implementation of utility computing in the business world, because it provides some key features over classic utility computing, such as elasticity to allow clients dynamically scale-up and scale-down the resources in execution time. Nevertheless, cloud computing is still in its premature stage and experiences lack of standardization. The security issues are the main challenges to cloud computing adoption. Thus, critical industries such as government organizations (ministries) are reluctant to trust cloud computing due to the fear of losing their sensitive data, as it resides on the cloud with no knowledge of data location and lack of transparency of Cloud Service Providers (CSPs) mechanisms used to secure their data and applications which have created a barrier against adopting this agile computing paradigm. This study aims to review and classify the issues that surround the implementation of cloud computing which a hot area that needs to be addressed by future research.

  4. Qualitative analysis of vendor discussions on the procurement of Computerised Physician Order Entry and Clinical Decision Support systems in hospitals

    PubMed Central

    Cresswell, Kathrin M; Lee, Lisa; Slee, Ann; Coleman, Jamie; Bates, David W; Sheikh, Aziz

    2015-01-01

    Objectives We studied vendor perspectives about potentially transferable lessons for implementing organisations and national strategies surrounding the procurement of Computerised Physician Order Entry (CPOE)/Clinical Decision Support (CDS) systems in English hospitals. Setting Data were collected from digitally audio-recorded discussions from a series of CPOE/CDS vendor round-table discussions held in September 2014 in the UK. Participants Nine participants, representing 6 key vendors operating in the UK, attended. The discussions were transcribed verbatim and thematically analysed. Results Vendors reported a range of challenges surrounding the procurement and contracting processes of CPOE/CDS systems, including hospitals’ inability to adequately assess their own needs and then select a suitable product, rushed procurement and implementation processes that resulted in difficulties in meaningfully engaging with vendors, as well as challenges relating to contracting leading to ambiguities in implementation roles. Consequently, relationships between system vendors and hospitals were often strained, the vendors attributing this to a lack of hospital management's appreciation of the complexities associated with implementation efforts. Future anticipated challenges included issues surrounding the standardisation of data to enable their aggregation across systems for effective secondary uses, and implementation of data exchange with providers outside the hospital. Conclusions Our results indicate that there are significant issues surrounding capacity to procure and optimise CPOE/CDS systems among UK hospitals. There is an urgent need to encourage more synergistic and collaborative working between providers and vendors and for a more centralised support for National Health Service hospitals, which draws on a wider body of experience, including a formalised procurement framework with value-based product specifications. PMID:26503385

  5. Changes in Arctic and Antarctic Sea Ice as a Microcosm of Global Climate Change

    NASA Technical Reports Server (NTRS)

    Parkinson, Claire L.

    2014-01-01

    Polar sea ice is a key element of the climate system and has now been monitored through satellite observations for over three and a half decades. The satellite observations reveal considerable information about polar ice and its changes since the late 1970s, including a prominent downward trend in Arctic sea ice coverage and a much lesser upward trend in Antarctic sea ice coverage, illustrative of the important fact that climate change entails spatial contrasts. The decreasing ice coverage in the Arctic corresponds well with contemporaneous Arctic warming and exhibits particularly large decreases in the summers of 2007 and 2012, influenced by both preconditioning and atmospheric conditions. The increasing ice coverage in the Antarctic is not as readily explained, but spatial differences in the Antarctic trends suggest a possible connection with atmospheric circulation changes that have perhaps been influenced by the Antarctic ozone hole. The changes in the polar ice covers and the issues surrounding those changes have many commonalities with broader climate changes and their surrounding issues, allowing the sea ice changes to be viewed in some important ways as a microcosm of global climate change.

  6. 78 FR 60998 - Proposed Collection: Information Collection Surrounding the Sale and Issue of Marketable Book...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-02

    ... Collection Surrounding the Sale and Issue of Marketable Book-Entry Securities ACTION: Notice and request for... Department of the Treasury is soliciting comments concerning the Sale and Issue of Marketable Book-Entry... Marketable Book-Entry Securities. OMB Number: 1535-0112. Abstract: The information is requested to ensure...

  7. Response to issues on GM agriculture in Africa: Are transgenic crops safe?

    PubMed

    Adenle, Ademola A

    2011-10-08

    The controversies surrounding transgenic crops, often called Genetically Modified Organisms (GMOs), call for a need to raise the level of public awareness of Genetic Modification (GM) technology in Africa. This should be accomplished by educating the public about the potential benefits and risks that may be associated with this new technology. In the last 15 years, GM crop producing countries have benefited from adoption of this new technology in the form of improved crop productivity, food security, and quality of life. The increased income to resource-poor farmers is a key benefit at the individual level especially as most countries using this technology are in the developing world, including three African countries (South Africa, Burkina Faso and Egypt). Despite clear benefits to countries and farmers who grow GMOs, many people are concerned about suspected potential risks associated with GMOs. This sparks debate as to whether GM technology should be adopted or not. Given the concerns regarding the safety of GMO products, thorough scientific investigation of safe application of GMOs is required. The objective of this paper is to respond to the issues of GM agriculture in Africa and some of the issues surrounding the adoption of GM crops between developed and developing countries. In this article, I analyse relevant papers relating to the adoption of GM technology particularly in developing countries including the few African countries that have adopted GM crops. The issues discussed span a wide range including: safety; potential benefits and risks; disputes between the United States of America (USA) and the European Union (EU) over adoption of GM crops with a focus on Africa continent. This article is concluded by summarising the issues raised and how GM technology can be adopted for agricultural development in Africa.

  8. Response to issues on GM agriculture in Africa: Are transgenic crops safe?

    PubMed Central

    2011-01-01

    The controversies surrounding transgenic crops, often called Genetically Modified Organisms (GMOs), call for a need to raise the level of public awareness of Genetic Modification (GM) technology in Africa. This should be accomplished by educating the public about the potential benefits and risks that may be associated with this new technology. In the last 15 years, GM crop producing countries have benefited from adoption of this new technology in the form of improved crop productivity, food security, and quality of life. The increased income to resource-poor farmers is a key benefit at the individual level especially as most countries using this technology are in the developing world, including three African countries (South Africa, Burkina Faso and Egypt). Despite clear benefits to countries and farmers who grow GMOs, many people are concerned about suspected potential risks associated with GMOs. This sparks debate as to whether GM technology should be adopted or not. Given the concerns regarding the safety of GMO products, thorough scientific investigation of safe application of GMOs is required. The objective of this paper is to respond to the issues of GM agriculture in Africa and some of the issues surrounding the adoption of GM crops between developed and developing countries. In this article, I analyse relevant papers relating to the adoption of GM technology particularly in developing countries including the few African countries that have adopted GM crops. The issues discussed span a wide range including: safety; potential benefits and risks; disputes between the United States of America (USA) and the European Union (EU) over adoption of GM crops with a focus on Africa continent. This article is concluded by summarising the issues raised and how GM technology can be adopted for agricultural development in Africa. PMID:21981823

  9. Ecological Knowledge Among Communities, Managers and Scientists: Bridging Divergent Perspectives to Improve Forest Management Outcomes

    NASA Astrophysics Data System (ADS)

    Rist, Lucy; Shackleton, Charlie; Gadamus, Lily; Chapin, F. Stuart; Gowda, C. Made; Setty, Siddappa; Kannan, Ramesh; Shaanker, R. Uma

    2016-04-01

    Multiple actors are typically involved in forest management, namely communities, managers and researchers. In such cases, suboptimal management outcomes may, in addition to other factors, be symptomatic of a divergence in perspectives among these actors driven by fundamental differences in ecological knowledge. We examine the degree of congruence between the understandings of actors surrounding key issues of management concern in three case studies from tropical, subtropical and boreal forests. We identify commonly encountered points of divergence in ecological knowledge relating to key management processes and issues. We use these to formulate seven hypotheses about differences in the bodies of knowledge that frequently underlie communication and learning failures in forest management contexts where multiple actors are involved and outcomes are judged to be suboptimal. Finally, we present a set of propositions to acknowledge and narrow these differences. A more complete recognition of the full triangulation between all actors involved, and of the influence that fundamental differences in ecological knowledge can exert, may help lead to a more fruitful integration between local knowledge and practice, manager knowledge and practice, and contemporary science in forest management.

  10. To pray or not to pray: a question of ethics.

    PubMed

    French, Charlotte; Narayanasamy, Aru

    There is a widespread belief that nurses have a duty to provide spiritual care. However, many feel there is still a need for debate surrounding the ethical use of prayer in both nursing research and practice. By using critical reflections and evidence-based literature, this paper develops a discourse on the ethics of prayer as a spiritual intervention in nursing and health care practice. Several key ethical issues are highlighted. In regards to research, lack of informed consent is a major concern in both research and nursing practice. Key ethical issues in practice include questions around intention and authority, e.g. despite the religious beliefs of the nurse, intentions to proselytize must be avoided to protect patient autonomy and avoid abuse of the nurse's authority. Furthermore, prayer has unknown side effects and implications. This paper concludes that, in practice, nurses must reconcile their personal, spiritual beliefs with their professional duties, and while this may be a delicate balance, it is not yet appropriate to encourage or dissuade a patient from their beliefs until appropriate research evidence is produced.

  11. Digital Traces of Behaviour Within Addiction: Response to Griffiths (2017).

    PubMed

    Ellis, David A; Kaye, Linda K; Wilcockson, Thomas D W; Ryding, Francesca C

    2018-01-01

    Griffiths' (2017) response to the recent commentary piece by Ryding and Kaye (2017) on "Internet Addiction: A conceptual minefield" provided a useful critique and extension of some key issues. We take this opportunity to further build upon on one of these issues to provide some further insight into how the field of "internet addiction" (IA) or technological addictions more generally, may benefit from capitalising on behavioural data. As such, this response extends Griffiths' (2007) points surrounding the efficacy of behavioural data previously used in studies on problematic gambling, to consider its merit for future research on IA or associated topics such as Internet Gaming Disorder (IGD) or "Smartphone addiction". Within this, we highlight the challenges associated with utilising behavioural data but provide some practical solutions which may support researchers and practitioners in this field. These recent developments could, in turn, advance our understanding and potentially validate such concepts by establishing behavioural correlates, conditions and contexts. Indeed, corroborating behavioural metrics alongside self-report measures presents a key opportunity if scholars and practitioners are to move the field forward.

  12. Stress Interactions and Transfer Between the Pawnee M5.8 Earthquake and Surrounding Faults in Oklahoma

    NASA Astrophysics Data System (ADS)

    Ghouse, N.; Hu, J.; Chang, J. C.

    2016-12-01

    The Pawnee M5.8 event is the largest earthquake in Oklahoma since instrumented history. How this earthquake affects known seismogenic areas in the state is a key issue for seismic hazard probability studies. In this study, we quantify stress loading and unloading on seismicity-delineated faults from the Oklahoma Geological Survey relocated-earthquake catalog. Our modeling indicates that areas in Noble, Pawnee, and Payne county are more prone to triggered seismicity, while areas in Alfalfa, Grant, Garfield, Logan, Major, Oklahoma, and Woods county are less prone to seismic triggering.

  13. Regenerative Chemical Biology: Current Challenges and Future Potential

    PubMed Central

    Ao, Ada; Hao, Jijun; Hong, Charles C.

    2011-01-01

    The enthusiasm surrounding the clinical potential of embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs) is tempered by the fact that key issues regarding their safety, efficacy, and long-term benefits have thus far been suboptimal. Small molecules can potentially relieve these problems at major junctions of stem cell biology and regenerative therapy. In this review, we will introduce recent advances in these important areas and the first-generation of small molecules used in the regenerative context. Current chemical biology studies will provide the archetype for future interdisciplinary collaborations, and improve clinical benefits of cell-based therapies. PMID:21513877

  14. Sink or Swim: The Marine Corps Capacity to Conduct a Marine Expeditionary Brigade Amphibious Assault using Expeditionary Maneuver Warfare

    DTIC Science & Technology

    2010-03-01

    Expeditionary Maneuver Warfare? This study addresses the equipment issues surrounding the Marine expeditionary brigade ’s’ ability to conduct an amphibious...addresses the equipment issues surrounding the expeditionary brigade’s ability to conduct an amphibious assault under expeditionary maneuver warfare in...1 Issues and Elements of the Modern-Day MEB Assault .................................................................. 2 The Marine Corps

  15. HESS Opinions "On forecast (in)consistency in a hydro-meteorological chain: curse or blessing?"

    NASA Astrophysics Data System (ADS)

    Pappenberger, F.; Cloke, H. L.; Persson, A.; Demeritt, D.

    2011-07-01

    Flood forecasting increasingly relies on numerical weather prediction forecasts to achieve longer lead times. One of the key difficulties that is emerging in constructing a decision framework for these flood forecasts is what to dowhen consecutive forecasts are so different that they lead to different conclusions regarding the issuing of warnings or triggering other action. In this opinion paper we explore some of the issues surrounding such forecast inconsistency (also known as "Jumpiness", "Turning points", "Continuity" or number of "Swings"). In thsi opinion paper we define forecast inconsistency; discuss the reasons why forecasts might be inconsistent; how we should analyse inconsistency; and what we should do about it; how we should communicate it and whether it is a totally undesirable property. The property of consistency is increasingly emerging as a hot topic in many forecasting environments.

  16. The implementation of psychiatric advance directives: experiences from a Dutch crisis card initiative.

    PubMed

    van der Ham, Alida J; Voskes, Yolande; van Kempen, Nel; Broerse, Jacqueline E W; Widdershoven, Guy A M

    2013-06-01

    The crisis card is a specific form of psychiatric advance directive, documenting mental clients' treatment preferences in advance of a potential psychiatric crisis. In this paper, we aim to provide insight into implementation issues surrounding the crisis card. A Dutch crisis-card project formed the scope of this study. Data were collected through interviews with 15 participants from six stakeholder groups. Identified implementation issues are: (a) The role of the crisis-card counselor, (b) lack of distribution and familiarity, (c) care professionals' routines, and (d) client readiness. The crisis-card counselor appears to play a key role in fostering benefits of the crisis card by supporting clients' perspectives. More structural integration of the crisis card in care processes may enhance its impact, but should be carefully explored. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

  17. Informed consent in the context of pharmacogenomic research: ethical considerations.

    PubMed

    Howard, H C; Joly, Y; Avard, D; Laplante, N; Phillips, M; Tardif, J C

    2011-06-01

    Although the scientific research surrounding pharmacogenomics (PGx) has been relatively plentiful, the ethical research concerning this discipline has developed rather conservatively. Following investigation of the ethical, legal and social issues (ELSI) of PGx research, as well as consulting with key stakeholders, we identified six outstanding ethical issues raised by the informed consent process in PGx research: (1) scope of consent; (2) consent to 'add-on' studies; (3) protection of personal information; (4) commercialization; (5) data sharing; and (6) potential risks stemming from population-based research. In discussing these six areas as well as offering specific considerations, this article offers a solid base from which future practical guidelines for informed consent in PGx research can be constructed. As such, this effort works toward filling the ELSI gap and provides ethical support to the numerous PGx projects undertaken by researchers every year.

  18. The potential of electricity transmission corridors in forested areas as bumblebee habitat.

    PubMed

    Hill, Bruce; Bartomeus, Ignasi

    2016-11-01

    Declines in pollinator abundance and diversity are not only a conservation issue, but also a threat to crop pollination. Maintained infrastructure corridors, such as those containing electricity transmission lines, are potentially important wild pollinator habitat. However, there is a lack of evidence comparing the abundance and diversity of wild pollinators in transmission corridors with other important pollinator habitats. We compared the diversity of a key pollinator group, bumblebees ( Bombus spp.), between transmission corridors and the surrounding semi-natural and managed habitat types at 10 sites across Sweden's Uppland region. Our results show that transmission corridors have no impact on bumblebee diversity in the surrounding area. However, transmission corridors and other maintained habitats such as roadsides have a level of bumblebee abundance and diversity comparable to semi-natural grasslands and host species that are important for conservation and ecosystem service provision. Under the current management regime, transmission corridors already provide valuable bumblebee habitat, but given that host plant density is the main determinant of bumblebee abundance, these areas could potentially be enhanced by establishing and maintaining key host plants. We show that in northern temperate regions the maintenance of transmission corridors has the potential to contribute to bumblebee conservation and the ecosystem services they provide.

  19. The potential of electricity transmission corridors in forested areas as bumblebee habitat

    PubMed Central

    Hill, Bruce

    2016-01-01

    Declines in pollinator abundance and diversity are not only a conservation issue, but also a threat to crop pollination. Maintained infrastructure corridors, such as those containing electricity transmission lines, are potentially important wild pollinator habitat. However, there is a lack of evidence comparing the abundance and diversity of wild pollinators in transmission corridors with other important pollinator habitats. We compared the diversity of a key pollinator group, bumblebees (Bombus spp.), between transmission corridors and the surrounding semi-natural and managed habitat types at 10 sites across Sweden's Uppland region. Our results show that transmission corridors have no impact on bumblebee diversity in the surrounding area. However, transmission corridors and other maintained habitats such as roadsides have a level of bumblebee abundance and diversity comparable to semi-natural grasslands and host species that are important for conservation and ecosystem service provision. Under the current management regime, transmission corridors already provide valuable bumblebee habitat, but given that host plant density is the main determinant of bumblebee abundance, these areas could potentially be enhanced by establishing and maintaining key host plants. We show that in northern temperate regions the maintenance of transmission corridors has the potential to contribute to bumblebee conservation and the ecosystem services they provide. PMID:28018640

  20. Nanophase change for data storage applications.

    PubMed

    Shi, L P; Chong, T C

    2007-01-01

    Phase change materials are widely used for date storage. The most widespread and important applications are rewritable optical disc and Phase Change Random Access Memory (PCRAM), which utilizes the light and electric induced phase change respectively. For decades, miniaturization has been the major driving force to increase the density. Now the working unit area of the current data storage media is in the order of nano-scale. On the nano-scale, extreme dimensional and nano-structural constraints and the large proportion of interfaces will cause the deviation of the phase change behavior from that of bulk. Hence an in-depth understanding of nanophase change and the related issues has become more and more important. Nanophase change can be defined as: phase change at the scale within nano range of 100 nm, which is size-dependent, interface-dominated and surrounding materials related. Nanophase change can be classified into two groups, thin film related and structure related. Film thickness and clapping materials are key factors for thin film type, while structure shape, size and surrounding materials are critical parameters for structure type. In this paper, the recent development of nanophase change is reviewed, including crystallization of small element at nano size, thickness dependence of crystallization, effect of clapping layer on the phase change of phase change thin film and so on. The applications of nanophase change technology on data storage is introduced, including optical recording such as super lattice like optical disc, initialization free disc, near field, super-RENS, dual layer, multi level, probe storage, and PCRAM including, superlattice-like structure, side edge structure, and line type structure. Future key research issues of nanophase change are also discussed.

  1. Experimental research on the structural instability mechanism and the effect of multi-echelon support of deep roadways in a kilometre-deep well

    PubMed Central

    Peng, Rui; Zhao, Guangming; Li, Yingming; Zhu, Jianming

    2018-01-01

    We study the structural instability mechanism and effect of a multi-echelon support in very-deep roadways. We conduct a scale model test for analysing the structural failure mechanism and the effect of multi-echelon support of roadways under high horizontal stress. Mechanical bearing structures are classified according to their secondary stress distribution and the strength degradation of the surrounding rock after roadway excavation. A new method is proposed by partitioning the mechanical bearing structure of the surrounding rock into weak, key and main coupling bearing stratums. In the surrounding rock, the main bearing stratum is the plastic reshaping and flowing area. The weak bearing stratum is the peeling layer or the caving part. And the key bearing stratum is the shearing and yielding area. The structural fracture mechanism of roadways is considered in analysing the bearing structure instability of the surrounding rock, and multi-echelon support that considers the structural characteristics of roadway bearings is proposed. Results of the experimental study indicate that horizontal pressure seriously influences the stability of the surrounding rock, as indicated by extension of the weak bearing area and the transfer of the main and key bearing zones. The falling roof, rib spalling, and floor heave indicate the decline of the bearing capacity of surrounding rock, thereby causing roadway structural instability. Multi-echelon support is proposed according to the mechanical bearing structure of the surrounding rock without support. The redesigned support can reduce the scope of the weak bearing area and limit the transfer of the main and key bearing areas. Consequently, kilometre-deep roadway disasters, such as wedge roof caving, floor heave, and rib spalling, can be avoided to a certain degree, and plastic flow in the surrounding rock is relieved. The adverse effect of horizontal stress on the vault, spandrel and arch foot decreases. The stability of the soft rock surrounding the roadways is maintained. PMID:29447180

  2. When courts intervene: public health, legal and ethical issues surrounding HIV, pregnant women, and newborn infants.

    PubMed

    Tessmer-Tuck, Jennifer A; Poku, Joseph K; Burkle, Christopher M

    2014-11-01

    Ninety-three percent of pediatric AIDS cases are the result of perinatal HIV transmission, a disease that is almost entirely preventable with early intervention, which reduces the risk of perinatal HIV infection from 25% to <2%. The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics both recommend routine HIV testing of all pregnant women and at-risk newborn infants. When pregnant women decline HIV testing and/or treatment, public health, legal, and ethical dilemmas can result. Federal courts consistently uphold a woman's right to refuse medical testing and treatment, even though it may benefit her fetus/newborn infant. Federal courts also reliably respect the rights of parents to make health care decisions for their newborn infants, which may include declining medical testing and treatment. Confusing the issue of HIV testing and treatment, however, is the fact that there is no definitive United States Supreme Court ruling on the issue. State laws and standards vary widely and serve as guiding principles for practicing clinicians, who must be vigilant of ongoing legal challenges and changes in the states in which they practice. We present a case of an HIV-positive pregnant woman who declined treatment and then testing or treatment of her newborn infant. Ultimately, the legal system intervened. Given the rarity of such cases, we use this as a primer for the practicing clinician to highlight the public health, legal, and ethical issues surrounding prenatal and newborn infant HIV testing and treatment in the United States, including summarizing key state-to-state regulatory differences. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. Governing stem cell banks and registries: emerging issues.

    PubMed

    Isasi, Rosario M; Knoppers, Bartha M

    2009-01-01

    The expansion of national and international research efforts in stem cell research is increasingly paired with the trend of establishing stem cell banks and registries. In jurisdictions crossing the spectrum of restrictive to liberal stem cell policies, banks and registries are emerging as an essential resource for transnational access to quality-controlled and ethically sourced stem cell lines. In this study, we report the preliminary findings of a survey of stem cell banks participating in the International Stem Cell Forum's International Stem Cell Banking Initiative (ISCBI). The questionnaire circulated to all ISCBI members addressed both general issues surrounding research policies (e.g., national policies regulating the permissibility of conducting embryonic stem cell research (hESCR)) and, more specifically, issues relating to the governance of stem cell banking projects. The results of the questionnaire were complemented by scholarly research conducted by the authors. This article provides an overview of the current international hESC banking landscape (I). For this purpose, the policy and governance approaches adopted in the surveyed stem cell banks at the national level will be analyzed and areas of convergence and variance will be identified (II). It is beyond the scope of this paper to provide a comprehensive analysis of the wide range of possible governance approaches, policy responses, and their implications. However, we want to provide a starting point for discussion surrounding key questions and challenges as concerns provenance, access, and deposit of hESC lines (III). Finally, while our analysis is focused on research grade hESCs, the lessons to be gleaned from this examination will encourage further thought, analysis, and research into the issues raised in the banking and governance of other sources of stem cell lines (e.g., SCNT, parthenogenesis, iPs) (IV).

  4. Properties of a center/surround retinex. Part 2: Surround design

    NASA Technical Reports Server (NTRS)

    Jobson, Daniel J.; Woodell, Glenn A.

    1995-01-01

    The last version of Edwin Land's retinex model for human vision's lightness and color constancy has been implemented. Previous research has established the mathematical foundations of Land's retinex but has not examined specific design issues and their effects on the properties of the retinex operation. We have sought to define a practical implementation of the retinex without particular concern for its validity as a model for human lightness and color perception. Here we describe issues involved in designing the surround function. We find that there is a trade-off between rendition and dynamic range compression that is governed by the surround space constant. Various functional forms for the retinex surround are evaluated and a Gaussian form is found to perform better than the inverse square suggested by Land. Preliminary testing led to the design of a Gaussian surround with a space constant of 80 pixels as a reasonable compromise between dynamic range compression and rendition.

  5. Christopher Hitchens' Public Dying: Toward a Secular-Humanist Ars Moriendi?

    PubMed

    Brennan, Michael

    2018-06-01

    This article explores the public dying of journalist, writer, provocateur, public intellectual, and renowned atheist, Christopher Hitchens. It does so primarily through an analysis of television interviews given by Hitchens following his diagnosis with esophageal cancer in June 2010. Four key themes are identified as emerging from analysis of the interviews: (a) Hitchens' explicit sense of mission in challenging myths and superstitions surrounding cancer, dying, and death; (b) the personal experience of terminal illness and dying and the particular way (or style of dying) by which it is approached; (c) issues of regret and a life well lived; and (d) questions surrounding religion, the afterlife, and possibility of deathbed conversion. In light of the claim that ours is a culture in search of an ars moriendi, the article examines what we can learn from Hitchens' auto/pathographic interviews (and writings) and the extent to which this rational-humanist, atheistic, and stoical style of dying provides a useable "template" for others nearing the end of life.

  6. Behind Bars: Experiences Conducting Behavioral Addictions Research in a County Jail.

    PubMed

    Hickey, Kari L; Kerber, Cindy; Astroth, Kim Schafer; Kim, MyoungJin; Schlenker, Emily

    2015-10-01

    Individuals who are incarcerated experience disparities in mental health, warranting study by nurse researchers. However, nurse researchers' unfamiliarity with the jail environment may pose a barrier to conducting research with this vulnerable population. The current article presents an account of the planning and implementation needed to study perceived health and gambling behavior in county jail inmates. The challenges and rewards of research that aim to better understand the mental health issues affecting this population are also identified. Developing relationships with jail personnel and understanding the incarcerated population and their surroundings are key to conducting research in this environment. Copyright 2015, SLACK Incorporated.

  7. Print News Coverage of School-Based HPV Vaccine Mandate

    PubMed Central

    Casciotti, Dana; Smith, Katherine C.; Andon, Lindsay; Vernick, Jon; Tsui, Amy; Klassen, Ann C.

    2015-01-01

    BACKGROUND In 2007, legislation was proposed in 24 states and the District of Columbia for school-based HPV vaccine mandates, and mandates were enacted in Texas, Virginia, and the District of Columbia. Media coverage of these events was extensive, and media messages both reflected and contributed to controversy surrounding these legislative activities. Messages communicated through the media are an important influence on adolescent and parent understanding of school-based vaccine mandates. METHODS We conducted structured text analysis of newspaper coverage, including quantitative analysis of 169 articles published in mandate jurisdictions from 2005-2009, and qualitative analysis of 63 articles from 2007. Our structured analysis identified topics, key stakeholders and sources, tone, and the presence of conflict. Qualitative thematic analysis identified key messages and issues. RESULTS Media coverage was often incomplete, providing little context about cervical cancer or screening. Skepticism and autonomy concerns were common. Messages reflected conflict and distrust of government activities, which could negatively impact this and other youth-focused public health initiatives. CONCLUSIONS If school health professionals are aware of the potential issues raised in media coverage of school-based health mandates, they will be more able to convey appropriate health education messages, and promote informed decision-making by parents and students. PMID:25099421

  8. Test-and-treat approach to HIV/AIDS: a primer for mathematical modeling.

    PubMed

    Nah, Kyeongah; Nishiura, Hiroshi; Tsuchiya, Naho; Sun, Xiaodan; Asai, Yusuke; Imamura, Akifumi

    2017-09-05

    The public benefit of test-and-treat has induced a need to justify goodness for the public, and mathematical modeling studies have played a key role in designing and evaluating the test-and-treat strategy for controlling HIV/AIDS. Here we briefly and comprehensively review the essence of contemporary understanding of the test-and-treat policy through mathematical modeling approaches and identify key pitfalls that have been identified to date. While the decrease in HIV incidence is achieved with certain coverages of diagnosis, care and continued treatment, HIV prevalence is not necessarily decreased and sometimes the test-and-treat is accompanied by increased long-term cost of antiretroviral therapy (ART). To confront with the complexity of assessment on this policy, the elimination threshold or the effective reproduction number has been proposed for its use in determining the overall success to anticipate the eventual elimination. Since the publication of original model in 2009, key issues of test-and-treat modeling studies have been identified, including theoretical problems surrounding the sexual partnership network, heterogeneities in the transmission dynamics, and realistic issues of achieving and maintaining high treatment coverage in the most hard-to-reach populations. To explicitly design country-specific control policy, quantitative modeling approaches to each single setting with differing epidemiological context would require multi-disciplinary collaborations among clinicians, public health practitioners, laboratory technologists, epidemiologists and mathematical modelers.

  9. Quantitative modeling of coupled piezo-elastodynamic behavior of piezoelectric actuators bonded to an elastic medium for structural health monitoring: a review.

    PubMed

    Huang, Guoliang; Song, Fei; Wang, Xiaodong

    2010-01-01

    Elastic waves, especially guided waves, generated by a piezoelectric actuator/sensor network, have shown great potential for on-line health monitoring of advanced aerospace, nuclear, and automotive structures in recent decades. Piezoelectric materials can function as both actuators and sensors in these applications due to wide bandwidth, quick response and low costs. One of the most fundamental issues surrounding the effective use of piezoelectric actuators is the quantitative evaluation of the resulting elastic wave propagation by considering the coupled piezo-elastodynamic behavior between the actuator and the host medium. Accurate characterization of the local interfacial stress distribution between the actuator and the host medium is the key issue for the problem. This paper presents a review of the development of analytical, numerical and hybrid approaches for modeling of the coupled piezo-elastodynamic behavior. The resulting elastic wave propagation for structural health monitoring is also summarized.

  10. The relevance of the Goudge inquiry to the practice of child protection/forensic paediatrics.

    PubMed

    Skellern, Catherine; Donald, Terence

    2014-10-01

    In 2008 Ontario, Canada the Goudge Inquiry arose following increasing concerns about practices surrounding forensic pathology and the investigation of paediatric deaths. Some of the considerations and recommendations have relevance to child protection/forensic paediatricians, particularly in relation to their responsibilities in opinion formulation and as expert witnesses. By examining the Inquiry recommendations, this paper applies them in relation to child protection/forensic paediatrics by discussing forensic medicine and its legal context, how interpretation of published reports and data should be used in opinion formulation; issues of 'diagnosis' versus 'opinion'; issues specific to child protection paediatrics; quality control; aspects of report writing and terminological considerations. It concludes with an adaptation of key recommendations directly from those of Goudge, applied to the context of paediatric forensic medicine undertaken in child protection assessments. Copyright © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  11. Putting the value into biosimilar decision making: the judgment value criteria.

    PubMed

    Mendes de Abreu, Mirhelen; Strand, Vibeke; Levy, Roger Abramino; Araujo, Denizar Vianna

    2014-06-01

    Uncertainties remain the key issue surrounding biosimilars, although decisions regarding their use must be made. The challenges for policymakers, doctors, patients and others seeking to navigate in the uncharted waters of biosimilars must be clarified. At the most basic level, scientific understanding of the issue remains limited and when making decisions, policymakers must consider all those affected by health policy decisions, particularly the ultimate recipients of these medicines: the patients. The biosimilar-value chain relies on measurement of comparabilities. The goal is to demonstrate how, from a molecular perspective, closely similar they are or are not and how potential small differences may be relevant to clinical outcomes. To critically understand these points, this conceptual paper will present a knowledge-value chain and discuss each dimension assigning value in the decision making process re-utilization of biosimilars. Copyright © 2014 Elsevier B.V. All rights reserved.

  12. Role of the independent donor advocacy team in ethical decision making.

    PubMed

    Rudow, Dianne LaPointe; Brown, Robert S

    2005-09-01

    Adult living donor liver transplantation has developed as a direct result of the critical shortage of deceased donors. Recent regulations passed by New York State require transplant programs to appoint an Independent Donor Advocacy Team to evaluate, educate, and consent to all potential living liver donors. Ethical issues surround the composition of the team, who appoints them, and the role the team plays in the process. Critics of living liver donation have questioned issues surrounding motivation and the ability of donors to provide true informed consent during a time of family crisis. This article will address issues surrounding the controversies and discuss how using the team can effectively evaluate and educate potential living liver donors and improve practice to ensure safety of living donors.

  13. Pubescent male students' attitudes towards menstruation in Taiwan: implications for reproductive health education and school nursing practice.

    PubMed

    Chang, Yu-Ting; Hayter, Mark; Lin, Mei-Ling

    2012-02-01

    To explore male students' attitudes towards menstruation. Menstruation is a biological event that is often surrounded by secrecy and social stigma that causes anxiety amongst many young girls. A key element of this is the attitudes of young males towards this reproductive health issue. However, the literature around what young males think and feel about menstruation is limited. Qualitative. A sample of 27 male students aged between 10-12 years participated in five focus groups. Data were then subject to a thematic analysis. Five themes emerged from the data analysis that reflected the boys' feelings, experiences and attitudes towards menstruation: 'A silent topic', 'An unimportant issue', 'Errant information about menstruation'. In addition, according to their experience, participants gradually came to see menstruation from the 'menstrual stereotype' viewpoint. In their social life, they made choices that resulted in gradually regulating their behaviour that affected their 'relationships with girls'. Young boys have misguided knowledge about menstruation and this helps to perpetuate the stigma surrounding this element of reproductive health. Boys also express a desire to learn more but are often restricted in this by home and school. School nurses are the best placed professionals to address this issue. Menstrual education with boys should take a greater prominence than it often does in sexual health education in schools. Such inclusion will provide boys with a balanced and accurate knowledge base and therefore help towards reducing the social stigma around menstruation that is often experienced by young girls. © 2011 Blackwell Publishing Ltd.

  14. The role of evidence and the expert in contemporary processes of governance: the case of opioid substitution treatment policy in England.

    PubMed

    Duke, Karen; Thom, Betsy

    2014-09-01

    This paper is based on research examining stakeholder involvement in substitution treatment policy which was undertaken as part of the EU funded FP7 ALICE-RAP (Addictions and Lifestyles in Contemporary Europe - Reframing Addictions Project). In England, the research coincided with a policy shift towards a recovery orientated drug treatment framework and a heated debate surrounding the role of substitute prescribing. The study aimed to explore the various influences on the development of the new 'recovery' policy from the perspectives of the key stakeholders involved. The paper is based on documentary analyses and key informant interviews with a range of stakeholders, including representatives of user organisations, treatment providers, civil servants, and members of expert committees. Drawing on the theoretical insights offered by Backstrand's 'civic science' framework, the changing role of evidence and the position of experts in the processes of drugs policy governance are explored. 'Evidence' was used to problematise the issue of substitution treatment and employed to legitimise, justify and construct arguments around the possible directions of policy and practice. Conflicting beliefs about drug treatment and about motivation for policy change emerge in the argumentation, illustrating tensions in the governance of drug treatment and the power differentials separating different groups of stakeholders. Their role in the production of evidence also illustrates issues of power regarding the definition and development of 'usable knowledge'. There were various attempts at greater representation of different forms of evidence and participation by a wider group of stakeholders in the debates surrounding substitution treatment. However, key national and international experts and the appointment of specialist committees continued to play dominant roles in building consensus and translating scientific evidence into policy discourse. Substitution treatment policy has witnessed a challenge to the dominance of 'scientific evidence' within policy decision making, but in the absence of alternative evidence with an acceptable credibility and legitimacy base, traditional notions of what constitutes evidence based policy persist and there is a continuing lack of recognition of 'civic science'. Copyright © 2014 Elsevier B.V. All rights reserved.

  15. A clinical education and practice placements in the allied health professions: an international perspective.

    PubMed

    Rodger, Sylvia; Webb, Gillian; Devitt, Lorraine; Gilbert, John; Wrightson, Pat; McMeeken, Joan

    2008-01-01

    This report describes the outcomes of extensive discussions surrounding clinical education and practice placement issues undertaken by an international group of allied health educators (in audiology, occupational therapy, physiotherapy, and speech pathology) who have met since 2001 as part of Universitas 21 Health Sciences annual meetings. The report outlines key issues associated with clinical education and practice placements from an international perspective and across these four allied health professions. The allied health practice context is described in terms of the range of allied health educational programs in Universitas 21 and recent changes in health and tertiary education sectors in represented countries. Some issues and benefits related to supervision during allied health students' practice placements are addressed. A new approach is proposed through partnership such that frameworks for the provision of practice placements can be created to facilitate student learning and educate and support clinical educators. A set of guidelines that can enhance partnerships and collaborative practice for the benefit of clinical education within complex and changing health/human service and educational environments is proposed.

  16. Bringing politics back into water planning scenarios in Europe

    NASA Astrophysics Data System (ADS)

    Fernandez, Sara; Bouleau, Gabrielle; Treyer, Sébastien

    2014-10-01

    The shift from government to governance in European water policies conveys a pluralist conception of stakeholder participation in planning. This article argues that the current Driving forces-Pressures-State-Impact-Response (DPSIR) approach to the planning of natural resource use, developed by the Organisation for Economic Cooperation and Development (OECD) and the European Environmental Agency (EEA) is at odds with a pluralistic conception. The DPSIR approach consists in constructing a single socio-environmental model to address a specific problem in water management, while paying no attention to the existence of conflicts surrounding the definition of the issue at hand, the social, political and spatial delimitation of that issue, and the translation of stakes in terms of quantitative variables. Scenarios produced in this process therefore explore a limited range of policies, i.e. those defining the problem in the same way, as illustrated here with the case of the Garonne River in France. This article presents an alternative method, combining knowledge in social science and natural determinisms to build contrasting socio-hydrological scenarios that do not share the same hypotheses regarding their respective key issues.

  17. Socioscientific Issues and Multidisciplinarity in School Science Textbooks

    NASA Astrophysics Data System (ADS)

    Morris, Helen

    2014-05-01

    The inclusion of socioscientific issues (SSIs) in the science curriculum is a well-established trend internationally. Apart from claims about its innate value, one of the rationales for this approach is its potential for helping to counter declining interest and participation. SSIs involve the use of science and are of interest to society, also raising ethical and moral dilemmas. Introducing such problems presents a significant and usually cross-disciplinary challenge to curriculum developers and teachers. The aim of this paper is to examine how this challenge has been met when judged against contemporary views of the issues concerned. It first explores how SSIs have been interpreted in an important and innovative science course for students aged 14-16 in England, entitled Twenty First Century Science. This paper analyses the Twenty First Century Science textbooks, focusing in detail on two SSIs, reproductive genetic technology and climate change. For each of these issues, the key ideas present in the social science literature surrounding the problems are outlined. This review is then used as an analytical framework to examine how the issues are presented in the textbooks. It is argued in this paper that the perspectives the textbooks take on these issues largely do not include perspectives from social science disciplines. It goes on to suggest that the development of future SSI-based curricula needs to take account of these wider, often interdisciplinary, perspectives.

  18. "Happy Meals" in the Starship Enterprise: interpreting a moral geography of health care consumption.

    PubMed

    Kearns, R A; Barnett, J R

    2000-06-01

    This paper extends earlier explorations of the use of metaphor in the marketing of the Starship Children's Hospital in Auckland, New Zealand, by examining controversy surrounding the opening of an in-hospital McDonalds fast-food outlet. The golden arches have become a key element of many children's urban geographies and a potent symbol of the corporate colonisation of the New Zealand landscape. In 1997 a minor moral panic ensued when a proposal was unveiled to open a McDonald's restaurant within the Starship. Data collected from media coverage, advertising and interviews with hospital management are analysed to interpret competing discourses around the issue of fast food within a health care setting. We contend that the introduction of a McDonald's franchise has become the hospital's ultimate placial icon, adding ambivalence to the moral geography of health care consumption. We conclude that arguments concerning the unhealthy nature of McDonald's food obscure deeper discourses surrounding the unpalatable character of the health reforms, and a perceived 'Americanisation' of health care in New Zealand.

  19. Supplying emergency contraception to adolescents: the nurse's role.

    PubMed

    Hopkins, Craig

    2014-12-02

    This article explores issues surrounding the supply of emergency contraception to adolescents to reduce the risk of unintended pregnancy. It explains the female reproductive cycle, and describes the types of emergency contraception that may be supplied following unprotected sexual intercourse or contraception failure. The aftercare that should be offered to adolescents following the supply of emergency contraception is discussed, alongside issues surrounding the safeguarding of children and vulnerable adults.

  20. Private business perceptions of transportation issues and the island explorer bus system at Acadia National Park, Maine

    Treesearch

    Rea Brennan; Marc Edwards; John J. Daigle

    2002-01-01

    National Parks and communities that surround them often must work together to create the best possible experience for the visitors to the area. In the case of Acadia National Park in Maine, the surrounding communities and the park have worked together to face the issue of congestion in the area caused by too many automobiles. The Island Explorer Bus alternative...

  1. A qualitative exploration of the factors influencing the job satisfaction and career development of physiotherapists in private practice.

    PubMed

    Davies, J M; Edgar, S; Debenham, J

    2016-09-01

    The aim of this study was to investigate factors contributing to job satisfaction at different career stages, among private practice physiotherapists in Australia. Qualitative case study design utilising focus groups. Sixteen participants allocated to 3 focus groups: new graduates (n = 6), post graduates (n = 5) and practice owners (n = 5). Focus groups were transcribed verbatim and a thematic analysis was undertaken to determine themes and subthemes from each focus group. The key themes identified within each focus group included the role of peer support and mentoring, professional development, professional relationships, new graduate employment issues and career pathways within private practice. In particular, issues surrounding the new graduate experience in private practice were explored, with all groups noting lack of support and financial pressures were of concern. Findings demonstrated that new graduates are underprepared to work in private practice and modifications to the delivery of peer support, mentoring and professional development is required. Key recommendations include physiotherapy undergraduate program reform to reflect industry requirements in private practice, an increase in private practice clinical placement numbers, as well as streamlining the physiotherapy profession to improve career development pathways. Copyright © 2016 Elsevier Ltd. All rights reserved.

  2. Print news coverage of school-based human papillomavirus vaccine mandates.

    PubMed

    Casciotti, Dana M; Smith, Katherine C; Andon, Lindsay; Vernick, Jon; Tsui, Amy; Klassen, Ann C

    2014-02-01

    In 2007, legislation was proposed in 24 states and the District of Columbia for school-based human papillomavirus (HPV) vaccine mandates, and mandates were enacted in Texas, Virginia, and the District of Columbia. Media coverage of these events was extensive, and media messages both reflected and contributed to controversy surrounding these legislative activities. Messages communicated through the media are an important influence on adolescent and parent understanding of school-based vaccine mandates. We conducted structured text analysis of newspaper coverage, including quantitative analysis of 169 articles published in mandate jurisdictions from 2005 to 2009, and qualitative analysis of 63 articles from 2007. Our structured analysis identified topics, key stakeholders and sources, tone, and the presence of conflict. Qualitative thematic analysis identified key messages and issues. Media coverage was often incomplete, providing little context about cervical cancer or screening. Skepticism and autonomy concerns were common. Messages reflected conflict and distrust of government activities, which could negatively impact this and other youth-focused public health initiatives. If school health professionals are aware of the potential issues raised in media coverage of school-based health mandates, they will be more able to convey appropriate health education messages and promote informed decision-making by parents and students. © 2014, American School Health Association.

  3. Copyright, the Internet, and Other Legal Issues.

    ERIC Educational Resources Information Center

    Gasaway, Laura N.

    1998-01-01

    Copyright and other intellectual property issues have dominated discussions of legal issues surrounding the Internet. There are other issues of considerable importance that also attract attention. Five legal issues affecting the Internet are addressed: copyright, online service-provider liability, database protection, obscenity, and privacy. Cited…

  4. The issues surrounding social network sites and healthcare professionals.

    PubMed

    Azizi, Taraneh

    2013-10-01

    This article discusses issues surrounding online social networking, and the implications of the use of these sites by healthcare professionals. The article provides guidance to healthcare professionals, as the increased use of sites like Facebook and Twitter have the potential to bring risks to healthcare. Use of these websites can be a very grey area, and boundaries need to be clearly set to ensure protection of service users and healthcare staff alike.

  5. Safety culture: analysis of the causal relationships between its key dimensions.

    PubMed

    Fernández-Muñiz, Beatriz; Montes-Peón, José Manuel; Vázquez-Ordás, Camilo José

    2007-01-01

    Several fields are showing increasing interest in safety culture as a means of reducing accidents in the workplace. The literature shows that safety culture is a multidimensional concept. However, considerable confusion surrounds this concept, about which little consensus has been reached. This study proposes a model for a positive safety culture and tests this on a sample of 455 Spanish companies, using the structural equation modeling statistical technique. Results show the important role of managers in the promotion of employees' safe behavior, both directly, through their attitudes and behaviors, and indirectly, by developing a safety management system. This paper identifies the key dimensions of safety culture. In addition, a measurement scale for the safety management system is validated. This will assist organizations in defining areas where they need to progress if they wish to improve their safety. Also, we stress that managers need to be wholly committed to and personally involved in safety activities, thereby conveying the importance the firm attaches to these issues.

  6. Critical Issues in the Lives of Children and Youth Who Are Deafblind

    ERIC Educational Resources Information Center

    Nelson, Catherine; Bruce, Susan M.

    2016-01-01

    The coeditors of an "American Annals of the Deaf" special issue on deafblindness introduce readers to critical issues surrounding children and youth who are deafblind. These issues--early identification, communication, social-emotional needs, family and multicultural issues, universal design and assistive technology, transition planning,…

  7. Looking Back to the Future: Current Issues Facing Nursing Education From the Reflections of a Member of the Silent Generation.

    PubMed

    Keating, Sarah B

    2016-07-01

    As a member of the Silent Generation, the author, through her lived experiences, reflects upon the successes and challenges facing nursing education in the mid-20th to 21st centuries. The author looks "back to the future" and reviews current issues that surround four key nursing education milestones. From the early entry-level baccalaureate programs in the 1950s to the current growth of the Doctor of Nursing Practice as entry into advanced practice, milestones in nursing education are linked to the cultural changes and healthcare system demands that took place at the time and their influence on nursing education and the profession. Looking to the future, the author speaks of the implications from the forecasted changes in the healthcare system that will demand interdisciplinary education and practice and the continued need for nursing research to increase the body of scientific knowledge in practice, education, and technology. Keating. © 2015 Wiley Periodicals, Inc.

  8. 78 FR 34611 - Oil and Gas; Hydraulic Fracturing on Federal and Indian Lands

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-10

    ...On May 11, 2012, the Bureau of Land Management (BLM) published in the Federal Register a proposed rule to regulate hydraulic fracturing on Federal and Indian land. Due to the complexity of the rule and the issues surrounding it, the BLM extended the comment period for 60 days beyond the end of the initial comment period. On May 24, 2013, the BLM published a supplemental notice of proposed rulemaking and request for comment. Key issues in the revised proposed rule include: the use of an expanded set of cement evaluation tools to help ensure that usable water zones have been isolated and protected from contamination and more detailed guidance on how trade secrets claims will be handled. The revised proposed rule would also provide opportunities for the BLM to coordinate standards and processes with individual States and tribes to reduce administrative costs and improve efficiency. This notice extends the public comment period on the revised proposed rule for 60 days beyond the initial comment period.

  9. Quantitative Modeling of Coupled Piezo-Elastodynamic Behavior of Piezoelectric Actuators Bonded to an Elastic Medium for Structural Health Monitoring: A Review

    PubMed Central

    Huang, Guoliang; Song, Fei; Wang, Xiaodong

    2010-01-01

    Elastic waves, especially guided waves, generated by a piezoelectric actuator/sensor network, have shown great potential for on-line health monitoring of advanced aerospace, nuclear, and automotive structures in recent decades. Piezoelectric materials can function as both actuators and sensors in these applications due to wide bandwidth, quick response and low costs. One of the most fundamental issues surrounding the effective use of piezoelectric actuators is the quantitative evaluation of the resulting elastic wave propagation by considering the coupled piezo-elastodynamic behavior between the actuator and the host medium. Accurate characterization of the local interfacial stress distribution between the actuator and the host medium is the key issue for the problem. This paper presents a review of the development of analytical, numerical and hybrid approaches for modeling of the coupled piezo-elastodynamic behavior. The resulting elastic wave propagation for structural health monitoring is also summarized. PMID:22319319

  10. Pelvic pain: a pathway for care developed for both men and women by the British Pain Society.

    PubMed

    Baranowski, A P; Lee, J; Price, C; Hughes, J

    2014-03-01

    This paper aims to explain the key points and highlight some of the controversies in the development of the British Pain Society's pelvic pain patient pathway map. Many clinicians lack experience and confidence with this group of patients, and this issue is highlighted. Additionally, the difficulties of classification and definitions in this area are discussed in detail. These are historical causes of disagreement among specialists which can lead to confused clinical care. This group of patients have multiple issues that cross many professional boundaries; they are best managed by the co-ordinated involvement of multiple teams. Patients suffer from significant distress and disability that often needs specialist assessment and intervention (interdisciplinary). This suggests that an integrated approach is required across the historic boundaries of primary and secondary care. A variety of interventions, including opioids and neuromodulation are recommended in the pathway and the controversies surrounding these inclusions are aired in detail.

  11. Examining the Role of Mental Health and Clinical Issues within Talent Development

    PubMed Central

    Hill, Andy; MacNamara, Áine; Collins, Dave; Rodgers, Sheelagh

    2016-01-01

    Although significant research supports the association between physical activity and mental wellbeing, current literature acknowledges that athletes are no less susceptible to mental illness than the general population. Despite welcomed initiatives aimed at improving mental health within elite sport, these programs often fail to target young athletes; an important concern given that the genesis of many mental illnesses are recognized to occur during this critical period. Given the importance of early intervention and effective treatment, and the potentially devastating consequences of clinical issues going undiagnosed, the implications for talent identification and development (TID) become obvious. With this in mind, this study sought to examine the range of mental health issues that may impact upon developing athletes and potential consequences for the development process, specific risk and protective factors associated with talent development, along with an examination of current practices concerning the identification of mental health issues in such environments. Qualitative interviews were conducted with purposively sampled clinicians (n = 8) experienced in working with adolescents and/or young athletes. Inductive content analysis was undertaken, identifying four main themes: key behavioral indicators; associated risk factors; associated protective factors; and issues around identification and diagnosis. Key behavioral indicators included behavioral change, along with behaviors associated with eating disorders, anxiety and depression. Risk factors centered on family background, the performance environment, and issues surrounding adolescence. Protective factors were primarily social in nature. Finally, a lack of awareness and understanding of clinical issues, multiple causes of symptoms, non-disclosure and the need for triangulation of assessment were identified. The need for improved identification and intervention strategies was apparent, with coaches identified as well placed to detect general “warning signs” such as behavioral change. Short of integrating trained clinicians into talent development environments, as part of a triangulation process, ecologically validated assessment tools—coupled with appropriate training and signposting—could offer a practical way of flagging potential issues in developing athletes. The need for the development of such an instrument is therefore apparent. Finally, education around the influential role of family is also recommended in order to promote the protective elements and mitigate risk factors. PMID:26793153

  12. Examining the Role of Mental Health and Clinical Issues within Talent Development.

    PubMed

    Hill, Andy; MacNamara, Áine; Collins, Dave; Rodgers, Sheelagh

    2015-01-01

    Although significant research supports the association between physical activity and mental wellbeing, current literature acknowledges that athletes are no less susceptible to mental illness than the general population. Despite welcomed initiatives aimed at improving mental health within elite sport, these programs often fail to target young athletes; an important concern given that the genesis of many mental illnesses are recognized to occur during this critical period. Given the importance of early intervention and effective treatment, and the potentially devastating consequences of clinical issues going undiagnosed, the implications for talent identification and development (TID) become obvious. With this in mind, this study sought to examine the range of mental health issues that may impact upon developing athletes and potential consequences for the development process, specific risk and protective factors associated with talent development, along with an examination of current practices concerning the identification of mental health issues in such environments. Qualitative interviews were conducted with purposively sampled clinicians (n = 8) experienced in working with adolescents and/or young athletes. Inductive content analysis was undertaken, identifying four main themes: key behavioral indicators; associated risk factors; associated protective factors; and issues around identification and diagnosis. Key behavioral indicators included behavioral change, along with behaviors associated with eating disorders, anxiety and depression. Risk factors centered on family background, the performance environment, and issues surrounding adolescence. Protective factors were primarily social in nature. Finally, a lack of awareness and understanding of clinical issues, multiple causes of symptoms, non-disclosure and the need for triangulation of assessment were identified. The need for improved identification and intervention strategies was apparent, with coaches identified as well placed to detect general "warning signs" such as behavioral change. Short of integrating trained clinicians into talent development environments, as part of a triangulation process, ecologically validated assessment tools-coupled with appropriate training and signposting-could offer a practical way of flagging potential issues in developing athletes. The need for the development of such an instrument is therefore apparent. Finally, education around the influential role of family is also recommended in order to promote the protective elements and mitigate risk factors.

  13. LIFE Materials: Thermomechanical Effects Volume 5 - Part I

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

    Caro, M; DeMange, P; Marian, J

    2009-05-07

    Improved fuel performance is a key issue in the current Laser Inertial-Confinement Fusion-Fission Energy (LIFE) engine design. LIFE is a fusion-fission engine composed of a {approx}40-tons fuel blanket surrounding a pulsed fusion neutron source. Fusion neutrons get multiplied and moderated in a Beryllium blanket before penetrating the subcritical fission blanket. The fuel in the blanket is composed of millions of fuel pebbles, and can in principle be burned to over 99% FIMA without refueling or reprocessing. This report contains the following chapters: Chapter A: LIFE Requirements for Materials -- LIFE Fuel; Chapter B: Summary of Existing Knowledge; Chapter C: Identificationmore » of Gaps in Knowledge & Vulnerabilities; and Chapter D: Strategy and Future Work.« less

  14. From medical invention to clinical practice: the reimbursement challenge facing new device procedures and technology--part 2: coverage.

    PubMed

    Raab, G Gregory; Parr, David H

    2006-10-01

    This paper, the second of 3 that discuss the reimbursement challenges facing new medical device technology in various issues of this journal, explains the key aspects of coverage that affect the adoption of medical devices. The process Medicare uses to make coverage determinations has become more timely and open over the past several years, but it still lacks the predictability that product innovators prefer. The continued uncertainty surrounding evidence requirements undermines the predictability needed for optimal product planning and innovation. Recent steps taken by the Centers for Medicare and Medicaid Services to provide coverage in return for evidence development should provide patients with access to promising new technologies and procedures while generating important evidence concerning their effectiveness.

  15. The quest for engaging AmI: Patient engagement and experience design tools to promote effective assisted living.

    PubMed

    Triberti, Stefano; Barello, Serena

    2016-10-01

    Recent research highlights that patient engagement, conceived as a patient's behavioral, cognitive and emotional commitment to his own care management, is a key issue while implementing new technologies in the healthcare process. Indeed, eHealth interventions may systematically fail when the patient's subjective experience has not been taken into consideration since the first steps of the technology design. In the present contribution, we argue that such an issue is more and more crucial as regarded to the field of Ambient Intelligence (AmI). Specifically, the exact concept of technologies embedded in the patients' surrounding environment implies a strong impact on their everyday life, which can be perceived as a limitation to autonomy and privacy, and therefore refused or even openly opposed by the final users. The present contribution tackles this issue directly, highlighting: (1) a theoretical framework to include patient engagement in the design of AmI technologies; (2) assessment measures for patient engagement while developing and testing the effectiveness of AmI prototypes for healthcare. Finally (3) this contribution provides an overview of the main issues emerging while implementing AmI technologies and suggests specific design solutions to address them. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. The Problem of Defining Intelligence.

    ERIC Educational Resources Information Center

    Lubar, David

    1981-01-01

    The major philosophical issues surrounding the concept of intelligence are reviewed with respect to the problems surrounding the process of defining and developing artificial intelligence (AI) in computers. Various current definitions and problems with these definitions are presented. (MP)

  17. Assessing political priority for reproductive health in Ethiopia.

    PubMed

    Prata, Ndola; Summer, Anna

    2015-11-01

    Ethiopia is among the top six countries contributing to the highest numbers of maternal deaths globally. The Ethiopian total fertility rate was estimated at 4.8 in 2011, and the use of contraceptives by married women was 29%. Lack of knowledge, cultural stigma surrounding abortion, and barriers to access of services contribute to persistently high rates of unsafe abortion and abortion-related mortality. This study seeks to assess the generation and institutionalization of political priority for reproductive health within the political systems of Ethiopia. Interviews with key policy makers, government ministers, academics, and leaders of prominent non-governmental organizations in Ethiopia between July 2010 and January 2011 were conducted, using Shiffman and Smith's Framework, to analyse the key actors and ideas behind the shift towards prioritization of reproductive health in Ethiopia, as well as the political context and primary characteristics of the issues that propelled progressive action in reproductive health in that country. Some of the key lessons point to the readiness of the Ethiopian government to reform and to improve the socio-economic status of the population. The role of civil society organizations working alongside the government was crucial to creating a window of opportunity in a changing political climate to achieve gains in reproductive health. To our knowledge, this is the first time Shiffman and Smith's Framework has been used for reproductive health policies. We conclude that Ethiopian experience fits well within this framework for understanding prioritization of global health issues and may serve as a model for other sub-Saharan African countries. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. 33 CFR 110.190 - Tortugas Harbor, in vicinity of Garden Key, Dry Tortugas, Fla.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Garden Key, Dry Tortugas, Fla. 110.190 Section 110.190 Navigation and Navigable Waters COAST GUARD..., in vicinity of Garden Key, Dry Tortugas, Fla. (a) The anchorage grounds. All of Bird Key Harbor, southwest of Garden Key, bounded by the surrounding reefs and shoals and, on the northeast, by a line...

  19. 33 CFR 110.190 - Tortugas Harbor, in vicinity of Garden Key, Dry Tortugas, Fla.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Garden Key, Dry Tortugas, Fla. 110.190 Section 110.190 Navigation and Navigable Waters COAST GUARD..., in vicinity of Garden Key, Dry Tortugas, Fla. (a) The anchorage grounds. All of Bird Key Harbor, southwest of Garden Key, bounded by the surrounding reefs and shoals and, on the northeast, by a line...

  20. 33 CFR 110.190 - Tortugas Harbor, in vicinity of Garden Key, Dry Tortugas, Fla.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Garden Key, Dry Tortugas, Fla. 110.190 Section 110.190 Navigation and Navigable Waters COAST GUARD..., in vicinity of Garden Key, Dry Tortugas, Fla. (a) The anchorage grounds. All of Bird Key Harbor, southwest of Garden Key, bounded by the surrounding reefs and shoals and, on the northeast, by a line...

  1. 33 CFR 110.190 - Tortugas Harbor, in vicinity of Garden Key, Dry Tortugas, Fla.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Garden Key, Dry Tortugas, Fla. 110.190 Section 110.190 Navigation and Navigable Waters COAST GUARD..., in vicinity of Garden Key, Dry Tortugas, Fla. (a) The anchorage grounds. All of Bird Key Harbor, southwest of Garden Key, bounded by the surrounding reefs and shoals and, on the northeast, by a line...

  2. 33 CFR 110.190 - Tortugas Harbor, in vicinity of Garden Key, Dry Tortugas, Fla.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Garden Key, Dry Tortugas, Fla. 110.190 Section 110.190 Navigation and Navigable Waters COAST GUARD..., in vicinity of Garden Key, Dry Tortugas, Fla. (a) The anchorage grounds. All of Bird Key Harbor, southwest of Garden Key, bounded by the surrounding reefs and shoals and, on the northeast, by a line...

  3. Perspectives of key stakeholders and experts in infant feeding on the implementation of the Australian National Breastfeeding Strategy 2010-2015.

    PubMed

    Hull, Naomi S; Schubert, Lisa C; Smith, Julie P

    2017-03-01

    Breastfeeding is widely accepted as an important public health issue for babies and their mothers. Yet, despite this, Australia continues to struggle with reaching global targets for breastfeeding indicators. In 2007, the Best Start Parliamentary Inquiry Report was released and set the stage for the Australian National Breastfeeding Strategy [2010-2015), which was announced in November 2009, with the vision to increase Australia's breastfeeding rates of infants at 6 months of age and beyond. The aim of this research project was to explore the perspectives of key stakeholders in the field of infant feeding in Australia on the implementation of the strategy, barriers and enablers to its successful implementation and actions that were still needed. Using qualitative research methods of in-depth, semi-structured interviews and thematic analysis, this study identifies main themes of these perceptions about the strategy implementation and some recommendations for future strategies and further research. The main themes identified were initial opinions of the strategy as a blueprint for action, the strategy as a driver for action, lessons learned and recommendations for the future. For success in improving implementation of national breastfeeding strategies, it is recommended that Australia establish an independent breastfeeding/infant feeding committee, increase the political prioritisation of issues surrounding infant feeding and strengthen the regulation of the marketing of breastmilk substitutes.

  4. Universal financial protection through National Health Insurance: a stakeholder analysis of the proposed one-time premium payment policy in Ghana.

    PubMed

    Abiiro, Gilbert Abotisem; McIntyre, Di

    2013-05-01

    Extending coverage to the informal sector is a key challenge to achieving universal coverage through contributory health insurance schemes. Ghana introduced a mandatory National Health Insurance system in 2004 to provide financial protection for both the formal and informal sectors through a combination of taxes and annual premium payments. As part of its election promise in 2008, the current government (then in opposition) promised to make the payment of premiums 'one-time'. This has been a very controversial policy issue in Ghana. This study sought to contribute to assessing the feasibility of the proposed policy by exploring the understandings of various stakeholders on the policy, their interests or concerns, potential positions, power and influences on it, as well as the general prospects and challenges for its implementation. Data were gathered from a review of relevant documents in the public domain, 28 key informant interviews and six focus group discussions with key stakeholders in Accra and two other districts. The results show that there is a lot of confusion in stakeholders' understanding of the policy issue, and, because of the uncertainties surrounding it, most powerful stakeholders are yet to take clear positions on it. However, stakeholders raised concerns that revolved around issues such as: the meaning of a one-time premium within an insurance scheme context, the affordability of the one-time premium, financing sources and sustainability of the policy, as well as the likely impact of the policy on equity in access to health care. Policy-makers need to clearly explain the meaning of the one-time premium policy and how it will be funded, and critically consider the concerns raised by stakeholders before proceeding with further attempts to implement it. For other countries planning universal coverage reforms, it is important that the terminology of their reforms clearly reflects policy objectives.

  5. Tweeting nano: how public discourses about nanotechnology develop in social media environments

    NASA Astrophysics Data System (ADS)

    Runge, Kristin K.; Yeo, Sara K.; Cacciatore, Michael; Scheufele, Dietram A.; Brossard, Dominique; Xenos, Michael; Anderson, Ashley; Choi, Doo-hun; Kim, Jiyoun; Li, Nan; Liang, Xuan; Stubbings, Maria; Su, Leona Yi-Fan

    2013-01-01

    The growing popularity of social media as a channel for distributing and debating scientific information raises questions about the types of discourse that surround emerging technologies, such as nanotechnology, in online environments, as well as the different forms of information that audiences encounter when they use these online tools of information sharing. This study maps the landscape surrounding social media traffic about nanotechnology. Specifically, we use computational linguistic software to analyze a census of all English-language nanotechnology-related tweets expressing opinions posted on Twitter between September 1, 2010 and August 31, 2011. Results show that 55 % of tweets expressed certainty and 45 % expressed uncertainty. Twenty-seven percent of tweets expressed optimistic outlooks, 32 % expressed neutral outlooks and 41 % expressed pessimistic outlooks. Tweets were mapped by U.S. state, and our data show that tweets are more likely to originate from states with a federally funded National Nanotechnology Initiative center or network. The trend toward certainty in opinion coupled with the distinct geographic origins of much of the social media traffic on Twitter for nanotechnology-related opinion has significant implications for understanding how key online influencers are debating and positioning the issue of nanotechnology for lay and policy audiences.

  6. Review Of Internet Health Information Quality Initiatives

    PubMed Central

    Dzenowagis, Joan

    2001-01-01

    Background The massive growth of health information on the Internet; the global nature of the Internet; the seismic shift taking place in the relationships of various actors in this arena, and the absence of real protection from harm for citizens who use the Internet for health purposes are seen to be real problems. One response to many of these problems has been the burgeoning output of codes of conduct by numerous organizations trying to address quality of health information. Objectives Review the major self-regulatory initiatives in the English-speaking world to develop quality and ethical standards for health information on the Internet. Compare and analyze the approaches taken by the different initiatives. Clarify the issues around the development and enforcement of standards. Methods Quality initiatives selected meet one or more of the following criteria: Self-regulatory. A reasonable constituency. Diversity (eg, of philosophy, approach and process)-to achieve balance and wide representation, and to illustrate and compare different approaches. Historic value. A wider reach than a national audience, except when its reach is a significant sector of the Internet health information industry. The initiatives were compared in 3 ways: (1) Analysis and comparison of: key concepts, mechanism, or approach. Analysis of: the obligations that a provider has to meet to comply with the given initiative, the intended beneficiaries of that initiative, and the burdens imposed on different actors. These burdens are described in terms of their effect on the long-term sustainability and maintenance of the initiative by its developers. Analysis of the enforcement mechanisms. (2) Analysis and comparison by type of sponsoring organization, the reach of the initiative, and the sources of funding of the initiative or the sponsoring organization. (3) How the various initiatives fall under 1 of 3 key mechanisms and comparison of the advantages and disadvantages of these key mechanisms. Results The issues that affect the initiatives and future work on the quality of health information on the Internet are identified and analyzed. These issues are: (a) Three key mechanisms used in the quality initiatives (b) Sustainability issues that affect the initiatives: Burdens placed on health information providers, citizens and others. Currency and maintenance issues of the initiatives. Funding. Cost. Acceptance. Market conditions. User indifference or ambivalence. (c) Enforcement issues surrounding the initiatives (d) Adequacy of approach, scope, reach, and enforcement provisions of the various quality initiatives (e) Gaps that need to be addressed to achieve good quality of health information on the internet Conclusions Ten conclusions are presented. A framework of action to be undertaken by the World Health Organization in the field of quality of health information on the Internet is recommended. PMID:11772543

  7. Ethical Issues in Volunteer Management and Accountability.

    ERIC Educational Resources Information Center

    Netting, F. Ellen

    1987-01-01

    Examines the ethical issues surrounding President Reagan's directive to "Go back to the voluntary sector." Discusses trends which currently affect ethical issues of managing volunteer agencies/programs. Recommends proactive steps to be taken in developing the potential of voluntary organizations, identifying organizations' bases of support,…

  8. Literature review: issues surrounding education of English-as-a-Second Language (ESL) nursing students.

    PubMed

    Choi, Liza Lai Shan

    2005-07-01

    Examined in this article are the challenges faced by English-as-a-Second Language (ESL) nursing students. Nursing faculties need to address these challenges to meet the increasing diversity of the health care system. A key concern is the ability of ESL nursing students to communicate effectively in English. The Cummins model for English language acquisition provides a template for ESL nursing students to bridge this communication barrier. The literature suggests some particular needs of ESL nursing students can be met through modification of nursing programs. Further research into factors affecting the quality of nursing education for ESL students is warranted. A quantitative analysis is required to see if there exists a positive correlation between improved English language acquisition and academic success by ESL nursing students.

  9. Technology transfer for adaptation

    NASA Astrophysics Data System (ADS)

    Biagini, Bonizella; Kuhl, Laura; Gallagher, Kelly Sims; Ortiz, Claudia

    2014-09-01

    Technology alone will not be able to solve adaptation challenges, but it is likely to play an important role. As a result of the role of technology in adaptation and the importance of international collaboration for climate change, technology transfer for adaptation is a critical but understudied issue. Through an analysis of Global Environment Facility-managed adaptation projects, we find there is significantly more technology transfer occurring in adaptation projects than might be expected given the pessimistic rhetoric surrounding technology transfer for adaptation. Most projects focused on demonstration and early deployment/niche formation for existing technologies rather than earlier stages of innovation, which is understandable considering the pilot nature of the projects. Key challenges for the transfer process, including technology selection and appropriateness under climate change, markets and access to technology, and diffusion strategies are discussed in more detail.

  10. The aerodynamic effects of passing trains to surrounding objects and people

    DOT National Transportation Integrated Search

    2009-04-01

    Two safety issues are raised on the aerodynamic effects of a passing train on its surroundings. First, a high-speed train passing other trains on an adjacent track exerts aerodynamic pressure that can affect the structural integrity of window mount a...

  11. Hydrogeology and management of freshwater lenses on atoll islands: Review of current knowledge and research needs

    NASA Astrophysics Data System (ADS)

    Werner, Adrian D.; Sharp, Hannah K.; Galvis, Sandra C.; Post, Vincent E. A.; Sinclair, Peter

    2017-08-01

    On atoll islands, fresh groundwater occurs as a buoyant lens-shaped body surrounded by saltwater derived from the sea, forming the main freshwater source for many island communities. A review of the state of knowledge of atoll island groundwater is overdue given their susceptibility to adverse impacts, and the task to address water access and sanitation issues within the United Nations' Sustainable Development Goals framework before the year 2030. In this article, we review available literature to summarise the key processes, investigation techniques and management approaches of atoll island groundwater systems. Over fifty years of investigation has led to important advancements in the understanding of atoll hydrogeology, but a paucity of hydrogeological data persists on all but a small number of atoll islands. We find that the combined effects of buoyancy forces, complex geology, tides, episodic ocean events, strong climatic variability and human impacts create highly dynamic fresh groundwater lenses. Methods used to quantify freshwater availability range from simple empirical relationships to three-dimensional density-dependent models. Generic atoll island numerical models have proven popular in trying to unravel the individual factors controlling fresh groundwater lens behaviour. Major challenges face the inhabitants and custodians of atoll island aquifers, with rising anthropogenic stresses compounded by the threats of climate variability and change, sea-level rise, and some atolls already extracting freshwater at or above sustainability limits. We find that the study of atoll groundwater systems remains a critical area for further research effort to address persistent knowledge gaps, which lead to high uncertainties in water security issues for both island residents and surrounding environs.

  12. Animal escapology I: theoretical issues and emerging trends in escape trajectories

    PubMed Central

    Domenici, Paolo; Blagburn, Jonathan M.; Bacon, Jonathan P.

    2011-01-01

    Summary Escape responses are used by many animal species as their main defence against predator attacks. Escape success is determined by a number of variables; important are the directionality (the percentage of responses directed away from the threat) and the escape trajectories (ETs) measured relative to the threat. Although logic would suggest that animals should always turn away from a predator, work on various species shows that these away responses occur only approximately 50–90% of the time. A small proportion of towards responses may introduce some unpredictability and may be an adaptive feature of the escape system. Similar issues apply to ETs. Theoretically, an optimal ET can be modelled on the geometry of predator–prey encounters. However, unpredictability (and hence high variability) in trajectories may be necessary for preventing predators from learning a simple escape pattern. This review discusses the emerging trends in escape trajectories, as well as the modulating key factors, such as the surroundings and body design. The main ET patterns identified are: (1) high ET variability within a limited angular sector (mainly 90–180 deg away from the threat; this variability is in some cases based on multiple peaks of ETs), (2) ETs that allow sensory tracking of the threat and (3) ETs towards a shelter. These characteristic features are observed across various taxa and, therefore, their expression may be mainly related to taxon-independent animal design features and to the environmental context in which prey live – for example whether the immediate surroundings of the prey provide potential refuges. PMID:21753039

  13. Encyclopedia of Gun Control and Gun Rights.

    ERIC Educational Resources Information Center

    Utter, Glenn H.

    This reference volume provides information on gun control and gun rights, including resources on the debate surrounding the Second Amendment and individuals and organizations focused on gun issues, along with statutes, court cases, events, and publications surrounding this current topic. Highlighted are the important organizations and their…

  14. Testing and the Public Interest.

    ERIC Educational Resources Information Center

    Educational Testing Service, Princeton, NJ.

    The 1976 Educational Testing Service (ETS) Invitational Conference served as a platform for individuals who have been prominent in educational measurement and research to present their views on issues surrounding the testing controversy. The 1976 ETS "The Testing Scene: Chaos and Controversy," presents a historical review of events surrounding the…

  15. Recruiting terminally ill patients into non-therapeutic oncology studies: views of health professionals.

    PubMed

    Kleiderman, Erika; Avard, Denise; Black, Lee; Diaz, Zuanel; Rousseau, Caroline; Knoppers, Bartha Maria

    2012-12-05

    Non-therapeutic trials in which terminally ill cancer patients are asked to undergo procedures such as biopsies or venipunctures for research purposes, have become increasingly important to learn more about how cancer cells work and to realize the full potential of clinical research. Considering that implementing non-therapeutic studies is not likely to result in direct benefits for the patient, some authors are concerned that involving patients in such research may be exploitive of vulnerable patients and should not occur at all, or should be greatly restricted, while some proponents doubt whether such restrictions are appropriate. Our objective was to explore clinician-researcher attitudes and concerns when recruiting patients who are in advanced stages of cancer into non-therapeutic research. We conducted a qualitative exploratory study by carrying out open-ended interviews with health professionals, including physicians, research nurses, and study coordinators. Interviews were audio-recorded and transcribed. Analysis was carried out using grounded theory. The analysis of the interviews unveiled three prominent themes: 1) ethical considerations; 2) patient-centered issues; 3) health professional issues. Respondents identified ethical issues surrounding autonomy, respect for persons, beneficence, non-maleficence, discrimination, and confidentiality; bringing to light that patients contribute to science because of a sense of altruism and that they want reassurance before consenting. Several patient-centered and health professional issues are having an impact on the recruitment of patients for non-therapeutic research. Facilitators were most commonly associated with patient-centered issues enhancing communication, whereas barriers in non-therapeutic research were most often professionally based, including the doctor-patient relationship, time constraints, and a lack of education and training in research. This paper aims to contribute to debates on the overall challenges of recruiting patients to non-therapeutic research. This exploratory study identified general awareness of key ethical issues, as well as key facilitators and barriers to the recruitment of patients to non-therapeutic studies. Due to the important role played by clinicians and clinician-researchers in the recruitment of patients, it is essential to facilitate a greater understanding of the challenges faced; to promote effective communication; and to encourage educational research training programs.

  16. Myalgic Encephalomyelitis: Symptoms and Biomarkers

    PubMed Central

    Jasona, Leonard A.; Zinn, Marcie L.; Zinn, Mark A.

    2015-01-01

    Myalgic Encephalomyelitis (ME) continues to cause significant morbidity worldwide with an estimated one million cases in the United States. Hurdles to establishing consensus to achieve accurate evaluation of patients with ME continue, fueled by poor agreement about case definitions, slow progress in development of standardized diagnostic approaches, and issues surrounding research priorities. Because there are other medical problems, such as early MS and Parkinson’s Disease, which have some similar clinical presentations, it is critical to accurately diagnose ME to make a differential diagnosis. In this article, we explore and summarize advances in the physiological and neurological approaches to understanding, diagnosing, and treating ME. We identify key areas and approaches to elucidate the core and secondary symptom clusters in ME so as to provide some practical suggestions in evaluation of ME for clinicians and researchers. This review, therefore, represents a synthesis of key discussions in the literature, and has important implications for a better understanding of ME, its biological markers, and diagnostic criteria. There is a clear need for more longitudinal studies in this area with larger data sets, which correct for multiple testing. PMID:26411464

  17. The plantar calcaneal spur: a review of anatomy, histology, etiology and key associations.

    PubMed

    Kirkpatrick, Joshua; Yassaie, Omid; Mirjalili, Seyed Ali

    2017-06-01

    The plantar calcaneal spur (PCS) is a bony outgrowth from the calcaneal tuberosity and has been studied using various methods including cadavers, radiography, histology and surgery. However, there are currently a number of discrepancies in the literature regarding the anatomical relations, histological descriptions and clinical associations of PCS. Historically, authors have described the intrinsic muscles of the foot and/or the plantar fascia as attaching to the PCS. In this article we review the relationship between the PCS and surrounding soft tissues as well as examining the histology of the PCS. We identify a number of key associations with PCS, including age, weight, gender, arthritides, plantar fasciitis and foot position; these factors may function as risk factors in PCS formation. The etiology of these spurs is a contentious issue and it has been explained through a number of theories including the degenerative, inflammatory, traction, repetitive trauma, bone-formers and vertical compression theories. We review these and finish by looking clinically at the evidence that PCS causes heel pain. © 2017 Anatomical Society.

  18. Rheumatoid Arthritis-Associated Interstitial Lung Disease: Current Concepts.

    PubMed

    Brito, Yoel; Glassberg, Marilyn K; Ascherman, Dana P

    2017-11-09

    Among the many extra-articular complications of rheumatoid arthritis (RA), interstitial lung disease (ILD) contributes significantly to morbidity and mortality. Prevalence estimates for RA-ILD vary widely depending on the specific clinical, radiographic, and functional criteria used to establish the diagnosis. A key unresolved issue is whether early, subclinical forms of RA-ILD represent a precursor to end stage, fibrotic lung disease. Based on uncertainties surrounding the natural history of RA-ILD, incomplete understanding of underlying disease pathogenesis, and lack of controlled clinical trials, evidence-based therapeutic strategies remain largely undefined. Correlative clinico-epidemiological studies have identified key risk factors for disease progression. Complementing these findings, the identification of specific molecular and serological markers of RA-ILD has improved our understanding of disease pathogenesis and established the foundation for predictive biomarker profiling. Experience from case series and cohort studies suggests that newer biological agents such as rituximab may be viable treatment options. RA-ILD continues to have a major impact on "disease intrinsic" morbidity and mortality. Increased understanding of disease pathogenesis and the natural history of subclinical RA-ILD will promote the development of more refined therapeutic strategies.

  19. Blackbrush (Coleogyne ramosissima Torr.): State of our knowledge and future challenges

    USGS Publications Warehouse

    Pendleton, Rosemary L.; Pendleton, Burton K.; Meyer, Susan E.; Richardson, Bryce A.; Esque, Todd C.; Kitchen, Stanley G.

    2015-01-01

    Covering 130,000 square miles and a wide range of elevations from desert to alpine in Arizona, Utah, Colorado, and New Mexico, the Colorado Plateau has long fascinated researchers. The Colorado Plateau VI provides readers with a plethora of updates and insights into land conservation and management questions currently surrounding the region. The Colorado Plateau VI’s contributors show how new technologies for monitoring, spatial analysis, restoration, and collaboration improve our understanding, management, and conservation of outcomes at the appropriate landscape scale for the Colorado Plateau. The volume’s chapters fall into five major themes: monitoring as a key tool for addressing management challenges, restoration approaches to improving ecosystem condition and function, collaboration and organizational innovations to achieve conservation and management objectives, landscape-scale approaches to understanding, and managing key species and ecological communities. Focusing on the integration of science into resource management issues over the Colorado Plateau, this volume includes contributions from dozens of leading scholars of the region. The Colorado Plateau VI proves a valuable resource to all interested in the conservation management, natural history, and cultural biological resources of the Colorado Plateau.

  20. A Retrospective Management Perspective on Nearly 20 Years of the Savannah River Site Citizen Advisory Board - 13078

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

    Belencan, Helen L.; Guevara, Karen C.; Spears, Terrel J.

    2013-07-01

    The Department of Energy, Office of Environmental Management (DOE EM) program has invested in site specific advisory boards since 1994. These boards have served as a portal to the communities surrounding the DOE sites, provided a key avenue for public involvement, and have actively engaged in providing input and feedback that has informed clean up and priority decisions made by EM. Although the EM program has made considerable progress in completing its mission, work will continue for decades, including work at the Savannah River Site (SRS). It is reasonable to assume the advisory boards will continue in their role providingmore » input and feedback to EM. The SRS Citizen Advisory Board (CAB) formed in 1994 and has issued 298 recommendations through September 2012. Although the effectiveness of the board is not measured by the number of recommendations issued, the recommendations themselves serve to illustrate the areas in which the CAB is particularly interested, and offer insight to the overall effectiveness of the CAB as a means for public participation in the EM decision making process. (authors)« less

  1. Waiting for harm: deliberate self-harm and suicide in young people--a review of the literature.

    PubMed

    Anderson, M

    1999-04-01

    Mental health professionals, particularly nurses, practicing in child and adolescent psychiatry are key players in the continued development of expertise, awareness and understanding of deliberate self-harm (DSH) and suicide in young people. Enhancing this knowledge and the associated skills will contribute to effective, therapeutic relationships with individuals and their families. The purpose of this paper is to review the current literature surrounding the issue of deliberate self-harm and suicide in young people. The paper will address national and international studies selected from a variety of child and adolescent and general psychiatric literature. The research presented highlights important issues to be addressed in practice. In particular, the evidence supports the influence of mental illness in DSH and suicide, particularly depression and substance abuse. However, a clearly important factor is an individual's experience of family and social life. The literature is considered in the light of relevant governmental policy documents relating to DSH and suicide. The future role of the mental health nurse in child and adolescent psychiatry in the United Kingdom (UK) is discussed in the contexts of family work and assessment.

  2. Pharmacogenetics and pharmacogenomics in drug development and regulatory decision making: report of the first FDA-PWG-PhRMA-DruSafe Workshop.

    PubMed

    Lesko, Lawrence J; Salerno, Ronald A; Spear, Brian B; Anderson, Donald C; Anderson, Timothy; Brazell, Celia; Collins, Jerry; Dorner, Andrew; Essayan, David; Gomez-Mancilla, Baltazar; Hackett, Joseph; Huang, Shiew-Mei; Ide, Susan; Killinger, Joanne; Leighton, John; Mansfield, Elizabeth; Meyer, Robert; Ryan, Stephen G; Schmith, Virginia; Shaw, Peter; Sistare, Frank; Watson, Mark; Worobec, Alexandra

    2003-04-01

    The use of pharmacogenetics and pharmacogenomics in the drug development process, and in the assessment of such data submitted to regulatory agencies by industry, has generated significant enthusiasm as well as important reservations within the scientific and medical communities. This situation has arisen because of the increasing number of exploratory and confirmatory investigations into variations in RNA expression patterns and DNA sequences being conducted in the preclinical and clinical phases of drug development, and the uncertainty surrounding the acceptance of these data by regulatory agencies. This report summarizes the outcome of a workshop cosponsored by the Food and Drug Administration (FDA), the Pharmacogenetics Working Group (PWG), the Pharmaceutical Research and Manufacturers of America (PhRMA), and the PhRMA Preclinical Safety Committee (DruSafe). The specific aim of the workshop was to identify key issues associated with the application of pharmacogenetics and pharmacogenomics, including the feasibility of a regulatory "safe harbor" for exploratory genome-based data, and to provide a forum for industry-regulatory agency dialogue on these important issues.

  3. The Economics of Child Care.

    ERIC Educational Resources Information Center

    Blau, David M., Ed.

    Economic issues are an important part of the debate over child care policy. This volume presents findings from economic analyses of research on child care issues surrounding recent policy decisions and scholarly debates. The book's introduction discusses four main issues; government involvement in child care policies, its effect on quality of…

  4. Political Justice, Schooling and Issues of Group Identity

    ERIC Educational Resources Information Center

    Keddie, Amanda

    2014-01-01

    This article explores issues associated with schooling and political justice. Such issues are understood in light of the contention surrounding how Western schooling contexts might best represent marginalised groups--in ways that accord them a political voice. The significance of group identity politics is explored drawing on international debates…

  5. Environmental Issues are Controversial Issues.

    ERIC Educational Resources Information Center

    Hepburn, Mary Allaire

    The extensive social-scientific interest and continuing relevance of environmental study assure its immediate and long-range importance in the social studies. But the crisis atmosphere surrounding this issue threatens a thoughtful, systematic approach to the subject, and poses the danger of a careless rush to activity. As social studies educators,…

  6. Treatment of the Biracial Child: Theoretical and Clinical Issues.

    ERIC Educational Resources Information Center

    Brandell, Jerrold R.

    1988-01-01

    Discusses theoretical and clinical issues that surround the psychotherapeutic treatment of biracial children. Summarizes Heinz Kohut's theory on the development of the self in the biracial child. A case study is included. (BH)

  7. Former WWII Fighter Pilot Finds New Home Near Family

    MedlinePlus

    ... Navigation Bar Home Current Issue Past Issues Feature: Senior Living Former WWII Fighter Pilot Finds New Home ... in Kalispell, Mont. Advice On a Move to Senior Living: Investigate your new surroundings. Talk to those ...

  8. The Chronically Poor: Breaking the Cycle.

    ERIC Educational Resources Information Center

    Morris-Bilotti, Sharon

    This question-and-answer format paper looks at some of the basic issues surrounding the chronically poor and initiatives and services designed to break the poverty cycle. A first section explores some of the myths and realities surrounding the characteristics of the chronically poor population and notes that this population is comprised of…

  9. Adolescents with Type 1 Diabetes: transition between diabetes services.

    PubMed

    Visentin, Kate; Koch, Tina; Kralik, Debbie

    2006-06-01

    The research aimed to develop a sustainable and coordinated approach to facilitating the transition between diabetes services for adolescents. The objectives were to: (1) involve key diabetes health delivery stakeholders in expressing their concerns and issues about current service delivery and ways to improve same, and (2) reveal from the perspective of the adolescents living with Type 1 Diabetes their experiences surrounding the process of transition. This paper presents research that sought to identify the major concerns and issues that stakeholders had about transition and to reveal the experience of transition for the adolescent with Type 1 Diabetes. Key representatives from seven public diabetes services in Adelaide, South Australia worked collaboratively to answer the objectives of this inquiry. Approach. Interview data were generated and analysed using a response focus framework provided by fourth generation evaluation research. In this study, the focus was on common concerns, claims and issues raised by health care professionals (n = 21) and adolescents (n = 10) aged between 15 and 18 years about transferring from children's to adult diabetes services. Data revealed education and dietetic advice was reactive rather than proactive and that the paediatric model of care is philosophically and practically different to the adult model of diabetes care. Three phases of transition were identified: preparation, formal transition and evaluation. Our findings indicated that these stages of transition were not being fully implemented in health units. The project findings have set the scene to establish a multidisciplinary working party to work collaboratively across agencies to develop effective transition pathways. The role of diabetes nurse educators and dietitians in South Australia is under-used throughout the transition process. Diabetes nurse educators are in an ideal position to prepare, coordinate and evaluate transitional processes.

  10. A Short Assessment of Select Remediation Issues at the Russian Research Center-Kurchatov Institute, Moscow, Russia

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

    Gephart, Roy E.

    At the invitation of the National Academies, Roy Gephart traveled to Russia with an eight-member U.S. team during June, 2008 to participate in a workshop hosted by the National Academies and the Russian Academy of Sciences on radiation contamination and remediation issues in the former Soviet Union. Cleanup problems were assessed by the American participants for six Russian sites: Kurchatov Institute, Lakes 10 and 11 at Mayak, Andreev Bay, Krasnokamensk Mining Enterprise (Siberia), Almaz Mining Enterprise (North Caucasus), and one site for testing peaceful nuclear explosions. Roy lead the Russian Research Center-Kurchatov Institute review session and wrote an assessment ofmore » key cleanup issues. Kurchatov is the leading institute in the Former Soviet Union devoted to military and civilian nuclear programs. Founded in 1943 in the outskirts of Moscow, this 100 hectare site of nearly undeveloped, prime real estate is now surrounded by densely populated urban and business districts. Today there are growing concerns over the public safety and environmental security of the site resulting from increasingly obsolete nuclear facilities and a legacy of inadequate waste management practices that resulted in contaminant releases and challenging remediation problems. In addition, there is growing concern over the presence of nuclear facilities within urban areas creating potential targets for terrorist attacks.« less

  11. Health Informatics for Development: a Three-pronged Strategy of Partnerships, Standards, and Mobile Health. Contribution of the IMIA Working Group on Health Informatics for Development.

    PubMed

    Marcelo, A; Adejumo, A; Luna, D

    2011-01-01

    Describe the issues surrounding health informatics in developing countries and the challenges faced by practitioners in building internal capacity. From these issues, the authors propose cost-effective strategies that can fast track health informatics development in these low to medium income countries (LMICs). The authors conducted a review of literature and consulted key opinion leaders who have experience with health informatics implementations around the world. Despite geographic and cultural differences, many LMICs share similar challenges and opportunities in developing health informatics. Partnerships, standards, and inter-operability are well known components of successful informatics programs. Establishing partnerships can be comprised of formal inter-institutional collaborations on training and research, collaborative open source software development, and effective use of social networking. Lacking legacy systems, LMICs can discuss standards and inter-operability more openly and have greater potential for success. Lastly, since cellphones are pervasive in developing countries, they can be leveraged as access points for delivering and documenting health services in remote under-served areas. Mobile health or mHealth gives LMICs a unique opportunity to leapfrog through most issues that have plagued health informatics in developed countries. By employing this proposed roadmap, LMICs can now develop capacity for health informatics using appropriate and cost-effective technologies.

  12. Design Issues and Inference in Experimental L2 Research

    ERIC Educational Resources Information Center

    Hudson, Thom; Llosa, Lorena

    2015-01-01

    Explicit attention to research design issues is essential in experimental second language (L2) research. Too often, however, such careful attention is not paid. This article examines some of the issues surrounding experimental L2 research and its relationships to causal inferences. It discusses the place of research questions and hypotheses,…

  13. Spontaneous vortex nanodomain arrays at ferroelectric heterointerfaces.

    PubMed

    Nelson, Christopher T; Winchester, Benjamin; Zhang, Yi; Kim, Sung-Joo; Melville, Alexander; Adamo, Carolina; Folkman, Chad M; Baek, Seung-Hyub; Eom, Chang-Beom; Schlom, Darrell G; Chen, Long-Qing; Pan, Xiaoqing

    2011-02-09

    The polarization of the ferroelectric BiFeO(3) sub-jected to different electrical boundary conditions by heterointerfaces is imaged with atomic resolution using a spherical aberration-corrected transmission electron microscope. Unusual triangular-shaped nanodomains are seen, and their role in providing polarization closure is understood through phase-field simulations. Heterointerfaces are key to the performance of ferroelectric devices, and this first observation of spontaneous vortex nanodomain arrays at ferroelectric heterointerfaces reveals properties unlike the surrounding film including mixed Ising-Néel domain walls, which will affect switching behavior, and a drastic increase of in-plane polarization. The importance of magnetization closure has long been appreciated in multidomain ferromagnetic systems; imaging this analogous effect with atomic resolution at ferroelectric heterointerfaces provides the ability to see device-relevant interface issues. Extension of this technique to visualize domain dynamics is envisioned.

  14. Diabetes and Ramadan: Practical guidelines.

    PubMed

    Hassanein, Mohamed; Al-Arouj, Monira; Hamdy, Osama; Bebakar, Wan Mohamad Wan; Jabbar, Abdul; Al-Madani, Abdulrazzaq; Hanif, Wasim; Lessan, Nader; Basit, Abdul; Tayeb, Khaled; Omar, Mak; Abdallah, Khalifa; Al Twaim, Abdulaziz; Buyukbese, Mehmet Akif; El-Sayed, Adel A; Ben-Nakhi, Abdullah

    2017-04-01

    Ramadan fasting is one of the five pillars of Islam and is compulsory for all healthy Muslims from puberty onwards. Exemptions exist for people with serious medical conditions, including many with diabetes, but a large number will participate, often against medical advice. Ensuring the optimal care of these patients during Ramadan is crucial. The International Diabetes Federation (IDF) and Diabetes and Ramadan (DAR) International Alliance have come together to deliver comprehensive guidelines on this subject. The key areas covered include epidemiology, the physiology of fasting, risk stratification, nutrition advice and medication adjustment. The IDF-DAR Practical Guidelines should enhance knowledge surrounding the issue of diabetes and Ramadan fasting, thereby empowering healthcare professionals to give the most up-to-date advice and the best possible support to their patients during Ramadan. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  15. Salbutamol in paediatrics: pharmacology, prescribing and controversies.

    PubMed

    Andrzejowski, Paul; Carroll, Will

    2016-08-01

    Salbutamol has become a key drug in respiratory medicine since it was first developed by Sir David Jack et al in 1968, 5000 years after the β agonist ephedrine was first used in its raw form, as the Ma Huang herb in Chinese medicine to treat asthma. It is one of the most commonly encountered medicines in paediatric practice and the authors have found that an understanding of its pharmacology in clinical practice is incredibly helpful. In this article, we discuss its pharmacology and pharmacodynamics, practical prescribing points and some unresolved issues surrounding its use, which should serve to provide an essential working knowledge for the busy paediatrician. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  16. A Review on VSC-HVDC Reliability Modeling and Evaluation Techniques

    NASA Astrophysics Data System (ADS)

    Shen, L.; Tang, Q.; Li, T.; Wang, Y.; Song, F.

    2017-05-01

    With the fast development of power electronics, voltage-source converter (VSC) HVDC technology presents cost-effective ways for bulk power transmission. An increasing number of VSC-HVDC projects has been installed worldwide. Their reliability affects the profitability of the system and therefore has a major impact on the potential investors. In this paper, an overview of the recent advances in the area of reliability evaluation for VSC-HVDC systems is provided. Taken into account the latest multi-level converter topology, the VSC-HVDC system is categorized into several sub-systems and the reliability data for the key components is discussed based on sources with academic and industrial backgrounds. The development of reliability evaluation methodologies is reviewed and the issues surrounding the different computation approaches are briefly analysed. A general VSC-HVDC reliability evaluation procedure is illustrated in this paper.

  17. Finance issue brief: genetic testing.

    PubMed

    Herstek, J

    1999-06-25

    States have enacted genetic testing laws to address the contentious privacy, consent, research, discrimination, insurance and employment issues surrounding genetic information. These genetic testing laws attempt to strike a balance between the concerns of the consumer, research, insurance and business communities.

  18. A Status Report: A Look ahead at Various Issues from the Standpoint of College and University Attorneys.

    ERIC Educational Resources Information Center

    Bernard, Pamela; Alger, Jonathan R.; Shur, George; Olswang, Steven; Langhauser, Derek P.; Rothstein, Laura; Irwin, Kathleen S.; Blumer, Dennis H.

    2003-01-01

    A series of reports assess the current and potential legal issues surrounding college athletics, affirmative action, student affairs, tenure, freedom and regulation of speech, disabilities, academic research, and trustees. (EV)

  19. From neural-based object recognition toward microelectronic eyes

    NASA Technical Reports Server (NTRS)

    Sheu, Bing J.; Bang, Sa Hyun

    1994-01-01

    Engineering neural network systems are best known for their abilities to adapt to the changing characteristics of the surrounding environment by adjusting system parameter values during the learning process. Rapid advances in analog current-mode design techniques have made possible the implementation of major neural network functions in custom VLSI chips. An electrically programmable analog synapse cell with large dynamic range can be realized in a compact silicon area. New designs of the synapse cells, neurons, and analog processor are presented. A synapse cell based on Gilbert multiplier structure can perform the linear multiplication for back-propagation networks. A double differential-pair synapse cell can perform the Gaussian function for radial-basis network. The synapse cells can be biased in the strong inversion region for high-speed operation or biased in the subthreshold region for low-power operation. The voltage gain of the sigmoid-function neurons is externally adjustable which greatly facilitates the search of optimal solutions in certain networks. Various building blocks can be intelligently connected to form useful industrial applications. Efficient data communication is a key system-level design issue for large-scale networks. We also present analog neural processors based on perceptron architecture and Hopfield network for communication applications. Biologically inspired neural networks have played an important role towards the creation of powerful intelligent machines. Accuracy, limitations, and prospects of analog current-mode design of the biologically inspired vision processing chips and cellular neural network chips are key design issues.

  20. The essence of 'community' within community nursing: a district nursing perspective.

    PubMed

    McGarry, Julie

    2003-09-01

    Over the past decade or so, there has been a marked shift in the location and nature of nursing care from the hospital setting to primary and community care. The past decade has also witnessed the development of a number of policy initiatives which indicate that the drive towards the community as a key location of nursing care is set to continue. Although notions of community have been explored extensively within the literature from a number of perspectives, there is an absence of a clear definition, and more particularly for the purposes of the present study, one from a nursing perspective. This lack of conceptual clarity is further compounded when notions of community and the place of nursing within the community are considered contemporaneously. The present pilot study, which was based on semi-structured interviews with district nurses, seeks to address this deficit and explore how district nurses define the nature of their role, both in terms of providing nursing care within the community and also in terms of defining community within the context of their work. The study illuminates the principal position of the home in defining the essence of community within community nursing and notions surrounding the nature of relationships which exist within this setting. This is highlighted through the identification of emerging themes: the maintenance of personal-professional boundaries, notions of holistic care and professional definitions of community. These observations raise important questions regarding the extent to which the location of care and the taken-for-granted assumptions surrounding community-based nursing care have been translated into practice to date. This also raises key issues regarding the tensions which exist for nurses trying to balance notions of community and community-based care within the parameters of organisational and professional boundaries.

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

    Ghosh, A.; Hsiung, S.M.; Chowdhury, A.H.

    Long-term stability of emplacement drifts and potential near-field fluid flow resulting from coupled effects are among the concerns for safe disposal of high-level nuclear waste (HLW). A number of factors can induce drift instability or change the near-field flow patterns. Repetitive seismic loads from earthquakes and thermal loads generated by the decay of emplaced waste are two significant factors. One of two key technical uncertainties (KTU) that can potentially pose a high risk of noncompliance with the performance objectives of 10 CFR Part 60 is the prediction of thermal-mechanical (including repetitive seismic load) effects on stability of emplacement drifts andmore » the engineered barrier system. The second KTU of concern is the prediction of thermal-mechanical-hydrological (including repetitive seismic load) effects on the host rock surrounding the engineered barrier system. The Rock Mechanics research project being conducted at the Center for Nuclear Waste Regulatory Analyses (CNWRA) is intended to address certain specific technical issues associated with these two KTUs. This research project has two major components: (i) seismic response of rock joints and a jointed rock mass and (ii) coupled thermal-mechanical-hydrological (TMH) response of a jointed rock mass surrounding the engineered barrier system (EBS). This final report summarizes the research activities concerned with the repetitive seismic load aspect of both these KTUs.« less

  2. An introduction to dento-legal issues and risks in orthodontics.

    PubMed

    Ireland, A J; Willmot, D; Hunt, N P

    2015-02-16

    Orthodontic treatment is not without risk. This article aims to look at some of the dento-legal issues surrounding orthodontic treatment, the risks to both the clinician and the patient, and how some of these risks can be mitigated.

  3. The Older Employee as a Resource: Issues for Personnel.

    ERIC Educational Resources Information Center

    Lyons, Morgan

    1981-01-01

    This article looks at some of the issues surrounding a potentially older workforce and reports on some of the creative solutions currently being advanced by employers, including (1) redesigning work schedules, (2) redesigning jobs, and (3) alternative assignments. (LRA)

  4. Legal Aspects of Internet Filtering in Public Libraries.

    ERIC Educational Resources Information Center

    Elsner, Edward J.

    2001-01-01

    Examines the legal issues surrounding Internet filtering in public libraries. Discusses First Amendment rights and responsibilities; recent court cases; legal problems with limiting Internet access; librarian intervention; less restrictive means to protect minors from harmful materials; and possible liability issues. (LRW)

  5. The Development and Evaluation of a Multimedia Resource To Support ICT Training: Design Issues, Training Processes and User Experiences.

    ERIC Educational Resources Information Center

    Tearle, Penni; Dillon, Patrick

    2001-01-01

    Addresses issues surrounding the process of information and communications technology training (ICT), and the application of training outcomes in the workplace. Provides an overview of content and design features of the multimedia resource "Ensuring Effectiveness of ICT Training" and reports on its evaluation. Discusses design issues, training…

  6. Minimizing Disparities and Developing Support by Identifying Differences in Confidence and Knowledge Related to Water Issues

    ERIC Educational Resources Information Center

    Taylor, Melissa; Lamm, Alexa J.

    2016-01-01

    Extension educators face challenges as they strive to keep up with critical issues in their communities, such as those surrounding water. A growing population and a diminishing water supply necessitate that Florida residents become more knowledgeable about water issues. We conducted research to determine how confident both the general public and…

  7. Equity in Education: A Balancing Act.

    ERIC Educational Resources Information Center

    Richardson, Lynnette, Ed.; Hines, Mack T., III, Ed.

    The issues surrounding equity in education are complex and varied. Recently the focus has shifted to students at risk. This paper discusses four specific issues that have affected school learning for at-risk students over the last 50 years. Issue 1, equity and youth at risk, discusses the home and family life of at-risk students and its…

  8. Understanding wireless communications in public safety : a guidebook to technology, issues, planning, and management. 2nd ed.

    DOT National Transportation Integrated Search

    2003-01-01

    This guidebook was created to help unravel the confusing issues, terms, and options surrounding wireless communications, particularly as it involves commercially available communications services. The target audience consists of those middle and uppe...

  9. A Special Issue on Black Women.

    ERIC Educational Resources Information Center

    Murray, Saundra Rice, Ed.; Scott, Patricia Bell, Ed.

    1982-01-01

    In six articles presents research reflective of the diversity and commonalities of the Black female experience. Deals with educational, career, and psychological issues surrounding Black adolescents, working and professional women, college students, and employed mothers. Discusses militancy, fear of success, coping, nontraditional careers, and…

  10. Gifted and Talented Students. IDRA Focus.

    ERIC Educational Resources Information Center

    IDRA Newsletter, 1998

    1998-01-01

    This theme issue includes five articles that focus on issues surrounding gifted and talented students, especially as they relate to poor, minority, or limited-English-proficient children. "Traditional Methods of Identifying Gifted Students Overlooks Many" (Linda Cantu) presents findings from the National Educational Longitudinal Study…

  11. The evolution of policy issues in stem cell research: an international survey.

    PubMed

    Caulfield, Timothy; Rachul, Christen; Zarzeczny, Amy

    2012-12-01

    Stem cell research remains a tremendously promising yet controversial field of study. It continues to attract considerable public interest and generate discussion and debate. However, while the high profile of this field has endured, the tone and nature of the discourse that drives this profile appears to be changing. In order to get a better sense of how these potential shifts are perceived by individuals directly embedded in the field, we conducted an international internet survey of members of the stem cell research community. Our participants included individuals publishing on both scientific and ethical, legal and social issues topics. We explored the degree to which participants perceived that key policy issues were becoming more or less contentious over time. We queried views regarding the effect of regulatory frameworks on emerging stem cell research technologies and the extent to which participants experience pressure related to clinical translation. We also explored participants' relationships with industry, experience with patents and perceptions regarding the emphasis placed on the potential economic benefits of stem cell research. Our results suggest that while traditional debates such as those surrounding the moral status of the embryo remain, other issues more closely associated with clinical translation and commercialization are perceived as becoming increasingly contentious. This survey provides useful insight into the perspectives of a sample of active researchers working in countries around the world as well as an opportunity to reflect on the likely direction of future stem cell policy debates.

  12. How can we not 'lose it' if we still don't understand how to 'use it'? Unanswered questions about the influence of activity participation on cognitive performance in older age--a mini-review.

    PubMed

    Bielak, Allison A M

    2010-01-01

    The 'use it or lose it' hypothesis of cognitive aging predicts that engagement in intellectual, social, and physical activities offers protective benefits from age-related cognitive decline and lowers dementia risk. Although this hypothesis has not yet been supported conclusively, there is some empirical evidence in favor of the proposal. However, a number of questions surrounding the relationship between activity participation and cognitive ability in older adulthood are not yet well answered. This mini-review identifies seven key methodological and theoretical issues that are critical to our understanding and eventual possible promotion of activity participation as a way to maintain cognitive well-being. These include the mechanisms involved, the optimal ways of assessing activity engagement, which cognitive domains receive the most benefit from activity engagement, the temporal nature and the directionality of the relationship, the influence of demographic variables such as age, gender, or education, and whether one activity domain offers the most benefit to cognition. The current knowledge on each of these issues is critically evaluated, including describing what we already know about the issue, and identifying potential difficulties and opportunities that may exist in finding an answer. More studies need to take on the challenge of specifically targeting these issues, as each is essential to moving the field forward. Copyright (c) 2009 S. Karger AG, Basel.

  13. Biosimilar therapeutics-what do we need to consider?

    PubMed

    Schellekens, Huub

    2009-01-01

    Patents for the first generation of approved biopharmaceuticals have either expired or are about to expire. Thus the market is opening for generic versions, referred to as 'biosimilars' (European Union) or 'follow-on protein products' (United States). Healthcare professionals need to understand the critical issues surrounding the use of biosimilars to make informed treatment decisions.The complex high-molecular-weight three-dimensional structures of biopharmaceuticals, their heterogeneity and dependence on production in living cells makes them different from classical chemical drugs. Current analytical methods cannot characterize these complex molecules sufficiently to confirm structural equivalence with reference molecules. Verification of the similarity of biosimilars to innovator biopharmaceuticals remains a key challenge. Furthermore, a critical safety issue, the immunogenicity of biopharmaceuticals, has been highlighted in recent years, confirming a need for comprehensive immunogenicity testing prior to approval and extended post-marketing surveillance.Biosimilars present a new set of challenges for regulatory authorities when compared with conventional generics. While the demonstration of a pharmacokinetic similarity is sufficient for conventional, small-molecule generic agents, a number of issues will make the approval of biosimilars more complicated. Documents recently published by the European Medicines Agency (EMEA) outlining requirements for the market approval of biosimilars provide much-needed guidance. The EMEA has approved a number of biosimilar products in a scientifically rigorous and balanced process. Outstanding issues include the interchangeability of biosimilars and innovator products, the possible need for unique naming to differentiate the various biopharmaceutical products, and more comprehensive labelling for biosimilars to include relevant clinical data.

  14. Ethical Considerations in Tissue Engineering Research: Case Studies in Translation

    PubMed Central

    Baker, Hannah B.; McQuilling, John P.

    2016-01-01

    Tissue engineering research is a complex process that requires investigators to focus on the relationship between their research and anticipated gains in both knowledge and treatment improvements. The ethical considerations arising from tissue engineering research are similarly complex when addressing the translational progression from bench to bedside, and investigators in the field of tissue engineering act as moral agents at each step of their research along the translational pathway, from early benchwork and preclinical studies to clinical research. This review highlights the ethical considerations and challenges at each stage of research, by comparing issues surrounding two translational tissue engineering technologies: the bioartificial pancreas and a tissue engineered skeletal muscle construct. We present relevant ethical issues and questions to consider at each step along the translational pathway, from the basic science bench to preclinical research to first-in-human clinical trials. Topics at the bench level include maintaining data integrity, appropriate reporting and dissemination of results, and ensuring that studies are designed to yield results suitable for advancing research. Topics in preclinical research include the principle of “modest translational distance” and appropriate animal models. Topics in clinical research include key issues that arise in early-stage clinical trials, including selection of patient-subjects, disclosure of uncertainty, and defining success. The comparison of these two technologies and their ethical issues brings to light many challenges for translational tissue engineering research and provides guidance for investigators engaged in development of any tissue engineering technology. PMID:26282436

  15. Ethical considerations in tissue engineering research: Case studies in translation.

    PubMed

    Baker, Hannah B; McQuilling, John P; King, Nancy M P

    2016-04-15

    Tissue engineering research is a complex process that requires investigators to focus on the relationship between their research and anticipated gains in both knowledge and treatment improvements. The ethical considerations arising from tissue engineering research are similarly complex when addressing the translational progression from bench to bedside, and investigators in the field of tissue engineering act as moral agents at each step of their research along the translational pathway, from early benchwork and preclinical studies to clinical research. This review highlights the ethical considerations and challenges at each stage of research, by comparing issues surrounding two translational tissue engineering technologies: the bioartificial pancreas and a tissue engineered skeletal muscle construct. We present relevant ethical issues and questions to consider at each step along the translational pathway, from the basic science bench to preclinical research to first-in-human clinical trials. Topics at the bench level include maintaining data integrity, appropriate reporting and dissemination of results, and ensuring that studies are designed to yield results suitable for advancing research. Topics in preclinical research include the principle of "modest translational distance" and appropriate animal models. Topics in clinical research include key issues that arise in early-stage clinical trials, including selection of patient-subjects, disclosure of uncertainty, and defining success. The comparison of these two technologies and their ethical issues brings to light many challenges for translational tissue engineering research and provides guidance for investigators engaged in development of any tissue engineering technology. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. The Importance of Technology Readiness in NASA Earth Venture Missions

    NASA Technical Reports Server (NTRS)

    Wells, James E.; Komar, George J.

    2009-01-01

    The first set of Venture-class investigations share the characteristic that the technology should be mature and all investigations must use mature technology that has been modeled or demonstrated in a relevant environment (Technology Readiness Level (TRL) >5). Technology Readiness Levels are a systematic metric/measurement system that supports assessments of the maturity of a particular technology and the consistent comparison of maturity between different types of technology. The TRL is used in NASA technology planning. A major step in the level of fidelity of the technology demonstration follows the completion of TRL 5. At TRL 6, a system or subsystem model or prototype must be demonstrated in a relevant environment (ground or space) representative model or prototype system or system, which would go well beyond ad hoc, "patch-cord," or discrete component level breadboarding. These TRL levels are chosen as target objectives for the Program. The challenge for offerors is that they must identify key aspects (uncertainty, multi subsystem complexity, etc) of the TRL estimate that should be properly explained in a submitted proposal. Risk minimization is a key component of the Earth Venture missions. Experiences of prior airborne missions will be shared. The discussion will address aspects of uncertainty and issues surrounding three areas of airborne earth science missions: (1) Aircraft or proposed flight platform -- Expressing the capability of the aircraft in terms of the supporting mission requirements. These issues include airplane performance characteristics (duration, range, altitude, among others) and multiship complexities. (2) Instruments -- Establishing that the instruments have been demonstrated in a relevant environment. Instruments with heritage in prior space missions meet this requirement, as do instruments tested on the ground. Evidence that the instruments have demonstrated the ability to collect data as advertised will be described. The complexity of the integration of multiple subsystems will also be addressed. Issues associated with tailoring the instrument to meet the specific Venture mission objectives must be thoroughly explained and justified. (3) Aircraft/Instrument Integration -- Explicitly defining what development may be required to harden the instrument and integrate the instrument. The challenges associated with this key aspect of major airborne earth science investigations will be presented.

  17. Menopause: Salient Issues for Counselors.

    ERIC Educational Resources Information Center

    Patterson, Marilyn M.; Lynch, Ann Q.

    1988-01-01

    Discusses issues surrounding menopause, with the idea that counselors are in an ideal position to help change attitudes toward viewing menopause as a time of positive change rather than a time of psychological distress. Reviews historical, sociological, psychological, and attitudinal factors that account for negative responses associated with…

  18. Directions in Rehabilitation Counseling. Volume 9.

    ERIC Educational Resources Information Center

    Directions in Rehabilitation Counseling, 1998

    1998-01-01

    Rehabilitation counselors must stay apprised of numerous issues in their field. To help them remain current, this volume features 12 lessons which can count as continuing education credits. Lesson 1 explores issues surrounding Latino clients, focusing on cultural considerations, ethnic identity, and the counselor-client relationship. Sexuality…

  19. Agricultural Land Conversion: Background and Issues.

    ERIC Educational Resources Information Center

    Furuseth, Owen J.

    1982-01-01

    Analyzes forces contributing to the conversion of agricultural land for other uses, causes for the depletion of the land, major issues surrounding the loss of farmland, and current policies designed to control haphazard land conversion. Concludes that the United States lacks a national farmland protection policy. (KC)

  20. Reflections from the Conversion Therapy Battlefield

    ERIC Educational Resources Information Center

    Gonsiorek, John C.

    2004-01-01

    In their introductory article, Morrow and Beckstead (2004 [this issue]) discuss the decades-long controversy surrounding therapeutic attempts to change homosexual to heterosexual orientation ("conversion" or "reparative" therapy). Despite the efforts to resolve this controversy, it shows no signs of abating. The articles in this issue, especially…

  1. MTBE: THE CURRENT STATUS OF HEALTH AND ENVIRONMENTAL ISSUES

    EPA Science Inventory

    This presentation will provide an update on recent evaluations of the environmental and health issues surrounding the use of MTBE in gasoline in the United States and elsewhere. Several public health bodies around the world have recently evaluated aspects of the health risks of ...

  2. Should Hate Be a Crime?

    ERIC Educational Resources Information Center

    Jacobs, James B.

    1993-01-01

    Explores issues surrounding hate crime legislation and prosecution, with emphasis on motivation and first amendment issues. Hate crime legislation attempts to import the civil rights model into criminal law, but the very existence of the hate crime label raises social and political stakes in intergroup crimes. (SLD)

  3. The Clinton Legacy in Higher Education.

    ERIC Educational Resources Information Center

    Brainard, Jeffrey; Burd, Stephen; Gose, Ben

    2000-01-01

    Analyzes President Clinton's actions on higher education during his eight years in office. Notes progress on issues such as funding for middle-class students, biomedical research, and technology. Points out possible missed opportunities, including issues surrounding affirmative action. Concludes that Clinton helped make higher education a…

  4. A Response to Critics.

    ERIC Educational Resources Information Center

    Hawley, Willis D.

    1987-01-01

    Provides a rejoinder to comments published in the February issue rebutting author's article on the risks and promises of extended teacher-preparation programs. Covers issues surrounding costs and benefits, the need for evaluative research before investment in programs, the differences between types of programs, and their objectives and possible…

  5. Critical Issues in Teacher and Student Evaluation

    ERIC Educational Resources Information Center

    Purohit, Anal A.; And Others

    1977-01-01

    Background information is provided to clarify some of the issues surrounding teacher and student evaluation in pharmacy education. Major questions explored dealt with what should be evaluated, how the data should be collected and used, and the adaptability of the experiential domain for students. (Author/LBH)

  6. Communicative Language Teaching in Indonesia: Issues of Theoretical Assumptions and Challenges in the Classroom Practice.

    ERIC Educational Resources Information Center

    Musthafa, Bachrudin

    The Indonesian Ministry of National Education has, for the past two decades, been trying to reform English instruction at junior and senior high schools across the country. This paper describes the issues surrounding the reform initiative and the response the system has made to address the issues. It is asserted that the same problems that have…

  7. Stem Cells: Taking a Closer Look at the Advancements and Hurdles of Stem Cell Research in Australia

    ERIC Educational Resources Information Center

    Sanderson, Aimee

    2008-01-01

    The technology surrounding stem cells generates great excitement amongst scientists, media and the community. For science teachers, this means not only embracing and keeping track of the rapid growth and ongoing development in this field but also tackling the ethical and legislative issues surrounding the topic. So what are stem cells, what is all…

  8. Summary of panel session 3 -- Environmental issues affecting CCT deployment

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

    Hausker, K.

    1997-12-31

    The panelists discussed a variety of environmental issues that affect CCT deployment, and more broadly speaking, power development in general. The issues were both international and domestic in nature. The author summarizes the issues discussed. A summary is also presented which highlights ideas from the panelists that could be characterized as solutions to the demand for improved environmental performance and the surrounding uncertainties. The author offers some personal comments and observations.

  9. Emperor penguin mates: keeping together in the crowd

    PubMed Central

    Ancel, André; Beaulieu, Michaël; Le Maho, Yvon; Gilbert, Caroline

    2009-01-01

    As emperor penguins have no breeding territories, a key issue for both members of a pair is not to be separated until the egg is laid and transferred to the male. Both birds remain silent after mating and thereby reduce the risk of having the pair bond broken by unpaired birds. However, silence prevents finding each other if the pair is separated. Huddles—the key to saving energy in the cold and the long breeding fast—continuously form and break up, but not all birds are involved simultaneously. We studied the behaviour of four pairs before laying. Temperature and light intensity measurements allowed us to precisely detect the occurrence of huddling episodes and to determine the surrounding temperature. The four pairs huddled simultaneously for only 6 per cent of the time when weather conditions were harshest. Despite this asynchrony, the huddling behaviour and the resulting benefits were similar between pairs. By contrast, the huddling behaviour of mates was synchronized for 84 per cent of events. By coordinating their huddling behaviour during courtship despite the apparent confusion within a huddle and its ever-changing structure, both individuals save energy while securing their partnership. PMID:19324739

  10. Student internships with unions and workers: building the occupational health and safety movement.

    PubMed

    Bateson, Gail

    2013-01-01

    One of the most successful programs to recruit young professionals to the occupational safety and health field was launched more than 35 years ago, in 1976. Created by the Montefiore Medical Center's Department of Social Medicine collaborating with Tony Mazzocchi of the Oil, Chemical and Atomic Workers International Union (OCAW), it placed medical, nursing, and public health students in summer internships with local unions to identify and solve health and safety problems in the workplace. The experience of working with and learning from workers about the complex interactions of political, economic, and scientific-technological issues surrounding workplace conditions inspired many students to enter and stay in our field. Many former interns went on to make important medical and scientific contributions directly linked to their union-based projects. Former interns are now among the leaders within the occupational health and safety community, holding key positions in leading academic institutions and governmental agencies.

  11. Achieving Integrated Care for Older People: Shuffling the Deckchairs or Making the System Watertight For the Future?

    PubMed Central

    Harvey, Gill; Dollard, Joanne; Marshall, Amy; Mittinty, Manasi Murthy

    2018-01-01

    Integrated care has been recognised as a key initiative to resolve the issues surrounding care for older people living with multi-morbidity. Multiple strategies and policies have been implemented to increase coordination of care globally however, evidence of effectiveness remains mixed. The reasons for this are complex and multifactorial, yet many strategies deal with parts of the problem rather than taking a whole systems view with the older person clearly at the centre. This approach of fixing parts of the system may be akin to shuffling the deckchairs on the Titanic, rather than dealing with the fundamental reasons why the ship is sinking. Attempts to make the ship more watertight need to be firmly centred on the older person, pay close attention to implementation and embrace approaches that promote collaborative working between all the stakeholders involved. PMID:29626395

  12. Understanding Amphibian Declines Through Geographic Approaches

    USGS Publications Warehouse

    Gallant, Alisa

    2006-01-01

    Growing concern over worldwide amphibian declines warrants serious examination. Amphibians are important to the proper functioning of ecosystems and provide many direct benefits to humans in the form of pest and disease control, pharmaceutical compounds, and even food. Amphibians have permeable skin and rely on both aquatic and terrestrial ecosystems during different seasons and stages of their lives. Their association with these ecosystems renders them likely to serve as sensitive indicators of environmental change. While much research on amphibian declines has centered on mysterious causes, or on causes that directly affect humans (global warming, chemical pollution, ultraviolet-B radiation), most declines are the result of habitat loss and habitat alteration. Improving our ability to characterize, model, and monitor the interactions between environmental variables and amphibian habitats is key to addressing amphibian conservation. In 2000, the U.S. Geological Survey (USGS) initiated the Amphibian Research and Monitoring Initiative (ARMI) to address issues surrounding amphibian declines.

  13. Pelvic Nodal Radiotherapy in Patients With Unfavorable Intermediate and High-Risk Prostate Cancer: Evidence, Rationale, and Future Directions

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

    Morikawa, Lisa K.; Memorial Sloan-Kettering Cancer Center; Roach, Mack, E-mail: mroach@radonc.ucsf.ed

    2011-05-01

    Over the past 15 years, there have been three major advances in the use of external beam radiotherapy in the management of men with clinically localized prostate made. They include: (1) image guided (IG) three-dimensional conformal/intensity modulated radiotherapy; (2) radiation dose escalation; and (3) androgen deprivation therapy. To date only the last of these three advances have been shown to improve overall survival. The presence of occult pelvic nodal involvement could explain the failure of increased conformality and dose escalation to prolong survival, because the men who appear to be at the greatest risk of death from clinically localized prostatemore » cancer are those who are likely to have lymph node metastases. This review discusses the evidence for prophylactic pelvic nodal radiotherapy, including the key trials and controversies surrounding this issue.« less

  14. An ethical framework for the management of pain in the emergency department.

    PubMed

    Venkat, Arvind; Fromm, Christian; Isaacs, Eric; Ibarra, Jordan

    2013-07-01

    Pain is a ubiquitous problem, affecting more than 100 million individuals in the United States chronically and many more in the acute setting. Up to three-quarters of patients presenting to the emergency department (ED) report pain as a key component of their reasons for requiring acute care. While pain management is a fundamental component of emergency medicine (EM), there are numerous attitudinal and structural barriers that have been identified to effectively providing pain control in the ED. Coupled with public demands and administrative mandates, concerns surrounding ED pain management have reached a crisis level that should be considered an ethical issue in the profession of EM. In this article, the authors propose an ethical framework based on a combination of virtue, narrative, and relationship theories that can be used to address the clinical dilemmas that arise in managing pain in ED patients. © 2013 by the Society for Academic Emergency Medicine.

  15. Thematic Analysis of Medical Notes Offers Preliminary Insight into Precipitants for Asian Suicide Attempters: An Exploratory Study.

    PubMed

    Choo, Carol C; Ho, Roger C; Burton, André A D

    2018-04-20

    One important dynamic risk factor for suicide assessment includes suicide precipitant. This exploratory study used a qualitative paradigm to look into the themes surrounding precipitants for suicide attempts in Singapore. Medical records related to suicide attempters who were admitted to the emergency department of a large teaching hospital in Singapore over a three year period were subjected to analysis. A total of 666 cases were examined (69.2% females; 63.8% Chinese, 15% Malays, 15.8% Indians), ages ranged from 10 years old to 85 years old (Mean = 29.7, Standard Deviation = 16.1). The thematic analysis process that was applied to the textual data elicited key concepts labelled as Relationship issues, Financial strain, Socio-legal-academic—environmental stress, and Physical and mental illness and pain. Interpreted with other recent local research on suicide attempters in Singapore, the findings have implications for informing suicide interventions.

  16. Brains, Bones, and Aging: Psychotropic medications and bone health among older adults

    PubMed Central

    Brown, Monique J.; Mezuk, Briana

    2012-01-01

    Psychotropic drugs are a crucial element of treatment for psychiatric disorders; however there is an established association between many classes of psychotropic medications and fracture risk among older adults, and growing evidence that some classes of medications may also impact bone mineral density (BMD). In this paper we review recent epidemiologic research on the association between psychotropic medications and osteoporosis, and discuss current controversies and unresolved issues surrounding this relationship. Key areas in need of focused inquiry include resolving whether the apparent association between psychotropic medications and BMD is due to confounding by indication, whether this relationship differs for men and women, and whether the implications of these medications for bone health vary over the life course. Clinical research to delineate the risk/benefit ratio of psychotropic medications for older adults, particularly those who are at high risk for fracture, is also needed to facilitate prescribing decisions between patients and physicians. PMID:23001917

  17. Halley and the eternity of the world revisited

    PubMed Central

    Levitin, Dmitri

    2013-01-01

    Since the publication in Notes and Records of the Royal Society of an article by Simon Schaffer in 1977, it has been a historiographical commonplace that there was an ‘underlying unity’ to the religio-philosophical opinions of Edmond Halley, specifically on issues concerning the age of the world. This article (i) argues that the evidence adduced for this claim—specifically the account of a lecture given by Halley to the Royal Society in 1693—has been misinterpreted, and (ii) brings forward some new evidence concerning the mysterious events surrounding Halley's unsuccessful attempt to secure the Savilian Professorship in Astronomy in 1691 and the nature of his religious heterodoxy, both as it was developed by himself and as it was perceived by contemporaries. It thus functions as a full revisionist account of one of the key players in the destabilization of the relationship between natural philosophy and Genesis in the first decades of the Royal Society.

  18. Challenges for the Aging Family in the People's Republic of China.

    PubMed

    Phillips, David R; Feng, Zhixin

    2015-09-01

    The People's Republic of China has the largest population of older persons of any country in the world. It is a nation that has experienced enormous economic, social, and demographic changes over the past three and a half decades. Traditionally, the family was the main social support for older persons; this changed somewhat under early socialism, but in recent years, the importance of family support has been reasserted. However, over this time, the family's ability to support its older members has been considerably altered and arguably weakened. This article reviews four key issues (population change, the hukou system, economic reform, general features surrounding modernization) that have gradually changed families' capacity to provide support for older members. Research foci and public policy directions are considered under which the state might take some responsibilities from the family, support capacity to care, and improve the quality and quantity of support for older citizens.

  19. Managing fear in public health campaigns: a theory-based formative evaluation process.

    PubMed

    Cho, Hyunyi; Witte, Kim

    2005-10-01

    The HIV/AIDS infection rate of Ethiopia is one of the world's highest. Prevention campaigns should systematically incorporate and respond to at-risk population's existing beliefs, emotions, and perceived barriers in the message design process to effectively promote behavior change. However, guidelines for conducting formative evaluation that are grounded in proven risk communication theory and empirical data analysis techniques are hard to find. This article provides a five-step formative evaluation process that translates theory and research for developing effective messages for behavior change. Guided by the extended parallel process model, the five-step process helps message designers manage public's fear surrounding issues such as HIV/AIDS. An entertainment education project that used the process to design HIV/AIDS prevention messages for Ethiopian urban youth is reported. Data were collected in five urban regions of Ethiopia and analyzed according to the process to develop key messages for a 26-week radio soap opera.

  20. "Thinking Like a Marketer": training for a shift in the mindset of the public health workforce.

    PubMed

    Quinn, Gwendolyn; Albrecht, Terrance; Marshall, Robert; Akintobi, Tabia Henry

    2005-04-01

    The marketing mindset focuses a practitioner on systematically thinking through key issues before undertaking a health promotion campaign. The Thinking Like a Marketer training, developed by the National Training Collaborative for Social Marketing is a challenging method for health educators and promoters to apply their skills in innovative ways. Focus groups were conducted with former trainees to assess the impact of the training. Additional data were collected from members of the Association of State and Territorial Promotion Directors of Health Promotion and Public Health Education organization through a 10-item elicitation survey. Findings suggest that although participants gained greater sensitivity and appreciation for the social marketing research process, the major barrier to application in the workplace surrounded upper management. On-site technical assistance, mentoring, and follow-up were important training needs identified through the survey and focus groups.

  1. Pharmacotherapy in Pediatric Neurogenic Bladder Intravesical Botulinum Toxin Type A

    PubMed Central

    Sager, Cristian; Burek, Carol; Durán, Victor; Corbetta, Juan Pablo; Weller, Santiago; Juan, Bortagaray; López, Juan Carlos

    2012-01-01

    When the neurogenic bladder is refractory to anticholinergics, botulinum toxin type A is used as an alternative. The neurotoxin type A reduces bladder pressure and increases its capacity and wall compliance. Additionally, it contributes to improving urinary continence and quality of life. This novel therapy is ambulatory with a low incidence of adverse effects. Due to its transitory effect, it is necessary to repeat the injections in order to sustain its therapeutic effect. In these review article we talk about Mechanism of Action, Indications, effects, administration and presentations of the Botulinum Neurotoxin Type A in pediatric patients. Also, we make references to controversial issues surrounding its use. A bibliographic search was done selecting articles and revisions from Pubmed. The key words used were botulinum toxin A, neurogenic bladder, and children. The search was limited to patients younger than 18 years of age and reports written in English in the past ten years. PMID:22720170

  2. An overview of environmental surveillance of waste management activities at the Idaho National Engineering Laboratory

    USGS Publications Warehouse

    Smith, T.H.; Chew, E.W.; Hedahl, T.G.; Mann, L.J.; Pointer, T.F.; Wiersma, G.B.

    1986-01-01

    The Idaho National Engineering Laboratory (INEL), in southeastern Idaho, is a principal center for nuclear energy development for the Department of Energy (DOE) and the U.S. Nuclear Navy. Fifty-two reactors have been built at the INEL, with 15 still operable. Extensive environmental surveillance is conducted at the INEL by DOE's Radiological Environmental Sciences Laboratory (RESL), and the U.S. Geological Survey (USGS), the National Oceanic and Atmospheric Administration (NOAA), EG&G Idaho, Inc., and Westinghouse Idaho Nuclear Company (WINCO). Surveillance of waste management facilities radiation is integrated with the overall INEL Site surveillance program. Air, warer, soil, biota, and environmental radiation are monitored or sampled routinely at INEL. Results to date indicate very small or no impacts from INEL on the surrounding environment. Environmental surveillance activities are currently underway to address key environmental issues at the INEL.

  3. Stuck in the middle: the impact of collaborative interprofessional communication on patient expectations.

    PubMed

    Stewart, Michael Adrian

    2018-01-01

    A central aim of modern day healthcare is to deliver a high quality, patient-centred service that addresses the expectations of its service users. However, mounting research evidence highlights a lack of patient satisfaction across a range of healthcare settings, with an overwhelming proportion of complaints relating to interprofessional communication. The link between interprofessional miscommunication and poor patient outcomes has been well documented. All too often, patients are left feeling stuck in the middle between opposing opinions, differing diagnoses and conflicting clinical outlooks. This article aims to highlight the issues surrounding interprofessional communication in healthcare, at the same time as addressing the potential facilitators and barriers for developing improved collaborative links between healthcare providers. Several key questions will be considered: (i) what are the underlying causes of interprofessional miscommunication; (ii) what do patients expect from healthcare professionals; and (iii) how might we reduce the risk of miscommunication and develop interprofessional collaboration?

  4. Issues in Space Physics in Need of Reconnection with Laboratory Physics

    NASA Astrophysics Data System (ADS)

    Coppi, B.

    2017-10-01

    Predicted space observations, such as the ``foot'' in front of collisionless shocks or the occurrence of magnetic reconnection in the Earth`s magnetotail leading to auroral substorms, have highlighted the fruitful connection of laboratory and space plasma physics. The emergence of high energy astrophysics has then benefitted by the contribution of experiments devised for fusion research to the understanding of issues such as that of angular momentum transport processes that have a key role in allowing accretion of matter on a central object (e.g. black hole). The theory proposed for the occurrence of spontaneous rotation in toroidal plasmas was suggested by that developed for accretion. The particle density values, =1015 cm-3 that are estimated to be those of plasmas surrounding known galactic black holes have in fact been produced by the Alcator and other machines. Collective modes excited in the presence of high energy particle populations in laboratory plasmas (e.g. when the ``slide away'' regime has been produced) have found successful applications in space. Magnetic reconnection theory developments and the mode particle resonances associated with them have led to envision new processes for novel high energy particle acceleration. Sponsored in part by the U.S. DoE.

  5. Inter-sectoral conflict and recreational fisheries of the developing world : opportunities and challenges for co-operation

    USGS Publications Warehouse

    Bower, Shannon D.; Nguyen, Vivian M.; Danylchuk, Andy J.; Beard, T. Douglas; Cooke, Steven J.

    2014-01-01

    The recreational fishing sector is growing rapidly in the developing world with the potential to realize economic benefits estimated at tens of billions of dollars annually. These opportunities are accompanied by numerous ecological risks such as overfishing and habitat disturbance. To date, there has been little focus on sociological issues surrounding the growth of recreational fisheries in these areas. This chapter examines sources of potential conflict among small-scale fishing sectors in the developing world with particular attention paid to identification of key issues constraining stewardship of recreational fisheries. We identified conflicts related to fisher competition for access to resources, socio-demographic change, cultural differences, and governance as areas of concern among small-scale fisheries, and offer examples of successful and failed attempts to reduce, mitigate or solve these conflicts. The reality of limited resource availability will require that communication, proactive management strategies and cooperation be encouraged among sectors to maximize resiliency of the social-ecological system and to promote sustainability of fishing practices. We recommend stewardship initiatives that include avenues for stakeholder participation and establishing adaptive management strategies, particularly for emerging recreational fisheries in the developing world.

  6. Democratization of Higher Education: Issues and Trends.

    ERIC Educational Resources Information Center

    Spaulding, Seth; Kargodorian, Arka

    The economic, social, political, and pedagogical issues that surround the notion of democratization of higher education are considered, based on various approaches being undertaken around the world to open up higher education to new population groups. Conservative, liberal, and radical interpretations of democratization and the role of education…

  7. Physical Education--Dead, Quiescent, or Undergoing Modification?

    ERIC Educational Resources Information Center

    Zeigler, Earle F.

    1982-01-01

    The issues surrounding the status of physical education are explored. Those working in the field of physical education are said to have inferiority complexes and feelings of embarrassment about their chosen profession. A list of 10 recent developments focuses on issues which confront the physical education profession. (JN)

  8. Political Issues in Gifted Education

    ERIC Educational Resources Information Center

    Gallagher, James J.

    2015-01-01

    In this article, James J. Gallagher proposes that understanding the political issues and the debate surrounding the education of gifted students is based on the recognition that education policy (including rules, regulations, financial allocations, etc.) reflects social policy. Hence, society prioritizes needs so that the most important of these…

  9. Psychosocial Issues in Pediatric Oncology

    PubMed Central

    Marcus, Joel

    2012-01-01

    Psychosocial oncology, a relatively new discipline, is a multidisciplinary application of the behavioral and social sciences, and pediatric psychosocial oncology is an emerging subspecialty within the domain of psychosocial oncology. This review presents a brief overview of some of the major clinical issues surrounding pediatric psychosocial oncology. PMID:23049457

  10. Degrassi Health Education Curriculum.

    ERIC Educational Resources Information Center

    Kirsch, Robin J.

    This health curriculum is intended to help teachers deal with some of today's adolescent health issues: (1) alcoholism (issues surrounding family alcoholism); (2) relationships (stereotyping and teen friendships); (3) Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) (insight into what it is like to live with HIV);…

  11. Personality Assessment in the Schools: Issues and Procedures for School Psychologists.

    ERIC Educational Resources Information Center

    Knoff, Howard M.

    1983-01-01

    A conceptual model for school-based personality assessment, methods to integrate behavioral and projective assessment procedures, and issues surrounding the use of projective tests are presented. Ways to maximize the personality assessment process for use in placement and programing decisions are suggested. (Author/DWH)

  12. Cyberspace in the Curricula: New Legal and Ethical Issues.

    ERIC Educational Resources Information Center

    Smethers, J. Steven

    1998-01-01

    Finds that most journalism and mass communication programs integrate legal and ethical issues surrounding cyberspace and interactive media into existing courses, especially into ethics and communication law courses, but also into introductory survey courses, communication technology, and reporting classes. Details reasons why some programs do not…

  13. Space Drive Physics: Introduction and Next Steps

    NASA Astrophysics Data System (ADS)

    Millis, M. G.

    Research toward the visionary goal of propellantless ``space drives'' is introduced, covering key physics issues and a listing of roughly 2-dozen approaches. The targeted advantage of a space drive is to circumvent the propellant constraints of rockets and the maneuvering limits of light sails by using the interactions between the spacecraft and its surrounding space for propulsion. At present, the scientific foundations from which to engineer a space drive have not been discovered and, objectively, might be impossible. Although no propulsion breakthroughs appear imminent, the subject has matured to where the relevant questions have been broached and are beginning to be answered. The critical make-break issues include; conservation of momentum, uncertain sources of reaction mass, and the net-external thrusting requirement. Note: space drives are not necessarily faster- than-light devices. Speed limits are a separate, unanswered issue. Relevant unsolved physics includes; the sources and mechanisms of inertial frames, coupling of gravitation and electromagnetism, and the nature of the quantum vacuum. The propulsion approaches span mostly stages 1 through 3 of the scientific method (defining the problem, collecting data, and articulating hypotheses), while some have matured to stage 4 (testing hypotheses). Nonviable approaches include `stiction drives,' `gyroscopic antigravity,' and `lifters.' No attempt is made to gauge the prospects of the remaining approaches. Instead, a list of next-step research questions is derived from the examination of these goals, unknowns, and concepts.

  14. Historical cadastral maps of Budapest: a key to understand the urban hidrology and geology of the city

    NASA Astrophysics Data System (ADS)

    Timár, G.; Mádl-Szőnyi, J.; Biszak, S.; Hídvégi, V.; Gábris, Gy.; Pulay, E.; Mindszenty, A.; Medzihradszky, Zs.; Izsák, É.; Rácz, T.

    2009-04-01

    The cadastral surveys of Budapest started in 1785 with the core of Pest and its surroundings, the eastern part of the twin cities. Other parts (the later discticts) of the city have been surveyed and high-scale maps of them issued in the first part of the 19th century. Systematic surveys were made and cadastral sheet series were compiled in 1871 and 1872, separately in Buda and Pest (the city parts in the western and eastern bank of the Danube). The scale of these sheets were 1:720. The city has been unified in 1873 and shortly after it a unified cadastral series has been issued in 1878, which was the very first map in Hungary in metric system. Overview cadastral maps in scale of 1:5000 have been issued later in 1895, 1908 and 1937, respectively. The early cadastral maps show the near natural watercourse network of Budapest in striking details. The old creeks were later filled and replaced by the artificial city drainage. Natural pools and contemporary lakes were mapped in the plains of Pest and the old water sources were displayed in detail in the Buda Hills. These datasets to be presented in the poster, are important basic data for the urban geologist. Moreover, in some cases, they provide explanations to hydrological „events" occurring in association with the new underground constructions in Budapest.

  15. Protecting the Ozone Shield: A New Public Policy

    DTIC Science & Technology

    1991-04-01

    Public Policy Issue; Alterna- 11 tives; Risk Management; Clean Air Act; Global Warming 16. PRICE CODE 17. SECURITY CLASSIFICATION 𔄂. SECURITY...pattern of global warming , commonly known as "the greenhouse effect. 1 OVERVIEW OF THE OZONE DEPLETION PUBLIC POLICY ISSUE In 1974, two atmospheric...inhabitants from the harmful effects of increased UVb radiation and global warming . Another dilemma surrounds this public policy issue since the first

  16. Collaborative Leadership and Motivation as Examples of Education for All Goals 1, 3, 4, and 6 at Work in Seven Schools in Trinidad

    ERIC Educational Resources Information Center

    Bissessar, Charmaine

    2014-01-01

    The underlying theoretical framework of this qualitative case study was leadership and motivation. The research questions were: What issues and challenges to effective teaching and learning do you have? What mechanisms do you use to resolve these teaching and learning issues? The issues surrounding teaching and learning were leadership and…

  17. Training Community Clergy in Serious Illness: Balancing Faith and Medicine.

    PubMed

    Koss, Sarah E; Weissman, Ross; Chow, Vinca; Smith, Patrick T; Slack, Bethany; Voytenko, Vitaliy; Balboni, Tracy A; Balboni, Michael J

    2018-06-06

    Community-based clergy are highly engaged in helping seriously ill patients address spiritual concerns at the end of life (EOL). While they desire EOL training, no data exist in guiding how to conceptualize a clergy-training program. The objective of this study was used to identify best practices in an EOL training program for community clergy. As part of the National Clergy Project on End-of-Life Care, the project conducted key informant interviews and focus groups with active clergy in five US states (California, Illinois, Massachusetts, New York, and Texas). A diverse purposive sample of 35 active clergy representing pre-identified racial, educational, theological, and denominational categories hypothesized to be associated with more intensive utilization of medical care at the EOL. We assessed suggested curriculum structure and content for clergy EOL training through interviews and focus groups for the purpose of qualitative analysis. Thematic analysis identified key themes around curriculum structure, curriculum content, and issues of tension. Curriculum structure included ideas for targeting clergy as well as lay congregational leaders and found that clergy were open to combining resources from both religious and health-based institutions. Curriculum content included clergy desires for educational topics such as increasing their medical literacy and reviewing pastoral counseling approaches. Finally, clergy identified challenging barriers to EOL training needing to be openly discussed, including difficulties in collaborating with medical teams, surrounding issues of trust, the role of miracles, and caution of prognostication. Future EOL training is desired and needed for community-based clergy. In partnering together, religious-medical training programs should consider curricula sensitive toward structure, desired content, and perceived clergy tensions.

  18. Infants: Their Social Environments.

    ERIC Educational Resources Information Center

    Weissbourd, Bernice, Ed.; Musick, Judith S., Ed.

    This book deals with issues surrounding the social and caregiving environments of children's first three years. Issues most relevant to the assessment of infants and their caregiving environments and to the design and implementation of programs for infants and toddlers are addressed in the first paper. The second paper discusses the developmental…

  19. Politicising the "Personal": The Resistant Potential of Creative Pedagogies in Teaching and Learning "Sensitive" Issues

    ERIC Educational Resources Information Center

    Pilcher, Katy

    2017-01-01

    Drawing upon student narratives gleaned through qualitative interviews, this paper argues that teaching and learning "sensitive" issues surrounding gender and sexualities through "creative" pedagogies can be a mode of resistance against the reproduction of problematic social discourses, and to the negative impacts of…

  20. Grade Inflation: Academic Standards in Higher Education

    ERIC Educational Resources Information Center

    Hunt, Lester H., Ed.

    2008-01-01

    This book provides a provocative look at the issues and controversies surrounding grade inflation, and, more generally, grading practices in American higher education. The contributors confront the issues from a number of different disciplines and varying points of view. Topics explored include empirical evidence for and against the claim that…

  1. Conservation of diversity in forest ecosystems

    Treesearch

    C. I. Millar; F. T. Ledig; L. A. Riggs

    1990-01-01

    The symposium from which the papers in this issue derive was organized to foster an awareness among forest managers of the issues surrounding biological diversity. Forest geneticists have been calling for conservation of diversity for many years (Anonymous, 1975). Since they were geneticists, they naturally called this gene conservation. Forest geneticists often sold...

  2. Declining Enrollment--Closing Schools: Problems & Solutions. AASA Critical Issues Report.

    ERIC Educational Resources Information Center

    Brodinsky, Ben

    Nine chapters and an introduction discuss the issues surrounding school closures and declining enrollment and suggest practical solutions. Each chapter examines a particular facet of the problem, presents brief case studies of successful experiences, and mentions sources for further information. The topics covered include: (1) demographic changes…

  3. Ethical Tensions in Prison Art Education

    ERIC Educational Resources Information Center

    Ruyter, Mia

    2017-01-01

    This essay urges artists who teach in jails and prisons to reflect on the ethics and responsibilities of working with incarcerated people, creating artwork, and engaging social justice issues. It draws on recent controversies surrounding artists who make artworks that address political issues but are perceived by some to be appropriating the…

  4. Teaching Mathematical Connections to Financial Literacy in Grades K-8: Clarifying the Issues

    ERIC Educational Resources Information Center

    Lucey, Thomas A.; Maxwell, Sheryl A.

    2011-01-01

    Most teacher education programs do not incorporate financial education preparations into courses required for early childhood, elementary education, and middle level candidates. The authors of this manuscript explore the reasons for this omission, particularly the mathematics education component, and clarify the issues surrounding this decision.…

  5. Early Intervention and Prevention--Issues and Services.

    ERIC Educational Resources Information Center

    Kopfstein, Rosalind

    This paper reviews the American Association on Mental Retardation's (AAMR's) presentation of issues surrounding the field of early intervention. AAMR's publications are the primary sources of information in the paper. Specific sections address: (1) the impact of public laws on the rights of children and families to a free and appropriate public…

  6. Compulsory Attendance: An Analysis of Litigation

    ERIC Educational Resources Information Center

    Leddon, Leo Levy, Jr.

    2010-01-01

    The purpose of this research was to examine court cases dealing with compulsory attendance laws, also known as compulsory education laws, for the purpose of establishing the issues, outcomes, and trends in compulsory attendance litigation. In this manner, school officials could be provided guidance on dealing with issues surrounding the attendance…

  7. School Counselors: A Review of Contemporary Issues

    ERIC Educational Resources Information Center

    Bain, Steve F.

    2012-01-01

    This article seeks to review the topic of school counselors and the contemporary issues surrounding this profession. An introduction to the profession and overview of its history provides a comprehensive basis on which to understand today's school counseling profession. An examination of contemporary themes of school counseling will include job…

  8. Public Policy Issues Surrounding Online University Courses

    ERIC Educational Resources Information Center

    Holmes, Georgia L.

    2008-01-01

    With the maturation of the internet more and more colleges and universities are offering online courses. As these courses enter the mainstream, public policy issues are beginning to emerge. Many of these involve the tension between the "work for hire" doctrine and academic freedom that occurs when educational institutions offer these…

  9. Assessing the Growth of Gifted Students

    ERIC Educational Resources Information Center

    McCoach, D. Betsy; Rambo, Karen E.; Welsh, Megan

    2013-01-01

    This Methodological Brief gives an overview of statistical methods used to gauge academic growth and discusses issues surrounding the measurement of growth in gifted populations. To illustrate some of these issues, we describe a growth model that examines differences in summer lag between gifted and nongifted students. We also provide…

  10. Ethical Issues Relative to Autonomy and Personal Control in Independent and Cognitively Impaired Elders.

    ERIC Educational Resources Information Center

    Rice, Virginia Hill; And Others

    1997-01-01

    Discusses ethical issues surrounding health care for independent elders, those in long-term care, and those with cognitive impairments, as well as death, dying, euthanasia, and assisted suicide. Suggests that nurses should focus on older adults' choice, autonomy, and personal control. (SK)

  11. Employed Caregivers: A Multidisciplinary Issue for Gerontological Education.

    ERIC Educational Resources Information Center

    Folts, W. Edward; And Others

    1992-01-01

    Imminent demographic changes require understanding of issues surrounding caring for family members while employed. Gerontology course offerings should focus on the caregiver role, and future corporate executives should be provided with basic gerontological education so that they will be able to understand and support their employees who are…

  12. Pesticides: A Community Action Guide.

    ERIC Educational Resources Information Center

    Bumstead, Cynthia, Ed.; And Others

    Developed to provide an introduction to the issues surrounding the use of chemical pesticides, this booklet encourages individuals and communities to become active in determining the safe use and regulation of pesticides. The major components of the guide include: (1) an explanation of the issue; (2) pesticides and their effect on human health;…

  13. Scale issues in tourism development

    Treesearch

    Sinji Yang; Lori Pennington-Gray; Donald F. Holecek

    1998-01-01

    Proponents of Alternative Tourism overwhelmingly believe that alternative forms of tourism development need to be small in scale. Inasmuch as tourists' demand has great power to shape the market, the issues surrounding the tourism development scale deserve further consideration. This paper discusses the implications and effects of the tourism development scale on...

  14. Organizational Considerations for Advanced Manufacturing Technology

    ERIC Educational Resources Information Center

    DeRuntz, Bruce D.; Turner, Roger M.

    2003-01-01

    In the last several decades, the United States has experienced a decline in productivity, while the world has seen a maturation of the global marketplace. Nations have moved manufacturing strategy and process technology issues to the top of management priority lists. The issues surrounding manufacturing technologies and their implementations have…

  15. Sexual Assaults on College Campuses

    ERIC Educational Resources Information Center

    Kerner, Laura Lynn; Kerner, Jim; Herring, Susan D.

    2017-01-01

    Recent sexual assault scandals have brought public attention to the fact that there is a need for colleges to aggressively address the issues surrounding sexual assaults on their campuses. Studies indicate that one in four women are being sexually assaulted each year, but few women report this. Women suffer major psychological issues when…

  16. Failing Boys? Issues in Gender and Achievement.

    ERIC Educational Resources Information Center

    Epstein, Debbie, Ed.; Elwood, Jannette, Ed.; Hey, Valerie, Ed.; Maw, Janet, Ed.

    Issues surrounding boys'"underachievement" have been at the center of public debate about education and the raising of standards in recent years. Media and political responses to the "problem of boys" have tended to be simplistic, partial, and owe more to quick fixes than investigation and research. This book provides a…

  17. Legal Issues Surrounding Safe Schools.

    ERIC Educational Resources Information Center

    Day, Reed B.

    This handbook provides an overview of legal issues pertaining to the safety of public schools. Following the introduction, chapter 2 describes the governance model and philosophy on which American education is based. Court decisions and federal and state legislation that mandate the right to a safe school are discussed in chapter 3. The fourth…

  18. Issues Surrounding the Use of Virtual Reality in Geographic Education

    ERIC Educational Resources Information Center

    Lisichenko, Richard

    2015-01-01

    As with all classroom innovations intended to improve geographic education, the adoption of virtual reality (VR) poses issues for consideration prior to endorsing its use. Of these, effectiveness, implementation, and safe use need to be addressed. Traditionally, sense of place, geographic knowledge, and firsthand experiences provided by field…

  19. 32 CFR 724.806 - Decisional issues.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the exercise of discretion on the issue of equity in the applicant's case. (ii) If a reason is based... should exercise its equitable powers to change the discharge on the basis of the alleged error. If it..., specific circumstances surrounding the offense, number of offenses, lack of mitigating circumstances, or...

  20. Endangered Languages: Language Loss and Community Response.

    ERIC Educational Resources Information Center

    Grenoble, Lenore A., Ed.; Whaley, Lindsay J., Ed.

    This edited volume provides an overview of issues surrounding language loss from sociological, economic, and linguistic perspectives. Four parts cover general issues in language loss; language-community responses, including native language instruction in school, community, and home; the value of language diversity and what is lost when a language…

  1. School Expulsions, Suspensions, and Dropouts: Understanding the Issues. Hot Topics Series.

    ERIC Educational Resources Information Center

    Gallegos, Arnold, Ed.

    This collection of papers examines the causal and contextual issues surrounding the emerging rash of student expulsions, suspensions, and dropouts; discusses legal restrictions that school personnel must consider when establishing and implementing student codes of conduct; and presents promising programs and practices to reduce the number of…

  2. Major Trends and Issues in Early Childhood Education: Challenges, Controversies, and Insights. (Second Edition).

    ERIC Educational Resources Information Center

    Isenberg, Joan Packer, Ed.; Jalongo, Mary Renck, Ed.

    Noting that understanding the contexts, continuities, and controversies of early childhood education is especially challenging because of the diversity in the field, this book provides a critical examination of the issues and controversies surrounding early childhood practices, policies, and professional development. Following an introduction…

  3. Issues surrounding the administration of a credit course for medical students: survey of US academic health sciences librarians*

    PubMed Central

    Miller, Jolene Michelle

    2004-01-01

    Objectives: For librarians developing a credit course for medical students, the process often involves trial and error. This project identified issues surrounding the administration of a credit course, so that librarians nationally can rely more upon shared knowledge of common practices and less upon trial and error. Methods: A questionnaire was sent to the education services librarian at each medical school listed in the 2000 AAMC Data Book. A second questionnaire was sent to those librarians who did not return the first one. Results: Of the 125 librarians surveyed, 82 returned the questionnaire. Of those 82, only 11 offered a credit course for medical students, though 19 more were in the process of developing one. Data were gathered on the following aspects of course administration: credit course offerings, course listing, information learned to administer the course, costs associated with the course, relationships with other departments on campus, preparation for teaching and grading, and evaluation of the course. Conclusions: Because of small number of respondents offering a credit course and institutional variations, making generalizations about issues surrounding the administration of a credit course is difficult. The article closes with a list of recommendations for librarians planning to develop a course. PMID:15243642

  4. Dating Violence among College Students: Key Issues for College Counselors

    ERIC Educational Resources Information Center

    Murray, Christine E.; Kardatzke, Kerrie N.

    2007-01-01

    The authors present a review of literature examining dating violence among college students. They describe 6 key issues related to dating violence among college students that affect college counselors' work. These key issues relate to the incidence and prevalence of physical, sexual, and psychological violence in college students' dating…

  5. Introduction to the Special Issue: Drugs, Wars, Military Personnel, and Veterans

    PubMed Central

    Golub, Andrew; Bennett, Alexander S.

    2013-01-01

    This special issue examines major structural, sociocultural, and behavioral issues surrounding substance use and misuse among US military personnel and veterans who served in recent military conflicts in Iraq and Afghanistan. This introduction provides a brief historical review of the US’s experiences of the linkages between war and substance use, misuse, and abuse. It then describes how the various topics covered in this issue span the military-veteran life course and explains the significance of each contribution. PMID:23869453

  6. Attention deficit/hyperactivity disorder blame game: a study on the positioning of professionals, teachers and parents.

    PubMed

    Frigerio, Alessandra; Montali, Lorenzo; Fine, Michelle

    2013-11-01

    Attention deficit/hyperactivity disorder is currently the most debated childhood psychiatric diagnosis. Given the circulation of competing perspectives about the 'real' causes of children's behaviour and the 'best' way to treat them, we aim to analyse the interactions of the central social actors' discourses about attention deficit/hyperactivity disorder children within the Italian context. Adopting a multi-method approach, we focus on the polyphonic chorus of voices surrounding the child, studying the discourses of mental health professionals, teachers and parents. These actors are representative of three contexts that are deeply engaged with attention deficit/hyperactivity disorder: medical institutions, schools and families. Our theoretical and methodological approach integrates positioning theory, the Bakhtinian notion of dialogical thinking and discourse analysis to study stakeholders' reflexive and interactive positioning in terms of the attribution of rights, duties, responsibilities and power issues. The results show that mutual blame is a constitutive element of relational dynamics among the key adults surrounding attention deficit/hyperactivity disorder children. We argue that these conflicting relationships are not merely related to the debate regarding the validity of the attention deficit/hyperactivity disorder diagnosis. Rather, the mutual blame centres on questions of compliance, recognition of authority and morality. Through the blame game, adults negotiate their own and others' subjectivity in ways that simultaneously (re)produce power relationships and resistance efforts.

  7. DYNAMIC CHANGES IN COLORED DISSOLVED ORGANIC MATTER AND TOTAL SUSPENDED MATTER CONTROL UV EXPOSURE OF CORAL REEFS IN THE FLORIDA KEYS

    EPA Science Inventory

    Variation in ultraviolet (UV) light exposure is one important environmental factor that influences the health of coral reefs. Here we present evidence that the reef tract in the Florida Keys experiences significantly higher variability in UV exposure than other surrounding coast...

  8. Conceptual parameters of acculturation within the Asian and Pacific Islander American populations: applications for nursing practice and research.

    PubMed

    Baker, Dian

    2011-01-01

    Asian and Pacific Islander Americans (A&PIAs) are experiencing health inequities. For example, A&PIA is the only racial/ethnic group in America to experience cancer as their leading cause of death. Several studies within the A&PIA population have pointed to acculturation as a significant variable to explain their health and health-seeking behaviors. Acculturation is a key construct in understanding the health of the A&PIA population. The purpose of this concept analysis is to provide a current conceptual understanding of the relationship between acculturation and health, especially within the A&PIA populations, which will serve as a pragmatic guideline for nursing practice and research. Understanding the contemporary issues surrounding the conceptual application of acculturation will aid in the development of appropriate programs to reduce health inequities. Acculturation was explored using the Morse method of concept analysis. An iterative historical and contemporary literature review across the disciplines of anthropology, sociology, psychology, medicine, and nursing was completed. Analytical questions asked of the resultant data provided the theoretical definition, antecedents, key attributes, outcomes, and implications. The concept analysis resulted in a new theoretical definition that includes multidimensional concepts of acculturation. Dilemmas in the measurement of key attributes of acculturation include unidirectional and bidirectional analysis, psychometric issues, and the appropriateness of proxy measurements. Outcomes of acculturation on health can be positive or negative and depend on an individual's or group's ability to navigate freely with necessary supports. Results of the conceptual analysis resulted in recommendations for nursing practice and future acculturation research. While debate continues about the appropriate use and definition of acculturation, researchers agree that it is an important construct in understanding the health of migrating individuals and groups. Currently there is no testable framework that delineates the role of acculturation in health. Further research is indicated to clarify the relationship between acculturation and health. © 2011 Wiley Periodicals, Inc.

  9. Polluting Canada's Public Square: The Harper Government's War on Science and the Environment?

    NASA Astrophysics Data System (ADS)

    Linnitt, C.; Hoggan, J. C.

    2013-12-01

    Conversations about key environmental issues like climate change are increasingly viewed as matters of politics rather than matters of science. As a result, competing -and often polarized - interests have made public debate on these issues vulnerable to aggressive politicization. This politicization, particularly when it comes to important policy decisions regarding industrial (and especially fossil fuel) development, obscures the facts on these issues, leaving democratic public debate prey to aggressive public relations tactics, misinformation campaigns, pseudo-science, modern-day propaganda and/or the deliberate ';pollution' of the public square. In Canada a coordinated effort is underway to mischaracterize environmental groups as radical ideologues, associating environmental views and pursuits with extremism. A Tea Party-style echo chamber has also emerged in Canada, coordinating anti-science messaging in an attempt to bolster industrial development while misaligning environmental non-profits with domestic terror threats. This attempt to undermine ecological agendas and to push environmental concerns to the margins is paired with government-sponsored censorship of federally-funded scientists and the elimination of vital public science programs in Canada. The result is a dearth of scientific information surrounding significant environmental concerns - such as the Alberta oil sands and industry contamination of waterways - and a dangerous and false association of these issues with an extremist agenda. Ultimately scientists and science communicators face a unique set of challenges in Canada when it comes to addressing environmental issues. Although the 'science' of science communication has evolved to address relevant cultural and socio-political barriers associated with change resistance (for example, adapting one's behavior to minimize greenhouse gas emissions), much work remains in both acknowledging and ameliorating the politicization of science and the intentional pollution of public conversations. Democracy depends on the public's access to information; however, in a climate in which that access is under threat, scientists and science communicators may need to address those fundamental concerns deliberately in order to participate effectively in the public policy and decision-making process. This paper provides a brief overview of environmental communications theory and practice, current misinformation techniques, and key instances in which either government policy and/or media and industry behavior have actively sought to contaminate or impede more constructive discourse on issues of science and environmental regulation. We conclude by offering a set of recommendations for improving the ability of scientists and experts to communicate effectively in an increasingly complex political and media environment, and for safeguarding the quality of democratic discourse on these and other issues.

  10. Imaging or Imagining? A Neuroethics Challenge Informed by Genetics

    PubMed Central

    Illes, Judy; Racine, Eric

    2006-01-01

    From a twenty-first century partnership between bioethics and neuroscience, the modern field of neuroethics is emerging, and technologies enabling functional neuroimaging with unprecedented sensitivity have brought new ethical, social and legal issues to the forefront. Some issues, akin to those surrounding modern genetics, raise critical questions regarding prediction of disease, privacy and identity. However, with new and still-evolving insights into our neurobiology and previously unquantifiable features of profoundly personal behaviors such as social attitude, value and moral agency, the difficulty of carefully and properly interpreting the relationship between brain findings and our own self-concept is unprecedented. Therefore, while the ethics of genetics provides a legitimate starting point—even a backbone—for tackling ethical issues in neuroimaging, they do not suffice. Drawing on recent neuroimaging findings and their plausible real-world applications, we argue that interpretation of neuroimaging data is a key epistemological and ethical challenge. This challenge is two-fold. First, at the scientific level, the sheer complexity of neuroscience research poses challenges for integration of knowledge and meaningful interpretation of data. Second, at the social and cultural level, we find that interpretations of imaging studies are bound by cultural and anthropological frameworks. In particular, the introduction of concepts of self and personhood in neuroimaging illustrates the interaction of interpretation levels and is a major reason why ethical reflection on genetics will only partially help settle neuroethical issues. Indeed, ethical interpretation of such findings will necessitate not only traditional bioethical input but also a wider perspective on the construction of scientific knowledge. PMID:16036688

  11. Biosimilar therapeutics—what do we need to consider?

    PubMed Central

    Schellekens, Huub

    2009-01-01

    Patents for the first generation of approved biopharmaceuticals have either expired or are about to expire. Thus the market is opening for generic versions, referred to as ‘biosimilars’ (European Union) or ‘follow-on protein products’ (United States). Healthcare professionals need to understand the critical issues surrounding the use of biosimilars to make informed treatment decisions. The complex high-molecular-weight three-dimensional structures of biopharmaceuticals, their heterogeneity and dependence on production in living cells makes them different from classical chemical drugs. Current analytical methods cannot characterize these complex molecules sufficiently to confirm structural equivalence with reference molecules. Verification of the similarity of biosimilars to innovator biopharmaceuticals remains a key challenge. Furthermore, a critical safety issue, the immunogenicity of biopharmaceuticals, has been highlighted in recent years, confirming a need for comprehensive immunogenicity testing prior to approval and extended post-marketing surveillance. Biosimilars present a new set of challenges for regulatory authorities when compared with conventional generics. While the demonstration of a pharmacokinetic similarity is sufficient for conventional, small-molecule generic agents, a number of issues will make the approval of biosimilars more complicated. Documents recently published by the European Medicines Agency (EMEA) outlining requirements for the market approval of biosimilars provide much-needed guidance. The EMEA has approved a number of biosimilar products in a scientifically rigorous and balanced process. Outstanding issues include the interchangeability of biosimilars and innovator products, the possible need for unique naming to differentiate the various biopharmaceutical products, and more comprehensive labelling for biosimilars to include relevant clinical data. PMID:19461855

  12. View from the center: Supercities conference

    NASA Astrophysics Data System (ADS)

    Knox, J. B.

    The Supercities Conference (26-30 October 1992) was the initial activity planned and executed by the Pacific Basin Study Center (PBSC), a research center founded by San Francisco State University and the University of California, Davis. The Conference focused on issues of environmental quality and the quest for sustainable development in the great urban centers—Supercities—of the Pacific. The Conference, with its working group process, highlighted the long-term commitment of the PBSC to education, training, and research in regard to environmental, energy, and resource utilization issues that challenge society now and the coming century. We define a "Supercity" as a large metropolitan area of about eight million population currently undergoing rapid growth in population and urbanization. Some of the cities considered at the conference are emerging "Supercities"—large urban complexes destined to soon be "Supercities". Supercities in both the developing and developed nations are at critical stages of development, with the size and number of Supercities appearing to be unstoppable. These urban centers and their surrounding areas are large users of resources and energy. In many cases, the national demand for energy and materials will be largely patterned by the strategies, management, and actions taken within the Supercities. It is for this reason that our focus is on these dynamic, urban entities of the Pacific. Appropriate technology transfer, sharing of common concerns and knowledge, and the seeking of workable conservation and remediation efforts within Supercities could improve living conditions within these centers, and address regional and global environmental issues in parallel. The Conference focused on urban air quality conditions in 14 metropolitan areas, common health impacts, and projected emissions; a working group process defined needed areas for research and development of key information. Through the medium of panels, the progress of several major cities in addressing urban air quality issues was reported, as well as the rationale for the documented successes of environmental improvement. The Conference played a key role in the definition of the early research directions of the PBSC, and in the establishment of a Pacific Basin network of researchers and planners committed to the pursuit of sustainable development.

  13. Editorial: subjective perceptions of memory functioning in old age - nature, correlates, and developmental trajectories.

    PubMed

    Hülür, Gizem; Gerstorf, Denis

    2015-01-01

    Subjective memory complaints are often used as diagnostic criteria for several neurocognitive disorders. Although a number of studies have examined subjective memory and its associations with memory functioning in adulthood and old age, it is still an open question whether subjective perceptions of one's memory indicate actual memory functioning or whether they are rather derived from factors other than memory, such as depressive symptoms. The studies in this special section examine subjective perceptions of memory functioning and their associations with objectively measured memory performance in general and in clinical populations. The four articles adopt cross-sectional and longitudinal methodologies and offer key insights into the nature, correlates, and developmental trajectories of subjective memory. To begin with, the studies compiled in this special section demonstrate that changes in subjective memory perceptions are indeed associated with changes in memory performance [Zimprich and Kurtz, this issue, pp. 223-231], but the size of associations between levels of and changes in subjective memory and memory performance is in part modulated by personality characteristics and depressive symptoms [Hülür et al., this issue, pp. 232-240]. Second, the studies compiled here show that factors other than memory are also closely associated with memory perceptions, including functional health as well as domain-general and health-specific control beliefs [Luszcz et al., this issue, pp. 241-250]. Third, the study by Thompson et al. [this issue, pp. 251-257] shows that self- and informant-reports of retrospective and prospective memory difficulties are not associated with performance-based measures and does not sufficiently differentiate between healthy controls and patients diagnosed with mild cognitive impairment or dementia. In our editorial, we put these findings in perspective and discuss implications for research and practice. To extend our knowledge, we conclude by outlining two key avenues for future research: (i) longitudinal multivariate studies of the construct space surrounding subjective memory and (ii) the viability of experience sampling studies with daily or hourly measurements to tackle some of the mechanisms underlying these associations. © 2015 S. Karger AG, Basel

  14. Issues Facing Academic Library Consortia and Perceptions of Members of the Illinois Digital Academic Library.

    ERIC Educational Resources Information Center

    Brooks, Sam; Dorst, Thomas J.

    2002-01-01

    Discusses the role of consortia in academic libraries, specifically the Illinois Digital Academic Library (IDAL), and describes a study conducted by the IDAL that investigated issues surrounding full text database research including stability of content, vendor communication, embargo periods, publisher concerns, quality of content, linking and…

  15. Understanding "Great Expectations": A Student Casebook to Issues, Sources, and Historical Documents.

    ERIC Educational Resources Information Center

    Newlin, George

    More than 100 years after being written, "Great Expectations" is still one of the most widely studied works of fiction. This casebook of historical documents, collateral readings and essays brings to life both Charles Dickens' masterpiece and the social issues surrounding his work. The interdisciplinary approach in the casebook offers…

  16. Issues Surrounding Mobility with Particular Reference to Japan.

    ERIC Educational Resources Information Center

    Kameoka, Yu

    1996-01-01

    Several issues in college student mobility between Japan and other member countries of the Organisation for Economic Cooperation and Development (OECD) are examined, including the role of organized regional mobility in various areas of the world, curriculum development to meet the needs of international students, and the need for more analysis of…

  17. Adult Ed: 150 Years of Creative Solutions

    ERIC Educational Resources Information Center

    Sparks, Glen

    2006-01-01

    For every school district with a formal adult education program, creative solutions to many K-12 issues may very well be right in their own backyard, and virtually free of cost. For district leaders, understanding the mission and the funding issues surrounding adult education are the first steps in understanding how their program can better serve…

  18. Doing God in a Liberal Democracy

    ERIC Educational Resources Information Center

    Moulin, Daniel; Robson, James

    2012-01-01

    While we agree with Cooling's argument from fairness, we argue that Cooling fails to give an adequate account of how fairness can be conceived, particularly because he does not decisively tackle the issues surrounding doing God in a plural context, or the contentious issues of compulsory collective worship and faith schools. In order to explore an…

  19. Calculus-Based Mathematics: An Australian Endangered Species?

    ERIC Educational Resources Information Center

    Maltas, Dimitrios; Prescott, Anne

    2014-01-01

    Many people are discussing the issues surrounding mathematics at all levels of education. Politicians, parents, students, universities, education departments all have a view about what the problem is and all have ideas about what should happen. This article represents a synthesis of the issues and implications of one of the problems evident in…

  20. Reduction in Force: The Legal Aspects.

    ERIC Educational Resources Information Center

    Ware, Martha L.

    Six legal issues surrounding a school district's reduction in force are described in this twelfth chapter in a book on school law. First, the courts generally hold that the school board must prove that a reduction in force (RIF) is inescapable. The second issue revolves around which positions and employees are being eliminated. In deciding such…

  1. Ethical Issues of Reproductive Technologies: Legal and Ethical.

    ERIC Educational Resources Information Center

    Kammler, Kim

    Ethical issues which surround the reproductive technologies being used to assist infertile couples include social impact, surrogacy, access to service and confidentiality. The use of reproductive technologies does not appear to cause harm, and often does a lot of good for the family and society. Surrogacy could be a valuable tool for the infertile…

  2. Perspectives on High School Reform. NCREL Viewpoints, Volume 13

    ERIC Educational Resources Information Center

    Learning Point Associates / North Central Regional Educational Laboratory (NCREL), 2005

    2005-01-01

    Viewpoints is a multimedia package containing two audio CDs and a brief, informative booklet. This volume of Viewpoints focuses on issues related to high school reform. This booklet offers background information explaining the issues surrounding high school reform with perspectives from research, policy, and practice. It also provides a list of…

  3. Value-Added Model (VAM) Research for Educational Policy: Framing the Issue

    ERIC Educational Resources Information Center

    Amrein-Beardsley, Audrey; Collins, Clarin; Polasky, Sarah A.; Sloat, Edward F.

    2013-01-01

    In this manuscript, the guest editors of the EPAA Special Issue on "Value-Added Model (VAM) Research for Educational Policy" (1) introduce the background and policy context surrounding the increased use of VAMs for teacher evaluation and accountability purposes across the United States; (2) summarize the five research papers and one…

  4. Child Labour, Education Policy and Governance in Cambodia

    ERIC Educational Resources Information Center

    Kim, Chae-Young

    2011-01-01

    This paper considers how the issue of child labour is located in Cambodian education policy debates and how it is affected by the major constraints surrounding the Cambodian education sector. In particular, it asks why Cambodian policy makers have not sought to address the issue explicitly despite its considerable, and adverse, impact on…

  5. Current Economic Issues in Employee Benefits. Background Paper No. 39.

    ERIC Educational Resources Information Center

    Woodbury, Stephen A.

    A multitude of public policy issues currently surround the tax treatment of employee benefits, particularly since the tax-favored status of employer contributions to pensions and health insurance has been blamed for a shrinking tax base that has exacerbated the federal budget deficit, an inefficient and bloated health-care sector, overinsurance by…

  6. Moving People and Minds: Dance as a Vehicle of Democratic Education

    ERIC Educational Resources Information Center

    Catalano, Theresa; Leonard, Alison E.

    2016-01-01

    Engaging today's youth in civil discussions of contentious issues remains both a crucial element in democratically oriented education and extremely challenging to facilitate. The purpose of this article, which documents and presents pilot study findings from a dance workshop that engaged practicing teachers surrounding the issue of immigration, is…

  7. Understanding the Undertow: Innovative Responses to Labour Market Disadvantage and VET

    ERIC Educational Resources Information Center

    Bretherton, Tanya

    2011-01-01

    An Australian Government priority is to increase productivity by moving people from welfare into employment. Policy on this issue is difficult to develop because of the complexities surrounding both under- and unemployment. This report considers underutilisation from two different perspectives. Not only does it contemplate the issue from the…

  8. Market-Based Reforms in Urban Education.

    ERIC Educational Resources Information Center

    Ladd, Helen F.

    This paper is for policymakers, advocates, and analysts who understand that the issues surrounding the introduction of more market-based mechanisms into education are complex and who accept the view that evidence is useful in sorting out the issues. It uses the market framework of demand, supply, and market pricing to organize the extensive but…

  9. 76 FR 26290 - Science Advisory Board Staff Office; Notification of a Public Teleconference of the Chartered...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-06

    ... report entitled ``SAB Review of EPA's Reanalysis of Key Issues Related to Dioxin Toxicity and Response to... of EPA's Reanalysis of Key Issues Related to Dioxin Toxicity and Response to NAS Comments.'' The SAB... Reanalysis of Key Issues Related to Dioxin Toxicity and Response to NAS Comments.'' To conduct this review...

  10. Report on Sexual Harassment and Violence at the Military Service Academies: Academic Program Year 2011-2012

    DTIC Science & Technology

    2012-12-01

    issue shall not constitute consent. There is no consent where the person is sleeping or incapacitated, such as due to age, alcohol or drugs, or...educational live performance program on issues surrounding dating, sex, and consent. The USNA continued to increase prevention efforts related to sexual...personnel; and (iv) any other issues relating to sexual harassment and sexual violence involving Academy personnel. (d) Annual Report.--(1) The

  11. Added value of involving patients in the first step of multidisciplinary guideline development: a qualitative interview study among infertile patients.

    PubMed

    den Breejen, Elvira M E; Hermens, Rosella P M G; Galama, Wienke H; Willemsen, Wim N P; Kremer, Jan A M; Nelen, Willianne L D M

    2016-06-01

    Patient involvement in scoping the guideline is emphasized, but published initiatives actively involving patients are generally limited to the writing and reviewing phase. To assess patients' added value to the scoping phase of a multidisciplinary guideline on infertility. Qualitative interview study. We conducted interviews among 12 infertile couples and 17 professionals. We listed and compared the couples' and professionals' key clinical issues (=care aspects that need improvement) to be addressed in the guideline according to four domains: current guidelines, professionals, patients and organization of care. Main key clinical issues suggested by more than three quarters of the infertile couples and/or at least two professionals were identified and compared. Overall, we identified 32 key clinical issues among infertile couples and 23 among professionals. Of the defined main key clinical issues, infertile couples mentioned eight issues that were not mentioned by the professionals. These main key clinical issues mainly concerned patient-centred (e.g. poor information provision and poor alignment of care) aspects of care on the professional and organizational domain. Both groups mentioned two main key clinical issues collectively that were interpreted differently: the lack of emotional support and respect for patients' values. Including patients from the first phase of the guideline development process leads to valuable additional main key clinical issues for the next step of a multidisciplinary guideline development process and broadens the scope of the guideline, particularly regarding patient-centredness and organizational issues from a patients' perspective. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

  12. Keep your hands crossed: the valence-by-left/right interaction is related to hand, not side, in an incongruent hand-response key assignment.

    PubMed

    de la Vega, Irmgard; Dudschig, Carolin; De Filippis, Mónica; Lachmair, Martin; Kaup, Barbara

    2013-02-01

    The body-specificity hypothesis (Casasanto, 2009) associates positive emotional valence and the space surrounding the dominant hand, and negative valence and the space surrounding the non-dominant hand. This effect has not only been found for manual responses, but also for the left and right side. In the present study, we investigated whether this compatibility effect still shows when hand and side carry incongruent information, and whether it is then related to hand or to side. We conducted two experiments which used an incongruent hand-response key assignment, that is, participants had their hands crossed. Participants were instructed to respond with their right vs. left hand (Experiment 1) or with the right vs. left key (Experiment 2). In both experiments, a compatibility effect related to hand emerged, indicating that the association between hand and valence overrides the one between side and valence when hand and side carry contradicting information. Copyright © 2013 Elsevier B.V. All rights reserved.

  13. An Examination of Ohio Principals' Attitudes toward Technology and First Amendment Law: Implications for Leadership

    ERIC Educational Resources Information Center

    Gooden, Mark A.

    2012-01-01

    Principals have acknowledged the challenges with remaining current on issues in the law. A unique challenge for principals is the intersection of students' First Amendment rights in the school context and the legal issues surrounding student-created webpages. Using a randomly selected sample of Ohio high school secondary principals, I investigated…

  14. Legal Issues Relating to School Paraprofessionals. A Legal Memorandum: Quarterly Law Topics for School Leaders, Spring 2004

    ERIC Educational Resources Information Center

    Ashbaker, Betty Y.; Morgan, Jill

    2004-01-01

    Complaints, hearings, legal opinions, and lawsuits on issues surrounding the training and supervision of paraprofessionals are increasing. Concern over the lack of preparation of paraprofessionals and the sporadic nature of the training that is available to them (Morgan, Hofmeister, & Ashbaker, 1995; Pickett, 1996) have led to the development…

  15. Teaching E=mc2: An Exploration of Some Issues.

    ERIC Educational Resources Information Center

    Baierlein, Ralph

    1991-01-01

    A discussion of what E=mc2 means and other issues associated with the equation are presented. The differences between matter, mass, and energy, a derivation of the equation, the history of the word mass and examples of how it is used, misconceptions surrounding the equation, and a discussion of uranium fission are included. (KR)

  16. Mapping the Context: Insights and Issues from Local Government Development of Music Communities

    ERIC Educational Resources Information Center

    Kenny, Ailbhe

    2011-01-01

    Recent years have revealed local government to be a fundamental stakeholder in the development of arts and music communities. This article provides a context for an exploration and study of the issues, themes and dilemmas that surround local government and music communities. In particular the article provides this examination from an Irish…

  17. Financial Exigency as Just Cause for Dismissal of Tenured Faculty in Higher Education: What Are the Legal Issues?

    ERIC Educational Resources Information Center

    Karr, Mary Beth

    This paper addresses the legal issues surrounding a university or college's action of dismissing tenured faculty members because of the school's troubled financial condition or program discontinuance. It explores various legal principles through an examination of specific questions. These questions are: (1) How do the courts define financial…

  18. Crossroads: Quality of Life in a Nuclear World. A High School English Curriculum.

    ERIC Educational Resources Information Center

    French, Dan; And Others

    One of a set of high school curricula on nuclear issues, this 10-day unit for English classes informs students of the issues surrounding the nuclear arms race and military spending. Each lesson includes readings, worksheets, and a daily homework assignment and focuses on one of the following activities: discussion, brainstorming, role playing, or…

  19. The Interaction of Cognition and Affect: The Issue of Free Trade.

    ERIC Educational Resources Information Center

    Thompson, Fred A.

    In determining whether an increase in student cognitions in the content area of international trade is correlated with an attitudinal change toward policy issues surrounding that subject, a microeconomics principles class at Riverside City College was used to test the hypothesis that a change in the cognitive component will cause a change in the…

  20. Here Comes the Bogeyman: Exploring Contemporary Issues in Writing for Children

    ERIC Educational Resources Information Center

    Melrose, Andrew

    2011-01-01

    "Here Comes the Bogeyman" is an essential text focussing on critical and contemporary issues surrounding writing for children. Containing a critically creative and a creatively critical investigation of the cult and culture of the child and childhood in fiction and non-fictional writing, it also contains a wealth of ideas and critical advice to be…

  1. Issues and Prospects of Effetive Implementation of New Secondary School Curriculum in Nigeria

    ERIC Educational Resources Information Center

    Ahmadi, Ali A.; Lukman, Ajibola A.

    2015-01-01

    This paper digs into the issues surrounding effective implementation of new secondary school curriculum in Nigeria. This is based on the feeling that 21st century education is characterized with a dramatic technological revolution. The paper therefore portrays education in the 21st century as a total departure from the factory-model education of…

  2. The Supply of Information Technology Workers in the United States.

    ERIC Educational Resources Information Center

    Freeman, Peter; Aspray, William

    This study is designed to improve understanding of the supply of and demand for information technology (IT) workers in America and contextual issues surrounding that topic. Chapter 1 examines aspects of the political context concerning IT workforce issues. Chapter 2 outlines a way to distinguish IT workers from a much larger class of workers whose…

  3. Straight Talk about America's Public Schools: Dispelling the Myths. Hot Topics Series.

    ERIC Educational Resources Information Center

    Barber, Larry W., Ed.

    The major issues surrounding the problems in American education are intertwined and obliquely connected in ways that are not clear to the casual reader or to single-issue authors. This handbook was designed to provide educators with information to refute claims that the American public education system is in a state of disarray and imminent…

  4. More Professors Could Share Lectures Online: But Should They?

    ERIC Educational Resources Information Center

    Young, Jeffrey R.

    2010-01-01

    In this article, the author discusses the issues surrounding the production of lecture videos by professors and administrators which are free to the world. Professors across the country are now wrestling with this issue. More and more colleges have installed microphones or cameras in lecture halls and bought easy-to-use software to get lecture…

  5. Teen Drinking Prevention Program. Community Risk Assessment Guide.

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Center for Substance Abuse Prevention.

    Although the facts about underage drinking are widely known, the issues that surround this problem vary from one community to the next. Such issues include where and how underage drinking shows itself, how it is viewed by the community, and what residents think is a reasonable way to address underage drinking in their community. This guide is…

  6. Literacy and Deaf Students in Taiwan: Issues, Practices and Directions for Future Research--Part I

    ERIC Educational Resources Information Center

    Liu, Hsiu Tan; Liu, Chun Jung; Andrews, Jean F.

    2014-01-01

    We describe the literacy issues facing young deaf and hard of hearing (DHH) learners in Taiwan who are learning both a logographic and an alphabetic script. We describe the contextual factors that surround their reading and writing processes such as island demographics, reading achievement levels, and background language learning variables…

  7. Gender-Based Pay Disparities in Intercollegiate Coaching: The Legal Issues.

    ERIC Educational Resources Information Center

    Gaal, John; Glazier, Michael S.; Evans, Thomas S.

    2002-01-01

    Explores the legal issues surrounding pay disparities between men and women in intercollegiate coaching, including how courts have treated disparate wage claims under the Equal Pay Act, Title VII of the Civil Rights Act of 1964, and Title IX, and the defenses used by institutions. Offers suggestions for defending claims and a detailed review of…

  8. Issues Surrounding English, the Internationalisation of Higher Education and National Cultural Identity in Asia: A Focus on Japan

    ERIC Educational Resources Information Center

    Le Phan, Ha

    2013-01-01

    The English language is significant to the internationalisation of higher education worldwide. Countries in Asia are proactive in appropriating English for their national interests, while paying attention to associated national cultural identity issues. This article examines the ways in which the role of English is interpreted and justified in…

  9. 43 CFR 6305.30 - What are the steps BLM must take in issuing an access authorization to valid occupancies?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... issuing an access authorization to mining claims or other valid occupancies wholly surrounded by... permit the reasonable use of the non-Federal land, valid mining claim, or other valid occupancy; and (3) The location, construction, maintenance, and use of the access route that BLM approves will be as...

  10. 43 CFR 6305.30 - What are the steps BLM must take in issuing an access authorization to valid occupancies?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... issuing an access authorization to mining claims or other valid occupancies wholly surrounded by... permit the reasonable use of the non-Federal land, valid mining claim, or other valid occupancy; and (3) The location, construction, maintenance, and use of the access route that BLM approves will be as...

  11. 43 CFR 6305.30 - What are the steps BLM must take in issuing an access authorization to valid occupancies?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... issuing an access authorization to mining claims or other valid occupancies wholly surrounded by... permit the reasonable use of the non-Federal land, valid mining claim, or other valid occupancy; and (3) The location, construction, maintenance, and use of the access route that BLM approves will be as...

  12. 43 CFR 6305.30 - What are the steps BLM must take in issuing an access authorization to valid occupancies?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... issuing an access authorization to mining claims or other valid occupancies wholly surrounded by... permit the reasonable use of the non-Federal land, valid mining claim, or other valid occupancy; and (3) The location, construction, maintenance, and use of the access route that BLM approves will be as...

  13. Connecting to Nature at the Zoo: Implications for Responding to Climate Change

    ERIC Educational Resources Information Center

    Clayton, Susan; Luebke, Jerry; Saunders, Carol; Matiasek, Jennifer; Grajal, Alejandro

    2014-01-01

    Societal response to climate change has been inadequate. A perception that the issue is both physically and temporally remote may reduce concern; concern may also be affected by the political polarization surrounding the issue in the USA. A feeling of connection to nature or to animals may increase personal relevance, and a supportive social…

  14. A view of software management issues

    NASA Technical Reports Server (NTRS)

    Manley, J. H.

    1985-01-01

    The Software Development Environment (SDE) Panel addressed key programmatic, scope, and structural issues raised by its members and the general audience regarding the proposed software development environment for the Space Station program. The general team approach taken by this group led to a consensus on 18 recommendations to NASA mangament regarding the acquisition and definition of the SDE. This approach was keyed by the initial issues presentation given to the general audience. Additional issues (for a total of 23) were developed by the panelists in their first closed session from which key areas were selected and discussed in open session. These discussions led to key recommendations which are summarized and described.

  15. Active parental consent in school-based research. An examination of ethical and methodological issues.

    PubMed

    Esbensen, F A; Deschenes, E P; Vogel, R E; West, J; Arboit, K; Harris, L

    1996-12-01

    To date, most school-based research has used passive parental consent. However, the Family Privacy Protection Act of 1995 aims to change these requirements. The proposed legislation requires written parental consent if minors are to be asked "sensitive" questions as part of any program or activity funded in whole or in part by the federal government. This act is representative of a growing trend toward restricting research involving minors. Whether or not this act is passed by Congress, two lines of concern are highlighted by this legislation. The first deals with ethical issues surrounding consent procedures. For instance, are parental rights compromised when active consent is not mandated? A second line of inquiry pertains to the effect of active consent procedures on response rates and sample bias. In this article, the authors discuss ethical issues surrounding passive and active consent procedures and then report response rates from two projects in which active consent procedures were implemented.

  16. Uses and issues of biomonitoring.

    PubMed

    Needham, Larry L; Calafat, Antonia M; Barr, Dana B

    2007-05-01

    In the last two decades, an explosion in information and literature on human biomonitoring data has occurred. Symposia, workshops, and workgroups have been formed to discuss all issues surrounding biomonitoring. One such workgroup, formed by the International Life Sciences Institute's Health and Environmental Sciences Institute (HESI), developed a wheel which has biomonitoring at its hub; its spokes depict the uses of biomonitoring. As it rolls and picks up speed, the biomonitoring wheel will no doubt gain additional spokes. In this manuscript, we describe and give examples of these biomonitoring uses and some of their further applications as well as some of the issues surrounding biomonitoring. Special emphasis is placed on the uses and limitations of large-scale representative cross sectional studies such as the National Health and Nutrition Examination Surveys in the United States. Priority setting, improved modeling methods for interpreting the biomonitoring data, and an increase in studies designed to associate health indicators and health risks to selected environmental chemicals are needed to increase the power of biomonitoring.

  17. Stability of the Boundary Layer and the Spot

    NASA Technical Reports Server (NTRS)

    Wygnanski, I.

    2007-01-01

    The similarity among turbulent spots observed in various transition experiments, and the rate in which they contaminate the surrounding laminar boundary layer is only cursory. The shape of the spot depends on the Reynolds number of the surrounding boundary layer and on the pressure gradient to which it and the surrounding laminar flow are exposed. The propagation speeds of the spot boundaries depend, in addition, on the location from which the spot originated and do not simply scale with the local free stream velocity. The understanding of the manner in which the turbulent manner in which the turbulent spot destabilizes the surrounding, vortical fluid is a key to the understanding of the transition process. We therefore turned to detailed observations near the spot boundaries in general and near the spanwise tip of the spot in particular.

  18. The clinical role of lecturers in nursing in Ireland: perceptions from key stakeholder groups in nurse education on the role.

    PubMed

    Meskell, Pauline; Murphy, Kathleen; Shaw, David

    2009-10-01

    The clinical role of lecturers in nursing has been a focus of debate since the integration of nurse education into higher education institutions. The purpose of this paper is to report the findings from the preliminary phase of a study, undertaken to investigate the perceptions of key stakeholder groups in nurse education, regarding the current clinical role of nurse lecturers in Ireland. A descriptive exploratory design was used involving focus group and individual interviews, soliciting views of purposefully selected educationalists, clinicians, policy formulators and students. The issue was examined from a policy perspective, aiming to collectively represent views of all participant groups. This approach facilitated a more complete picture of perceptions of the role to emerge, to better inform future decision making. Twenty two focus group interviews and twenty one individual interviews were conducted. Content analysis was used to identify themes. All groups were in agreement that role definition was urgently required to dispel ambiguities surrounding what the clinical role should involve. Conflicting views were evident among groups regarding lecturers' clinical credibility, visibility and teaching effectiveness. Findings highlight the essential nature of nurse lecturers engaging with clinical areas to maintain their skills, demonstrate a value for the practice component of the role and provide a link between education and practice.

  19. Proceedings from the Workshop on Phytoremediation of Inorganic Contaminants

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

    Brown, Jay Thatcher; Matthern, Gretchen Elise; Glenn, Anne Williams

    The Metals and Radionuclides Product Line of the U.S. Department of Energy (DOE) Subsurface Contaminants Focus Area (SCFA) is responsible for the development of technologies and systems that reduce the risk and cost of remediation of radionuclide and hazardous metal contamination in soils and groundwater. The rapid and efficient remediation of these sites and the areas surrounding them represents a technological challenge. Phytoremediation, the use of living plants to cleanup contaminated soils, sediments, surface water and groundwater, is an emerging technology that may be applicable to the problem. The use of phytoremediation to cleanup organic contamination is widely accepted andmore » is being implemented at numerous sites. This workshop was held to initiate a discussion in the scientific community about whether phytoremediation is applicable to inorganic contaminants, such as metals and radionuclides, across the DOE complex. The Workshop on Phytoremediation of Inorganic Contaminants was held at Argonne National Laboratory from November 30 through December 2, 1999. The purpose of the workshop was to provide SCFA and the DOE Environmental Restoration Program with an understanding of the status of phytoremediation as a potential remediation technology for DOE sites. The workshop was expected to identify data gaps, technologies ready for demonstration and deployment, and to provide a set of recommendations for the further development of these technologies. More specifically, the objectives of the workshop were to: · Determine the status of the existing baseline, including technological maturation, · Identify areas for future potential research, · Identify the key issues and recommendations for issue resolution, · Recommend a strategy for maturing key aspects of phytoremediation, · Improve communication and collaboration among organizations currently involved in phytoremediation research, and · Identify technical barriers to making phytoremediation commercially successful in more areas.« less

  20. Transportation and aging: a research agenda for advancing safe mobility.

    PubMed

    Dickerson, Anne E; Molnar, Lisa J; Eby, David W; Adler, Geri; Bédard, Michel; Berg-Weger, Marla; Classen, Sherrilene; Foley, Daniel; Horowitz, Amy; Kerschner, Helen; Page, Oliver; Silverstein, Nina M; Staplin, Loren; Trujillo, Leonard

    2007-10-01

    We review what we currently know about older driver safety and mobility, and we highlight important research needs in a number of key areas that hold promise for achieving the safety and mobility goals for the aging baby boomers and future generations of older drivers. Through the use of a framework for transportation and safe mobility, we describe key areas of screening and assessment, remediation and rehabilitation, vehicle design and modification, technological advancements, roadway design, transitioning to nondriving, and alternative transportation to meet the goals of crash prevention and mobility maintenance for older adults. Four cross-cutting themes emerged from this review: safe transportation for older adults is important; older adults have a variety of needs, abilities, and resources; research to help meet the transportation needs of older adults may be of benefit to persons with disabilities; and transportation issues concerning older adults are multifaceted. Safe mobility is essential to continued engagement in civic, social, and community life, and to the human interactions necessary for health, well-being, and quality of life. When safe driving is no longer possible for older adults, safe and practicable alternative transportation must be available. Furthermore, older adults are individuals; they have specific needs, abilities, and resources. Not all older adults will have difficulty meeting their transportation needs and no single transportation solution will work for all people. Research and countermeasures intended to help meet the transportation needs of older adults will likely also benefit younger users of the transportation system, particularly those with disabilities. The issues surrounding the maintenance of safe transportation for older adults will require an interdisciplinary research approach if we are to make significant progress in the next decade as the baby boomers begin to reach age 70.

  1. HESS Opinions "On forecast (in)consistency in a hydro-meteorological chain: curse or blessing?"

    NASA Astrophysics Data System (ADS)

    Pappenberger, F.; Cloke, H. L.; Persson, A.; Demeritt, D.

    2011-01-01

    Flood forecasting increasingly relies on Numerical Weather Prediction (NWP) forecasts to achieve longer lead times (see Cloke et al., 2009; Cloke and Pappenberger, 2009). One of the key difficulties that is emerging in constructing a decision framework for these flood forecasts is when consecutive forecasts are different, leading to different conclusions regarding the issuing of forecasts, and hence inconsistent. In this opinion paper we explore some of the issues surrounding such forecast inconsistency (also known as "jumpiness", "turning points", "continuity" or number of "swings"; Zoster et al., 2009; Mills and Pepper, 1999; Lashley et al., 2008). We begin by defining what forecast inconsistency is; why forecasts might be inconsistent; how we should analyse it; what we should do about it; how we should communicate it and whether it is a totally undesirable property. The property of consistency is increasingly emerging as a hot topic in many forecasting environments (for a limited discussion on NWP inconsistency see Persson, 2011). However, in this opinion paper we restrict the discussion to a hydro-meteorological forecasting chain in which river discharge forecasts are produced using inputs from NWP. In this area of research (in)consistency is receiving recent interest and application (see e.g., Bartholmes et al., 2008; Pappenberger et al., 2011).

  2. Human rights, cultural pluralism, and international health research.

    PubMed

    Marshall, Patricia A

    2005-01-01

    In the field of bioethics, scholars have begun to consider carefully the impact of structural issues on global population health, including socioeconomic and political factors influencing the disproportionate burden of disease throughout the world. Human rights and social justice are key considerations for both population health and biomedical research. In this paper, I will briefly explore approaches to human rights in bioethics and review guidelines for ethical conduct in international health research, focusing specifically on health research conducted in resource-poor settings. I will demonstrate the potential for addressing human rights considerations in international health research with special attention to the importance of collaborative partnerships, capacity building, and respect for cultural traditions. Strengthening professional knowledge about international research ethics increases awareness of ethical concerns associated with study design and informed consent among researchers working in resource-poor settings. But this is not enough. Technological and financial resources are also necessary to build capacity for local communities to ensure that research results are integrated into existing health systems. Problematic issues surrounding the application of ethical guidelines in resource-poor settings are embedded in social history, cultural context, and the global political economy. Resolving the moral complexities requires a commitment to engaged dialogue and action among investigators, funding agencies, policy makers, governmental institutions, and private industry.

  3. GROUNDWATER RECHARGE AND CHEMICAL ...

    EPA Pesticide Factsheets

    The existing knowledge base regarding the presence and significance of chemicals foreign to the subsurface environment is large and growing -the papers in this volume serving as recent testament. But complex questions with few answers surround the unknowns regarding the potential for environmental or human health effects from trace levels of xenobiotics in groundwater, especially groundwater augmented with treated wastewater. Public acceptance for direct or indirect groundwater recharge using treated municipal wastewater ( especially sewage) spans the spectrum from unquestioned embrace to outright rejection. In this article, I detour around the issues most commonly discussed for groundwater recharge and instead focus on some of the less-recognized issues- those that emanate from the mysteries created at the many literal and virtual interfaces involved with the subsurface world. My major objective is to catalyze discussion that advances our understanding of the barriers to public acceptance of wastewater reuse -with its ultimate culmination in direct reuse for drinking. I pose what could be a key question as to whether much of the public's frustration or ambivalence in its decision making process for accepting or rejecting water reuse (for various purposes including personal use) emanates from fundamental inaccuracies, misrepresentation, or oversimplification of what water 'is' and how it functions in the environment -just what exactly is the 'water cyc

  4. Academic freedom and the obligation to ensure morally responsible scholarship in nursing.

    PubMed

    Johnstone, Megan-Jane

    2012-06-01

    Academic freedom is generally regarded as being of critical importance to the development, improved understanding, and dissemination of new knowledge in a field. Although of obvious importance to the discipline of nursing, the nature, extent and value of academic freedom and the controversies surrounding it have rarely been considered in the nursing literature. It is a key aim of this paper to redress this oversight by providing a brief examination of: (i) the principle of academic freedom; (ii) the distinction between academic freedom, freedom of speech, and the academic freedom to publish; (iii) the problem of ideological judgments being dressed up as scientific or discipline judgments to supports 'bad' conclusions; and (iv) the standards that might otherwise be appealed to for determining whether maverick manuscripts supporting morally abhorrent conclusions should be accepted for publication. It is suggested that the tenets of academic freedom require robust international debate, with due attention being given to such issues as the development of an international declaration on academic freedom to publish in nursing, how to ensure a robust rebuttal system in nursing journals to counter specious scholarship, and how to better promote the letters pages of nursing journals as a venue for facilitating debate on controversial issues. © 2011 Blackwell Publishing Ltd.

  5. Disclosing incidental findings in brain research: the rights of minors in decision-making.

    PubMed

    Di Pietro, Nina C; Illes, Judy

    2013-11-01

    MRI is used routinely in research with children to generate new knowledge about brain development. The detection of unexpected brain abnormalities (incidental findings; IFs) in these studies presents unique challenges. While key issues surrounding incidence and significance, duty of care, and burden of disclosure have been addressed substantially for adults, less empirical data and normative analyses exist for minors who participate in minimal risk research. To identify ethical concerns and fill existing gaps, we conducted a comprehensive review of papers that focused explicitly on the discovery of IFs in minors. The discourse in the 21 papers retrieved for this analysis amply covered practical issues such as informed consent and screening, difficulties in ascertaining clinical significance, the economic costs and burden of responsibility on researchers, and risks (physical or psychological). However, we found little discussion about the involvement of minors in decisions about disclosure of IFs in the brain, especially for IFs of low clinical significance. In response, we propose a framework for managing IFs that integrates practical considerations with explicit appreciation of rights along the continuum of maturity. This capacity-adjusted framework emphasizes the importance of involving competent minors and respecting their right to make decisions about disclosure. Copyright © 2013 Wiley Periodicals, Inc.

  6. The preprint debate: What are the issues?

    PubMed

    da Silva, Jaime A Teixeira

    2018-04-01

    The debate surrounding preprints is increasing. Preprint proponents claim that preprints are a way to shore up trust in academic publishing, that they provide an additional 'quality' screen prior to traditional peer review, that they can assist with the replication crisis plaguing science in part by making negative or contradictory results public, and that they speed up the publishing process because fundamental results can be presented early, serving as timely reports for the purposes of tenure or grant funding. Preprint skeptics and critics claim that preprints may represent a risk and a danger to quality-based academic publishing because they are documents that have not been carefully and thoroughly vetted prior to their release into the public domain. Thus, academics who cite invalid, poorly vetted, or false facts could cause harm, not unlike the unscholarly 'predatory' open access movement. Feedback on work from lesser-known groups, or on less glamorous topics, may be null or worse than from traditional peer review, annulling an initial key objective of preprints. Although there is no widespread empirical evidence or data yet regarding some of these issues, academics should be aware of the ideological, financial, and political tug-of-war taking place before deciding if they wish to publish their important findings as a preprint prior or simultaneous to submitting to a regular journal for peer review.

  7. Pharmacology podcasts: a qualitative study of non-medical prescribing students' use, perceptions and impact on learning.

    PubMed

    Meade, Oonagh; Bowskill, Dianne; Lymn, Joanne S

    2011-01-11

    There is growing research on student use of podcasts in academic settings. However, there is little in-depth research focusing on student experience of podcasts, in particular in terms of barriers to, and facilitators of, podcast use and students' perceptions of the usefulness of podcasts as learning tools. This study aimed to explore the experiences of non-medical prescribing students who had access to podcasts of key pharmacology lectures as supplementary learning tools to their existing course materials. Semi-structured interviews were carried out with seven non-medical prescribing students (average age = 43 years), all of whom were nurses, who had access to seven podcasts of key pharmacology lectures. These podcasts took the form of downloadable audio lecture recordings available through the virtual learning environment WebCT. Low, medium and high users of the podcasts took part in the interviews in order to access a variety of student experiences. Interview data was analysed using thematic template analysis to identify key themes surrounding student experience of podcast availability, particularly in relation to barriers to and facilitators of podcast use, and students' experiences of podcasts as a learning tool. Students used podcasts for a variety of reasons such as revisiting lectures, preparing for exams, to clarify or revise specific topics and, to a lesser extent, to catch up on a missed lecture. Barriers to podcast use centred mainly around technological issues. Lack of experience of the technology required to access podcasts proved a barrier for some students. A lack of access to suitable technology was also a reported barrier. Family assistance and I.T. assistance from the university helped facilitate students' use of the podcasts. Students found that using podcasts allowed them to have greater control over their learning and to gauge their learning needs, as well as helping them build their understanding of a complex topic. Students used podcasts for a variety of reasons. Barriers to podcasts use were generally related to technological issues. Students often found that once assistance had been gained regarding these technological issues, they accessed the podcasts more easily. Students felt that access to podcasts added value to their learning materials by allowing them to better manage their learning and build their understanding. Podcasts represent a valuable additional learning tool for this specific group of older students.

  8. Pharmacology podcasts: a qualitative study of non-medical prescribing students' use, perceptions and impact on learning

    PubMed Central

    2011-01-01

    Background There is growing research on student use of podcasts in academic settings. However, there is little in-depth research focusing on student experience of podcasts, in particular in terms of barriers to, and facilitators of, podcast use and students' perceptions of the usefulness of podcasts as learning tools. This study aimed to explore the experiences of non-medical prescribing students who had access to podcasts of key pharmacology lectures as supplementary learning tools to their existing course materials. Methods Semi-structured interviews were carried out with seven non-medical prescribing students (average age = 43 years), all of whom were nurses, who had access to seven podcasts of key pharmacology lectures. These podcasts took the form of downloadable audio lecture recordings available through the virtual learning environment WebCT. Low, medium and high users of the podcasts took part in the interviews in order to access a variety of student experiences. Interview data was analysed using thematic template analysis to identify key themes surrounding student experience of podcast availability, particularly in relation to barriers to and facilitators of podcast use, and students' experiences of podcasts as a learning tool. Results Students used podcasts for a variety of reasons such as revisiting lectures, preparing for exams, to clarify or revise specific topics and, to a lesser extent, to catch up on a missed lecture. Barriers to podcast use centred mainly around technological issues. Lack of experience of the technology required to access podcasts proved a barrier for some students. A lack of access to suitable technology was also a reported barrier. Family assistance and I.T. assistance from the university helped facilitate students' use of the podcasts. Students found that using podcasts allowed them to have greater control over their learning and to gauge their learning needs, as well as helping them build their understanding of a complex topic. Conclusions Students used podcasts for a variety of reasons. Barriers to podcasts use were generally related to technological issues. Students often found that once assistance had been gained regarding these technological issues, they accessed the podcasts more easily. Students felt that access to podcasts added value to their learning materials by allowing them to better manage their learning and build their understanding. Podcasts represent a valuable additional learning tool for this specific group of older students. PMID:21223547

  9. Defensive Driving.

    ERIC Educational Resources Information Center

    Sutton, Judy

    1997-01-01

    Discusses management issues surrounding school busing operations within the context of tightening budgets while simultaneously serving the growing number of students with special needs. The debate on bus use for advertising is highlighted. (GR)

  10. The Energy Crisis: Is It Fabrication or Miscalculation?

    ERIC Educational Resources Information Center

    Shaheen, Esber I.

    1974-01-01

    Issues surrounding the recent oil shortages are discussed and alternate sources reviewed are nuclear power, fusion, solar energy, geothermal energy, magnetohydrodynamics coal gasification, windmills and tidal power. (JP)

  11. Environmental Discourse: Helping Graduate Students Build Effective Deliberation and Communication Skills

    NASA Astrophysics Data System (ADS)

    Huntzinger, D. N.; Downard, J.; Nielsen, E.

    2015-12-01

    The environmental sciences are at the forefront of critical issues facing society in the coming decades. As a result, many graduates in the environmental sciences find themselves working with the public to help inform the democratic process of making reasonable public policies. In order to be successful, students need to be confronted with the same kinds of questions and problems that practicing scientists face when they are working at the intersection of science and public policy. Otherwise, they lack the skills and confidence needed to work effectively with the public—especially on hotly contested environmental issues when the skills are needed the most. As part of a new Professional Science Master's (PSM) Program in Climate Science and Solutions at Northern Arizona University we have developed a three-semester course series focused on framing discussions on climate change mitigation and adaptation. Each semester, students use a deliberative model to design, frame, and facilitate a public discussion on a targeted issue of regional and local interest. The deliberative model is built around an approach to practical dilemmas that enables students to isolate and clarify the various sources of conflict around the issue. Working in an iterative manner, students learn to identify and untangling some of the sources of disagreement (e.g., policy, ethics and ideals, difference in scientific understanding) around and issue. As a result, students are in a much better position to clarify the key questions and sort through the competing solutions. The course series helps to improve the communication skills of students and promote productive public discourse with individuals from diverse backgrounds within the community. This type of experiential learning provides unique training to our students that not only broadens there understanding of complex issues surrounding climate change, but also provides them with professional skills that are transferrable to their careers.

  12. Education Studies: Issues & Critical Perspectives

    ERIC Educational Resources Information Center

    Kassem, Derek; Mufti, Emmanuel; Robinson, John

    2006-01-01

    This major text for Education Studies students provides a critical account of key issues in education today. The text features: (1) A critical analysis of key issues in Education Studies to encourage students' thinking about education in the broadest terms; (2) Themed sections with introductions to link the issues discussed in each chapter; (3)…

  13. Academic Librarianship: Professional Strivings and Political Realities.

    ERIC Educational Resources Information Center

    Sparks, David G. E.

    1980-01-01

    Discusses the issues surrounding faculty status for academic librarians. These include professionalization aspects of librarianship, the power relationships of academic faculties, and the phenomenon of academic collective bargaining. (Author/RAA)

  14. Strategies of Educational Decentralization: Key Questions and Core Issues.

    ERIC Educational Resources Information Center

    Hanson, E. Mark

    1998-01-01

    Explains key issues and forces that shape organization and management strategies of educational decentralization, using examples from Colombia, Venezuela, Argentina, Nicaragua, and Spain. Core decentralization issues include national and regional goals, planning, political stress, resource distribution, infrastructure development, and job…

  15. Future issues in transplantation ethics: ethical and legal controversies in xenotransplantation, stem cell, and cloning research.

    PubMed

    Shapiro, Robyn S

    2008-07-01

    With little prospect of developing a sufficient supply of human transplantable organs to meet the large and growing demand, attention has turned to xenotransplantation, as well as stem cell and cloning research, as possible approaches for alleviating this allograft shortage. This article explores ethical and legal issues that surround developments in these fields.

  16. Study of Issues Related to the Implementation of Computer Technology in Schools. Final Report, July, 1981. Technical Report No. 2.

    ERIC Educational Resources Information Center

    Sheingold, Karen; And Others

    This study examined ways in which microcomputers are used in schools and the complex issues that surround their implementation. Three fictional geographically distinct school districts with a diversity of microcomputer applications at both the elementary and secondary levels were studied: Salerno, a large southern city; Granite, a midwestern city;…

  17. Gender Justice and the English Citizenship Curriculum: A Consideration of Post-September 11 National Imperatives and Issues of "Britishness"

    ERIC Educational Resources Information Center

    Keddie, Amanda

    2008-01-01

    Although much contention has surrounded the introduction of the English citizenship curriculum, its political agenda clearly reflects a transformative approach to issues of justice and equity. In light of this agenda, this article supports feminist work in further problematizing the curriculum's silence around relations of gender and citizenship.…

  18. Issues for Active State Management of the JTPA Title III Grant: A Guide for State Planners and Managers.

    ERIC Educational Resources Information Center

    Reesman, Cilla J.

    This technical assistance guide presents the various options available to state planners and managers in considering five elements of active grant management. Each element is treated in a separate chapter. Chapter 1 addresses issues surrounding the setting of policies that ensure that Title III grants complement state agendas. Chapter 2 concerns…

  19. Social Issues Surrounding the Adolescent with Asperger Syndrome: Perceptions of Parents and Teachers

    ERIC Educational Resources Information Center

    Hurlbutt, Karen; LaPlante, Elaine

    2010-01-01

    The purpose of this qualitative study, a focused case study of a community, was to investigate the perceptions and experiences of three parents and three teachers regarding social issues of adolescents with Asperger Syndrome (AS). The study revealed that, in this small, rural community, students with AS are supported by their peers, appear to be…

  20. Want to Teach about SuperPACs? What We Can Learn from Stephen Colbert

    ERIC Educational Resources Information Center

    Stoddard, Jeremy

    2012-01-01

    The emergence of the SuperPACs in American politics is a major issue in the current election. SuperPACs, and the media campaigns they fund, also present a major challenge for media and democratic education. This article explores the issues surrounding SuperPACs and the rise of media in elections and politics in general, and presents some starting…

  1. Development and Implementation of a Learning Object Repository for French Teaching and Learning: Issues and Promises

    ERIC Educational Resources Information Center

    Caws, Catherine

    2008-01-01

    This paper discusses issues surrounding the development of a learning object repository (FLORE) for teaching and learning French at the postsecondary level. An evaluation based on qualitative and quantitative data was set up in order to better assess how second-language (L2) students in French perceived the integration of this new repository into…

  2. The 1990s Father: Balancing Work & Family Concerns. BNA Special Report Series on Work & Family. Special Report #18.

    ERIC Educational Resources Information Center

    Bureau of National Affairs, Inc., Washington, DC.

    This report examines the issues surrounding working fathers and the changing expectations of fatherhood that are creating the necessity for changes in the workplace. Issues examined include the following: (1) fathers are torn between employers expecting super employees and mothers expecting super fathers; (2) a few companies are taking note of the…

  3. Societal Issues and School Practices: An Ethnographic Investigation of the Social Context of School Computer Use.

    ERIC Educational Resources Information Center

    Friedman, Batya

    This study examines the relationship between societal forces and school computer use in the context of two issues surrounding computer technology: computer property and computer privacy. Four types of data were collected from district administrators, principals, computer teachers, and students over a 9-month period in a high school with a broad,…

  4. The South Carolina Title V Program in Perspective: Three Models of Purposive Change.

    ERIC Educational Resources Information Center

    Jacob, Nelson L.; And Others

    The utility of Rothman's three ideal types of social action as applied to community issues and Extension agents were explored via analysis of condensed case study materials describing decisions and activities surrounding a specific issue in the target county of a Title V (Rural Development Act of 1972) Project in South Carolina. The three Rothman…

  5. Stress estimation in reservoirs using an integrated inverse method

    NASA Astrophysics Data System (ADS)

    Mazuyer, Antoine; Cupillard, Paul; Giot, Richard; Conin, Marianne; Leroy, Yves; Thore, Pierre

    2018-05-01

    Estimating the stress in reservoirs and their surroundings prior to the production is a key issue for reservoir management planning. In this study, we propose an integrated inverse method to estimate such initial stress state. The 3D stress state is constructed with the displacement-based finite element method assuming linear isotropic elasticity and small perturbations in the current geometry of the geological structures. The Neumann boundary conditions are defined as piecewise linear functions of depth. The discontinuous functions are determined with the CMA-ES (Covariance Matrix Adaptation Evolution Strategy) optimization algorithm to fit wellbore stress data deduced from leak-off tests and breakouts. The disregard of the geological history and the simplified rheological assumptions mean that only the stress field, statically admissible and matching the wellbore data should be exploited. The spatial domain of validity of this statement is assessed by comparing the stress estimations for a synthetic folded structure of finite amplitude with a history constructed assuming a viscous response.

  6. Developing the doctor manager: reflecting on the personal costs.

    PubMed

    Mark, A

    1995-11-01

    These reflections focus on the development of doctors as managers in the National Health Service and the way that their participation is directly influenced by the personal costs perceived to their professional roles as doctors. Research has indicated some of the problems surrounding the development of doctors as managers. Although training has led to a reduction in stress, women doctors are having to contend with a glass ceiling which is double and even sometimes triple glazed, team development is not being addressed adequately, and succession planning is occurring by default rather than design. The application of domain theory to the issue can provide some guidance for the organisation, but as individual organisations like hospitals interpret these changes in a unique way, it is suggested that the key training for the future will need to focus on transition skills between organisations, and will require interpretive and adaptive responses from both doctors and managers if they are to continue to collaborate successfully in the managerial domain.

  7. Building the backbone: the development and evolution of vertebral patterning.

    PubMed

    Fleming, Angeleen; Kishida, Marcia G; Kimmel, Charles B; Keynes, Roger J

    2015-05-15

    The segmented vertebral column comprises a repeat series of vertebrae, each consisting of two key components: the vertebral body (or centrum) and the vertebral arches. Despite being a defining feature of the vertebrates, much remains to be understood about vertebral development and evolution. Particular controversy surrounds whether vertebral component structures are homologous across vertebrates, how somite and vertebral patterning are connected, and the developmental origin of vertebral bone-mineralizing cells. Here, we assemble evidence from ichthyologists, palaeontologists and developmental biologists to consider these issues. Vertebral arch elements were present in early stem vertebrates, whereas centra arose later. We argue that centra are homologous among jawed vertebrates, and review evidence in teleosts that the notochord plays an instructive role in segmental patterning, alongside the somites, and contributes to mineralization. By clarifying the evolutionary relationship between centra and arches, and their varying modes of skeletal mineralization, we can better appreciate the detailed mechanisms that regulate and diversify vertebral patterning. © 2015. Published by The Company of Biologists Ltd.

  8. Quality of life in epilepsy (QOLIE): insights about epilepsy and support groups from people with epilepsy (San Francisco Bay Area, USA).

    PubMed

    Chung, Kenny; Liu, Yuan; Ivey, Susan L; Huang, Debbie; Chung, Corina; Guo, Wenting; Tseng, Winston; Ma, Daveena

    2012-06-01

    This study evaluated quality of life (QOL) in people with epilepsy (PWE) in the San Francisco Bay Area. This was a qualitative study examining QOL through the use of focus groups and of the QOLIE-31-P survey instrument. Six focus groups were conducted to examine self-reported challenges due to epilepsy. Focus groups were conducted for individuals who did and did not attend support groups. Individuals with epilepsy reported substantial difficulties with finances, physical and psychosocial functioning. Also, limited knowledge about services and relatively negative feelings toward self were common among newly diagnosed participants. Many of the issues surrounding QOL and challenges were shared across groups. Epilepsy-related social services appeared to be useful in helping PWE cope and in increasing PWE's awareness of key enabling services. Although many individuals with epilepsy reported poor QOL and other challenges, epilepsy-related services may be under-utilized due to a lack of awareness. Copyright © 2012 Elsevier Inc. All rights reserved.

  9. Cancer screening and health system resilience: keys to protecting and bolstering preventive services during a financial crisis.

    PubMed

    Martin-Moreno, Jose M; Anttila, Ahti; von Karsa, Lawrence; Alfonso-Sanchez, Jose L; Gorgojo, Lydia

    2012-09-01

    The aim of this paper is to elucidate the rationale for sustaining and expanding cost-effective, population-based screening services for breast, cervical and colorectal cancers in the context of the current financial crisis. Our objective is not only to promote optimal delivery of high-quality secondary cancer prevention services, but also to underline the importance of strengthening comprehensive cancer control, and with it, health system response to the complex care challenges posed by all chronic diseases. We focus primarily on issues surrounding planning, organisation, implementation and resources, arguing that given the growing cancer burden, policymakers have ample justification for establishing and expanding population-based programmes that are well-organised, well-resourced and well-executed. In a broader economic context of rescue packages, deficits and cutbacks to government entitlements, health professionals must intensify their advocacy for the protection of vital preventive health services by fighting for quality services with clear benefits for population health outcomes. Copyright © 2012 Elsevier Ltd. All rights reserved.

  10. Systems modelling and simulation in health service design, delivery and decision making.

    PubMed

    Pitt, Martin; Monks, Thomas; Crowe, Sonya; Vasilakis, Christos

    2016-01-01

    The ever increasing pressures to ensure the most efficient and effective use of limited health service resources will, over time, encourage policy makers to turn to system modelling solutions. Such techniques have been available for decades, but despite ample research which demonstrates potential, their application in health services to date is limited. This article surveys the breadth of approaches available to support delivery and design across many areas and levels of healthcare planning. A case study in emergency stroke care is presented as an exemplar of an impactful application of health system modelling. This is followed by a discussion of the key issues surrounding the application of these methods in health, what barriers need to be overcome to ensure more effective implementation, as well as likely developments in the future. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  11. Rape and Sexual Assault

    MedlinePlus

    ... on National Statistics (CNSTAT) to examine conceptual and methodological issues surrounding survey statistics on rape and sexual assault and to recommend to BJS the best methods for obtaining such statistics on an ongoing basis. ...

  12. Sleep Issues and Sundowning

    MedlinePlus

    ... Medicaid Tax Deductions & Credits Planning Ahead for Legal Matters Legal Documents Health Care Reform Resources Ethical & Care ... reduce the agitation that occurs when surroundings are dark or unfamiliar. Make a comfortable and safe sleep ...

  13. Organizational issues in the implementation and adoption of health information technology innovations: an interpretative review.

    PubMed

    Cresswell, Kathrin; Sheikh, Aziz

    2013-05-01

    Implementations of health information technologies are notoriously difficult, which is due to a range of inter-related technical, social and organizational factors that need to be considered. In the light of an apparent lack of empirically based integrated accounts surrounding these issues, this interpretative review aims to provide an overview and extract potentially generalizable findings across settings. We conducted a systematic search and critique of the empirical literature published between 1997 and 2010. In doing so, we searched a range of medical databases to identify review papers that related to the implementation and adoption of eHealth applications in organizational settings. We qualitatively synthesized this literature extracting data relating to technologies, contexts, stakeholders, and their inter-relationships. From a total body of 121 systematic reviews, we identified 13 systematic reviews encompassing organizational issues surrounding health information technology implementations. By and large, the evidence indicates that there are a range of technical, social and organizational considerations that need to be deliberated when attempting to ensure that technological innovations are useful for both individuals and organizational processes. However, these dimensions are inter-related, requiring a careful balancing act of strategic implementation decisions in order to ensure that unintended consequences resulting from technology introduction do not pose a threat to patients. Organizational issues surrounding technology implementations in healthcare settings are crucially important, but have as yet not received adequate research attention. This may in part be due to the subjective nature of factors, but also due to a lack of coordinated efforts toward more theoretically-informed work. Our findings may be used as the basis for the development of best practice guidelines in this area. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  14. Teaching About Separation of Powers.

    ERIC Educational Resources Information Center

    Harris, David E.; Lockwood, Alan L.

    1986-01-01

    This activity involves students in exploring the values and issues surrounding a case study of the 1937 sit-down strike of the United Automobile Workers against General Motors at the Flint, Michigan plant. (JDH)

  15. IVF-In Vitro Fertilization.

    ERIC Educational Resources Information Center

    Kieffer, George H.

    1980-01-01

    Issues surrounding the controversial topic of in vitro fertilization and artificial manipulation of reproduction are discussed. The author examines the moral and ethical implications and presents results of a survey of various religious groups. (SA)

  16. Risk communication and decision-making in the prevention of invasive breast cancer.

    PubMed

    Partridge, Ann H

    2017-08-01

    Risk communication surrounding the prevention of invasive breast cancer entails not only understanding of the disease, risks and opportunities for intervention. But it also requires understanding and implementation of optimal strategies for communication with patients who are making these decisions. In this article, available evidence for the issues surrounding risk communication and decision making in the prevention of invasive breast cancer are reviewed and strategies for improvement are discussed. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Filling the Gap Between NIMS/ICS and the Law Enforcement Initial Response in the Age of the Urban Jihad

    DTIC Science & Technology

    2010-09-01

    Borelli (2005) noted, “‘Surround and contain’ became the patrol doctrine norm” in American policing, observing that for Columbine style active...such as Frank Borelli (2005), noted that “‘Surround and contain’ became the patrol doctrine norm” in American policing, observing that for Columbine...discussion of this critical issue; see also Borelli , 2005, for background discussion of the evolution of “active-shooter” training in the U.S. 25

  18. RadMap

    EPA Pesticide Factsheets

    RadMap is an interactive desktop tool featuring a nationwide geographic information systems (GIS) map of long-term radiation monitoring locations across the United States with access to key information about the monitor and the area surrounding it.

  19. Collaborative Learning in Biology: Debating the Ethics of Recombinant DNA Technology.

    ERIC Educational Resources Information Center

    Anderson, Rodney P.

    1998-01-01

    Discusses applications of recombinant DNA technology and the controversies surrounding that technique. Provides a cooperative learning project idea that involves teams of students investigating and debating these issues. (DDR)

  20. Talking about Kidney Transplants.

    ERIC Educational Resources Information Center

    Solomon, Joan; Swift, Julia

    1990-01-01

    Described is a project in which information about the moral issues surrounding tissue transplants was obtained and videotaped for classroom use. Moral positions and possible educational strategies are discussed. Examples of student statements are presented. (CW)

  1. Activating the Consumer about Pregnancy and Childbirth.

    ERIC Educational Resources Information Center

    James, Gordon B.

    1980-01-01

    A variety of consumer issues involved in education about pregnancy and childbirth are outlined for inclusion in health education programs. They include consumer concern prior to and during pregnancy, and surrounding childbirth. (JMF)

  2. Should Seat Belts Be Required on All School Buses?

    ERIC Educational Resources Information Center

    Mawdsley, Ralph D.

    1996-01-01

    Examines the limited case law involving seat belts for school buses and explores emerging legal issues surrounding use of common law causes of action to challenge school bus safety. (51 footnotes) (MLF)

  3. Financial Impacts of Nonutility Power Purchases on Investor-Owned Electric Utilities

    EIA Publications

    1994-01-01

    Provides an overview of the issues surrounding the financial impacts of nonutility generation contracts (since the passage of the Public Utility Regulatory Policies Act of 1978) on investor owned utilities.

  4. What predicts the strength of simultaneous color contrast?

    PubMed Central

    Ratnasingam, Sivalogeswaran; Anderson, Barton L.

    2017-01-01

    The perceived color of a uniform image patch depends not only on the spectral content of the light that reaches the eye but also on its context. One of the most extensively studied forms of context dependence is a simultaneous contrast display: a center-surround display containing a homogeneous target embedded in a homogenous surround. A number of models have been proposed to account for the chromatic transformations of targets induced by such surrounds, but they were typically derived in the restricted context of experiments using achromatic targets with surrounds that varied along the cardinal axes of color space. There is currently no theoretical consensus that predicts the target color that produces the largest perceived color difference for two arbitrarily chosen surround colors, or what surround would give the largest color induction for an arbitrarily chosen target. Here, we present a method for assessing simultaneous contrast that avoids some of the methodological issues that arise with nulling and matching experiments and diminishes the contribution of temporal adaption. Observers were presented with pairs of center-surround patterns and ordered them from largest to smallest in perceived dissimilarity. We find that the perceived difference for two arbitrarily chosen surrounds is largest when the target falls on the line connecting the two surrounds in color space. We also find that the magnitude of induction is larger for larger differences between chromatic targets and surrounds of the same hue. Our results are consistent with the direction law (Ekroll & Faul, 2012b), and with a generalization of Kirschmann's fourth law, even for viewing conditions that do not favor temporal adaptation. PMID:28245494

  5. They Give Us Homework! Transition to Higher Education: The Case of Initial Teacher Training

    ERIC Educational Resources Information Center

    Murtagh, Lisa

    2010-01-01

    This article examines some issues surrounding transition to higher education. It is based on the case study of a cohort of Year 1 students in a modern university in England. The purpose of the study was to ascertain any potential transitional issues and therefore any areas for development in our Year 1 programmes to aid student progress. Data were…

  6. Literacy and Deaf Students in Taiwan: Issues, Practices and Directions for Future Research--Part II

    ERIC Educational Resources Information Center

    Liu, Hsiu Tan; Andrews, Jean F.; Liu, Chun Jung

    2014-01-01

    In Part I, we underscore the issues surrounding young deaf and hard of hearing (DHH) learners of literacy in Taiwan who use sign to support their learning of Chinese literacy. We also described the linguistic features of Chinese writing and the visual codes used by DHH children. In Part II, we describe the reading and writing practices used with…

  7. The Analytic Onion: Examining Training Issues from Different Levels of Analysis. Interim Technical Paper for Period July 1989-June 1991.

    ERIC Educational Resources Information Center

    Lamb, Theodore A.; Chin, Keric B. O.

    This paper proposes a conceptual framework based on different levels of analysis using the metaphor of the layers of an onion to help organize and structure thinking on research issues concerning training. It discusses the core of the "analytic onion," the biological level, and seven levels of analysis that surround that core: the individual, the…

  8. The Use of Video Technology for Providing Feedback to Students: Can It Enhance the Feedback Experience for Staff and Students?

    ERIC Educational Resources Information Center

    Crook, Anne; Mauchline, Alice; Maw, Stephen; Lawson, Clare; Drinkwater, Robyn; Lundqvist, Karsten; Orsmond, Paul; Gomez, Stephen; Park, Julian

    2012-01-01

    There are numerous issues surrounding the provision of assessment-related feedback in Higher Education, which in recent years have been highlighted in the National Student Survey. In this paper questionnaire data from staff and students at the University of Reading are used to confirm the main issues encountered with feedback, namely problems of…

  9. Policy Forum Report: Statewide Evaluation of Programs and Services for Students with Disabilities (Arlington, Virginia, August 30-31, 1994). Final Report. Project FORUM.

    ERIC Educational Resources Information Center

    National Association of State Directors of Special Education, Alexandria, VA.

    This report reviews the outcomes of a forum convened to examine policy and practice issues surrounding the annual evaluation of effectiveness of programs and services for students with disabilities. At the forum, alternative approaches being used by states to implement program evaluation were discussed, along with issues in gathering…

  10. A common-sense approach to asbestos in roofing

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

    Steinmetz, W.R. Jr.

    The word asbestos carries an ominous connotation to many plant engineers and building owners. Many are caught up in the hype surrounding asbestos abatement. Others are confused about how to face the questions surrounding this mysterious, dangerous, and often misunderstood substance. Asbestos issues cast a particularly perplexing spell over decisions about how to deal with the material in the removal of roofing systems. The product is an excellent roofing choice because it is fire-resistant, durable, and nonrotting. And most significantly on the other hand, asbestos causes three deadly diseases: lung cancer, asbestosis, and mesothelioma (cancer of the lung lining andmore » always fatal). This danger prompted enactment of the Asbestos Hazard Emergency Response Act (AHERA) in the early 1980s. The regulation required every K-12 school in the US to develop a management plant for dealing with asbestos. Since then, much has been done to raise awareness of the issues surrounding this material. The standard`s earliest form based removal requirements primarily on exposure levels. A 1994 revision, however, extended stringent removal requirements to all roof removal work involving asbestos, regardless of exposure level. This paper looks at the regulations, concerns, considerations, and procedures for dealing with the problem.« less

  11. NGNP High Temperature Materials White Paper

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

    Lew Lommers; George Honma

    2012-08-01

    This white paper is one in a series of white papers that address key generic issues of the combined construction and operating license (COL) pre-application program key generic issues for the Next Generation Nuclear Plant reactor using the prismatic block fuel technology. The purpose of the pre-application program interactions with the NRC staff is to reduce the time required for COL application review by identifying and addressing key regulatory issues and, if possible, obtaining agreements for their resolution

  12. Five key recommendations for the implementation of Hospital Electronic Prescribing and Medicines Administration systems in Scotland.

    PubMed

    Cresswell, Kathrin; Slee, Ann; Sheikh, Aziz

    2017-01-24

    NHS Scotland is about to embark on the implementation of Hospital Electronic Prescribing and Medicines Administration (HEPMA) systems. There are a number of risks associated with such ventures, thus drawing on existing experiences from other settings is crucial in informing deployment.Drawing on our previous and ongoing work in English settings as well as the international literature, we reflect on key lessons that NHS Scotland may wish to consider in going forward. These deliberations include recommendations surrounding key aspects of deployment strategy surrounding: 1) the way central coordination should be conceptualised, 2) how flexibility in can be ensured, 3) paying attention to optimising systems from the outset, 4) how expertise should be developed and centrally shared, and 5) ways in which learning from experience can be maximised.Our five recommendations will, we hope, provide a starting point for the strategic deliberations of policy makers. Throughout this journey, it is important to view the deployment of HEPMA as part of a wider strategic goal of creating integrated digital infrastructures across Scotland.

  13. Coalition Building for Adult Literacy: Historical and Organizational Perspectives.

    ERIC Educational Resources Information Center

    Newman, Anabel P.; Lehman, Bernadette

    Selected successful literacy coalitions were examined to identify key issues and trends in coalition building. The six key issues identified (focus and functions, funding, governance, membership, key figures, and evaluation) were used as a framework to review the early efforts, current activities, and future visions of literacy coalitions…

  14. New Borns...Getting a Good Start.

    ERIC Educational Resources Information Center

    Huraux-Rendu, Christine; And Others

    1991-01-01

    This issue of Children in the Tropics analyzes key issues relating to protecting the health of newborn infants. Many of the suggestions offered concern rudimentary health care situations in developing countries. Key issues are addressed in four sections. The first section discusses the early care and first medical examination of infants born in…

  15. RadMap Installation Instructions

    EPA Pesticide Factsheets

    RadMap is an interactive desktop tool featuring a nationwide geographic information systems (GIS) map of long-term radiation monitoring locations across the United States with access to key information about the monitor and the area surrounding it.

  16. GABA predicts visual intelligence.

    PubMed

    Cook, Emily; Hammett, Stephen T; Larsson, Jonas

    2016-10-06

    Early psychological researchers proposed a link between intelligence and low-level perceptual performance. It was recently suggested that this link is driven by individual variations in the ability to suppress irrelevant information, evidenced by the observation of strong correlations between perceptual surround suppression and cognitive performance. However, the neural mechanisms underlying such a link remain unclear. A candidate mechanism is neural inhibition by gamma-aminobutyric acid (GABA), but direct experimental support for GABA-mediated inhibition underlying suppression is inconsistent. Here we report evidence consistent with a global suppressive mechanism involving GABA underlying the link between sensory performance and intelligence. We measured visual cortical GABA concentration, visuo-spatial intelligence and visual surround suppression in a group of healthy adults. Levels of GABA were strongly predictive of both intelligence and surround suppression, with higher levels of intelligence associated with higher levels of GABA and stronger surround suppression. These results indicate that GABA-mediated neural inhibition may be a key factor determining cognitive performance and suggests a physiological mechanism linking surround suppression and intelligence. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  17. Regulatory issues in international maritime transport

    DOT National Transportation Integrated Search

    2001-08-11

    This report focuses on regulations governing international liner and bulk shipping. The report discusses the web of regulatory measures that surround these two segments of the shipping industry, and which have a considerable impact on its performance...

  18. 2016 Texas Transportation Poll : final report.

    DOT National Transportation Integrated Search

    2016-12-25

    In spring 2016, the Texas A&M Transportation Institute initiated the second Texas Transportation Poll, a survey of more than 4,000 Texans that assesses public opinion surrounding the following transportation issues: - Travel behavior. - Travel soluti...

  19. The Animism Controversy Revisited: A Probability Analysis

    ERIC Educational Resources Information Center

    Smeets, Paul M.

    1973-01-01

    Considers methodological issues surrounding the Piaget-Huang controversy. A probability model, based on the difference between the expected and observed animistic and deanimistic responses is applied as an improved technique for the assessment of animism. (DP)

  20. Aversive Techniques and the Doctrine of Least Restrictive Alternative.

    ERIC Educational Resources Information Center

    Barton, Lyle E.; And Others

    1983-01-01

    Litigation and the issues surrounding the use of behavioral procedures to handicapped persons are reviewed. Attention is directed to the use of aversive techniques, e.g., corporal punishment, electric shock, timeout, and restraint. (SEW)

  1. Understanding Food Allergy | NIH MedlinePlus the Magazine

    MedlinePlus

    ... issue contents Understanding Food Allergy Follow us Understanding Food Allergy Latest Updates from NIH Food allergies are ... ways to diagnose, prevent, and treat the disease.” Food allergy studies With so many unanswered questions surrounding ...

  2. Ethical issues for hospice volunteers.

    PubMed

    Berry, Patricia; Planalp, Sally

    Health care professionals usually receive professional education in ethics, but the half million hospice volunteers in the United States may receive only brief training that is limited to confidentiality and the volunteer role. The purpose of this study was to explore ethical issues hospice volunteers confront in their work. Interviews with 39 hospice volunteers were conducted, audio recorded, transcribed, and analyzed using qualitative methods. Prominent themes were dilemmas about gifts, patient care and family concerns, issues related to volunteer roles and boundaries, and issues surrounding suicide and hastening death. Suggestions for training include discussions of ethics after initial training once volunteers had confronted ethical issues, with special emphasis on strategies for negotiating their uneasy role positioned between health care professional and friend.

  3. Assessment of Lake Water Quality and Quantity Using Satellite Remote Sensing

    NASA Astrophysics Data System (ADS)

    Daniel, K. C.; Suresh, A.; Paredes Mesa, S.

    2017-12-01

    Lakes are one of the few sources of freshwater used throughout the world but due to human activities, its quality and availability has been decreasing. The drying of lakes is a concerning issue in different communities around the world. This problem can affect jobs and the lives of individuals who use lakes as a source of income, consumption and recreation. Another dilemma that has occurred in lakes is eutrophication which is the buildup of excess nutrients in the lakes caused by runoff. This natural process can lead to anoxic conditions that may have a detrimental impact on surrounding ecosystems. Therefore, causing a devastating impact to economies and human livelihood worldwide. To monitor these issues, satellite data can be used to assess the water quality of different lakes throughout the world. Landsat satellite data from the past 10 years was used to conduct this research. By using the IOP (Inherent Optical Properties) of chlorophyll and suspended solids in the visible spectrum, the presence of algal blooms and sediments was determined. ARCGIS was used to outline the areas of the lakes and obtain reflectance values for quantity and quality assessment. Because there is always a certain amount of contamination in the lake, this research is used to evaluate the condition of the lakes throughout the years. Using the data that we have collected, we are able to understand how the issues addressed can harm civilians seasonally. Key Words: Lakes, Water Quality, Algal Blooms, Eutrophication, Remote Sensing, Satellite DataData Source: Landsat 4, Landsat 5, Landsat 7, Landsat 8

  4. Identification and Characterization of Key Human Performance Issues and Research in the Next Generation Air Transportation System (NextGen)

    NASA Technical Reports Server (NTRS)

    Lee, Paul U.; Sheridan, Tom; Poage, james L.; Martin, Lynne Hazel; Jobe, Kimberly K.

    2010-01-01

    This report identifies key human-performance-related issues associated with Next Generation Air Transportation System (NextGen) research in the NASA NextGen-Airspace Project. Four Research Focus Areas (RFAs) in the NextGen-Airspace Project - namely Separation Assurance (SA), Airspace Super Density Operations (ASDO), Traffic Flow Management (TFM), and Dynamic Airspace Configuration (DAC) - were examined closely. In the course of the research, it was determined that the identified human performance issues needed to be analyzed in the context of NextGen operations rather than through basic human factors research. The main gaps in human factors research in NextGen were found in the need for accurate identification of key human-systems related issues within the context of specific NextGen concepts and better design of the operational requirements for those concepts. By focusing on human-system related issues for individual concepts, key human performance issues for the four RFAs were identified and described in this report. In addition, mixed equipage airspace with components of two RFAs were characterized to illustrate potential human performance issues that arise from the integration of multiple concepts.

  5. Task-Based Pronunciation Teaching and Research: Key Issues and Future Directions

    ERIC Educational Resources Information Center

    Mora, Joan C.; Levkina, Mayya

    2017-01-01

    This article synthesizes the conclusions of the empirical studies in this special issue and outlines key questions in future research. The research reported in this volume has identified several fundamental issues in pronunciation-focused task design that are discussed in detail and on which suggestions for further research are outlined. One…

  6. Key Policy Issues in the Implementation of User Choice. Working Paper No. 8.

    ERIC Educational Resources Information Center

    Smith, Joy Selby; Smith, Chris Selby; Ferrier, Fran

    This working paper examines key policy issues in the implementation of Australia's User Choice policy regarding allocating public funds for vocational education and training (VET). Part 1 explains the process used to obtain stakeholders regarding the User Choice policy, the administrative arrangements required to support it, and issues that must…

  7. 75 FR 55494 - Approval and Promulgation of Implementation Plans; Idaho; Interstate Transport of Pollution

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-13

    ... and persistent temperature inversions occurred, were specifically identified as a key source of PM... effect' resulting from an inversion that has a stagnant air pollution mass surrounded by the Oquirrh...

  8. Remote sensing image stitch using modified structure deformation

    NASA Astrophysics Data System (ADS)

    Pan, Ke-cheng; Chen, Jin-wei; Chen, Yueting; Feng, Huajun

    2012-10-01

    To stitch remote sensing images seamlessly without producing visual artifact which is caused by severe intensity discrepancy and structure misalignment, we modify the original structure deformation based stitching algorithm which have two main problems: Firstly, using Poisson equation to propagate deformation vectors leads to the change of the topological relationship between the key points and their surrounding pixels, which may bring in wrong image characteristics. Secondly, the diffusion area of the sparse matrix is too limited to rectify the global intensity discrepancy. To solve the first problem, we adopt Spring-Mass model and bring in external force to keep the topological relationship between key points and their surrounding pixels. We also apply tensor voting algorithm to achieve the global intensity corresponding curve of the two images to solve the second problem. Both simulated and experimental results show that our algorithm is faster and can reach better result than the original algorithm.

  9. Effects of Alcohol Use and Anti-American Indian Attitudes on Domestic-Violence Culpability Decisions for American Indian and Euro-American Actors

    ERIC Educational Resources Information Center

    Esqueda, Cynthia Willis; Hack, Lori; Tehee, Melissa

    2010-01-01

    Few studies have focused on the unique issues surrounding American Indian violence. Yet American Indian women are at high risk for domestic abuse, and domestic violence has been identified as the most important issue for American Indians now and in the future by the National Congress of American Indians. American Indian women suffer from domestic…

  10. Goal-Directed Grasping: The Dimensional Properties of an Object Influence the Nature of the Visual Information Mediating Aperture Shaping

    ERIC Educational Resources Information Center

    Holmes, Scott A.; Heath, Matthew

    2013-01-01

    An issue of continued debate in the visuomotor control literature surrounds whether a 2D object serves as a representative proxy for a 3D object in understanding the nature of the visual information supporting grasping control. In an effort to reconcile this issue, we examined the extent to which aperture profiles for grasping 2D and 3D objects…

  11. An Analysis of Implementation of the Defense Travel System at the Naval Postgraduate School

    DTIC Science & Technology

    2002-03-01

    processing called the Shared Services Office. The justification for this reorganization decision was to eliminate some inefficiency in the travel process...Table 2 shows the pros, cons, and issues surrounding the decision to create a Shared Services Office. Travel Manager was also modified to submit...service Location/space issues Expertise is centralized Travelers waiting for shared services concept to fail Coordinating the best order for

  12. Integrating Webtop Components with Thin-Client Web Applicators using WDK Tickets

    NASA Technical Reports Server (NTRS)

    Duley, Jason

    2004-01-01

    Contents include the folloving: Issues surrounding encryption/decryption of password strings when deploying on different machines and platforms. Security concerns when exposing docbases to internet users. Docbase Session management in Java Servlets. Customization of Webtop components. WDK Tickets as a silent login alternative. Encoding Tickets and Ticket syntax. Invoking Webtop components via an Action URL. Issues with accessing Webtop components on Mac OS X through SSL.

  13. ARkStorm@Tahoe: Stakeholder perspectives on vulnerabilities and preparedness for an extreme storm event in the greater Lake Tahoe, Reno, and Carson City region

    USGS Publications Warehouse

    Albano, Christine M.; Cox, Dale A.; Dettinger, Michael; Shaller, Kevin; Welborn, Toby L.; McCarthy, Maureen

    2014-01-01

    Atmospheric rivers (ARs) are strongly linked to extreme winter precipitation events in the Western U.S., accounting for 80 percent of extreme floods in the Sierra Nevada and surrounding lowlands. In 2010, the U.S. Geological Survey developed the ARkStorm extreme storm scenario for California to quantify risks from extreme winter storms and to allow stakeholders to better explore and mitigate potential impacts. To explore impacts on natural resources and communities in montane and adjacent environments, we downscaled the scenario to the greater Lake Tahoe, Reno and Carson City region of northern Nevada and California. This ArkStorm@Tahoe scenario was presented at six stakeholder meetings, each with a different geographic and subject matter focus. Discussions were facilitated by the ARkStorm@Tahoe team to identify social and ecological vulnerabilities to extreme winter storms, science and information needs, and proactive measures that might minimize impacts from this type of event. Information collected in these meetings was used to develop a tabletop emergency response exercise and set of recommendations for increasing resilience to extreme winter storm events in both Tahoe and the downstream communities of Northern Nevada.Over 300 individuals participated in ARkStorm@Tahoe stakeholder meetings and the emergency response exercise, including representatives from emergency response, natural resource and ecosystem management, health and human services, public utilities, and businesses. Interruption of transportation, communications, and lack of power and backup fuel supplies were identified as the most likely and primary points of failure across multiple sectors and geographies, as these interruptions have cascading effects on natural and human systems by impeding emergency response efforts. Other key issues that arose in discussions included contamination risks to water supplies and aquatic ecosystems, especially in the Tahoe Basin and Pyramid Lake, interagency coordination, credentialing, flood management, and coordination of health and human services during such an event. Mitigation options were identified for each of the key issues. Several science needs were identified, particularly the need for improved flood inundation maps. Finally, key lessons learned were identified and may help to increase preparedness, response and recovery from extreme storms in the future.

  14. Analysis of key safety metrics of thorium utilization in LWRs

    DOE PAGES

    Ade, Brian J.; Bowman, Stephen M.; Worrall, Andrew; ...

    2016-04-08

    Here, thorium has great potential to stretch nuclear fuel reserves because of its natural abundance and because it is possible to breed the 232Th isotope into a fissile fuel ( 233U). Various scenarios exist for utilization of thorium in the nuclear fuel cycle, including use in different nuclear reactor types (e.g., light water, high-temperature gas-cooled, fast spectrum sodium, and molten salt reactors), along with use in advanced accelerator-driven systems and even in fission-fusion hybrid systems. The most likely near-term application of thorium in the United States is in currently operating light water reactors (LWRs). This use is primarily based onmore » concepts that mix thorium with uranium (UO 2 + ThO 2) or that add fertile thorium (ThO 2) fuel pins to typical LWR fuel assemblies. Utilization of mixed fuel assemblies (PuO 2 + ThO 2) is also possible. The addition of thorium to currently operating LWRs would result in a number of different phenomenological impacts to the nuclear fuel. Thorium and its irradiation products have different nuclear characteristics from those of uranium and its irradiation products. ThO 2, alone or mixed with UO 2 fuel, leads to different chemical and physical properties of the fuel. These key reactor safety–related issues have been studied at Oak Ridge National Laboratory and documented in “Safety and Regulatory Issues of the Thorium Fuel Cycle” (NUREG/CR-7176, U.S. Nuclear Regulatory Commission, 2014). Various reactor analyses were performed using the SCALE code system for comparison of key performance parameters of both ThO 2 + UO 2 and ThO 2 + PuO 2 against those of UO 2 and typical UO 2 + PuO 2 mixed oxide fuels, including reactivity coefficients and power sharing between surrounding UO 2 assemblies and the assembly of interest. The decay heat and radiological source terms for spent fuel after its discharge from the reactor are also presented. Based on this evaluation, potential impacts on safety requirements and identification of knowledge gaps that require additional analysis or research to develop a technical basis for the licensing of thorium fuel are identified.« less

  15. A helping hand for infection control.

    PubMed

    Allen, Mike

    2004-09-01

    Despite considerable awareness amongst the healthcare community about the importance of hand hygiene in controlling Healthcare Acquired Infections (HAIs), the problem persists. Mike Allen of Dart Valley Systems explores the issues surrounding good hand hygiene practice in UK hospitals.

  16. Cultural Democracy vs. the Democratization of High Culture.

    ERIC Educational Resources Information Center

    Adams, Don; Goldbard, Arlene

    1981-01-01

    Discusses issues surrounding the support of local arts councils. Uses an example of federal policy and one of California State policy to illustrate the magnitude of official opposition to reforming cultural policy in the United States. (MK)

  17. Tertiary disaster response phase 1.

    DOT National Transportation Integrated Search

    2007-01-01

    The events of 9/11 and Katrina focused national attention on issues surrounding disaster prevention and response, but as is evident the world continues to be inundated with catastrophic disasters whether man-made through war and terrorism or natural ...

  18. Virtual Realities and the Future of Text.

    ERIC Educational Resources Information Center

    Marcus, Stephen

    1992-01-01

    Discusses issues surrounding virtual reality and "virtual books." Suggests that those who are exploring the territory of virtual realities are already helping to expand and enrich expectations and visions for integrating technology into reading and writing. (RS)

  19. Women and work: a ten year retrospective.

    PubMed

    MacRae, Nancy

    2005-01-01

    A look back, after a decade, at the issues surrounding women and work. Work options, childcare and family concerns, the glass ceiling, sexual harassment, women entrepreneurs, race and poverty, unpaid work, and women with disabilities are discussed.

  20. Erasing Deficits

    ERIC Educational Resources Information Center

    Toldson, Ivory A.; Johns, David J.

    2016-01-01

    This is the epilogue to the special issue. The authors, two White House officials and policy experts, describe how negative narratives surrounding Black men and the misuse of data can manifest as barriers to high quality learning environments or workforce development opportunities.

  1. Striving for a good standard of maths for potential student nurses.

    PubMed

    Roberts, Sheila; Campbell, Anne

    2017-01-12

    This article explores some of the issues surrounding numerical competence for potential pre-registration children's nursing students, with examples of success and failure, at the University of Hertfordshire. With poor numerical ability causing concern in the UK, and the effect of low competence on patient safety when calculating drug dosages in healthcare, this article considers some of the literature surrounding numerical ability, confidence and anxiety, along with considering whether a 'C' grade at GCSE is a suitable marker for assessing numerical competence before starting a pre-registration nursing programme.

  2. Student Attitudes toward Learning Analytics in Higher Education: "The Fitbit Version of the Learning World".

    PubMed

    Roberts, Lynne D; Howell, Joel A; Seaman, Kristen; Gibson, David C

    2016-01-01

    Increasingly, higher education institutions are exploring the potential of learning analytics to predict student retention, understand learning behaviors, and improve student learning through providing personalized feedback and support. The technical development of learning analytics has outpaced consideration of ethical issues surrounding their use. Of particular concern is the absence of the student voice in decision-making about learning analytics. We explored higher education students' knowledge, attitudes, and concerns about big data and learning analytics through four focus groups ( N = 41). Thematic analysis of the focus group transcripts identified six key themes. The first theme, "Uninformed and Uncertain," represents students' lack of knowledge about learning analytics prior to the focus groups. Following the provision of information, viewing of videos and discussion of learning analytics scenarios three further themes; "Help or Hindrance to Learning," "More than a Number," and "Impeding Independence"; represented students' perceptions of the likely impact of learning analytics on their learning. "Driving Inequality" and "Where Will it Stop?" represent ethical concerns raised by the students about the potential for inequity, bias and invasion of privacy and the need for informed consent. A key tension to emerge was how "personal" vs. "collective" purposes or principles can intersect with "uniform" vs. "autonomous" activity. The findings highlight the need the need to engage students in the decision making process about learning analytics.

  3. Autism Spectrum Disorder and the Child's Weight-Related Behaviors: A Parents' Perspective.

    PubMed

    Polfuss, Michele; Johnson, Norah; Bonis, Susan A; Hovis, Susan L; Apollon, Fallon; Sawin, Kathleen J

    To explore parent perspectives of how the attributes of their child's autism spectrum disorder(ASD) impact nutrition, physical activity, screen time behaviors and risk for obesity. Secondarily, we examined the parent's perception of the healthcare providers (HCP) influence on these weight-related behaviors. We conducted and audio-recorded telephone interviews with parents of children with ASD (n=8) using a structured question guide. Data were transcribed and thematic analysis was conducted. Issues surrounding weight-related behaviors and parental strategies used were reported. Two overarching themes with eight subthemes emerged: (1) Challenges related to features of ASD (subthemes included fixation on food, sensory issues/rigidity, developmental factors, impaired social skills, and medication effects) and (2) Challenges related to the care of children with ASD (subthemes included lack of individualized care planning, picking your battles and the impact of ASD on family). Strategies extracted from the parent narratives promoted both healthy and unhealthy weight-related behaviors. The key finding in this study is that some parents did not follow HCP guidance when they perceived that the HCP did not understand their particular situation. Implementation of healthy weight-related behaviors can be optimized when providers consider the child's challenging ASD behaviors, affirm the difficulties encountered by the family and provide guidance that builds on the individual child/family strengths. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. Mothers' views about sexual health education for their adolescent daughters: a qualitative study.

    PubMed

    Shams, Mohsen; Parhizkar, Sa'adat; Mousavizadeh, Ali; Majdpour, Masoumeh

    2017-02-10

    Given that mothers play a role in the sexual education of their daughters, it is important to understand their views of sexual health and related programs. This study was aimed at exploring mothers' perspectives regarding sexual health education for their adolescent daughters in Mahshahr, Iran. In this qualitative study, in-depth interviews with ten key informants and five focus group discussions involving 28 mothers with daughters aged 12-18 were conducted. All the discussions were audio-recorded and later transcribed. The data were classified, after which the main themes and sub-themes were manually extracted and analyzed. The five main themes determined were: the necessity of sexual health education for adolescent girls, the sources of information that mothers use, barriers to sexual health education, the need to empower mothers to provide sexual education to their daughters, and recommendations for developing special training programs for mothers. Most participants believed in limiting sexual health education for adolescent girls; nevertheless, they stated that trained mothers were best equipped to educate their daughters. The major barriers identified by the mothers were their own insufficient knowledge about sexual issues, embarrassment surrounding discussions of this issue with their daughters, fear of the arrogance and curiosity of girls, and a lack of skills for effective communication. The results showed that empowering mothers to provide sexual health education is important. Tailored educational programs, based on mothers' views, should be developed and implemented.

  5. A revision of brain composition in Onychophora (velvet worms) suggests that the tritocerebrum evolved in arthropods

    PubMed Central

    2010-01-01

    Background The composition of the arthropod head is one of the most contentious issues in animal evolution. In particular, controversy surrounds the homology and innervation of segmental cephalic appendages by the brain. Onychophora (velvet worms) play a crucial role in understanding the evolution of the arthropod brain, because they are close relatives of arthropods and have apparently changed little since the Early Cambrian. However, the segmental origins of their brain neuropils and the number of cephalic appendages innervated by the brain - key issues in clarifying brain composition in the last common ancestor of Onychophora and Arthropoda - remain unclear. Results Using immunolabelling and neuronal tracing techniques in the developing and adult onychophoran brain, we found that the major brain neuropils arise from only the anterior-most body segment, and that two pairs of segmental appendages are innervated by the brain. The region of the central nervous system corresponding to the arthropod tritocerebrum is not differentiated as part of the onychophoran brain but instead belongs to the ventral nerve cords. Conclusions Our results contradict the assumptions of a tripartite (three-segmented) brain in Onychophora and instead confirm the hypothesis of bipartite (two-segmented) brain composition. They suggest that the last common ancestor of Onychophora and Arthropoda possessed a brain consisting of protocerebrum and deutocerebrum whereas the tritocerebrum evolved in arthropods. PMID:20727203

  6. Workplace wellness programs in Canada: an exploration of key issues.

    PubMed

    Morrison, Erin; MacKinnon, Neil J

    2008-01-01

    Faced with the reality of rising health costs, Canadian employers are thinking beyond traditional notions of responsibility for employee health and have begun to embrace Workplace Wellness Programs (WWPs). This article investigates the critical issues of WWPs in the Canadian context from the perspective of key stakeholders. Using a combination of literature and key informant interviews, seven key themes are presented along with recommendations for wider implementation of WWPs in Canada.

  7. The balancing act: key issues in the lives of women general practitioners in Australia.

    PubMed

    Kilmartin, Margaret R; Newell, Christopher J; Line, Martin A

    2002-07-15

    To identify key issues affecting women general practitioners in their professional and non-professional lives. A qualitative study using the Delphi technique, with three rounds of data provision circulated to each participant. Coding was used to ensure anonymity. The participants were a purposive sample of 40 women GPs drawn from all Australian States and Territories. The study was conducted between October 1996 and January 1997. Key issues affecting the professional and non-professional lives of women GPs. Some of the key professional issues for women GPs were job satisfaction, balancing work and personal life, autonomy, availability of flexible and part-time work and training, affordability of professional expenses, fair remuneration, and having a voice in decision-making. Key non-professional issues included self-care; time for relationships with a partner, children, family and friends; and time management to allow pursuit of non-medical interests. The conflicting demands made on women GPs diminish their job satisfaction and lead to stress and imbalance in their lives. Recommendations to ameliorate the problems for women GPs include appropriate training, policy formation, financial and other support, and a change in cultural expectations of women GPs by the community, the profession and governments.

  8. Key Higher-Education Issues in the States

    ERIC Educational Resources Information Center

    Fischer, Karin; Hebel, Sara

    2007-01-01

    Legislatures are set to convene in January in 43 states. This article presents the key issues that are expected to be debated by legislatures in states this year. These issues include: (1) Annulment of a controversial law in Texas that guarantees students who graduate in the top 10 percent of their high-school classes admission to any public…

  9. Understanding Key Education Issues: How We Got Here and Where We Go from Here

    ERIC Educational Resources Information Center

    Lynch, Matthew

    2017-01-01

    In this age of education innovation and reform, schools must evolve and react to current policy trends. This accessible book offers research-based insights into six key educational trends and issues that are impacting K-12 learning today: year-round schooling, assessments, educating minorities, anti-intellectualism, issues of social promotion and…

  10. The Issues Framework: Situating Graduate Teaching Assistant-Student Interactions in Physics Problem Solving

    NASA Astrophysics Data System (ADS)

    Westlander, Meghan Joanne

    Interactive engagement environments are critical to students' conceptual learning gains, and often the instructor is ultimately responsible for the creation of that environment in the classroom. When those instructors are graduate teaching assistants (GTAs), one of the primary ways in which they can promote interactive engagement is through their interactions with students. Much of the prior research on physics GTA-student interactions focuses on GTA training programs (e.g. Ezrailson (2004); Smith, Ward, and Rosenshein (1977)) or on GTAs' specific actions and beliefs (e.g. West, Paul, Webb, and Potter (2013); Goertzen (2010); Spike and Finkelstein (2012a)). Research on students' ideas and behaviors within and surrounding those interactions is limited but important to obtaining a more complete understanding of how GTAs promote an interactive environment. In order to begin understanding this area, I developed the Issues Framework to examine how GTA-student interactions are situated in students' processes during physics problem solving activities. Using grounded theory, the Issues Framework emerged from an analysis of the relationships between GTA-student interactions and the students procedures and expressions of physics content in and surrounding those interactions. This study is focused on introducing the Issues Framework and the insight it can provide into GTA-student interactions and students' processes. The framework is general in nature and has a visually friendly design making it a useful tool for consolidating complex data and quickly pattern-matching important pieces of a complex process. Four different categories of Issues emerged spanning the problem solving process: (1) Getting Started, (2) Solution Approach, (3) Unit Conversions, and (4) Other. The framework allowed for identification of the specific contents of the Issues in each category as well as revealing the common stories of students' processes and how the interactions were situated in those processes in each category. Through the stories, the Issues Framework revealed processes in which students often focused narrowly on procedures with the physics content expressed through their procedures and only sometimes through conceptual discussions. Interactions with the GTA affected changes in students' processes, typically leading students to correct their procedures. The interactions often focused narrowly on procedures as well but introduced conceptual discussions more often than students did surrounding the interactions. Comparing stories across GTAs instead of across categories revealed one GTA who, more often than other GTAs, used conceptual discussion and encouraged students' participation in the interactions. The Issues Framework still needs continued refinement and testing. However, it represents a significant step toward understanding GTA-student interactions from the perspective of students' processes in physics problem solving.

  11. The Greenhouse Effect: Science and Policy.

    ERIC Educational Resources Information Center

    Schneider, Stephen H.

    1989-01-01

    Discusses many of the scientific questions surrounding the greenhouse effect debate and the issue of plausible responses. Discussion includes topics concerning projecting emissions and greenhouse gas concentrations, estimating global climatic response, economic, social, and political impacts, and policy responses. (RT)

  12. Debate, Research on E-Cigarettes Continues

    Cancer.gov

    Since they first began to be sold in North America in the mid-2000s, electronic cigarettes have been the subject of intense debate. NCI's Dr. Michele Bloch recently presented an update on some of the issues surrounding e-cigarettes.

  13. FISHERIES IN MOUNT HOPE BAY: NOTES ON A SPECIAL SYMPOSIUM FROM A SESSION MODERATOR

    EPA Science Inventory

    This contribution represents a summary of talks presented during the afternoon session the Mount Hope Bay Syposium, focused directly on the issues surrounding observed winter flounder populations, as prepared by the session moderator.

  14. The Pliocene Model Intercomparison Project (PlioMIP) Phase 2: Scientific objectives and experimental design

    USGS Publications Warehouse

    Haywood, Alan M.; Dowsett, Harry J.; Dolan, Aisling M.; Rowley, David; Abe-Ouchi, Ayako; Otto-Bliesner, Bette; Chandler, Mark A.; Hunter, Stephen J.; Lunt, Daniel J.; Pound, Matthew; Salzmann, Ulrich

    2016-01-01

    Finally we have designed a suite of prioritized experiments that tackle issues surrounding the basic understanding of the Pliocene and its relevance in the context of future climate change in a discrete way.

  15. Capital Beltway update : Beltway user focus groups

    DOT National Transportation Integrated Search

    1998-04-01

    Author's abstract: The Capital Beltway is 64 miles of roadway surrounding Washington, D.C. The Capital Beltway Safety Team, led by officials from Maryland and Virginia, was formed to address safety issues on this urban interstate highway. This report...

  16. Drugs and the Environment: Stewardship and Sustainability

    EPA Science Inventory

    This report represents the first-ever comprehensive examination of the broad scope of issues surrounding the topic of disposal of unwanted, unneeded, leftover medications from consumer use and the countless ways in which the introduction of active pharmaceutical ingredients (API...

  17. Students in Action.

    ERIC Educational Resources Information Center

    Insights on Law & Society, 2001

    2001-01-01

    Focuses on important issues surrounding the opening clauses of the First Amendment on the establishment of religion, freedom of speech, and freedom of religion. Includes articles: "Established Churches in Colonial Times,""Establishment Clause: Here's How to Understand it!", "Religious Freedom and Today's Religious…

  18. Education and Power.

    ERIC Educational Resources Information Center

    Apple, Michael W.

    This book explores the issues surrounding the relationship between education and the larger society. The structures and relationships of education, economy, goverment, and culture are investigated as conditions of schooling are described. Chapters discuss: (1) "Reproduction, Contestation, and Curriculum"; (2) "Technical Knowledge, Deviance, and…

  19. PREDICTING DIVING PLUME BEHAVIOR

    EPA Science Inventory

    The United States Environmental Protection Agency has responded to a number of multi media environmental issues surrounding the use of methyl tertiary butyl ether (MTBE) and other fuel oxygenates. In Region 5, MTBE from various sources - but mainly from leaking underground stora...

  20. BOOK REVIEW: BACILLUS THURINGIENSIS: A CORNERSTONE OF MODERN AGRICULTURE

    EPA Science Inventory

    Are you interested in the technical issues surrounding the use of Bacillus thuringiensis pesticidal traits as sprays and as plant incorporated protectants (transgenic crops)? Should the dimensions of human health, ecology, entomology, risk assessment, resistance management, and d...

  1. Dying with Dignity: Difficult Times, Difficult Choices. A Report Presented by the Chairman of the Select Committee on Aging. House of Representatives, Ninety-Ninth Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Select Committee on Aging.

    This report from the Select Committee on Aging examines financial, medical, and social issues surrounding terminally ill patients with special emphasis on the elderly terminally ill. The first section discusses topics related to the medical treatment of the terminally ill. Two basic issues are important: the right to have medical treatment and the…

  2. For Dr. Nancy Snyderman's Parents, Staying Close to Family Is Key

    MedlinePlus

    ... Issues Feature: Senior Living For Dr. Nancy Snyderman's Parents, Staying Close to Family Is Key Past Issues / ... home. "Watching my children grow closer to my parents has been a blessing, and having us nearby ...

  3. "Suspended animation," my mother's wife and cultural discernment: considerations for genetic research among immigrants.

    PubMed

    Kissell, Judith Lee

    2005-01-01

    One of the most difficult contemporary issues facing the bioethics of clinical research is balancing the maintaining of a universality of ethics standards with a sensitivity to cultural issues and differences. The concept of "vulnerability" for research subjects is especially apt for investigating the ethical and cultural issues surrounding the conduct of genetic research among new immigrants to the United States, using the Sudanese Nuer and Dinka tribes, recently settled in the Midwest, as an example. Issues of cultural vulnerability arise for some immigrants, related to relationship to the earth and to kinship issues, that threaten the narrative richness of a subject's life as well as the way she situates herself in the world.

  4. Preliminary Benefits Assessment of Traffic Aware Strategic Aircrew Requests (TASAR)

    NASA Technical Reports Server (NTRS)

    Henderson, Jeff; Idris, Husni; Wing, David J.

    2012-01-01

    While en route, aircrews submit trajectory change requests to air traffic control (ATC) to better meet their objectives including reduced delays, reduced fuel burn, and passenger comfort. Aircrew requests are currently made with limited to no information on surrounding traffic. Consequently, these requests are uninformed about a key ATC objective, ensuring traffic separation, and therefore less likely to be accepted than requests informed by surrounding traffic and that avoids creating conflicts. This paper studies the benefits of providing aircrews with on-board decision support to generate optimized trajectory requests that are probed and cleared of known separation violations prior to issuing the request to ATC. These informed requests are referred to as traffic aware strategic aircrew requests (TASAR) and leverage traffic surveillance information available through Automatic Dependent Surveillance Broadcast (ADS-B) In capability. Preliminary fast-time simulation results show increased benefits with longer stage lengths since beneficial trajectory changes can be applied over a longer distance. Also, larger benefits were experienced between large hub airports as compared to other airport sizes. On average, an aircraft equipped with TASAR reduced its travel time by about one to four minutes per operation and fuel burn by about 50 to 550 lbs per operation depending on the objective of the aircrew (time, fuel, or weighted combination of time and fuel), class of airspace user, and aircraft type. These preliminary results are based on analysis of approximately one week of traffic in July 2012 and additional analysis is planned on a larger data set to confirm these initial findings.

  5. Examining Quality Management Audits in Nuclear Medicine Practice as a lifelong learning process: opportunities and challenges to the nuclear medicine professional and beyond.

    PubMed

    Pascual, Thomas N B

    2016-08-01

    This essay will explore the critical issues and challenges surrounding lifelong learning for professionals, initially exploring within the profession and organizational context of nuclear medicine practice. It will critically examine how the peer-review process called Quality Management Audits in Nuclear Medicine Practice (QUANUM) of the International Atomic Energy Agency (IAEA) can be considered a lifelong learning opportunity to instill a culture of quality to improve patient care and elevate the status of the nuclear medicine profession and practice within the demands of social changes, policy, and globalization. This will be explored initially by providing contextual background to the identity of the IAEA as an organization responsible for nuclear medicine professionals, followed by the benefits that QUANUM can offer. Further key debates surrounding lifelong learning, such as compulsification of lifelong learning and impact on professional change, will then be weaved through the discussion using theoretical grounding through a qualitative review of the literature. Keeping in mind that there is very limited literature focusing on the implications of QUANUM as a lifelong learning process for nuclear medicine professionals, this essay uses select narratives and observations of QUANUM as a lifelong learning process from an auditor's perspective and will further provide a comparative perspective of QUANUM on the basis of other lifelong learning opportunities such as continuing professional development activities and observe parallelisms on its benefits and challenges that it will offer to other professionals in other medical speciality fields and in the teaching profession.

  6. Effect of Surround WP on behavior and mortality of apple maggot (Diptera: Tephritidae).

    PubMed

    Leskey, Tracy C; Wright, Starker E; Glenn, D Michael; Puterka, Gary J

    2010-04-01

    Apple maggot, Rhagoletis pomonella (Walsh) (Diptera: Tephritidae), is a key pest in apple (Malus spp.) production areas located in the northeastern and midwestern United States and the eastern provinces of Canada. The development of Surround WP has offered a new approach for controlling apple maggot and other tephritid species, because this material is considered to be compatible with advanced integrated pest management and organic production systems. We conducted studies aimed at identifying the behavioral and biological effects of this material on apple maggots. Specifically, we examined the effect of Surround WP on the visual ecology of adult flies under field conditions, on tactile responses of flies in semifield trials, and on fly mortality in laboratory-based-bioassays. We demonstrated that an even coating of white particles over a fruit-mimicking sphere surface reduced visual attractiveness. We also found that spotty-coated fruit-mimicking spheres (meant to mimic ripe fruit bearing an uneven coating of Surround WP) were perceived by flies as not having the ideal round silhouette shape stimulus. Surround WP served as a tactile deterrent; the residence time of females introduced on to treated fruit was much shorter compared with untreated fruit. Surround WP also had a toxic effect on both adult apple maggot and Rhagoletis suavis (Loew); flies exposed to and forced to stand on Surround-treated surfaces died in <2 d in all trials. The combined effectiveness of Surround WP is based on a reduction in the attractiveness of fruit-based visual cues, an increase in the likelihood of flies leaving treated surfaces due to tactile deterrence, and a potential for increased mortality due to exposure to Surround WP particles.

  7. 15 CFR 922.161 - Boundary.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL... Sanctuary consists of an area of approximately 2900 square nautical miles (9,800 square kilometers) of coastal and ocean waters, and the submerged lands thereunder, surrounding the Florida Keys in Florida...

  8. Washington state short line rail inventory and needs assessment.

    DOT National Transportation Integrated Search

    2015-06-01

    The recently completed State Rail Plan for the state of Washington identified several key issues facing the states : rail system. Among these key issues are abandonment, port access and competitive needs of the ports and local : production regions...

  9. Key Issues in Instructional Computer Graphics.

    ERIC Educational Resources Information Center

    Wozny, Michael J.

    1981-01-01

    Addresses key issues facing universities which plan to establish instructional computer graphics facilities, including computer-aided design/computer aided manufacturing systems, role in curriculum, hardware, software, writing instructional software, faculty involvement, operations, and research. Thirty-seven references and two appendices are…

  10. Generating political will for safe motherhood in Indonesia.

    PubMed

    Shiffman, Jeremy

    2003-03-01

    In 1987 an international conference brought global attention to an issue that previously had been ignored: the world's alarmingly high number of maternal deaths in childbirth. The conference ended with a declaration calling for a reduction in maternal mortality by at least half by the year 2000. As the deadline approached, safe motherhood activists lamented the fact that the world was nowhere near to achieving this objective. They attributed this failure to a variety of causes, but were in agreement that the medical technology was available to prevent maternal deaths in childbirth, and the key was generating the political will to make such technology widely available to women in developing countries.What 'political will' means, however, has been left as an unopened black box. What causes governments to give priority to the issue of safe motherhood, given that national political systems are burdened with thousands of issues to sort through each year? In marked contrast to our extensive knowledge about the medical interventions necessary to prevent maternal death, we know little about the political interventions necessary to increase the likelihood that national leaders pay meaningful attention to the issue. Drawing from a scholarly literature on agenda setting, this paper identifies four factors that heighten the likelihood that an issue will rise to national-level attention: the existence of clear indicators showing that a problem exists; the presence of effective political entrepreneurs to push the cause; the organization of attention-generating focusing events that promote widespread concern for the issue; and the availability of politically palatable policy alternatives that enable national leaders to understand that the problem is surmountable. The paper presents a case study of the emergence, waning and re-generation of political priority for safe motherhood in Indonesia over the decade 1987-1997, to highlight how these four factors interacted to raise safe motherhood from near obscurity in the country to national-level prominence. While there are contextual factors that make this case unique, some elements are applicable to all developing countries. The paper draws out these dimensions in the hope that greater knowledge surrounding how political will actually has been generated can help shape strategic action to address this much neglected global problem.

  11. Prebiotic mechanisms, functions and application

    USDA-ARS?s Scientific Manuscript database

    In October 2012, a group of scientists met at the 10th Meeting of the International Scientific Association of Probiotics and Prebiotics (ISAPP) in Cork, Ireland to discuss issues surrounding prebiotics and their development. This article summarises outputs from the meeting. Various prebiotic defin...

  12. Computation of structural flexibility for bridge health monitoring using ambient modal data

    DOT National Transportation Integrated Search

    1996-01-01

    The issues surrounding the use of ambient vibration modes for the location of structural damage via dynamically : measured flexibility are examined. Several methods for obtaining the required mass-normalized : dynamic mode shapes from ambient modal d...

  13. Drinking Water Arsenic Rule History

    EPA Pesticide Factsheets

    The EPA published the final arsenic rule on January 22, 2001. In response to the national debate surrounding the arsenic rule related to science and costs, the EPA announced on March 20, 2001 that the agency would reassess the science and cost issues.

  14. Vietnam War Resisters in Canada, 1965-1977. "Draft Dodgers" or Refugees from Militarism?

    ERIC Educational Resources Information Center

    Bennett, Paul W.

    1989-01-01

    Provides background information and primary source documents to teach about the issues surrounding Canada's admission of U.S. Vietnam War resisters from 1965 to 1977. Includes primary sources which may serve as points of discussion. (LS)

  15. Conceptual Issues Surrounding Quality of Life in Oncology Nursing.

    PubMed

    Flannery, Marie

    2017-05-01

    Quality of life (QOL) is a critical, prevalent, and enduring concept in oncology nursing research and practice. QOL is a paramount issue in the consideration of treatment, goal planning, and decision making for individuals with cancer, their families, and their care providers. Journals, well-developed valid and reliable instruments, and multiple conceptual models and frameworks are devoted to QOL. This column will review two broad conceptual aspects to consider in relation to QOL. First, conceptual considerations will be discussed for the definition and measurement of QOL. Second, conceptual issues related to QOL as an outcome will be discussed.

  16. Solid waste management in Thailand: an overview and case study (Tha Khon Yang sub-district).

    PubMed

    Yukalang, Nachalida; Clarke, Beverley Dawn; Ross, Kirstin Elizabeth

    2017-09-26

    Due to rapid urbanization, solid waste management (SWM) has become a significant issue in several developing countries including Thailand. Policies implemented by the Central Thai Government to manage SWM issues have had only limited success. This article reviews current municipal waste management plans in Thailand and examines municipal waste management at the local level, with focus on the Tha Khon Yang sub-district surrounding Mahasarakham University in Mahasarakham Province. Within two decades this area has been converted from a rural to an urban landscape featuring accommodation for over 45,000 university students and a range of business facilities. This development and influx of people has outpaced the government's ability to manage municipal solid waste (MSW). There are significant opportunities to improve local infrastructure and operational capacity; but there are few mechanisms to provide and distribute information to improve community participation in waste management. Many community-based waste management projects, such as waste recycling banks, the 3Rs (reduce, reuse and recycle), and waste-to-biogas projects have been abandoned. Additionally, waste from Tha Kon Yang and its surrounding areas has been transferred to unsanitary landfills; there is also haphazard dumping and uncontrolled burning of waste, which exacerbate current pollution issues.

  17. Teratogenic risk and contraceptive counselling in psychiatric practice: analysis of anticonvulsant therapy

    PubMed Central

    2013-01-01

    Background Anticonvulsants have been used to manage psychiatric conditions for over 50 years. It is recognised that some, particularly valproate, carbamazepine and lamotrigine, are human teratogens, while others including topiramate require further investigation. We aimed to appraise the documentation of this risk by psychiatrists and review discussion around contraceptive issues. Methods A retrospective review of prescribing patterns of four anticonvulsants (valproate, carbamazepine, lamotrigine and topiramate) in women of child bearing age was undertaken. Documented evidence of discussion surrounding teratogenicity and contraceptive issues was sought. Results Valproate was most commonly prescribed (n=67). Evidence of teratogenic risk counselling at medication initiation was sub-optimal – 40% of individuals prescribed carbamazepine and 22% of valproate. Documentation surrounding contraceptive issues was also low- 17% of individuals prescribed carbamazepine and 13% of valproate. Conclusion We found both low rates of teratogenic risk counselling and low rates of contraception advice in our cohort. Given the high rates of unplanned pregnancies combined with the relatively high risk of major congenital malformations, it is essential that a detailed appraisal of the risks and benefits associated with anticonvulsant medication occurs and is documented within patients’ psychiatric notes. PMID:24066860

  18. KSC-04PD-0207

    NASA Technical Reports Server (NTRS)

    2004-01-01

    KENNEDY SPACE CENTER, FLA. Surrounded by workers in the Space Station Processing Facility, Chuck Hardison (left), Boeing senior truss manager, presents the key for the starboard truss segment S3/S4 to Scott Gahring (center), ISS Vehicle Office manager (acting), Johnson Space Center. The trusses are scheduled to be delivered to the International Space Station on mission STS-117. Holding the tip of the key at right is astronaut Patrick Forrester, who is a mission specialist on the flight.

  19. Towards optimised information about clinical trials; identification and validation of key issues in collaboration with cancer patient advocates.

    PubMed

    Dellson, P; Nilbert, M; Bendahl, P-O; Malmström, P; Carlsson, C

    2011-07-01

    Clinical trials are crucial to improve cancer treatment but recruitment is difficult. Optimised patient information has been recognised as a key issue. In line with the increasing focus on patients' perspectives in health care, we aimed to study patients' opinions about the written information used in three clinical trials for breast cancer. Primary data collection was done in focus group interviews with breast cancer patient advocates. Content analysis identified three major themes: comprehensibility, emotions and associations, and decision making. Based on the advocates' suggestions for improvements, 21 key issues were defined and validated through a questionnaire in an independent group of breast cancer patient advocates. Clear messages, emotionally neutral expressions, careful descriptions of side effects, clear comparisons between different treatment alternatives and information about the possibility to discontinue treatment were perceived as the most important issues. Patients' views of the information in clinical trials provide new insights and identify key issues to consider in optimising future written information and may improve recruitment to clinical cancer trials. © 2010 Blackwell Publishing Ltd.

  20. Ethical and Legal Issues in Biobanking for Genomic Research in Nigeria

    PubMed Central

    Akintola, Simisola. O.

    2013-01-01

    The pursuit of genomic research and biobanking has raised concerns and discussions about the ethical and legal implications. Given the specific challenges that surround such enterprise in low and middle income countries, it is pertinent to examine them in the light of the advent of Biobanking and Genomic research in Nigeria. In this paper I discuss the issues and suggest model solutions derived from advanced jurisdictions. These ethical and legal issues are discussed within the context of the legal system of a typical African country whose jurisprudence derives from that of its erstwhile colonial master, the United Kingdom. This includes issues relating to law and human rights, informed consent, native and customary law. PMID:24353984

  1. A summary and integration of research concerning single pilot IFR operational problems

    NASA Technical Reports Server (NTRS)

    Chapman, G. C.

    1983-01-01

    A review of seven research studies pertaining to Single Pilot IFR (SPIFR) operations was performed. Two studies were based on questionnaire surveys; two based on National Transportation Safety Board (NTSB) reports; two were based on Aviation Safety Reporting System (ASRS) incident reports, and one report used event analysis and statistics to forecast problems. The results obtained in each study were extracted and integrated. Results were synthesized and key issues pertaining to SPIFR operations problems were identified. The research that was recommended by the studies and that addressed the key issues is catalogued for each key issue.

  2. A "naturally sweet" definition: an analysis of the sugar association's definition of the natural as a terministic screen.

    PubMed

    Heiss, Sarah N

    2015-01-01

    The political nature of sugar as a cultural commodity can be traced back for centuries. While the issues surrounding sugar consumption have changed, power struggles still exist as stakeholders struggle to identify, make sense of, and manage the relationship between sugar and obesity. I explore the rhetorical contributions of the Sugar Association to public understandings of sweeteners. Specifically, I argue that the Sugar Association positioned sugar as the best choice for consumers by positioning their sweetener within a definition of the natural that the organization constructs. I draw on Burke's (1966) notion of terministic screens as a theoretical framework through which sugar was positioned as the best sweetener option and HFCS and artificial sweeteners were isolated as unnatural and, therefore, unwise choices for consumers. Then, I argue that the association's definition of "the natural" was strategically ambiguous, serving to distinguish sugar from other sweeteners. I conclude by evaluating the soundness and sustainability of the association's discursive contributions to public understandings of health and its implications for key stakeholders in the sweetener community.

  3. Ethical Hurdles in the Prioritization of Oncology Care.

    PubMed

    de Groot, Folkert; Capri, Stefano; Castanier, Jean-Claude; Cunningham, David; Flamion, Bruno; Flume, Mathias; Herholz, Harald; Levin, Lars-Åke; Solà-Morales, Oriol; Rupprecht, Christoph J; Shalet, Natalie; Walker, Andrew; Wong, Olivier

    2017-04-01

    With finite resources, healthcare payers must make difficult choices regarding spending and the ethical distribution of funds. Here, we describe some of the ethical issues surrounding inequity in healthcare in nine major European countries, using cancer care as an example. To identify relevant studies, we conducted a systematic literature search. The results of the literature review suggest that although prevention, access to early diagnosis, and radiotherapy are key factors associated with good outcomes in oncology, public and political attention often focusses on the availability of pharmacological treatments. In some countries this focus may divert funding towards cancer drugs, for example through specific cancer drugs funds, leading to reduced expenditure on other areas of cancer care, including prevention, and potentially on other diseases. In addition, as highly effective, expensive agents are developed, the use of value-based approaches may lead to unacceptable impacts on health budgets, leading to a potential need to re-evaluate current cost-effectiveness thresholds. We anticipate that the question of how to fund new therapies equitably will become even more challenging in the future, with the advent of expensive, innovative, breakthrough treatments in other therapeutic areas.

  4. Is Mitochondrial Donation Germ-Line Gene Therapy? Classifications and Ethical Implications.

    PubMed

    Newson, Ainsley J; Wrigley, Anthony

    2017-01-01

    The classification of techniques used in mitochondrial donation, including their role as purported germ-line gene therapies, is far from clear. These techniques exhibit characteristics typical of a variety of classifications that have been used in both scientific and bioethics scholarship. This raises two connected questions, which we address in this paper: (i) how should we classify mitochondrial donation techniques?; and (ii) what ethical implications surround such a classification? First, we outline how methods of genetic intervention, such as germ-line gene therapy, are typically defined or classified. We then consider whether techniques of mitochondrial donation fit into these, whether they might do so with some refinement of these categories, or whether they require some other approach to classification. To answer the second question, we discuss the relationship between classification and several key ethical issues arising from mitochondrial donation. We conclude that the properties characteristic of mitochondrial inheritance mean that most mitochondrial donation techniques belong to a new sub-class of genetic modification, which we call 'conditionally inheritable genomic modification' (CIGM). © 2017 John Wiley & Sons Ltd.

  5. CdTe-TiO2 nanocomposite: an impeder of bacterial growth and biofilm

    NASA Astrophysics Data System (ADS)

    Gholap, Haribhau; Patil, Rajendra; Yadav, Prasad; Banpurkar, Arun; Ogale, Satishchandra; Gade, Wasudeo

    2013-05-01

    The resurgence of infectious diseases and associated issues related to antibiotic resistance has raised enormous challenges which may possibly be confronted primarily by nanotechnology routes. One key need of critical significance in this context is the development of an agent capable of inhibiting quorum sensing mediated biofilm formation in pathogenic organisms. In this work we examine the possible use of a nanocomposite, CdTe-TiO2, as an impeder of growth and biofilm. In the presence of CdTe-TiO2, scanning electron microscopy (SEM) analysis shows exposed cells without the surrounding matrix. Confocal laser scanning microscopy shows spatially distributed fluorescence, a typical indication of an impeded biofilm, as opposed to the control which shows matrix-covered cells and continuous fluorescence, typical of biofilm formation. Quantitatively, the inhibition of biofilm was ˜57%. CdTe-TiO2 also exhibits good antibacterial properties against Gram positive and Gram negative organisms by virtue of the generation of reactive oxygen species inside the cells, reflected by a ruptured appearance in the SEM analysis.

  6. Regenerative medicine, resource and regulation: lessons learned from the remedi project.

    PubMed

    Ginty, Patrick J; Rayment, Erin A; Hourd, Paul; Williams, David J

    2011-03-01

    The successful commercialization of regenerative medicine products provides a unique challenge to the manufacturer owing to a lack of suitable investment/business models and a constantly evolving regulatory framework. The resultant slow translation of scientific discovery into safe and clinically efficacious therapies is preventing many potential products from reaching the market. This is despite of the need for new therapies that may reduce the burden on the world's healthcare systems and address the desperate need for replacement tissues and organs. The collaborative Engineering and Physical Sciences Research Council (EPSRC)-funded remedi project was devised to take a holistic but manufacturing-led approach to the challenge of translational regenerative medicine in the UK. Through strategic collaborations and discussions with industry and other academic partners, many of the positive and negative issues surrounding business and regulatory success have been documented to provide a remedi-led perspective on the management of risk in business and the elucidation of the regulatory pathways, and how the two are inherently linked. This article represents the findings from these discussions with key stakeholders and the research into best business and regulatory practices.

  7. Writing Technical Reports for Simulation in Education for Health Professionals: Suggested Guidelines.

    PubMed

    Dubrowski, Adam; Alani, Sabrina; Bankovic, Tina; Crowe, Andrea; Pollard, Megan

    2015-11-02

    Simulation is an important training tool used in a variety of influential fields. However, development of simulation scenarios - the key component of simulation - occurs in isolation; sharing of scenarios is almost non-existent. This can make simulation use a costly task in terms of the resources and time and the possible redundancy of efforts. To alleviate these issues, the goal is to strive for an open communication of practice (CoP) surrounding simulation. To facilitate this goal, this report describes a set of guidelines for writing technical reports about simulation use for educating health professionals. Using an accepted set of guidelines will allow for homogeneity when building simulation scenarios and facilitate open sharing among simulation users. In addition to optimizing simulation efforts in institutions that are currently using simulation as an educational tool, the development of such a repository may have direct implications on developing countries, where simulation is only starting to be used systematically. Our project facilitates equivalent and global access to information, knowledge, and highest-caliber education - in this context, simulation - collectively, the building blocks of optimal healthcare.

  8. Writing Technical Reports for Simulation in Education for Health Professionals: Suggested Guidelines

    PubMed Central

    Alani, Sabrina; Bankovic, Tina; Crowe, Andrea; Pollard, Megan

    2015-01-01

    Simulation is an important training tool used in a variety of influential fields. However, development of simulation scenarios - the key component of simulation – occurs in isolation; sharing of scenarios is almost non-existent. This can make simulation use a costly task in terms of the resources and time and the possible redundancy of efforts. To alleviate these issues, the goal is to strive for an open communication of practice (CoP) surrounding simulation. To facilitate this goal, this report describes a set of guidelines for writing technical reports about simulation use for educating health professionals. Using an accepted set of guidelines will allow for homogeneity when building simulation scenarios and facilitate open sharing among simulation users. In addition to optimizing simulation efforts in institutions that are currently using simulation as an educational tool, the development of such a repository may have direct implications on developing countries, where simulation is only starting to be used systematically. Our project facilitates equivalent and global access to information, knowledge, and highest-caliber education - in this context, simulation – collectively, the building blocks of optimal healthcare.  PMID:26677421

  9. Conceptual hydrogeological model of a coastal hydrosystem in the mediterranean

    NASA Astrophysics Data System (ADS)

    Mitropapas, Anastasios; Pouliaris, Christos; Apostolopoulos, Georgios; Vasileiou, Eleni; Schüth, Christoph; Vienken, Thomas; Dietrich, Peter; Kallioras, Andreas

    2016-04-01

    Groundwater resources management in the Mediterranean basin is an issue of paramount importance that becomes a necessity in the case of the coastal hydrosystems. Coastal aquifers are considered very sensitive ecosystems that are subject to several stresses being of natural or anthropogenic origin. The coastal hydrosystem of Lavrion can be used as a reference site that incorporates multi-disciplinary environmental problems, which are typical for Circum-Mediterranean. This study presents the synthesis of a wide range of field activities within the area of Lavrion including the monitoring of water resources within all hydrologic zones (surface, unsaturated and saturated) and geophysical (invasive and non-invasive) surveys. Different monitoring approaches -targeting to the collection of hydrochemical, geophysical, geological, hydrological data- were applied, that proved to provide a sound characterization of the groundwater flows within the coastal karstic system in connection to the surrounding water bodies of the study area. The above are used as input parameters process during the development of the conceptual model of the coastal hydrosystem of Lavrion. Key-words: Coastal hydrosystems, Mediterranean basin, seawater intrusion

  10. The evolving drug development landscape: from blockbusters to niche busters in the orphan drug space.

    PubMed

    Kumar Kakkar, Ashish; Dahiya, Neha

    2014-06-01

    Strategy, Management and Health Policy Large pharmaceutical companies have traditionally focused on the development of blockbuster drugs that target disease states with large patient populations. However, with large-scale patent expirations and competition from generics and biosimilars, anemic pipelines, escalating clinical trial costs, and global health-care reform, the blockbuster model has become less viable. Orphan drug initiatives and the incentives accompanied by these have fostered renewed research efforts in the area of rare diseases and have led to the approval of more than 400 orphan products. Despite targeting much smaller patient populations, the revenue-generating potential of orphan drugs has been shown to be huge, with a greater return on investment than non-orphan drugs. The success of these "niche buster" therapeutics has led to a renewed interest from "Big Pharma" in the rare disease landscape. This article reviews the key drivers for orphan drug research and development, their profitability, and issues surrounding the emergence of large pharmaceutical firms into the orphan drug space. © 2014 Wiley Periodicals, Inc.

  11. Walking backwards into the future: the need for a holistic evolutionary approach in Pacific health research.

    PubMed

    Matisoo-Smith, Elizabeth; Gosling, Anna L

    2018-05-01

    The Pacific region has had a complex human history. It has been subject to multiple major human dispersal and colonisation events, including some of the earliest Out-of-Africa migrations, the so-called Austronesian expansion of people out of Island Southeast Asia, and the more recent arrival of Europeans. Despite models of island isolation, evidence suggests significant levels of interconnectedness that vary in direction and frequency over time. The Pacific Ocean covers a vast area and its islands provide an array of different physical environments with variable pathogen loads and subsistence opportunities. These diverse environments likely caused Pacific peoples to adapt (both genetically and culturally) in unique ways. Differences in genetic background, in combination with adaptation, likely affect their susceptibility to non-communicable diseases. Here we provide an overview of some of the key issues in the natural and human history of the Pacific region which are likely to impact human health. We argue that understanding the evolutionary and cultural history of Pacific peoples is essential for the generation of testable hypotheses surrounding potential causes of elevated disease susceptibility among Pacific peoples.

  12. Research on propane leak detection system and device based on mid infrared laser

    NASA Astrophysics Data System (ADS)

    Jiang, Meng; Wang, Xuefeng; Wang, Junlong; Wang, Yizhao; Li, Pan; Feng, Qiaoling

    2017-10-01

    Propane is a key component of liquefied petroleum gas (LPG) and crude oil volatile. This issue summarizes the recent progress of propane detection technology. Meanwhile, base on the development trend, our latest progress is also provided. We demonstrated a mid infrared propane sensor system, which is based on wavelength modulation spectroscopy (WMS) technique with a CW interband cascade laser (ICL) emitting at 3370.4nm. The ICL laser scanned over a sharp feature in the broader spectrum of propane, and harmonic signals are obtained by lock-in amplifier for gas concentration deduction. The surrounding gas is extracted into the fine optical absorption cell through the pump to realize online detection. The absorption cell is designed in mid infrared windows range. An example experimental setup is shown. The second harmonic signals 2f and first harmonic signals1f are obtained. We present the sensor performance test data including dynamic precision and temperature stability. The propane detection sensor system and device is portable can carried on the mobile inspection vehicle platforms or intelligent robot inspection platform to realize the leakage monitoring of whole oil gas tank area.

  13. Impacts on non-human biota from a generic geological disposal facility for radioactive waste: some key assessment issues.

    PubMed

    Robinson, C A; Smith, K L; Norris, S

    2010-06-01

    This paper provides an overview of key issues associated with the application of currently available biota dose assessment methods to consideration of potential environmental impacts from geological disposal facilities. It explores philosophical, methodological and practical assessment issues and reviews the implications of test assessment results in the context of recent and on-going challenges and debates.

  14. The Internet: Past, Present, and Future.

    ERIC Educational Resources Information Center

    Galbreath, Jeremy, Ed.

    1997-01-01

    Examines the "reality behind the hype" surrounding the Internet. Discusses its early development; growth and present state; and key applications, including e-mail, voice/video telephony, integrated messaging, electronic commerce, the World Wide Web, and Web commerce, Intranet, Extranet; education and training; security; ownership; and…

  15. A Burning Desire: A Focus Group Turns Its Attention to Old Glory. 12th Grade Lesson. Schools of California Online Resources for Education (SCORE): Connecting California's Classrooms to the World.

    ERIC Educational Resources Information Center

    MacDonald, David

    This lesson for grade 12 is designed to increase student awareness of the debate surrounding flag burning, the proposed constitutional amendment to prohibit flag burning, and the constitutional issues involved, specifically the First Amendment. Students play the role of staff members for a U.S. Senator. They research the issue and prepare both pro…

  16. Ethical perspectives on living donor organ transplantation in Asia.

    PubMed

    Concejero, Allan M; Chen, Chao-Long

    2009-12-01

    Live donors are a continuing source of organ grafts for solid organ transplantation in Asia. Ethical issues surrounding the development of living donor organ transplantation in Eastern countries are different from those in Western countries. Donor safety is still the paramount concern in any donor operation. Issues on organ trafficking remain societal concerns in low-income nations. Religion, cultural background, economic prerogatives, and timely legislation contribute to the social acceptance and maturation of organ donation.

  17. SU110. Meaning-Making, Self-identity, and Ambivalence Around Antipsychotics in First-Episode Psychosis

    PubMed Central

    Berkhout, Susan; Zaheer, Juveria

    2017-01-01

    Abstract Background: An issue throughout all areas of medicine, nonadherence to medications is particularly challenging in first-episode psychosis (FEP), where discontinuation of medications has been found to be one of the most reliable predictors of relapse after symptom remission (Haddad et al, 2014; Alvarez-Jimenez et al, 2012). And while medication factors and patient expectancies are frequently employed to understand challenges surrounding adherence, there are limits to their explanatory power. Methods: Utilizing ethnographic methodologies, we collected and analyzed narratives of FEP clinic users in order to explore relationships between experiences of illness, contacts with the mental health system, and medication nonadherence. Data were composed of text materials relating to early intervention and first-episode psychosis and antipsychotic medications, longitudinal key informant interviews, and participant observation in a FEP clinic setting in Toronto, Canada. An interpretive thematic analysis of interview transcripts, field notes, and texts was subsequently undertaken, and emerging themes developed iteratively through multiple readings of the texts; the use of multiple coders, member checks, and the range of data sources enabled triangulation of the established themes. Results: The imperative to consistently ingest or inject psychiatric medications can, at times, clash with the lived experience of those struggling to reorient a sense of self in the aftermath of a psychotic illness. Frictions exist between subjective meanings attached to experiences of psychosis and their biomedical framing, leading to ruptures in the clinical setting that are dramatized around medication use. Conclusion: This pilot study demonstrates that a much broader scope of subjective and intersubjective experience is salient to issues surrounding medication use in first-episode psychosis. Moreover, meanings attached to medications are continually shifting, imbued with ambivalence, and overdetermined. As such, limiting analyses of antipsychotic adherence to medication-centric factors and cross-sectional methodologies fail to encapsulate the breadth of relevant meanings and experiences to medications and their mutable nature. These findings offer insights that may further facilitate engagement of individuals around medications and within first-episode services more broadly.

  18. Premarital HIV testing in Malaysia: a qualitative exploratory study on the views of major stakeholders involved in HIV prevention.

    PubMed

    Barmania, Sima; Aljunid, Syed Mohamed

    2017-05-10

    HIV screening has existed in numerous methods as an important part of HIV prevention efforts over the years. Premarital HIV testing for couples who wish to marry has been implemented in a number of regions, which often operate in a mandatory rather than voluntary basis and is considered a contentious issue, with viewpoints held in favour and against. One such region is Malaysia which has a policy of mandatory premarital HIV testing of prospective Muslim married couples. The purpose of this study is to understand stakeholders' views on premarital HIV testing given the Malaysian Islamic context. 35 in-depth face to face semi-structured interviews were undertaken with key stakeholder groups involved in HIV prevention policy in Malaysia, namely, officials from the Ministry of Health, religious leaders and people living with HIV. Participants were recruited from the Klang Valley area, from July to December 2013, using purposive sampling techniques. Inclusion criteria necessitated that participants were over the age of 18 and provided full consent. Interviews were audiotaped, followed a standardised topic guide, transcribed verbatim and analysed using a framework analysis. Participants identified pre-marital HIV testing as an effective HIV prevention policy implemented in Malaysia and was viewed, for the most part, as a positive initiative across all stakeholders. Religious leaders were supportive of testing as it provides a protective mechanism, in line with the teachings of the Shariah, while Ministry of Health officials considered it a normal part of their HIV prevention screening initiatives. However, there were concerns surrounding issues such as confidentiality, counselling and discrimination surrounding the test described by the PLHIV group. The findings of this study show that among the participants interviewed was strong support for mandatory premarital HIV testing, which could possibly expose the vulnerability to HIV, reluctance to test and other areas in the HIV response in Malaysia that need to be addressed. Furthermore, although international health organisations are vehemently against mandatory premarital HIV testing, the strong local support for such measures and the mismatch between these views is worth exploring in more detail, given the cultural, social and religious context.

  19. Reflections on the voluntary self-exclusion of gamblers and the law-suits against Ontario Lottery and Gaming Corporation.

    PubMed

    Faregh, Neda; Leth-Steensen, Craig

    2009-06-01

    Legalized gambling in Canada is governed by Provincial legislation. In Ontario, the Ontario Lottery and Gaming Corporation is responsible for all aspects of gambling in the Province. There have been a number of recent lawsuits against this Crown agency of the Government of Ontario by gamblers, most of which have been settled or otherwise resolved. A recent class-action lawsuit on behalf of thousands of Ontario gamblers against this agency raises a number of interesting questions regarding the issue of responsibility and liability. The questions surround the issue of self-exclusionary practices of gamblers who deem themselves in need of external intervention in order interesting questions regarding the issue of responsibility and liability. The questions surround the issue to abstain from further gambling. A contract is voluntarily signed by the self-excluding gamblers whereby their further attendance at gaming venues is prevented and could be punishable by law. Where the gaming venues have failed to enforce the terms of this contract, gamblers have continued to gamble at these establishments. The class-action lawsuit stems from the grievances of these self-excluded gamblers who were not turned away. Relevant psychological theories and recent findings pertaining to gambling are reviewed and questions relevant to these grievances are discussed in favor of government responsibility and liability toward gamblers.

  20. Mapping, monitoring, and modeling Western Gateway Community landscape dynamics

    USGS Publications Warehouse

    Hester, David J.

    2013-01-01

    Federal public lands in the western United States are becoming increasingly surrounded by Gateway Communities. These communities are undergoing landscape change due to population growth, economic growth, and the resulting land-use development. Socioeconomic, demographic, and land-use changes in Gateway Communities are often perceived as threats to Federal land resources, natural amenities, cultural resources, and recreational opportunities. However, land-surface disturbances on Federal public lands, such as conventional and alternative energy development (which impact surrounding Gateway Communities), are also environmental and societal issues that Federal land and adjacent regional community planners need to consider in their long-range land-use planning.

  1. Properties of a center/surround retinex. Part 1: Signal processing design

    NASA Technical Reports Server (NTRS)

    Rahaman, Zia-Ur

    1995-01-01

    The last version of Edwin Land's retinex model for human vision's lightness and color constancy has been implemented. Previous research has established the mathematical foundations of Land's retinex but has not examined specific design issues and their effects on the properties of the retinex operation. Here we describe the signal processing design of the retinex. We find that the placement of the logarithmic function is important and produces best results when placed after the surround formation. We also find that best rendition is obtained for a 'canonical' gain-offset applied after the retinex operation.

  2. Cleaning by clustering: methodology for addressing data quality issues in biomedical metadata.

    PubMed

    Hu, Wei; Zaveri, Amrapali; Qiu, Honglei; Dumontier, Michel

    2017-09-18

    The ability to efficiently search and filter datasets depends on access to high quality metadata. While most biomedical repositories require data submitters to provide a minimal set of metadata, some such as the Gene Expression Omnibus (GEO) allows users to specify additional metadata in the form of textual key-value pairs (e.g. sex: female). However, since there is no structured vocabulary to guide the submitter regarding the metadata terms to use, consequently, the 44,000,000+ key-value pairs in GEO suffer from numerous quality issues including redundancy, heterogeneity, inconsistency, and incompleteness. Such issues hinder the ability of scientists to hone in on datasets that meet their requirements and point to a need for accurate, structured and complete description of the data. In this study, we propose a clustering-based approach to address data quality issues in biomedical, specifically gene expression, metadata. First, we present three different kinds of similarity measures to compare metadata keys. Second, we design a scalable agglomerative clustering algorithm to cluster similar keys together. Our agglomerative cluster algorithm identified metadata keys that were similar, based on (i) name, (ii) core concept and (iii) value similarities, to each other and grouped them together. We evaluated our method using a manually created gold standard in which 359 keys were grouped into 27 clusters based on six types of characteristics: (i) age, (ii) cell line, (iii) disease, (iv) strain, (v) tissue and (vi) treatment. As a result, the algorithm generated 18 clusters containing 355 keys (four clusters with only one key were excluded). In the 18 clusters, there were keys that were identified correctly to be related to that cluster, but there were 13 keys which were not related to that cluster. We compared our approach with four other published methods. Our approach significantly outperformed them for most metadata keys and achieved the best average F-Score (0.63). Our algorithm identified keys that were similar to each other and grouped them together. Our intuition that underpins cleaning by clustering is that, dividing keys into different clusters resolves the scalability issues for data observation and cleaning, and keys in the same cluster with duplicates and errors can easily be found. Our algorithm can also be applied to other biomedical data types.

  3. The Amistad Incident: A Classroom Reenactment.

    ERIC Educational Resources Information Center

    Levy, Tedd

    1995-01-01

    Presents a role-playing activity based on political and legal issues surrounding a mutiny on a Spanish slave ship that landed on U.S. soil in 1839. Includes learning objectives, background information, and role descriptions. Suggests student writing assignments and further research projects. (CFR)

  4. Relative Mesothelioma Potencies for Unregulated Respirable Elongated Mineral and Synthetic Particles

    EPA Science Inventory

    For decades uncertainties and contradictions have surrounded the issue of whether exposures to respirable elongated mineral and synthetic particles (REMPs and RESPs) present health risks such as those recognized for exposures to elongated asbestiform mineral particles from the fi...

  5. Easing the Perils of the Postdoctoral Years: A Call for Institutional Attention.

    ERIC Educational Resources Information Center

    Lorden, Joan F.; Matalon, Sadis

    2002-01-01

    Describes the University of Alabama at Birmingham's experience grappling with the many issues surrounding postdoctoral education in order to ensure that postdoctoral researchers are treated as more than cheap skilled labor and given benefits or opportunities for advancement. (EV)

  6. Women in Management.

    ERIC Educational Resources Information Center

    Crampton, Suzanne M.; Mishra, Jitendra M.

    1999-01-01

    Major issues surrounding women in management include the glass ceiling and prevalence of myths and stereotypes. Organizational and individual responses to improve use of the diversity of their skills and talents include mentors, sponsors, role models, networks, alternative schedules, family leave, employee assistance, and child care. (JOW)

  7. Electronic Journal Market Overview in 1997: Part 1--The Publishers.

    ERIC Educational Resources Information Center

    Machovec, George S.

    1997-01-01

    Provides an overview of the electronic journal market and focuses on publishers doing innovative projects. Discusses predominate market models; publishers and the Internet; issues surrounding electronic journals: pricing, security, electronic page layout, copyright, backfile availability, reliability, and accessibility. Highlights selected…

  8. A Market Analysis Of The Commercial Traffic Information Business

    DOT National Transportation Integrated Search

    1994-03-01

    THE FOLLOWING IS ONE OF A SERIES OF PAPERS DEVELOPED OR PRODUCED BY THE ECONOMIC ANALYSIS DIVISION OF THE JOHN A. VOLPE NATIONAL TRANSPORTATION SYSTEMS CENTER AS PART OF ITS RESEARCH PROJECT LOOKING INTO ISSUES SURROUNDING USER RESPONSE AND MARKET DE...

  9. Approaches to Partnerships: Who Shares Wins.

    ERIC Educational Resources Information Center

    Further Education Unit, London (England).

    This bulletin identifies and discusses issues surrounding collaborative arrangements and partnerships for British technical colleges and gives guidance on identifying, setting up, and maintaining such arrangements. Some potential advantages and disadvantages of partnerships are listed. A checklist follows of the most common partners in…

  10. Making the Most of Education and Training: An Employer Perspective.

    ERIC Educational Resources Information Center

    Pollitt, David, Ed.

    2002-01-01

    Eleven articles focus on issues surrounding employer investment in training in Britain. Topics include employee induction, flexible lifelong learning, workplace learning partnerships, retention through training, management development, cooperation with competitors, technician career paths to management, online learning in small businesses, and…

  11. Comprehensive Truck Size and Weight Study : volume 1 : executive summary

    DOT National Transportation Integrated Search

    2000-08-01

    This report presents results of a comprehensive examination of issues surrounding current Federal truck size : and weight (TS&W) limits and potential impacts of changes to those limits. This is the first comprehensive : TS&W study by the Department s...

  12. Commentary: Rural Histories, Rural Boundaries, Rural Change

    ERIC Educational Resources Information Center

    Tieken, Mara Casey

    2017-01-01

    Cross-sector collaborations can generate the resources and political will necessary to tackle urgent, complex issues. Because these partnerships involve local leaders, they are typically responsive to their surrounding communities, addressing local concerns, and capitalizing upon local assets. These strengths-oriented, locally driven…

  13. Teaching the Alphabet to Young Children.

    ERIC Educational Resources Information Center

    Wasik, Barbara A.

    2001-01-01

    Clarifies issues surrounding teaching of the alphabet to preschoolers. Considers the meaning of "teaching" and examines links between letter knowledge, phonemic awareness, and learning to read. Presents suggestions for teaching the alphabet within developmentally appropriate practice guidelines, including beginning with the familiar, creating a…

  14. Taxonomy of Tuition Discounting.

    ERIC Educational Resources Information Center

    Allan, Ronald Gage

    1999-01-01

    Reviews issues surrounding college tuition discounting, and outlines sources of confusion, defines various discount types, provides historical background prior to recent changes in fund accounting rules, describes the new rules' impact, outlines different uses of tuition discounting by three groups, and applies the accumulated definitions to an…

  15. Intellectual Freedom: 2000 and Beyond.

    ERIC Educational Resources Information Center

    Holtze, Terri L.; Rader, Hannelore B.

    2000-01-01

    Focuses on intellectual freedom, discussing the role of libraries, the Berlin Wall and banned books as attempts to restrict intellectual freedom, and controversies surrounding filtering software. Contains an annotated bibliography of intellectual freedom resources, presented in five categories: general; government and legal issues; access and…

  16. BOOK REVIEW – BACILLUS THURINGIENSIS: A CORNERSTONE OF MODERN AGRICULTURE BACILLUS THURINGIENSIS

    EPA Science Inventory

    Are you interested in the technical issues surrounding the use of Bacillus thuringiensis pesticidal traits as sprays and as plant incorporated protectants (transgenic crops)? Should the dimensions of human health, ecology, entomology, risk assessment, resistance management, and d...

  17. John F. Kennedy National Historic Site General Management Plan support : transportation study

    DOT National Transportation Integrated Search

    2010-09-01

    This report provides an overview of transportation and access issues related to the John F. Kennedy National Historic Site and the surrounding area in Brookline, MA. The study defines transportation-related goals for the site and provides support for...

  18. Hypnosis and Memory: A Hazardous Connection.

    ERIC Educational Resources Information Center

    Barber, Joseph

    1997-01-01

    Evaluates the issues surrounding the recovery of repressed memories through hypnosis and suggests ways clinicians might productively confront the attendant clinical dilemmas in this process. Discusses the hypnotic experience, the nature of memory, and clinical problems associated with recovered memories. Makes recommendations for clinicians. (RJM)

  19. Multicultural Awareness and Technology in Higher Education: Global Perspectives

    ERIC Educational Resources Information Center

    Issa, Tomayess, Ed.; Isaias, Pedro, Ed.; Kommers, Piet, Ed.

    2014-01-01

    Diversity among university students plays a significant role in raising awareness of numerous issues surrounding cultural heritage, language differences, cross-cultural collaboration, and international education. The integration of technological tools can assist students in cooperating nationally and internationally both in their current…

  20. A Primer On Consumer Marketing Research, Procedures, Methods, And Tools

    DOT National Transportation Integrated Search

    1994-03-01

    THE FOLLOWING IS ONE OF A SERIES OF PAPERS DEVELOPED OR PRODUCED BY THE ECONOMIC ANALYSIS DIVISION OF THE JOHN A. VOLPE NATIONAL TRANSPORTATION SYSTEMS CENTER AS PART OF ITS RESEARCH PROJECT LOOKING INTO ISSUES SURROUNDING : USER RESPONSE AND MARKET ...

  1. Undergraduate Student Advising: Options for Advertising Education.

    ERIC Educational Resources Information Center

    Marra, James L.; Schweitzer, John C.

    1992-01-01

    Investigates issues surrounding undergraduate student advising in advertising. Examines adviser work loads, advising practices, rewards or recognition for advising, and faculty attitudes toward advising. Finds that innovative solutions for solving advising problems are in scarce supply in business, advertising, and, presumably, journalism and mass…

  2. Body Talk for Parents of Girls.

    ERIC Educational Resources Information Center

    Stubbs, Margaret L.

    This pamphlet, targeted to girls' parents, discusses issues surrounding puberty. The introduction discusses cultural images of menstruation and girls' attitudes towards it. Suggestions are offered for discussing menstruation with one's daughter. Suggestions focus on timing of introducing the topic; which parent takes responsibility for menstrual…

  3. Listening for Prescriptions: A National Consultation on Pharmaceutical Policy Issues

    PubMed Central

    Morgan, Steve; Cunningham, Colleen M.

    2010-01-01

    Objectives and Methods: Pharmaceutical policy is an increasingly costly, essential and challenging component of health system management. We sought to identify priority pharmaceutical policy issues in Canada and to translate them into research priorities using key informant interviews, stakeholder surveys and a deliberative workshop. Results: We found consensus on overarching policy goals: to provide all Canadians with equitable and sustainable access to necessary medicines. We also found widespread frustration that many key pharmaceutical policy issues in Canada — including improving prescription drug financing and pricing — have been persistent challenges owing to a lack of policy coordination. The coverage of extraordinarily costly medicines for serious conditions was identified as a rapidly emerging policy issue. Conclusion: Targeted research and knowledge translation activities can help address key policy issues and, importantly, challenges of policy coordination in Canada and thereby reduce inequity and inefficiency in policy approaches and outcomes. PMID:22043223

  4. Inner Space and Outer Space: Pressure Suits & Life Support Systems for Space Workers

    NASA Technical Reports Server (NTRS)

    Webbon, Bruce

    2004-01-01

    This slide presentation presents an overview of work system requirements, extravehicular activity system evolution, key issues, future needs, and a summary. Key issues include pressure suits, life support systems, system integration, biomedical requirements, and work and mobility aids.

  5. Key water issues now facing our nation

    USGS Publications Warehouse

    Hirsch, Robert M.; Miller, Timothy L.; Hamilton, Pixie A.; Gilliom, Robert J.

    2008-01-01

    Challenges to sustaining sufficient and high-quality water for human consumption, industry, farms, energy production, and ecosystem services continue to intensify in many parts of the Nation. We face four key water issues that call for support from the science and engineering communities.

  6. Third-world development: urbanizing for the future.

    PubMed

    Mcilwaine, C

    1997-01-01

    This article reviews some issues reflected in the 1996 UN Habitat II agenda and recent research on urbanization. The themes of the 1996 Habitat conference were urban development, urban poverty, and governance, civil society, and social capital. It is expected that over 50% of total world population will live in cities in the year 2000. Cities are viewed both as engines of economic growth and centers of severe economic, environmental, and social problems. There is some disagreement about whether cities are rational economic structures or what the World Bank's urban agenda is and its relationship with macroeconomic policy. Discussions of global urban issues are criticized for their neglect of issues of equity and poverty, cultural diversity, and identity and representation. Habitat II also stressed urban sustainability. There is growing recognition that urban management involves more than the "Brown Agenda" of environmental and physical aspects of urban growth. Recent studies identify how politics and power affect people's access to basic urban services. Urban economic activity can also contribute to environmental problems. Urban growth affects the provision of health services. Although there is not a consensus on the role of cities in expanding economic and social development and the best management practices, there is sufficient evidence to indicate that urban processes are varied throughout the developing world. The links between urban and rural areas differentiate cities and expose the need to understand the role of intermediate urban areas surrounding and between larger cities. Poverty has become increasingly urbanized, but the extent of poverty is unknown. Habitat II was an unprecedented effort to engage nongovernment groups, local government staff, trade unions, and the private sector and to emphasize community participation. Networks of trust and reciprocity are key to solving poverty, inequality, and disempowerment problems.

  7. Measuring Income and Projecting Energy Use

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

    Pitcher, Hugh M.

    2009-11-01

    Abstract: Energy is a key requirement for a healthy, productive life and a major driver of the emissions leading to an increasingly warm planet. The implications of a doubling and redoubling of per capita incomes over the remainder of this century for energy use are a critical input into understanding the magnitude of the carbon management problem. A substantial controversy about how the Special Report on Emssions Scenarios (SRES) measured income and the potential implications of how income was measured for long term levels of energy use is revisited again in the McKibbin, Pearce and Stegman article appearing elsewhere inmore » this issue. The recent release of a new set of purchasing power estimates of national income, and the preparations for creating new scenarios to support the IPCC’s fifth assessment highlight the importance of the issues which have arisen surrounding income and energy use. Comparing the 1993 and 2005 ICP results on Purchasing Power Parity (PPP) based measures of income reveals that not only do the 2005 ICP estimates share the same issue of common growth rates for real income as measured by PPP and US $, but the lack of coherence in the estimates of PPP incomes, especially for developing countries raises yet another obstacle to resolving the best way to measure income. Further, the common use of an income term to mediate energy demand (as in the Kaya identity) obscures an underlying reality about per capita energy demands, leading to unreasonable estimates of the impact of changing income measures and of the recent high GDP growth rates in India and China. Significant new research is required to create both a reasonable set of GDP growth rates and long term levels of energy use.« less

  8. Migraine increases centre-surround suppression for drifting visual stimuli.

    PubMed

    Battista, Josephine; Badcock, David R; McKendrick, Allison M

    2011-04-11

    The pathophysiology of migraine is incompletely understood, but evidence points to hyper-responsivity of cortical neurons being a key feature. The basis of hyper-responsiveness is not clear, with an excitability imbalance potentially arising from either reduced inhibition or increased excitation. In this study, we measure centre-surround contrast suppression in people with migraine as a perceptual analogue of the interplay between inhibition and excitation in cortical areas responsible for vision. We predicted that reduced inhibitory function in migraine would reduce perceptual surround suppression. Recent models of neuronal surround suppression incorporate excitatory feedback that drives surround inhibition. Consequently, an increase in excitation predicts an increase in perceptual surround suppression. Twenty-six people with migraine and twenty approximately age- and gender-matched non-headache controls participated. The perceived contrast of a central sinusoidal grating patch (4 c/deg stationary grating, or 2 c/deg drifting at 2 deg/sec, 40% contrast) was measured in the presence and absence of a 95% contrast annular grating (same orientation, spatial frequency, and drift rate). For the static grating, similar surround suppression strength was present in control and migraine groups with the presence of the surround resulting in the central patch appearing to be 72% and 65% of its true contrast for control and migraine groups respectively (t(44) = 0.81, p = 0.42). For the drifting stimulus, the migraine group showed significantly increased surround suppression (t(44) = 2.86, p<0.01), with perceived contrast being on average 53% of actual contrast for the migraine group and 68% for non-headache controls. In between migraines, when asymptomatic, visual surround suppression for drifting stimuli is greater in individuals with migraine than in controls. The data provides evidence for a behaviourally measurable imbalance in inhibitory and excitatory visual processes in migraine and is incompatible with a simple model of reduced cortical inhibitory function within the visual system.

  9. Compelling Diversities, Educational Intersections: Policy, Practice, Parity

    ERIC Educational Resources Information Center

    Taylor, Yvette

    2013-01-01

    The ninth international Gender and Education Association Conference "Compelling Diversities, Educational Intersections" hosted by the Weeks Centre for Social and Policy Research, London South Bank University engages with key debates surrounding the interplay between dynamics of education, work, employment and society in the context of…

  10. Issues for South Asian Indian patients surrounding sexuality, fertility, and childbirth in the US health care system.

    PubMed

    Fisher, Judith A; Bowman, Marjorie; Thomas, Tessie

    2003-01-01

    In 1998 ethnic minorities comprised 28% of the US population, and India is the third most common country of origin for immigrants. Many recently immigrated South Asian Indian patients are seen in health care settings in the United States. To deliver health care effectively to these patients, it is helpful for physicians to understand common cultural beliefs and practices of South Asian Indian patients. Two illustrative cases are reported. One author's observations of the care of pregnant and parturient women in India and similar experiences in our own office spurred a literature search of the cultural behaviors surrounding sexuality, fertility, and childbirth. A literature search was conducted in Index Medicus, Grateful Med, and the catalogue of the University of Pennsylvania Arts and Sciences library, using the terms "Indian," "South Asian," "male and female gender roles," "gynecology in third world," "sexuality," "sexual health," "women's health," "women's health education," "obstetrical practices/India," and "female roles/India." Issues surrounding sexuality and childbirth that arise during the US physician-South Asian Indian patient encounter might not correspond to the commonly held knowledge, beliefs, and behaviors of the US health care system. Common cultural beliefs and behaviors of South Asian Indian patients around sexuality and childbirth experience include the role of the individual patient's duty to society, the patient's sense of place in society, lack of formal sexual education, prearranged marriages, importance of the birth of the first child, little premarital contraceptive education, dominance of the husband in contraceptive decisions, and predominant role of women and lack of role for men (including the husband) in the childbirth process. Lack of understanding of the Indian cultural mores surrounding sexual education, sexual behavior, and the childbirth experiences can form barriers to Indian immigrants in need of health care. These misunderstandings can also lead to patient dissatisfaction with the health provider and health system, underutilization of health services, and poorer health outcomes for Indian immigrants and their families. For this reason, it is important to teach cultural issues during undergraduate, graduate, and continuing medical education.

  11. Adipose tissue and breast epithelial cells: a dangerous dynamic duo in breast cancer.

    PubMed

    Wang, Yuan-Yuan; Lehuédé, Camille; Laurent, Victor; Dirat, Béatrice; Dauvillier, Stéphanie; Bochet, Ludivine; Le Gonidec, Sophie; Escourrou, Ghislaine; Valet, Philippe; Muller, Catherine

    2012-11-28

    Among the many different cell types surrounding breast cancer cells, the most abundant are those that compose mammary adipose tissue, mainly mature adipocytes and progenitors. New accumulating recent evidences bring the tumor-surrounding adipose tissue into the light as a key component of breast cancer progression. The purpose of this review is to emphasize the role that adipose tissue might play by locally affecting breast cancer cell behavior and subsequent clinical consequences arising from this dialog. Two particular clinical aspects are addressed: obesity that was identified as an independent negative prognostic factor in breast cancer and the oncological safety of autologous fat transfer used in reconstructive surgery for breast cancer patients. This is preceded by the overall description of adipose tissue composition and function with special emphasis on the specificity of adipose depots and the species differences, key experimental aspects that need to be taken in account when cancer is considered. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  12. Land use change around protected areas: management to balance human needs and ecological function.

    PubMed

    DeFries, Ruth; Hansen, Andrew; Turner, B L; Reid, Robin; Liu, Jianguo

    2007-06-01

    Protected areas throughout the world are key for conserving biodiversity, and land use is key for providing food, fiber, and other ecosystem services essential for human sustenance. As land use change isolates protected areas from their surrounding landscapes, the challenge is to identify management opportunities that maintain ecological function while minimizing restrictions on human land use. Building on the case studies in this Invited Feature and on ecological principles, we identify opportunities for regional land management that maintain both ecological function in protected areas and human land use options, including preserving crucial habitats and migration corridors, and reducing dependence of local human populations on protected area resources. Identification of appropriate and effective management opportunities depends on clear definitions of: (1) the biodiversity attributes of concern; (2) landscape connections to delineate particular locations with strong ecological interactions between the protected area and its surrounding landscape; and (3) socioeconomic dynamics that determine current and future use of land resources in and around the protected area.

  13. right-sized dimple evaluator

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

    Rodriguez, Sal

    2017-08-24

    The code (aka computer program written as a Matlab script) uses a unique set of n independent equations to solve for n turbulence variables. The code requires the input of a characteristic dimension, a characteristic fluid velocity, the fluid dynamic viscosity, and the fluid density. Most importantly, the code estimates the size of three key turbulent eddies: Kolmogorov, Taylor, and integral. Based on the eddy sizes, dimples dimensions are prescribed such that the key eddies (principally Taylor, and sometimes Kolmogorov), can be generated by the dimple rim and flow unimpeded through the dimple’s concave cavity. It is hypothesized that turbulentmore » eddies are generated by the dimple rim at the dimple-surface interface. The newly-generated eddies in turn entrain the movement of surrounding regions of fluid, creating more mixing. The eddies also generate lift near the wall surrounding the dimple, as they accelerate and reduce pressure in the regions near and at the dimple cavity, thereby minimizing the fluid drag.« less

  14. Will we outlive our money?

    PubMed

    Salisbury, D L

    2000-01-01

    Fewer and fewer Americans retire with benefits in the form of life annuities. The author raises key issues regarding the increased importance that uncertainty plays in determining retirement income. The key issues include longevity risk and how savings withdrawals rates will be affected at varying rates of return.

  15. Current Warm-Up Practices and Contemporary Issues Faced by Elite Swimming Coaches.

    PubMed

    McGowan, Courtney J; Pyne, David B; Raglin, John S; Thompson, Kevin G; Rattray, Ben

    2016-12-01

    McGowan, CJ, Pyne, DB, Raglin, JS, Thompson, KG, and Rattray, B. Current warm-up practices and contemporary issues faced by elite swimming coaches. J Strength Cond Res 30(12): 3471-3480, 2016-A better understanding of current swimming warm-up strategies is needed to improve their effectiveness. The purpose of this study was to describe current precompetition warm-up practices and identify contemporary issues faced by elite swimming coaches during competition. Forty-six state-international level swimming coaches provided information through a questionnaire on their prescription of volume, intensity, and recovery within their pool and dryland-based competition warm-ups, and challenges faced during the final stages of event preparation. Coaches identified four key objectives of the precompetition warm-up: physiological (elevate body temperature and increase muscle activation), kinesthetic (tactile preparation, increase "feel" of the water), tactical (race-pace rehearsal), and mental (improve focus, reduce anxiety). Pool warm-up volume ranged from ∼1300 to 2100 m, beginning with 400-1000 m of continuous, low-intensity (∼50-70% of perceived maximal exertion) swimming, followed by 200-600 m of stroke drills and 1-2 sets (100-400 m in length) of increasing intensity (∼60-90%) swimming, concluding with 3-4 race or near race-pace efforts (25-100 m; ∼90-100%) and 100-400 m easy swimming. Dryland-based warm-up exercises, involving stretch cords and skipping, were also commonly prescribed. Coaches preferred swimmers complete their warm-up 20-30 minutes before race start. Lengthy marshalling periods (15-20+ minutes) and the time required to don racing suits (>10 minutes) were identified as complicating issues. Coaches believed that the pool warm-up affords athletes the opportunity to gain a tactile feel for the water and surrounding pool environment. The combination of dryland-based activation exercises followed by pool-based warm-up routines seems to be the preferred approach taken by elite swimming coaches preparing their athletes for competition.

  16. Environmental Consequences of an Industry Based on Harvesting the Wild Desert Shrub Jojoba.

    ERIC Educational Resources Information Center

    Foster, Kennith E.

    1980-01-01

    Described are the economic and agricultural issues surrounding the cultivation of desert plants, principally the jojoba, as a source of fuel. The article examines the environmental impacts of an industry based on arid-region cultivation of such plants. (RE)

  17. Female Intercollegiate Athletes. Changes and Implications.

    ERIC Educational Resources Information Center

    Blinde, Elaine M.

    1989-01-01

    Data from several surveys and studies which examined the sports experience of over 2,000 female college athletes is summarized. Issues explored include reasons for and conditions surrounding sport participation, academic performance of female athletes, reactions to college sport, and post-college sport participation patterns. (IAH)

  18. The Collaborative Dimensions of Learning.

    ERIC Educational Resources Information Center

    Hamm, Mary; Adams, Dennis

    This book describes issues, trends, and practical teaching concerns that surround cooperative learning. It puts forward specific organizational plans and content area lessons for teachers who would like to become more familiar with active team learning in the classroom. Major themes include collaborative approaches to multicultural education,…

  19. Noncustodial Mothers: Developing Strategies of Support.

    ERIC Educational Resources Information Center

    Arditti, Joyce A.; Madden-Derdich, Debra A.

    1993-01-01

    Examined issues surrounding mothers' decisions to relinquish custody of their children and explored their postdivorce relationships with their former spouses and children. Analyzed qualitative and quantitative interview data from 13 noncustodial mothers. Subjects varied in terms of actual reasons for giving up or losing custody. Subjects perceived…

  20. Designer Drug Confusion: A Focus on MDMA.

    ERIC Educational Resources Information Center

    Beck, Jerome; Morgan, Patricia A.

    1986-01-01

    Discusses the competing definitions and issues surrounding various designer drugs, primarily 3, 4-methylenedioxy-methamphetamine (MDMA). Offers a rationale for why interest in MDMA, which possesses both stimulant and psychedelic properties, will continue to grow despite the drug's recent illegality and increasing evidence of neurotoxicity.…

  1. Identification of potential concerns associated with FDOT use of ammoniated coal fly ash.

    DOT National Transportation Integrated Search

    2012-12-01

    The objectives of this project include a careful examination of the issues surrounding high ammonia content in cement due to the use of ammoniated fly ash. The researchers will gather information from published material and consider policies and prac...

  2. The Census, Constitution, Reapportionment, and Redistricting.

    ERIC Educational Resources Information Center

    Webster, Gerald R.

    2000-01-01

    Explains that census results are the basis for geographic distribution of political power in the United States. Discusses the census, offering historical information that focuses on the issue of territorial representation. Explores the "reapportionment revolution," its impact on the census, and the controversy surrounding the 2000…

  3. Re-Presenting Women and Leadership: A Methodological Journey

    ERIC Educational Resources Information Center

    Wilkinson, Jane; Blackmore, Jill

    2008-01-01

    Research on women's leadership has tended to focus upon detailed micro studies of individual women's identity formation or, alternatively, to conduct macro studies of its broader discursive constructions within society. Both approaches, although providing helpful understandings of the issues surrounding constructions of women's leadership, are…

  4. History of Higher Education Annual, 1989.

    ERIC Educational Resources Information Center

    History of Higher Education Annual, 1989

    1989-01-01

    This annual compilation contains four articles addressing issues of growth and diversity in American higher education. Three articles examine student life in evolving institutions, especially the relationship between official missions and student cultures, followed by two essay reviews, one that examines the current debate surrounding the history…

  5. A Diversity Visionary

    ERIC Educational Resources Information Center

    Smith, Susan

    2012-01-01

    Today's chief diversity officer could be tomorrow's university president, says Dr. Damon Williams. The author profiles Damon Williams who shines as sought-after expert on issues surrounding higher education inclusion. As head of a diversity division with an eight-figure budget at Wisconsin's flagship state university, Williams oversees four…

  6. CD-ROM: Potential and Pitfalls.

    ERIC Educational Resources Information Center

    Dreiss, L. Jack; Bashir, Shahzad

    1990-01-01

    Examines issues surrounding CD-ROM as an organizational information management tool: (1) the CD-ROM market; (2) pitfalls, including compatibility, effect on existing information systems, fear of obsolescence, protection of sensitive information, and lack of successful role models; and (3) factors that will fuel growth, including greater…

  7. Journal Writing: Enlivening Elementary Linear Algebra.

    ERIC Educational Resources Information Center

    Meel, David E.

    1999-01-01

    Examines the various issues surrounding the implementation of journal writing in an undergraduate linear algebra course. Identifies the benefits of incorporating journal writing into an undergraduate mathematics course, which are supported with students' comments from their journals and their reflections on the process. Contains 14 references.…

  8. Electrofishing distance needed to estimate consistent Index of Biotic Integrity (IBI) scores in raftable Oregon rivers

    EPA Science Inventory

    An important issue surrounding assessment of riverine fish assemblages is the minimum amount of sampling distance needed to adequately determine biotic condition. Determining adequate sampling distance is important because sampling distance affects estimates of fish assemblage c...

  9. Body Talk for Parents of Boys.

    ERIC Educational Resources Information Center

    Stubbs, Margaret L.

    This pamphlet, targeted to boys' parents, discusses issues surrounding puberty. The introduction discusses education about menstruation and girls' and boys' attitudes towards it. Suggestions are offered for discussing menstruation with one's son. Suggestions focus on timing of introducing the topic; which parent takes responsibility for menstrual…

  10. Stem Cells and Society: An Undergraduate Course Exploring the Intersections among Science, Religion, and Law

    PubMed Central

    Friedrichsen, Patricia

    2009-01-01

    The intersection of science and our society has led to legal and ethical issues in which we all play a part. To support development of scientific literacy, college science courses need to engage students in difficult dialogues around ethical issues. We describe a new course, Stem Cells and Society, in which students explore the basic biology of stem cell research and the controversy surrounding it. As part of the course, we highlight the nature of science, looking at the methods and norms within the scientific community. To gain a perspective on the current stem cell controversy, we examine the public debates in the 1970s surrounding in vitro fertilization, the stem cell initiative in Missouri, and the personal and religious viewpoints that have emerged relative to the stem cell debate. In the Stem Cells and Society course, students are challenged to develop and clarify their own personal positions concerning embryonic stem cell research. These positions are grounded in science, religion or personal philosophy, and law. PMID:19255139

  11. Towards clarification of the role of research nurses in New Zealand: a literature review.

    PubMed

    Bell, Jeanette

    2009-03-01

    The demand for research nurses has increased markedly in recent years due to a rapidly expanding clinical research environment. Research nursing is becoming increasingly specialised and nurses now hold central positions in the coordination of clinical trials and management of trial related patient care. However, as a role in transition, research nursing is currently under-recognised and has yet to establish a clear identity and position for itself within nursing and within research. Therefore, the aim of this literature review is to describe the current role of research nurses in clinical trials and explore the professional issues surrounding the role. To provide greater clarification of the role in New Zealand, these findings are examined against the Nursing Council of New Zealand competency requirements for registered nurses. In examining the professional issues surrounding the role, current barriers to adequate recognition of the role are identified and potential strategies to clarify the role and the position of research nurses are put forward.

  12. Into the Dark Domain: The UK Web Archive as a Source for the Contemporary History of Public Health

    PubMed Central

    Gorsky, Martin

    2015-01-01

    With the migration of the written record from paper to digital format, archivists and historians must urgently consider how web content should be conserved, retrieved and analysed. The British Library has recently acquired a large number of UK domain websites, captured 1996–2010, which is colloquially termed the Dark Domain Archive while technical issues surrounding user access are resolved. This article reports the results of an invited pilot project that explores methodological issues surrounding use of this archive. It asks how the relationship between UK public health and local government was represented on the web, drawing on the ‘declinist’ historiography to frame its questions. It points up some difficulties in developing an aggregate picture of web content due to duplication of sites. It also highlights their potential for thematic and discourse analysis, using both text and image, illustrated through an argument about the contradictory rationale for public health policy under New Labour. PMID:26217072

  13. Sources and Resources Into the Dark Domain: The UK Web Archive as a Source for the Contemporary History of Public Health.

    PubMed

    Gorsky, Martin

    2015-08-01

    With the migration of the written record from paper to digital format, archivists and historians must urgently consider how web content should be conserved, retrieved and analysed. The British Library has recently acquired a large number of UK domain websites, captured 1996-2010, which is colloquially termed the Dark Domain Archive while technical issues surrounding user access are resolved. This article reports the results of an invited pilot project that explores methodological issues surrounding use of this archive. It asks how the relationship between UK public health and local government was represented on the web, drawing on the 'declinist' historiography to frame its questions. It points up some difficulties in developing an aggregate picture of web content due to duplication of sites. It also highlights their potential for thematic and discourse analysis, using both text and image, illustrated through an argument about the contradictory rationale for public health policy under New Labour.

  14. Aeromedical decision making in attention-deficit/hyperactivity disorder.

    PubMed

    Fitzgerald, David J P; Navathe, Pooshan D; Drane, A Michael

    2011-05-01

    Attention-deficit/hyperactivity disorder is a problematic diagnosis in the context of aeromedical certification. Certain characteristics of the disorder such as impaired attention potentially affect the safe conduct of flying. Pharmacological treatment with stimulants also has issues surrounding short half-lives and effects on the recognition of fatigue. This article gives a broad overview of the issues involved and provides certification guidelines as adopted in the Australian Civil Aviation Safety Authority which may be helpful if adopted by other certification bodies.

  15. Educational Buildings and the Environment: Report of an International Seminar Organised by the OECD Programme on Educational Building (PEB) in Co-operation with the Austrian Ministry of Education and Art and the Austrian Institute for School and Sports Facilities. Decentralised Programme on Educational Building.

    ERIC Educational Resources Information Center

    Ottel, Rupprecht

    Educational buildings relate to their environment in many ways that affect the surrounding community such as overall appearance, energy consumption, and waste production. This report examines these issues and identifies how educational buildings can contribute to the conservation and protection of the environment. It explores these issues in three…

  16. Issues to consider before implementing digital breast tomosynthesis into a breast imaging practice.

    PubMed

    Hardesty, Lara A

    2015-03-01

    OBJECTIVE. The purpose of this article is to discuss issues surrounding the implementation of digital breast tomosynthesis (DBT) into a clinical breast imaging practice and assist radiologists, technologists, and administrators who are considering the addition of this new technology to their practices. CONCLUSION. When appropriate attention is given to image acquisition, interpretation, storage, technologist and radiologist training, patient selection, billing, radiation dose, and marketing, implementation of DBT into a breast imaging practice can be successful.

  17. [Critical considerations on the legal regulation of sex selection (Part I)].

    PubMed

    Pérez Alonso, Esteban Juan

    2002-01-01

    Gender selection, and particularly its regulation, is a controversial issue. The author discusses the current problems surrounding gender selection from the very beginnings, and illustrates his views with an actual and controversial case in which a woman allowed to undergo artificial insemination was given the possibility of choosing the sex of her child. The author also discusses possible solutions and the penal, administrative regulation of the issue, as well as examining the court's decision in this particular case.

  18. Donation after cardiac death and the emergency department: ethical issues.

    PubMed

    Simon, Jeremy R; Schears, Raquel M; Padela, Aasim I

    2014-01-01

    Organ donation after cardiac death (DCD) is increasingly considered as an option to address the shortage of organs available for transplantation, both in the United States and worldwide. The procedures for DCD differ from procedures for donation after brain death and are likely less familiar to emergency physicians (EPs), even as this process is increasingly involving emergency departments (EDs). This article explores the ED operational and ethical issues surrounding this procedure. © 2013 by the Society for Academic Emergency Medicine.

  19. Privacy and security issues in teleradiology.

    PubMed

    White, Peter

    2004-10-01

    Teleradiology is now well established within healthcare in the USA, but ethico-legal concepts surrounding this innovation remain unclear. New legislation, the Health Insurance Portability and Accountability Act, as well as ethical guidelines and common law demonstrate the importance being placed on security of electronic data and the protection of patients' personal data. Radiologists need to be aware of the security, privacy, and confidentiality issues which relate to teleradiology, so that they can safeguard not only their own interests but also the best interests of their patients.

  20. Uncertainty and Variability in Physiologically-Based Pharmacokinetic (PBPK) Models: Key Issues and Case Studies (Final Report)

    EPA Science Inventory

    EPA announced the availability of the final report, Uncertainty and Variability in Physiologically-Based Pharmacokinetic (PBPK) Models: Key Issues and Case Studies. This report summarizes some of the recent progress in characterizing uncertainty and variability in physi...

  1. An investigation into the differentiating characteristics between car key burglars and regular burglars.

    PubMed

    Chapman, Rachel; Smith, Lisa L; Bond, John W

    2012-07-01

    Car key burglary has recently become the focus of empirical investigation as offenders, no longer able to steal vehicles without first obtaining their keys, resort to "burgling" target properties. Research surrounding the modus operandi of these offenses is beginning to emerge; however, little attention has been paid to investigating the characteristics of car key burglary offenders. Challenging the assumption that car key burglary offenses are perpetrated by regular burglars, this study aims to differentiate between offenders. Logistic regression analysis of 110 car key and 110 regular burglary offenders revealed that car key burglars are more likely to have previous vehicle theft convictions and are also more likely to be detected on information supplied to the police than regular burglars. Regular burglars are more likely to have previous shoplifting convictions. It was concluded that car key burglars are a distinct sample of offenders and the implications of these findings are discussed. © 2012 American Academy of Forensic Sciences.

  2. Ethics guidelines, health research and Indigenous Australians.

    PubMed

    Anderson, Ian; Griew, Robert; McAullay, Daniel

    2003-02-01

    In this paper we overview the findings of a literature review that was undertaken to guide the revision of the Guidelines on Ethical Matters in Aboriginal and Torres Strait Islander Health Research (NH&MRC, 1991). The literature reviewed, in general, supported the development of specific research guidelines for Aboriginal and Torres Strait Islander contexts. The findings of this review were analysed thematically, and a number of key issues were identified for consideration in the review process. We present a summary of these key issues. In the final section of the paper we consider in more detail two of the key issues raised in the review process (the assessment of relevance or benefit of proposed research; and the process of consultation and negotiation of collective consent) in order to critically consider how these issue should be engaged in revised guidelines. On the basis of this analysis, it is our contention that specific guidelines on key issues are limited to the extent to which they can anticipate all possible research contexts. In order to address this problem, and guide researchers, guidelines should also explicitly outline the values, from an Aboriginal and Torres Islander perspective that are foundational to an ethical research process.

  3. Nontechnical issues in waste management: ethical, institutional, and political concerns

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

    Hebert, J.A.; Rankin, W.L.; Brown, P.G.

    1978-05-01

    The report consists of a presentation and distillation of major nontechnical issues surrounding commercial waste management, followed by ethical, institutional, and political analyses of these issues. The ethical analysis consists of a discusson of what is meant by ''ethics'' and ''morality'' in the waste management context and an illustrative attempt at an ethical analysis of the commercial nuclear waste problem. Two institutional analyses are presented: one is an analysis of the possible problems of long-term human institutions in waste management; the other is a presentation of institutional arrangements for the short term. A final chapter discusses issues and concerns involvingmore » intergovernmental relations--that is, local, state, and federal interface problems in waste management.« less

  4. Computational modeling of three-dimensional ECM-rigidity sensing to guide directed cell migration.

    PubMed

    Kim, Min-Cheol; Silberberg, Yaron R; Abeyaratne, Rohan; Kamm, Roger D; Asada, H Harry

    2018-01-16

    Filopodia have a key role in sensing both chemical and mechanical cues in surrounding extracellular matrix (ECM). However, quantitative understanding is still missing in the filopodial mechanosensing of local ECM stiffness, resulting from dynamic interactions between filopodia and the surrounding 3D ECM fibers. Here we present a method for characterizing the stiffness of ECM that is sensed by filopodia based on the theory of elasticity and discrete ECM fiber. We have applied this method to a filopodial mechanosensing model for predicting directed cell migration toward stiffer ECM. This model provides us with a distribution of force and displacement as well as their time rate of changes near the tip of a filopodium when it is bound to the surrounding ECM fibers. Aggregating these effects in each local region of 3D ECM, we express the local ECM stiffness sensed by the cell and explain polarity in the cellular durotaxis mechanism.

  5. Genecology of Thurber’s needlegrass (Achnatherum thurberianum (Piper) Barkworth) in the Western U.S.

    USDA-ARS?s Scientific Manuscript database

    Thurber’s needlegrass (Achnatherum thurberianum (Piper) Barkworth) is a key restoration species in the Great Basin and surrounding areas, yet comprehensive studies of how climate relates to genetic variation and seed zones for restoration projects are lacking. Potentially adaptive phenotypic traits...

  6. Bioethics for clinicians: 26. Assisted reproductive technologies

    PubMed Central

    Shanner, Laura; Nisker, Jeffrey

    2001-01-01

    ASSISTED REPRODUCTIVE TECHNOLOGIES (ARTs) can be very helpful for certain patients, but ethical concerns have been raised about the inherent nature of specific techniques and the contexts in which many techniques are used. Physicians play important roles in supporting those who wish to become parents and in educating patients about impediments to fertilization and ways to promote conception. We discuss various ethical issues surrounding ARTs, including family relationships, informed choice, gender issues, embryo status and the commercialization of reproduction, as well as legal and policy issues. We examine the empirical evidence of the effectiveness of ARTs and suggest ways to approach ARTs in practice. PMID:11402801

  7. Doing more harm than good: negative health effects of intimate-partner violence campaigns.

    PubMed

    West, Jean Jaymes

    2013-01-01

    This study investigates unintended negative effects of health communication campaigns surrounding intimate-partner violence. Major health organizations have identified this issue as an urgent health problem for women, but the effects of these campaigns have rarely been tested with the target audience most affected by the issue. Using qualitative methodology, 10 focus groups were conducted with female survivors of intimate-partner violence. It was found that this group viewed the campaigns as emotionally harmful, inaccurate, and misleading. The results of this research suggest these campaigns may do more harm than good for the audience most severely affected by this issue.

  8. JHPPL workshop on Medicaid fiscal and governance issues: objectives and themes.

    PubMed

    Long, Peter V; Campbell, Andrea Louise

    2013-08-01

    At a November 2012 workshop, state health policy officials, other Medicaid and insurance exchange practitioners, and health policy researchers discussed issues surrounding the implementation and sustainability of Medicaid expansion and insurance exchange coordination under the Patient Protection and Affordable Care Act (PPACA). Foremost were concerns about (1) intergovernmental relations (states experiencing uncertain information, lack of coordination among federal agencies, and limited resources to take on new responsibilities under the PPACA), and (2) policy design (new issues such as Medicaid exchange coordination on top of preexisting Medicaid challenges). JHPPL has proposed the creation of a research network to develop policy options and share strategies and best practices.

  9. Perceived obstacles to career success for women in academic surgery.

    PubMed

    Colletti, L M; Mulholland, M W; Sonnad, S S

    2000-08-01

    We conducted this study to determine whether concerns expressed by male and female surgeons at 1 academic center are generally reflective of broader concerns for academic surgery and academic medicine. We reviewed published studies concerning women in academic surgery within the context of reporting the results of a survey of both male and female surgeons at 1 academic center. We developed a survey that included demographic information, work experience, and social issues. The survey was distributed to the entire faculty. For key questions, we compared answers between male and female faculty. Additional data came from the published literature. We reviewed all available studies identified by a MEDLINE search with key words women and academic and medicine or physician. Included studies contained either data collection or editorial comment concerning women in academic medicine. Data and opinions from all included studies paralleling survey questions were extracted from each article. Male and female faculty members reported different experiences and perceptions, specifically relating to relationships between family and professional life and perceptions of subtle sex-related biases. Both men and women reported insufficient mentoring and difficulties in balancing personal and professional responsibilities. Attitudes, behaviors, and traditions surrounding how we structure work and evaluate participation in academic surgery are more difficult to change than just addressing obvious inequities in support for female surgeons. However, attempting the deeper changes is worthwhile, because addressing obstacles faced by female faculty, many of which also affect men, will allow progress toward environments that attract and retain the best physicians, regardless of sex.

  10. Student Attitudes toward Learning Analytics in Higher Education: “The Fitbit Version of the Learning World”

    PubMed Central

    Roberts, Lynne D.; Howell, Joel A.; Seaman, Kristen; Gibson, David C.

    2016-01-01

    Increasingly, higher education institutions are exploring the potential of learning analytics to predict student retention, understand learning behaviors, and improve student learning through providing personalized feedback and support. The technical development of learning analytics has outpaced consideration of ethical issues surrounding their use. Of particular concern is the absence of the student voice in decision-making about learning analytics. We explored higher education students' knowledge, attitudes, and concerns about big data and learning analytics through four focus groups (N = 41). Thematic analysis of the focus group transcripts identified six key themes. The first theme, “Uninformed and Uncertain,” represents students' lack of knowledge about learning analytics prior to the focus groups. Following the provision of information, viewing of videos and discussion of learning analytics scenarios three further themes; “Help or Hindrance to Learning,” “More than a Number,” and “Impeding Independence”; represented students' perceptions of the likely impact of learning analytics on their learning. “Driving Inequality” and “Where Will it Stop?” represent ethical concerns raised by the students about the potential for inequity, bias and invasion of privacy and the need for informed consent. A key tension to emerge was how “personal” vs. “collective” purposes or principles can intersect with “uniform” vs. “autonomous” activity. The findings highlight the need the need to engage students in the decision making process about learning analytics. PMID:28066285

  11. Key issues surrounding the health impacts of electronic nicotine delivery systems (ENDS) and other sources of nicotine.

    PubMed

    Drope, Jeffrey; Cahn, Zachary; Kennedy, Rosemary; Liber, Alex C; Stoklosa, Michal; Henson, Rosemarie; Douglas, Clifford E; Drope, Jacqui

    2017-11-01

    Answer questions and earn CME/CNE Over the last decade, the use of electronic nicotine delivery systems (ENDS), including the electronic cigarette or e-cigarette, has grown rapidly. More youth now use ENDS than any tobacco product. This extensive research review shows that there are scientifically sound, sometimes competing arguments about ENDS that are not immediately and/or completely resolvable. However, the preponderance of the scientific evidence to date suggests that current-generation ENDS products are demonstrably less harmful than combustible tobacco products such as conventional cigarettes in several key ways, including by generating far lower levels of carcinogens and other toxic compounds than combustible products or those that contain tobacco. To place ENDS in context, the authors begin by reviewing the trends in use of major nicotine-containing products. Because nicotine is the common core-and highly addictive-constituent across all tobacco products, its toxicology is examined. With its long history as the only nicotine product widely accepted as being relatively safe, nicotine-replacement therapy (NRT) is also examined. A section is also included that examines snus, the most debated potential harm-reduction product before ENDS. Between discussions of NRT and snus, ENDS are extensively examined: what they are, knowledge about their level of "harm," their relationship to smoking cessation, the so-called gateway effect, and dual use/poly-use. CA Cancer J Clin 2017;67:449-471. © 2017 American Cancer Society. © 2017 American Cancer Society.

  12. Finger-specific loss of independent control of movements in musicians with focal dystonia.

    PubMed

    Furuya, S; Altenmüller, E

    2013-09-05

    The loss of independent control of finger movements impairs the dexterous use of the hand. Focal hand dystonia is characterised by abnormal structural and functional changes at the cortical and subcortical regions responsible for individuated finger movements and by the loss of surround inhibition in the finger muscles. However, little is known about the pathophysiological impact of focal dystonia on the independent control of finger movements. Here we addressed this issue by asking pianists with and without focal dystonia to repetitively strike a piano key with one of the four fingers as fast as possible while the remaining digits kept the adjacent keys depressed. Using principal component analysis and cluster analysis to the derived keystroke data, we successfully classified pianists according to the presence or absence of dystonic symptoms with classification rates and cross-validation scores of approximately 90%. This confirmed the effects of focal dystonia on the individuated finger movements. Interestingly, the movement features that contributed to successful classification differed across fingers. Compared to healthy pianists, pianists with an affected index finger were characterised predominantly by stronger keystrokes, whereas pianists with affected middle or ring fingers exhibited abnormal temporal control of the keystrokes, such as slowness and rhythmic inconsistency. The selective alternation of the movement features indicates a finger-specific loss of the independent control of finger movements in focal dystonia of musicians. Copyright © 2013 IBRO. Published by Elsevier Ltd. All rights reserved.

  13. Contingency planning for a deliberate release of smallpox in Great Britain--the role of geographical scale and contact structure.

    PubMed

    House, Thomas; Hall, Ian; Danon, Leon; Keeling, Matt J

    2010-02-14

    In the event of a release of a pathogen such as smallpox, which is human-to-human transmissible and has high associated mortality, a key question is how best to deploy containment and control strategies. Given the general uncertainty surrounding this issue, mathematical modelling has played an important role in informing the likely optimal response, in particular defining the conditions under which mass-vaccination would be appropriate. In this paper, we consider two key questions currently unanswered in the literature: firstly, what is the optimal spatial scale for intervention; and secondly, how sensitive are results to the modelling assumptions made about the pattern of human contacts? Here we develop a novel mathematical model for smallpox that incorporates both information on individual contact structure (which is important if the effects of contact tracing are to be captured accurately) and large-scale patterns of movement across a range of spatial scales in Great Britain. Analysis of this model confirms previous work suggesting that a locally targeted 'ring' vaccination strategy is optimal, and that this conclusion is actually quite robust for different socio-demographic and epidemiological assumptions. Our method allows for intuitive understanding of the reasons why national mass vaccination is typically predicted to be suboptimal. As such, we present a general framework for fast calculation of expected outcomes during the attempted control of diverse emerging infections; this is particularly important given that parameters would need to be interactively estimated and modelled in any release scenario.

  14. Ethical Issues Surrounding the Use of Modern Human Remains for Research in South Africa.

    PubMed

    Briers, N; Dempers, J J

    2017-02-01

    Chapter 8 of the South African National Health Act 61 of 2003 (NHA) that deals with the donation of human tissue was promulgated in 2012. The new Act is perceived to impose restrictions on low-risk research involving human remains. This study aimed to identify the issues raised by a research ethics committee (REC) when reviewing protocols where human remains are used as data source. REC minutes from 2009 to 2014 were reviewed, and issues raised by the committee were categorized. In total, 127 protocols submitted to the committee over 6 years involved human remains. Queries relating to science (22.2%) and administration (18.9%) were the most common, whereas queries relating to legal issues constituted only 10.2%. Ethical issues centered on informed consent regarding sensitive topics such as HIV, DNA, and deceased children. The change in legislation did not change the number or type of legal issues identified by the REC.

  15. Reproduction and the new man.

    PubMed

    James, D; Russell, G

    1987-08-01

    Changing attitudes, especially by men, towards interpersonal relationships, including commitment in sexuality, has shifted the concern about reproductive issues towards men. Traditionally reproductive issues have been predominantly the concern of women, for instance male participation in contraception is traditionally about 15%, but a new man has begun to emerge that is interested in the male role in contraception, abortion and pregnancy. This work is an attempt to analyze some issues surrounding reproductive issues from the male perspective of increased mutual responsibility in sexuality. Suggestions are made that link attitudes to sexual relationships and reproduction as well as child care and support. It is assumed for the purposes of this paper that all sexual relationships that produce a child involved conception which automatically tie in contraception and abortion. This work confines itself to discussions of heterosexual relationships but recognizes that the issues of homosexual and bi-sexual relationships does have merit and weight in these issues.

  16. Genetic Basis of Inherited Macular Dystrophies and Implications for Stem Cell Therapy

    PubMed Central

    Mellough, Carla B; Steel, David HW; Lako, Majlinda

    2009-01-01

    Untreatable hereditary macular dystrophy (HMD) presents a major burden to society in terms of the resulting patient disability and the cost to the healthcare provision system. HMD results in central vision loss in humans sufficiently severe for blind registration, and key issues in the development of therapeutic strategies to target these conditions are greater understanding of the causes of photoreceptor loss and the development of restorative procedures. More effective and precise analytical techniques coupled to the development of transgenic models of disease have led to a prolific growth in the identification and our understanding of the genetic mutations that underly HMD. Recent successes in driving differentiation of pluripotent cells towards specific somatic lineages have led to the development of more efficient protocols that can yield enriched populations of a desired phenotype. Retinal pigmented epithelial cells and photoreceptors derived from these are some of the most promising cells that may soon be used in the treatment of specific HMD, especially since rapid developments in the field of induced pluripotency have now set the stage for the production of patient-derived stem cells that overcome the ethical and methodological issues surrounding the use of embryonic derivatives. In this review we highlight a selection of HMD which appear suitable candidates for combinatorial restorative therapy, focusing specifically on where those photoreceptor loss occurs. This technology, along with increased genetic screening, opens up an entirely new pathway to restore vision in patients affected by HMD. PMID:19551904

  17. Acoustic emission transducers--development of a facility for traceable out-of-plane displacement calibration.

    PubMed

    Theobald, P D; Esward, T J; Dowson, S P; Preston, R C

    2005-03-01

    Acoustic emission (AE) is a widely used technique that has been employed for the integrity testing of a range of vessels and structures for many years. The last decade has seen advances in signal processing, such that the reliability of AE technology is now being recognised by a wider range of industries. Furthermore, the need for quality control at the manufacturing stage, and requirements of in-service testing, is encouraging the issue of traceable measurements to be addressed. Currently, no independent calibration service for acoustic emission transducers is available within Europe. The UKs National Physical Laboratory (NPL) is undertaking work to develop a measurement facility for the traceable calibration of AE sensors. Such calibrations can contribute to greater acceptance of AE techniques in general, by meeting quality system and other traceability requirements. In this paper the key issues surrounding the development of such a facility are reviewed, including the need to establish repeatable AE sources, select suitable test blocks and to understand the limitations imposed by AE sensors themselves. To provide an absolute measurement of the displacement on the surface of a test block, laser interferometry is employed. In this way the output voltage of an AE sensor can be directly related to the displacement detected at the block surface. A possible calibration methodology is discussed and preliminary calibration results are presented for a commercially available AE sensor, showing its response to longitudinal wave modes.

  18. Modelling the interactions between DOM and bacteria in marine ecosystems: state of the art and future prospective

    NASA Astrophysics Data System (ADS)

    polimene, Luca

    2014-05-01

    Marine dissolved organic matter (DOM) is the main source of carbon, nutrients and energy for marine prokaryotes, the most abundant life form in the oceans. Only a fraction of assimilated DOM is used by prokaryotes to synthesise new biomass (particulate organic matter, POM), while the rest is used for respiration or is excreted back into the environment as recalcitrant DOM (RDOM). The relative proportions of assimilated DOM that is distributed either to POM, respiration or RDOM is not constant but highly variable depending on the environmental conditions (e.g. nutrient availability, quality/quantity of DOM, temperature). This metabolic plasticity allows bacteria to shape the biogeochemistry of the surrounding waters by modulating three key carbon/energy fluxes fundamental for the functioning of the marine ecosystem: i) the transition from DOM to POM, ii) the remineralisation of carbon and nutrients, and iii) the transformation of labile DOM into recalcitrant DOM. The explicit representation of these processes (and their relative efficiency) in marine ecosystem models is a crucial (and challenging) issue which cannot be overlooked if we want to properly simulate marine biogeochemical cycles under present and climate changing conditions. This talk will provide an overview of how state of the art marine ecosystem models represent the interactions between DOM and bacteria, highlighting strengths and limits of the approaches currently used. A summary of future developments along with issues still open on the topic will also be presented and discussed.

  19. Comparative analysis of the labelling of nanotechnologies across four stakeholder groups

    NASA Astrophysics Data System (ADS)

    Capon, Adam; Gillespie, James; Rolfe, Margaret; Smith, Wayne

    2015-08-01

    Societies are constantly challenged to develop policies around the introduction of new technologies, which by their very nature contain great uncertainty. This uncertainty gives prominence to varying viewpoints which are value laden and have the ability to drastically shift policy. The issue of nanotechnologies is a prime example. The labelling of products that contain new technologies has been one policy tool governments have used to address concerns around uncertainty. Our study develops evidence regarding opinions on the labelling of products made by nanotechnologies. We undertook a computer-assisted telephone (CATI) survey of the Australian public and those involved in nanotechnologies from the academic, business and government sectors using a standardised questionnaire. Analysis was undertaken using descriptive and logistic regression techniques. We explored reluctance to purchase as a result of labelling products which contained manufactured nanomaterials both generally and across five broad products (food, cosmetics/sunscreens, medicines, pesticides, tennis racquets/computers) which represent the broad categories of products regulated by differing government agencies in Australia. We examined the relationship between reluctance to purchase and risk perception, trust, and familiarity. We found irrespective of stakeholder, most supported the labelling of products which contained manufactured nanomaterials. Perception of risk was the main driver of reluctance to purchase, while trust and familiarity were likely to have an indirect effect through risk perception. Food is likely to be the greatest product impacted by labelling. Risk perception surrounding nanotechnologies and label `framing' on the product are key issues to be addressed in the implementation of a labelling scheme.

  20. The Effects of GH Transgenic Goats on the Microflora of the Intestine, Feces and Surrounding Soil.

    PubMed

    Bao, Zekun; Gao, Xue; Zhang, Qiang; Lin, Jian; Hu, Weiwei; Yu, Huiqing; Chen, Jianquan; Yang, Qian; Yu, Qinghua

    2015-01-01

    The development of genetically engineered animals has brought with it increasing concerns about biosafety issues. We therefore evaluated the risks of growth hormone from transgenic goats, including the probability of horizontal gene transfer and the impact on the microbial community of the goats' gastrointestinal tracts, feces and the surrounding soil. The results showed that neither the GH nor the neoR gene could be detected in the samples. Moreover, there was no significant change in the microbial community of the gastrointestinal tracts, feces and soil, as tested with PCR-denaturing gradient gel electrophoresis and 16S rDNA sequencing. Finally, phylogenetic analysis showed that the intestinal content, feces and soil samples all contained the same dominant group of bacteria. These results demonstrated that expression of goat growth hormone in the mammary of GH transgenic goat does not influence the microflora of the intestine, feces and surrounding soil.

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