National Head Start Bulletin, 1993-1995.

ERIC Educational Resources Information Center

National Head Start Bulletin, 1995

1995-01-01

This document consists of the 15 issues of the "National Head Start Bulletin" published during the three-year period 1993-1995. The bulletin is devoted to subjects of concern to Head Start teachers and administrators; each issue focuses on one topic. A main article and several smaller articles discuss various aspects of the topic for…

Mathematics Enrichment for All--Noticing and Enhancing Mathematical Potentials of Underprivileged Students as an Issue of Equity

ERIC Educational Resources Information Center

Schnell, Susanne; Prediger, Susanne

2017-01-01

Whereas equity issues are mainly discussed with respect to students at risk, this article focuses on mathematical potentials of under-privileged students and therefore elaborates a wide, dynamic and participatory conceptualization of (sometimes still hidden) mathematical potentials. An extended research review theoretically and empirically grounds…

Graduate Basis for Registration and Its Place within Psychology

ERIC Educational Resources Information Center

Cartmell, Katherine

2008-01-01

Having just completed a BSc (Hons) Psychology degree, this author feels well placed to offer a student's perspective on John Radford's provocative article, "Psychology in its place". Although Radford discussed a number of relevant areas regarding psychology in higher education, Cartmell aims to discuss one main issue that many psychology…

Learning Objects--Instructional Metadata and Sequencing.

ERIC Educational Resources Information Center

Redeker, Giselher

The main focus of current discussions within the standardization process of learning technology is on economical opportunities and technical aspects of learning objects. There has been little discussion about the instructional or didactical issues. The purpose of this paper is to conceptualize a taxonomy of learning objects for the facilitation of…

The Criteria People Use in Relevance Decisions on Health Information: An Analysis of User Eye Movements When Browsing a Health Discussion Forum.

PubMed

Pian, Wenjing; Khoo, Christopher Sg; Chang, Yun-Ke

2016-06-20

People are increasingly accessing health-related social media sites, such as health discussion forums, to post and read user-generated health information. It is important to know what criteria people use when deciding the relevance of information found on health social media websites, in different situations. The study attempted to identify the relevance criteria that people use when browsing a health discussion forum, in 3 types of use contexts: when seeking information for their own health issue, when seeking for other people's health issue, and when browsing without a particular health issue in mind. A total of 58 study participants were self-assigned to 1 of the 3 use contexts or information needs and were asked to browse a health discussion forum, HealthBoards.com. In the analysis, browsing a discussion forum was divided into 2 stages: scanning a set of post surrogates (mainly post titles) in the summary result screen and reading a detailed post content (including comments by other users). An eye tracker system was used to capture participants' eye movement behavior and the text they skim over and focus (ie, fixate) on during browsing. By analyzing the text that people's eyes fixated on, the types of health information used in the relevance judgment were determined. Post-experiment interviews elicited participants' comments on the relevance of the information and criteria used. It was found that participants seeking health information for their own health issue focused significantly more on the poster's symptoms, personal history of the disease, and description of the disease (P=.01, .001, and .02). Participants seeking for other people's health issue focused significantly more on cause of disease, disease terminology, and description of treatments and procedures (P=.01, .01, and .02). In contrast, participants browsing with no particular issue in mind focused significantly more on general health topics, hot topics, and rare health issues (P=.01, .01, and .01). Users browsing for their own health issues used mainly case-based relevance criteria to relate the poster's health situation to their own. Participants seeking for others' issues used mostly general knowledge-based criteria, whereas users with no particular issue in mind used general interest- and curiosity-based criteria.

The Criteria People Use in Relevance Decisions on Health Information: An Analysis of User Eye Movements When Browsing a Health Discussion Forum

PubMed Central

Khoo, Christopher SG; Chang, Yun-Ke

2016-01-01

Background People are increasingly accessing health-related social media sites, such as health discussion forums, to post and read user-generated health information. It is important to know what criteria people use when deciding the relevance of information found on health social media websites, in different situations. Objective The study attempted to identify the relevance criteria that people use when browsing a health discussion forum, in 3 types of use contexts: when seeking information for their own health issue, when seeking for other people’s health issue, and when browsing without a particular health issue in mind. Methods A total of 58 study participants were self-assigned to 1 of the 3 use contexts or information needs and were asked to browse a health discussion forum, HealthBoards.com. In the analysis, browsing a discussion forum was divided into 2 stages: scanning a set of post surrogates (mainly post titles) in the summary result screen and reading a detailed post content (including comments by other users). An eye tracker system was used to capture participants’ eye movement behavior and the text they skim over and focus (ie, fixate) on during browsing. By analyzing the text that people’s eyes fixated on, the types of health information used in the relevance judgment were determined. Post-experiment interviews elicited participants’ comments on the relevance of the information and criteria used. Results It was found that participants seeking health information for their own health issue focused significantly more on the poster’s symptoms, personal history of the disease, and description of the disease (P=.01, .001, and .02). Participants seeking for other people’s health issue focused significantly more on cause of disease, disease terminology, and description of treatments and procedures (P=.01, .01, and .02). In contrast, participants browsing with no particular issue in mind focused significantly more on general health topics, hot topics, and rare health issues (P=.01, .01, and .01). Conclusion Users browsing for their own health issues used mainly case-based relevance criteria to relate the poster's health situation to their own. Participants seeking for others’ issues used mostly general knowledge–based criteria, whereas users with no particular issue in mind used general interest– and curiosity-based criteria. PMID:27323893

The Issue of (Software) Plagiarism: A Student View

ERIC Educational Resources Information Center

Chuda, D.; Navrat, P.; Kovacova, B.; Humay, P.

2012-01-01

The issue of plagiarism is discussed in the context of university education in disciplines related to computing. The focus is therefore mainly on software plagiarism. First, however, a case is made for the claim that the most important reason that plagiarism cannot be tolerated lies in the essence of the concept of a university as it is rooted in…

Strattera: A Second Warning

ERIC Educational Resources Information Center

Coffey, Kenneth M.; Obringer, S. John

2012-01-01

An article published in the Fall 2004 issue and updated in the Spring 2006 issue of this journal discussed a recently approved drug, Strattera, which is used for children and adults with ADHD. The article noted that one of the main attributes of the drug is the fact that it is not a stimulant medication, but rather works by blocking or slowing the…

Teaching Foreign Policy in the Post-Cold War Era. ERIC Digest.

ERIC Educational Resources Information Center

Graseck, Susan

This ERIC Digest discusses issues relating to teaching about U.S. foreign policy in the changing international environment following the end of the Cold War era and the disintegration of the Soviet Union. The document treats: (1) the need and rationale for teaching and learning about current foreign policy issues; (2) main themes in foreign policy…

Main features of detectors and isotopes to investigate double beta decay with increased sensitivity

NASA Astrophysics Data System (ADS)

Barabash, A. S.

2018-03-01

The current situation in double beta decay experiments, the characteristics of modern detectors and the possibility of increasing the sensitivity to neutrino mass in future experiments are discussed. The issue of the production and use of enriched isotopes in double beta decay experiments is discussed in addition.

Design, analysis and presentation of factorial randomised controlled trials

PubMed Central

Montgomery, Alan A; Peters, Tim J; Little, Paul

2003-01-01

Background The evaluation of more than one intervention in the same randomised controlled trial can be achieved using a parallel group design. However this requires increased sample size and can be inefficient, especially if there is also interest in considering combinations of the interventions. An alternative may be a factorial trial, where for two interventions participants are allocated to receive neither intervention, one or the other, or both. Factorial trials require special considerations, however, particularly at the design and analysis stages. Discussion Using a 2 × 2 factorial trial as an example, we present a number of issues that should be considered when planning a factorial trial. The main design issue is that of sample size. Factorial trials are most often powered to detect the main effects of interventions, since adequate power to detect plausible interactions requires greatly increased sample sizes. The main analytical issues relate to the investigation of main effects and the interaction between the interventions in appropriate regression models. Presentation of results should reflect the analytical strategy with an emphasis on the principal research questions. We also give an example of how baseline and follow-up data should be presented. Lastly, we discuss the implications of the design, analytical and presentational issues covered. Summary Difficulties in interpreting the results of factorial trials if an influential interaction is observed is the cost of the potential for efficient, simultaneous consideration of two or more interventions. Factorial trials can in principle be designed to have adequate power to detect realistic interactions, and in any case they are the only design that allows such effects to be investigated. PMID:14633287

Who Gets to Be a Writer? Exploring Identity and Learning Issues in Becoming a Fiction Author

ERIC Educational Resources Information Center

Gouthro, Patricia A.

2014-01-01

Drawing upon a research study on lifelong learning, citizenship, and fiction writing, this paper explores issues around identity and learning in becoming a fiction author. Five main thematic areas are discussed: (1) envisioning a writing career, (2) compelled to write, (3) learning the craft, (4) getting published, and (5) online identity. The…

Interprofessional communication between oncologic specialists and general practitioners on end-of-life issues needs improvement.

PubMed

Oosterink, John J; Oosterveld-Vlug, Mariska G; Glaudemans, Jolien J; Pasman, H Roeline W; Willems, Dick L; Onwuteaka-Philipsen, Bregje D

2016-12-01

Timely end-of-life (EOL) discussions between patients and physicians are considered essential for high-quality EOL care, but research shows that these discussions frequently do not occur or occur late. In oncology, one barrier for timely EOL discussions is poor collaboration between oncologic specialists and GPs. To explore interprofessional communication and coordination between oncologic specialists and GPs on EOL discussions. We conducted in-depth interviews with 16 GPs and 14 oncologic specialists. Interviews were recorded, transcribed verbatim and analysed using qualitative content analysis. EOL discussions were primarily considered the role of the GP, but oncologists' perceptions of their own roles in discussing EOL issues varied. Interprofessional coordination on who discusses what and when was mostly absent. Interprofessional communication of EOL issues usually proceeded using the patient as intermediary. This functioned well but only if three essential conditions were met: the specialist being realistic to patients about limits of treatment, informing the GP adequately and the GP being proactive in initiating EOL issues in time. However, when these conditions were absent, timely EOL discussions did not seem to occur. EOL discussions are rarely a subject of direct interprofessional communication and mainly proceed through the patient as intermediary. For implementation of EOL discussions into regular care, earlier interprofessional communication and coordination is needed, particularly if barriers for such discussions occur. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Who regulates ethics in the virtual world?

PubMed

Sharma, Seemu; Lomash, Hitashi; Bawa, Seema

2015-02-01

This paper attempts to give an insight into emerging ethical issues due to the increased usage of the Internet in our lives. We discuss three main theoretical approaches relating to the ethics involved in the information technology (IT) era: first, the use of IT as a tool; second, the use of social constructivist methods; and third, the approach of phenomenologists. Certain aspects of ethics and IT have been discussed based on a phenomenological approach and moral development. Further, ethical issues related to social networking sites are discussed. A plausible way to make the virtual world ethically responsive is collective responsibility which proposes that society has the power to influence but not control behavior in the virtual world.

Social Competence as a Positive Youth Development Construct: A Conceptual Review

PubMed Central

Ma, Hing Keung

2012-01-01

Social competence is defined in terms of interpersonal relationships, self and group identities, and development of citizenship. While the focus of the author's previous research is on relationship and identity, the main focus of this paper is on the development of citizenship. A 4-stage developmental model of citizenship is proposed. A brief discussion of the educational implication of each of the stages is presented. The issues concerning the assessment of social competence are clearly delineated, and the discussion serves as a basis for future studies. Finally, five current issues concerning the launch of the “Moral and National Education (MNE) Subject” in Hong Kong primary and secondary schools are discussed. PMID:22645418

Reforming Ontario's University Student Loans and Fee Structures. Discussion Series, Issue 1.

ERIC Educational Resources Information Center

West, Edwin G.

The Ontario Student Loan Program has experienced problems with default on student loans, as have loan systems in other countries where governments rely mainly on banks and special departments of quasi-public institutions to monitor or police the borrowers. This report discusses the need for radical modifications of the student loan program to…

Assistance with Integrity: The Search for Accountability and the Lives of People with Developmental Disabilities.

ERIC Educational Resources Information Center

O'Brien, John; O'Brien, Connie Lyle

This report discusses basic issues in the provision of residential services for people with developmental disabilities. Main points of the discussion include: (1) the service system for this population is in a crisis of accountability as meeting safety and quality requirements threatens to become counterproductive; (2) the current system is well…

Finance Program, Technical Assistance Brief 1

DOT National Transportation Integrated Search

1993-01-01

This four page pamphlet highlights the work of the Federal Transit : Administration's Office of Technical Assistance and Safety. Articles in this : issue are: Transit's Finance Challenge, which discusses the three main aspects : of the Office's Finan...

Ethical and methodological issues in research with Sami experiencing disability.

PubMed

Melbøe, Line; Hansen, Ketil Lenert; Johnsen, Bjørn-Eirik; Fedreheim, Gunn Elin; Dinesen, Tone; Minde, Gunn-Tove; Rustad, Marit

2016-01-01

Background A study of disability among the indigenous Sami people in Norway presented a number of ethical and methodological challenges rarely addressed in the literature. Objectives The main study was designed to examine and understand the everyday life, transitions between life stages and democratic participation of Norwegian Sami people experiencing disability. Hence, the purpose of this article is to increase the understanding of possible ethical and methodological issues in research within this field. The article describes and discusses ethical and methodological issues that arose when conducting our study and identifies some strategies for addressing issues like these. Methods The ethical and methodological issues addressed in the article are based on a qualitative study among indigenous Norwegian Sami people experiencing disability. The data in this study were collected through 31 semi-structured in-depth interviews with altogether 24 Sami people experiencing disability and 13 next of kin of Sami people experiencing disability (8 mothers, 2 fathers, 2 sister and 1 guardian). Findings and discussion The researchers identified 4 main areas of ethical and methodological issues. We present these issues chronologically as they emerged in the research process: 1) concept of knowledge when designing the study, 2) gaining access, 3) data collection and 4) analysis and accountability. Conclusion The knowledge generated from this study has the potential to benefit future health research, specifically of Norwegian Sami people experiencing disability, as well as health research concerning indigenous people in general, providing scientific-based insight into important ethical and methodological issues in research with indigenous people experiencing disability.

Ethical and methodological issues in research with Sami experiencing disability

PubMed Central

Melbøe, Line; Hansen, Ketil Lenert; Johnsen, Bjørn-Eirik; Fedreheim, Gunn Elin; Dinesen, Tone; Minde, Gunn-Tove; Rustad, Marit

2016-01-01

Background A study of disability among the indigenous Sami people in Norway presented a number of ethical and methodological challenges rarely addressed in the literature. Objectives The main study was designed to examine and understand the everyday life, transitions between life stages and democratic participation of Norwegian Sami people experiencing disability. Hence, the purpose of this article is to increase the understanding of possible ethical and methodological issues in research within this field. The article describes and discusses ethical and methodological issues that arose when conducting our study and identifies some strategies for addressing issues like these. Methods The ethical and methodological issues addressed in the article are based on a qualitative study among indigenous Norwegian Sami people experiencing disability. The data in this study were collected through 31 semi-structured in-depth interviews with altogether 24 Sami people experiencing disability and 13 next of kin of Sami people experiencing disability (8 mothers, 2 fathers, 2 sister and 1 guardian). Findings and discussion The researchers identified 4 main areas of ethical and methodological issues. We present these issues chronologically as they emerged in the research process: 1) concept of knowledge when designing the study, 2) gaining access, 3) data collection and 4) analysis and accountability. Conclusion The knowledge generated from this study has the potential to benefit future health research, specifically of Norwegian Sami people experiencing disability, as well as health research concerning indigenous people in general, providing scientific-based insight into important ethical and methodological issues in research with indigenous people experiencing disability. PMID:27396747

Consolidation of Rural Schools: Mount Desert Island, Maine: A Case Study.

ERIC Educational Resources Information Center

Lawrence, Barbara Kent

In the past and present, the communities of Mount Desert Island in Maine have faced the issue of school consolidation. In 1948, the four towns of Mount Desert Island each had their own high school and several elementary schools. Despite an extensive survey and community discussion, the vote to consolidate into one high school was defeated in 1949…

Toward Ubiquitous BCIs

NASA Astrophysics Data System (ADS)

Allison, Brendan Z.

The preceding chapters in this book described modern BCI systems. This concluding chapter instead discusses future directions. While there are some specific predictions, I mainly analyze key factors and trends relating to practical mainstream BCI development. While I note some disruptive technologies that could dramatically change BCIs, this chapter focuses mainly on realistic, incremental progress and how progress could affect user groups and ethical issues.

Child Sexual Abuse in Sri Lanka: The Current State of Affairs and Recommendations for the Future.

ERIC Educational Resources Information Center

de Zoysa, Piyanjali

2002-01-01

Discusses the background of child sexual abuse in Sri Lanka and its current status, and brings to light various cultural dimensions that serve to call attention to the issue of sexual abuse of children in Sri Lanka. Elucidates the main issues and barriers in Sri Lanka that need to be surmounted in order to have integrated service delivery.…

KENNEDY SPACE CENTER, FLA. - Congressman Tom Feeney (left) and Deputy Director Woodrow Whitlow Jr. take an air boat ride around Kennedy Space Center. During January and February, Congressman Feeney traveled the entire coastline of Florida’s 24th District, and concluded his walks March 1 in Brevard County. On his walks, he met with constituents and community leaders to discuss legislative issues that will be addressed by the 108th Congress. Feeney ended his beach walk at the KSC Visitor Complex main entrance.

NASA Image and Video Library

2004-03-01

KENNEDY SPACE CENTER, FLA. - Congressman Tom Feeney (left) and Deputy Director Woodrow Whitlow Jr. take an air boat ride around Kennedy Space Center. During January and February, Congressman Feeney traveled the entire coastline of Florida’s 24th District, and concluded his walks March 1 in Brevard County. On his walks, he met with constituents and community leaders to discuss legislative issues that will be addressed by the 108th Congress. Feeney ended his beach walk at the KSC Visitor Complex main entrance.

Special Collections in ARL Libraries: A Discussion Report from the ARL Working Group on Special Collections

ERIC Educational Resources Information Center

Association of Research Libraries, 2009

2009-01-01

This discussion report identifies key issues in the management of special collections material in the 21st century. The report uses a broad definition of "special collections," which encompasses distinctive material in all media and attendant library services. The group's main focus was on 19th- and 20th-century materials, including…

Opportunity to discuss ethical issues during clinical learning experience.

PubMed

Palese, Alvisa; Gonella, Silvia; Destrebecq, Anne; Mansutti, Irene; Terzoni, Stefano; Morsanutto, Michela; Altini, Pietro; Bevilacqua, Anita; Brugnolli, Anna; Canzan, Federica; Ponte, Adriana Dal; De Biasio, Laura; Fascì, Adriana; Grosso, Silvia; Mantovan, Franco; Marognolli, Oliva; Nicotera, Raffaela; Randon, Giulia; Tollini, Morena; Saiani, Luisa; Grassetti, Luca; Dimonte, Valerio

2018-01-01

Undergraduate nursing students have been documented to experience ethical distress during their clinical training and felt poorly supported in discussing the ethical issues they encountered. Research aims: This study was aimed at exploring nursing students' perceived opportunity to discuss ethical issues that emerged during their clinical learning experience and associated factors. An Italian national cross-sectional study design was performed in 2015-2016. Participants were invited to answer a questionnaire composed of four sections regarding: (1) socio-demographic data, (2) previous clinical learning experiences, (3) current clinical learning experience quality and outcomes, and (4) the opportunity to discuss ethical issues with nurses in the last clinical learning experience (from 0 - 'never' to 3 - 'very much'). Participants and research context: Participants were 9607 undergraduate nursing students who were attending 95 different three-year Italian baccalaureate nursing programmes, located at 27 universities in 15 Italian regions. Ethical considerations: This study was conducted in accordance with the Human Subject Research Ethics Committee guidelines after the research protocol was approved by an ethics committee. Overall, 4707 (49%) perceived to have discussed ethical issues 'much' or 'very much'; among the remaining, 3683 (38.3%) and 1217 (12.7%) students reported the perception of having discussed, respectively, 'enough' or 'never' ethical issues emerged in the clinical practice. At the multivariate logistic regression analysis explaining 38.1% of the overall variance, the factors promoting ethical discussion were mainly set at the clinical learning environment levels (i.e. increased learning opportunities, self-directed learning, safety and nursing care quality, quality of the tutorial strategies, competences learned and supervision by a clinical nurse). In contrast, being male was associated with a perception of less opportunity to discuss ethical issues. Nursing faculties should assess the clinical environment prerequisites of the settings as a context of student experience before deciding on their accreditation. Moreover, the nursing faculty and nurse managers should also enhance competence with regard to discussing ethical issues with students among clinical nurses by identifying factors that hinder this learning opportunity in daily practice.

Implicit cognitive processes in psychopathology: an introduction.

PubMed

Wiers, Reinout W; Teachman, Bethany A; De Houwer, Jan

2007-06-01

Implicit or automatic processes are important in understanding the etiology and maintenance of psychopathological problems. In order to study implicit processes in psychopathology, measures are needed that are valid and reliable when applied to clinical problems. One of the main topics in this special issue concerns the development and validation of new or modified implicit tests in different domains of psychopathology. The other main topic concerns the prediction of clinical outcomes and new ways to directly influence implicit processes in psychopathology. We summarize the contributions to this special issue and discuss how they further our knowledge of implicit processes in psychopathology and how to measure them.

Beyond the 'safe sex' propaganda.

PubMed

Hadzic, Maja; Khajehei, Marjan

2010-01-01

In this paper, we discuss sexual relationships among teenagers, the related issues, and suggest addressing the issues through effective education programs for both teenagers and their parents. We also discuss the main issues resulting from initiation of sexual relationship during adolescence such as unwanted pregnancy, maternal mortality, abortion, sexually transmitted diseases and damaged mental health. In addition, we highlight the lack of adequate sex education in teenagers and emphasize on the negative influence of TV programs and the harmful effects of dysfunctional families. Moreover, this article proposes equipping teenagers with knowledge that will help them understand not only physical but also emotional, social, and mental dynamics of sexual relationships. We believe that this approach would intervene much earlier in their life, help teenagers make healthy decision and minimize negative consequences of their personal choices.

Is there room for ethics within bioinformatics education?

PubMed

Taneri, Bahar

2011-07-01

When bioinformatics education is considered, several issues are addressed. At the undergraduate level, the main issue revolves around conveying information from two main and different fields: biology and computer science. At the graduate level, the main issue is bridging the gap between biology students and computer science students. However, there is an educational component that is rarely addressed within the context of bioinformatics education: the ethics component. Here, a different perspective is provided on bioinformatics education, and the current status of ethics is analyzed within the existing bioinformatics programs. Analysis of the existing undergraduate and graduate programs, in both Europe and the United States, reveals the minimal attention given to ethics within bioinformatics education. Given that bioinformaticians speedily and effectively shape the biomedical sciences and hence their implications for society, here redesigning of the bioinformatics curricula is suggested in order to integrate the necessary ethics education. Unique ethical problems awaiting bioinformaticians and bioinformatics ethics as a separate field of study are discussed. In addition, a template for an "Ethics in Bioinformatics" course is provided.

Are fish the victims of 'speciesism'? A discussion about fear, pain and animal consciousness.

PubMed

Cottee, Stephanie Yue

2012-02-01

Fish welfare is currently a hotly debated topic; this is mainly due to the issue of whether or not fish have the capacity for conscious awareness, or subjective states. Because of the contentious nature of animal consciousness, the subject is often avoided in many welfare arguments, but it is argued that since welfare should be about how animals feel, this issue is unavoidable. There is also good reason to believe that the issue of assessing subjective states is not as insurmountable as some believe.

Globalization, Information and Communication Technologies (ICTs) and Open/Distance Learning in Nigeria: Trends, Issues and Solution

ERIC Educational Resources Information Center

Olusola, Akande Joshua; Alaba, Sofowora Olaniyi

2011-01-01

The main thrust of this paper is to discuss the development of open and distance education in Nigeria and the major manifestations of the use of information and communication technologies (ICTs) in education in open and distance learning. This study further discusses the importance and use of ICTs in open and distance learning in making education…

Missing Data in Clinical Studies: Issues and Methods

PubMed Central

Ibrahim, Joseph G.; Chu, Haitao; Chen, Ming-Hui

2012-01-01

Missing data are a prevailing problem in any type of data analyses. A participant variable is considered missing if the value of the variable (outcome or covariate) for the participant is not observed. In this article, various issues in analyzing studies with missing data are discussed. Particularly, we focus on missing response and/or covariate data for studies with discrete, continuous, or time-to-event end points in which generalized linear models, models for longitudinal data such as generalized linear mixed effects models, or Cox regression models are used. We discuss various classifications of missing data that may arise in a study and demonstrate in several situations that the commonly used method of throwing out all participants with any missing data may lead to incorrect results and conclusions. The methods described are applied to data from an Eastern Cooperative Oncology Group phase II clinical trial of liver cancer and a phase III clinical trial of advanced non–small-cell lung cancer. Although the main area of application discussed here is cancer, the issues and methods we discuss apply to any type of study. PMID:22649133

Pharmacogenetics, ethical issues: review of the Nuffield Council on Bioethics Report

PubMed Central

Corrigan, O

2005-01-01

In September this year the Nuffield Council on Bioethics held a meeting to disclose and discuss the main findings of their newly published report on the ethical issues associated with developments in pharmacogenetics research. The basics of pharmacogenetics science is briefly outlined, and then the extent to which the report was successful in addressing (or at least highlighting) the attendant social, ethical, and policy implications of pharmacogenetics research is evaluated. PMID:15738433

Horizons of cybernetical physics

PubMed Central

2017-01-01

The subject and main areas of a new research field—cybernetical physics—are discussed. A brief history of cybernetical physics is outlined. The main areas of activity in cybernetical physics are briefly surveyed, such as control of oscillatory and chaotic behaviour, control of resonance and synchronization, control in thermodynamics, control of distributed systems and networks, quantum control. This article is part of the themed issue ‘Horizons of cybernetical physics’. PMID:28115620

Teacher Socialization. Issue Paper 89-7.

ERIC Educational Resources Information Center

Zeichner, Kenneth; Gore, Jennifer

Three main traditions in teacher socialization research (functionalist, interpretive, and critical) are discussed in relation to studies of occupational socialization. The analysis of the teacher socialization literature which follows examines influences on teacher socialization prior to, during, and after completion of a preservice teacher…

Phylogeny, extinction and conservation: embracing uncertainties in a time of urgency

PubMed Central

Forest, Félix; Crandall, Keith A.; Chase, Mark W.; Faith, Daniel P.

2015-01-01

Evolutionary studies have played a fundamental role in our understanding of life, but until recently, they had only a relatively modest involvement in addressing conservation issues. The main goal of the present discussion meeting issue is to offer a platform to present the available methods allowing the integration of phylogenetic and extinction risk data in conservation planning. Here, we identify the main knowledge gaps in biodiversity science, which include incomplete sampling, reconstruction biases in phylogenetic analyses, partly known species distribution ranges, and the difficulty in producing conservation assessments for all known species, not to mention that much of the effective biological diversity remains to be discovered. Given the impact that human activities have on biodiversity and the urgency with which we need to address these issues, imperfect assumptions need to be sanctioned and surrogates used in the race to salvage as much as possible of our natural and evolutionary heritage. We discuss some aspects of the uncertainties found in biodiversity science, such as the ideal surrogates for biodiversity, the gaps in our knowledge and the numerous available phylogenetic diversity-based methods. We also introduce a series of cases studies that demonstrate how evolutionary biology can effectively contribute to biodiversity conservation science. PMID:25561663

Energy and environmental policy in a period of transition

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

Stalon, C.G.

1995-12-31

This paper discusses governance aspects of electric industry restructuring. The creation and preservation of a governance system to ensure reliable and efficient trades within interconnected and independent trading areas is the main topic. The closely related issue of defining and imposing responsibilities on non-utility generators is also discussed in detail. It is recommended that the Federal Energy Regulatory Commission promote private governance of interconnections. 1 tab.

JPRS Report, Latin America.

DTIC Science & Technology

1987-07-10

of Industry Discusses Divestment, Government Stability (Franklin McKnight; THE DAILY GLEANER, 26 May 87) 77 NAR Leaders Air Wide-Ranging Views...situation on the Persian Gulf. Now that the main industrialized countries are meeting in Venice to discuss, among other issues, the possibility of...rules of origin and 1 the regime of fiscal incentives , to industry ," he said. ] He said his own personal 4 i image of the ultimate shape I : of the

What ethics for case managers? Literature review and discussion.

PubMed

Corvol, Aline; Moutel, Grégoire; Somme, Dominique

2016-11-01

Little is known about case managers' ethical issues and professional values. This article presents an overview of ethical issues in case managers' current practice. Findings are examined in the light of nursing ethics, social work ethics and principle-based biomedical ethics. A systematic literature review was performed to identify and analyse empirical studies concerning ethical issues in case management programmes. It was completed by systematic content analysis of case managers' national codes of ethics. Only nine empirical studies were identified, eight of them from North America. The main dilemmas were how to balance system goals against the client's interest and client protection against autonomy. Professional codes of ethics shared important similarities, but offered different responses to these two dilemmas. We discuss the respective roles of professional and organizational ethics. Further lines of research are suggested. © The Author(s) 2015.

US Videotex Activities and Policy Concerns.

ERIC Educational Resources Information Center

Criner, Kathleen

1980-01-01

Describes various trends apparent in the development of videotex services (teletext/viewdata) in the United States and outlines forthcoming experimental applications. Author discusses policy issues raised by existing systems and concludes that the main constraint to development in the USA derives from uncertainty regarding consumer demand and…

Positioning a University for Enhanced Student Placement.

ERIC Educational Resources Information Center

Apostolidis, Panos; Gougeon, Deborah

1986-01-01

This article discusses some of the recruitment issues and practices among universities and corporations, focusing mainly on positions. The term positioning refers to the articulation of marketing communications to create a reputation for the university graduates in the job market, specifically toward groups of corporations. (CT)

Managing Substitute Teaching.

ERIC Educational Resources Information Center

Jones, Kevin R.

1999-01-01

This news brief presents information on managing substitute teaching. The information is based on issues discussed at a summit meeting which included public school administrators and personnel directors from around the nation. The main topics of concern focused around four core components related to the management of substitute teaching:…

KENNEDY SPACE CENTER, FLA. - Before going on an air boat ride around Kennedy Space Center, Congressman Tom Feeney and Deputy Director Woodrow Whitlow Jr. are briefed about the trip. During January and February, Congressman Feeney traveled the entire coastline of Florida’s 24th District, and concluded his walks March 1 in Brevard County. On his walks, he met with constituents and community leaders to discuss legislative issues that will be addressed by the 108th Congress. Feeney ended his beach walk at the KSC Visitor Complex main entrance.

NASA Image and Video Library

2004-03-01

KENNEDY SPACE CENTER, FLA. - Before going on an air boat ride around Kennedy Space Center, Congressman Tom Feeney and Deputy Director Woodrow Whitlow Jr. are briefed about the trip. During January and February, Congressman Feeney traveled the entire coastline of Florida’s 24th District, and concluded his walks March 1 in Brevard County. On his walks, he met with constituents and community leaders to discuss legislative issues that will be addressed by the 108th Congress. Feeney ended his beach walk at the KSC Visitor Complex main entrance.

KENNEDY SPACE CENTER, FLA. - Congressman Tom Feeney (left) and Deputy Director Woodrow Whitlow Jr. talk on the ground after completing an air boat ride around Kennedy Space Center. During January and February, Congressman Feeney traveled the entire coastline of Florida’s 24th District, and concluded his walks March 1 in Brevard County. On his walks, he met with constituents and community leaders to discuss legislative issues that will be addressed by the 108th Congress. Feeney ended his beach walk at the KSC Visitor Complex main entrance.

NASA Image and Video Library

2004-03-01

KENNEDY SPACE CENTER, FLA. - Congressman Tom Feeney (left) and Deputy Director Woodrow Whitlow Jr. talk on the ground after completing an air boat ride around Kennedy Space Center. During January and February, Congressman Feeney traveled the entire coastline of Florida’s 24th District, and concluded his walks March 1 in Brevard County. On his walks, he met with constituents and community leaders to discuss legislative issues that will be addressed by the 108th Congress. Feeney ended his beach walk at the KSC Visitor Complex main entrance.

Real-Time Monitoring of Critical Care Analytes in the Bloodstream with Chemical Sensors: Progress and Challenges.

PubMed

Frost, Megan C; Meyerhoff, Mark E

2015-01-01

We review approaches and challenges in developing chemical sensor-based methods to accurately and continuously monitor levels of key analytes in blood related directly to the status of critically ill hospitalized patients. Electrochemical and optical sensor-based technologies have been pursued to measure important critical care species in blood [i.e., oxygen, carbon dioxide, pH, electrolytes (K(+), Na(+), Cl(-), etc.), glucose, and lactate] in real-time or near real-time. The two main configurations examined to date for achieving this goal have been intravascular catheter sensors and patient attached ex vivo sensors with intermittent blood sampling via an attached indwelling catheter. We discuss the status of these configurations and the main issues affecting the accuracy of the measurements, including cell adhesion and thrombus formation on the surface of the sensors, sensor drift, sensor selectivity, etc. Recent approaches to mitigate these nagging performance issues that have prevented these technologies from clinical use are also discussed.

Security and privacy in molecular communication and networking: opportunities and challenges.

PubMed

Loscrí, Valeria; Marchal, César; Mitton, Nathalie; Fortino, Giancarlo; Vasilakos, Athanasios V

2014-09-01

Molecular Communication (MC) is an emerging and promising communication paradigm for several multi-disciplinary domains like bio-medical, industry and military. Differently to the traditional communication paradigm, the information is encoded on the molecules, that are then used as carriers of information. Novel approaches related to this new communication paradigm have been proposed, mainly focusing on architectural aspects and categorization of potential applications. So far, security and privacy aspects related to the molecular communication systems have not been investigated at all and represent an open question that need to be addressed. The main motivation of this paper lies on providing some first insights about security and privacy aspects of MC systems, by highlighting the open issues and challenges and above all by outlining some specific directions of potential solutions. Existing cryptographic methods and security approaches are not suitable for MC systems since do not consider the pecific issues and challenges, that need ad-hoc solutions. We will discuss directions in terms of potential solutions by trying to highlight the main advantages and potential drawbacks for each direction considered. We will try to answer to the main questions: 1) why this solution can be exploited in the MC field to safeguard the system and its reliability? 2) which are the main issues related to the specific approach?

Development and validation of the crew-station system-integration research facility

NASA Technical Reports Server (NTRS)

Nedell, B.; Hardy, G.; Lichtenstein, T.; Leong, G.; Thompson, D.

1986-01-01

The various issues associated with the use of integrated flight management systems in aircraft were discussed. To address these issues a fixed base integrated flight research (IFR) simulation of a helicopter was developed to support experiments that contribute to the understanding of design criteria for rotorcraft cockpits incorporating advanced integrated flight management systems. A validation experiment was conducted that demonstrates the main features of the facility and the capability to conduct crew/system integration research.

SSME main combustion chamber and nozzle flowfield analysis

NASA Technical Reports Server (NTRS)

Farmer, R. C.; Wang, T. S.; Smith, S. D.; Prozan, R. J.

1986-01-01

An investigation is presented of the computational fluid dynamics (CFD) tools which would accurately analyze main combustion chamber and nozzle flow. The importance of combustion phenomena and local variations in mixture ratio are fully appreciated; however, the computational aspects of the gas dynamics involved were the sole issues addressed. The CFD analyses made are first compared with conventional nozzle analyses to determine the accuracy for steady flows, and then transient analyses are discussed.

Business continuity management in emerging markets: the case of Jordan.

PubMed

Sawalha, Ihab H; Anchor, John R

2012-01-01

Despite their considerable growth in last few decades, emerging markets (EM) face numerous risks that have the potential to slow down or obstruct their development. Three main issues are discussed in this paper: first, the risks facing organisations operating in emerging markets and Jordan in particular; secondly, the role of business continuity management (BCM) in emerging markets; and thirdly, potential factors that underpin the role of BCM in emerging markets. These issues are significant, as they represent the role of BCM in highly dynamic and fast changing business environments. The paper provides a discussion of the significance of BCM in reducing or preventing risks facing organisations operating in emerging markets, especially those in Jordan.

The strategic skills of business continuity managers: putting business continuity management into corporate long-term planning.

PubMed

Wong, Wei Ning Zechariah

2009-11-01

Despite its rapid development in the last two decades, business continuity management (BCM) as a discipline and a profession is still regarded by many as an operational entity of management. Two main issues are discussed in this paper: the role of BCM in strategic management and the strategic skills of business continuity managers. These issues are crucial as they represent the role of BCM in high-level corporate management. The paper discusses the importance of BCM in the long-term planning of organisational success and the preservation of future competitiveness. Finally, salient points that underpin the importance of its role in sustaining organisational performance are addressed.

Students' communication, argumentation and knowledge in a citizens' conference on global warming

NASA Astrophysics Data System (ADS)

Albe, Virginie; Gombert, Marie-José

2012-09-01

An empirical study on 12th-grade students' engagement on a global warming debate as a citizens' conference is reported. Within the design-based research methodology, an interdisciplinary teaching sequence integrating an initiation to non-violent communication was developed. Students' debates were analyzed according to three dimensions: communication, argumentation, and knowledge. Students regulated their oral contributions to the debate by identifying judgments in their discussions. Rhetorical processes developed by students were mainly related to the identity of debate protagonists with interest attributions, authority, and positions. Students' arguments also relied on empirical data. The students' knowledge focused on energy choices, economic, political, and science development issues. Implications for socioscientific issues integration in class are discussed.

[ETHICS, MORALS AND SOCIETY IN PERSONALIZED MEDICINE].

PubMed

Flugelman, Anath

2015-09-01

Following the completion of the human genome project, genomic medicine including personalized medicine, widely based on pharmacogenetics and pharmacogenomics, is rapidly developing. This breakthrough should benefit humankind thanks to tailoring the most appropriate prevention, interventions and therapies to each individual, minimizing adverse side effects, based on inter-personal genetic variety and polymorphism. Yet wide spectrum ethical, legal and social issues carry significant implications regarding individuals, families, society and public health. The main issues concern genomic information and autonomy, justice and equity, resources allocation and solidarity, challenging the traditional role of medicine and dealing with unlimited boundaries of knowledge. Those issues are not new nor exceptional to genomic medicine, yet their wide unlimited scope and implications on many aspects of life renders them crucial. These aspects will be discussed in light of Beauchamp and Childress' four principles: non-maleficence, beneficence, autonomy and justice, and main moral philosophies, Kant's autonomy, Utilitarianism which promotes the common good, and Rawls' Theory of Justice.

Managing Liability. Employment Discrimination: A Risk Management Strategy.

ERIC Educational Resources Information Center

McMullan, Sandra H.

This booklet discusses the risks that educational institutions face in regard to employment discrimination litigation and outlines a program to effectively manage such risks. Institutions need to address three main types of employment discrimination issues: sexual harassment, disability-based discrimination, and age discrimination. To deal with…

Researching Values in Education.

ERIC Educational Resources Information Center

Halliday, John

2002-01-01

Considers methodological issues that arise when values form the main focus of empirical educational research. Includes discussion of the idea that social science, in general, and educational research, in particular, are forms of moral inquiry. Outlines a methodology of educational research, drawing from work by Imre Lakatos, Alasdair MacIntyre,…

Reinforcement and Induction of Operant Variability

ERIC Educational Resources Information Center

Neuringer, Allen

2012-01-01

The target paper by Barba (2012) raises issues that were the focus of the author's first two publications on operant variability. The author will describe the main findings in those papers and then discuss Barba's specific arguments. Barba has argued against the operant nature of variability. (Contains 2 figures.)

77 FR 12553 - Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-01

... Discussion on Agency Staffing V. State Advisory Committee Issues: Review of two Hawaii SAC applicants Re-chartering the Indiana SAC Re-chartering the District of Columbia SAC Re-chartering the Utah SAC Re-chartering the Maine SAC Re-chartering the Nevada SAC VI. Adjourn Meeting CONTACT PERSON FOR FURTHER...

Aerospace safety advisory panel

NASA Technical Reports Server (NTRS)

1983-01-01

Data acquired on the actual flight experience with the various subsystems are assessed. These subsystems include: flight control and performance, structural integrity, orbiter landing gear, lithium batteries, EVA and prebreathing, and main engines. Improvements for routine operations are recommended. Policy issues for operations and flight safety for aircraft operations are discussed.

Space resources. Volume 3: Materials

NASA Technical Reports Server (NTRS)

Mckay, Mary Fae (Editor); Mckay, David S. (Editor); Duke, Michael B. (Editor)

1992-01-01

Space Resources addresses the issues of using space resources to support life on the Moon and for exploration of Mars. This volume - Materials - covers a number of technical and policy issues regarding the materials in space (mainly lunar and asteroidal) which can be used to support space operations. In part 1, nature and location of these materials, exploration strategy, evaluation criteria, and the technical means to collect or mine these materials is discussed. A baseline lunar mine and the basics of asteroid mining are presented and critiqued. In part 2, the beneficiation of ores and the extraction of such materials as oxygen, metals, and the makings of concrete are discussed. In part 3, the manufacturing and fabrication of nonterrestrial products are discussed. The economic tradeoffs between bringing needed products from Earth and making these products on location in space is considered.

Scanning and Measuring Device for Diagnostic of Barrel Bore

NASA Astrophysics Data System (ADS)

Marvan, Ales; Hajek, Josef; Vana, Jan; Dvorak, Radim; Drahansky, Martin; Jankovych, Robert; Skvarek, Jozef

The article discusses the design, mechanical design, electronics and software for robot diagnosis of barrels with caliber of 120 mm to 155 mm. This diagnostic device is intended primarily for experimental research and verification of appropriate methods and technologies for the diagnosis of the main bore guns. Article also discusses the design of sensors and software, the issue of data processing and image reconstruction obtained by scanning of the surface of the bore.

Advice offered by practitioners of complementary/ alternative medicine: an important ethical issue.

PubMed

Ernst, E

2009-12-01

The current popularity of complementary/alternative medicine (CAM) generates many challenges to medical ethics. The one discussed here is the advice offered by CAM practitioners. Using selected examples, the author tries to demonstrate that some of the advice issued through the popular media or provided by acupuncturists, chiropractors, herbalists, homeopaths, pharmacists, and doctors is misleading or dangerous. This, the author argues, can impinge on the main principle of medical ethics: beneficence, nonmaleficence, and autonomy. We should work toward correcting this deplorable situation.

Justification and radiology: some ethical considerations.

PubMed

Sia, Santiago

2009-07-01

This paper, which seeks to address the issue of justification in radiology, intends firstly to comment on the current discussion of the ethical foundation of radiological practice that focuses on the move from utilitarianism to the rights-centred criterion. Secondly, and this constitutes the bulk of the paper, it aims to offer a philosophical perspective, which is hoped will lead to a consideration of certain specific areas in ethical decision-making in the attempts here to deal with the main issue of justification in radiology.

Female sex trafficking: conceptual issues, current debates, and future directions.

PubMed

Meshkovska, Biljana; Siegel, Melissa; Stutterheim, Sarah E; Bos, Arjan E R

2015-01-01

Female sex trafficking is a pressing concern. In this article, we provide a comprehensive overview of relevant issues regarding the concept of female sex trafficking and research in the field of human trafficking, drawing on a variety of disciplines, including economics, gender and sexuality studies, psychology, sociology, law, and social work. We discuss the debates surrounding the definition of human trafficking, compare and contrast it with human smuggling, and outline connections between female sex trafficking and the issue of sex work and prostitution. We further discuss the history and current estimations of female sex trafficking. We then outline the main actors in female sex trafficking, including trafficked persons, traffickers, clients, and service providers, and we overview the trafficking process from recruitment to identification, recovery, and (re)integration. Finally, we conclude with recommendations for future research that tie together the concepts of vulnerability, exploitation, and long-term recovery and (re)integration.

Wheelchair transportation safety on school buses: stakeholder recommendations for priority issues and actions.

PubMed

Buning, Mary Ellen; Karg, Patricia E

2011-01-01

This paper presents results from and provides discussion of a state-of-the-science workshop in which highly informed stakeholders in wheelchair transportation safety for students on school buses were participants. The Nominal Group Technique was used to create a process in which the main issues preventing safe transportation of wheelchair-seated students and key strategies to overcome these issues were identified and ranked. These results, along with a synthesis of group discussion and recommendations for action, are presented along with consideration of current policies, regulations, and political realities. Critical safety shortcomings exist in this highly specialized enterprise that varies from state to state. Recommended strategies include implementing wheelchair requirements in federal transportation safety standards, creation of a clearinghouse for wheelchair transportation best practices and education, creation of national standards for training, practices, and monitoring, and increased "buy-in" to voluntary wheelchair standards by wheelchair manufacturers.

The Routledge International Handbook of Higher Education

ERIC Educational Resources Information Center

Tight, Malcolm, Ed.; Mok, Ka Ho, Ed.; Huisman, Jeroen, Ed.; Morphew, Christopher, Ed.

2009-01-01

This volume is a detailed and up-to-date reference work providing an authoritative overview of the main issues in higher education around the world today. Consisting of newly commissioned chapters and impressive journal articles, it surveys the state of the discipline and includes the examination and discussion of emerging, controversial and…

Colorado Research in Linguistics, Number One.

ERIC Educational Resources Information Center

Colorado Univ., Boulder.

The three papers contained in this document cover particular issues in diverse languages. The first concerns the distribution and function of postpositions in Awutu, an African language; the main function of such morphemes is marking case. The second paper discusses the unusual phonology system of Wichita; this American Indian language is…

Nonformal Vocational Training. Courier No. 34.

ERIC Educational Resources Information Center

ASPBAE Courier, 1985

1985-01-01

This issue of the Courier has as its main topic nonformal education for vocational and professional competence. The first article, "Nonformal Education for Vocational and Professional Competence: A Report of a Conference" (John Doraisamy), is a summary of the discussions that arose from the papers presented at the Asian-South Pacific…

Overview of rocket engine control

NASA Technical Reports Server (NTRS)

Lorenzo, Carl F.; Musgrave, Jeffrey L.

1991-01-01

The issues of Chemical Rocket Engine Control are broadly covered. The basic feedback information and control variables used in expendable and reusable rocket engines, such as Space Shuttle Main Engine, are discussed. The deficiencies of current approaches are considered and a brief introduction to Intelligent Control Systems for rocket engines (and vehicles) is presented.

Multiple Uses of Applied Linguistics Literature.

ERIC Educational Resources Information Center

Casanave, Christine Pearson

2003-01-01

Discusses ways that applied linguistics literature can be used in a multidisciplinary graduate-level English for academic purposes class. Focuses on three main uses: (1) providing students with information about issues in academic and professional writing; (2) helping them make comparisons of form and style with academic articles in their own…

Educational Television. Special VTR Issue.

ERIC Educational Resources Information Center

Educational Television, 1969

1969-01-01

Four articles focusing on various aspects of videotape recorders form the main body of this journal. The first article discusses the variety of portable models available, presenting a limited amount of data on the recorders favored by educational institutions. The second article compares the low cost, helical-scan recorders to quadruplex machines,…

University of Minnesota Constitutional Autonomy. A Legal Analysis.

ERIC Educational Resources Information Center

McKnight, Deborah K.

This discussion of the special legal status of the University of Minnesota, known as constitutional autonomy, defines this status, states the rationale for the principle, and describes the relevant territorial act and constitutional provision. The main part of the legal analysis examines Minnesota court cases which addressed the issue of the…

Mexico: The Quest for a U.S. Policy.

ERIC Educational Resources Information Center

Smith, Peter H.

Illustrated with photographs, cartoons and charts, this essay provides background information on the Mexican political system and economy and discusses the main issues confronting the United States in its relations with Mexico. The essay was written to provide interested citizens with background information on important foreign policy questions.…

An Advance toward Instructional Management: Prescriptive Knowledge Base of Learner Control.

ERIC Educational Resources Information Center

Chung, Jaesam

This paper discusses learner control as one of the main issues in instructional management and the importance of effectiveness and efficiency in the context of instructional/learning systems, and develops instructional prescriptions for learner control in a smorgasbord fashion. Strategies from both empirical and theoretical studies related to…

[Occupational medicine and communication: which role for print media?].

PubMed

Cecaro, M; Bernardini, M; Isolani, L; Passamonti, C

2010-01-01

The diffusion of recent regulations on work safety has captured mass-media's interest on work accidents. The present work aims to highlight the role of print media in building a social representation of work safety, by performing a qualitative analysis of articles published between 2009 and 2010 in three of the main national newspapers. Results showed that print media are accurate in reporting news, but they do not serve as source of education in work safety's issues. Information is mainly focused around catastrophic events, with headlines inducing negative emotions. Very few articles contain a critical discussion of methods and operational proposals tested around the Country. A possible transformation of media's role in promoting work safety is discussed.

Economic Issues on Food Safety.

PubMed

Adinolfi, Felice; Di Pasquale, Jorgelina; Capitanio, Fabian

2016-01-18

A globalised food trade, with a huge increase of the exchanged volume, extensive production and complex supply chains are contributing towards an increased number of microbiological food safety outbreaks. All of these factors are putting pressure on the stakeholders, either public or private, in terms of rule and control. In fact, this scenario could force manufacturers to be lenient towards food safety control intentionally, or unintentionally, and result in a major foodborne outbreak that causes health problems and economic loss. As a response to emerging calls for the adoption of a systemic approach to food safety, we try to identify and discuss the several related economics issue in this field. Based on an extensive analysis of academic and policy literatures on the economic effects of global environmental change at different stages of the food system, we highlight the main issues involving economists in the field of food safety. In the first part, we assessed the several approaches and problems related to the evaluation of food safety improvements, followed by an overview of drivers of food safety demand in the second part. The third section is devoted to discussing changes occurred at the institutional level in building and managing food safety policies. The last section summarises the main considerations aroused from the work.

Lightning safety of animals.

PubMed

Gomes, Chandima

2012-11-01

This paper addresses a concurrent multidisciplinary problem: animal safety against lightning hazards. In regions where lightning is prevalent, either seasonally or throughout the year, a considerable number of wild, captive and tame animals are injured due to lightning generated effects. The paper discusses all possible injury mechanisms, focusing mainly on animals with commercial value. A large number of cases from several countries have been analyzed. Economically and practically viable engineering solutions are proposed to address the issues related to the lightning threats discussed.

Perceived challenges to obtaining informed consent for a time-sensitive emergency department study of pediatric status epilepticus: results of two focus groups.

PubMed

Chamberlain, James M; Lillis, Kathleen; Vance, Cheryl; Brown, Kathleen M; Fawumi, Olubunmi; Nichols, Shari; Davis, Colleen O; Singh, Tasmeen; Baren, Jill M

2009-08-01

The objective was to describe the perspective of research personnel on issues of informed consent in a time-sensitive clinical study under emergency circumstances. The authors convened concurrent focus groups of research staff and investigators involved in a pharmacokinetic study of lorazepam for status epilepticus (SE). Moderators led discussion with open-ended questions on selected issues of parental consent, communication and understanding, patient assent, and comparison to other types of studies. Focus group transcripts were analyzed to identify themes and subthemes from the discussions. Most themes and subthemes were identified in both research staff and investigator focus groups. Focus group discussion points were categorized into three main themes: barriers to and enablers of informed consent, barriers to and enablers of actual enrollment, and overall ethical concerns about the research. Many of the issues identified were unique to emergency research. From the perspectives of research staff and investigators enrolling patients in a time-sensitive emergency department study, the authors identified several areas of concern that should be addressed when planning future emergency studies.

'To be or not to be'--an ethical debate on the not-for-resuscitation (NFR) status of a stroke patient.

PubMed

Herbert, C L

1997-03-01

Nursing has been described as a moral endeavour (Seedhouse, 1988; Berger et al., 1991), the art of dealing with ethical issues of right and wrong. Within the nursing literature, ethical issues are a major topic for discussion. Berger et al. (1991) explain that this reflects larger societal concerns about ethics in business, industry and government. The development of advanced technology and life-sustaining treatments such as cardiopulmonary resuscitation (CPR) has heightened the dilemmas of moral decision making. CPR was developed in the 1960s as an emergency life-saving procedure, although it is currently used on anyone who does not have a not-for-resuscitation status (Anon., 1980). In this paper, an ethical issue involving the decision of whether or not to resuscitate a stroke patient is discussed. An overview of the main ethical theories is presented because they provide a framework for an explication of ethical decision-making. The options available to those involved are then discussed in relation to relevant research. Finally, a conclusion is drawn from the ensuing situation.

Common Principles and Multiculturalism

PubMed Central

Zahedi, Farzaneh; Larijani, Bagher

2009-01-01

Judgment on rightness and wrongness of beliefs and behaviors is a main issue in bioethics. Over centuries, big philosophers and ethicists have been discussing the suitable tools to determine which act is morally sound and which one is not. Emerging the contemporary bioethics in the West has resulted in a misconception that absolute westernized principles would be appropriate tools for ethical decision making in different cultures. We will discuss this issue by introducing a clinical case. Considering various cultural beliefs around the world, though it is not logical to consider all of them ethically acceptable, we can gather on some general fundamental principles instead of going to the extremes of relativism and absolutism. Islamic teachings, according to the presented evidence in this paper, fall in with this idea. PMID:23908720

[Discussion on several basic issues of acupuncture-moxibustion science].

PubMed

Wang, Guangjun

2016-10-12

Nine basic issues on acupuncture-moxibustion science are discussed in this paper. The author believes those include the universal property of acupoints,the placebo effect of acupuncture and moxibustion,the continuous transmission of acupuncture information,the factors of the effects such as growth as well as acquired shape and properties,the classification evidence of acupoint function,the compatibility of acupoints,the change of functional state of acupoint and deqi . The universal property of acupoints means whether there is identical position of acupoint among different ethnic groups. The continuous transmission of acupuncture information is seen as whether the delivery which mainly shows as diffusion maintains active in special region and situation. The classification evidence of acupoint function refers to if there exists universal biological basis.

Common principles and multiculturalism.

PubMed

Zahedi, Farzaneh; Larijani, Bagher

2009-01-01

Judgment on rightness and wrongness of beliefs and behaviors is a main issue in bioethics. Over centuries, big philosophers and ethicists have been discussing the suitable tools to determine which act is morally sound and which one is not. Emerging the contemporary bioethics in the West has resulted in a misconception that absolute westernized principles would be appropriate tools for ethical decision making in different cultures. We will discuss this issue by introducing a clinical case. Considering various cultural beliefs around the world, though it is not logical to consider all of them ethically acceptable, we can gather on some general fundamental principles instead of going to the extremes of relativism and absolutism. Islamic teachings, according to the presented evidence in this paper, fall in with this idea.

How to write a discussion section?

PubMed Central

Şanlı, Öner; Erdem, Selçuk; Tefik, Tzevat

2013-01-01

Writing manuscripts to describe study outcomes, although not easy, is the main task of an academician. The aim of the present review is to outline the main aspects of writing the discussion section of a manuscript. Additionally, we address various issues regarding manuscripts in general. It is advisable to work on a manuscript regularly to avoid losing familiarity with the article. On principle, simple, clear and effective language should be used throughout the text. In addition, a pre-peer review process is recommended to obtain feedback on the manuscript. The discussion section can be written in 3 parts: an introductory paragraph, intermediate paragraphs and a conclusion paragraph. For intermediate paragraphs, a “divide and conquer” approach, meaning a full paragraph describing each of the study endpoints, can be used. In conclusion, academic writing is similar to other skills, and practice makes perfect. PMID:26328131

Stability and sensitivity of ABR flow control protocols

NASA Astrophysics Data System (ADS)

Tsai, Wie K.; Kim, Yuseok; Chiussi, Fabio; Toh, Chai-Keong

1998-10-01

This tutorial paper surveys the important issues in stability and sensitivity analysis of ABR flow control of ATM networks. THe stability and sensitivity issues are formulated in a systematic framework. Four main cause of instability in ABR flow control are identified: unstable control laws, temporal variations of available bandwidth with delayed feedback control, misbehaving components, and interactions between higher layer protocols and ABR flow control. Popular rate-based ABR flow control protocols are evaluated. Stability and sensitivity is shown to be the fundamental issues when the network has dynamically-varying bandwidth. Simulation result confirming the theoretical studies are provided. Open research problems are discussed.

Online data collection from video game players: methodological issues.

PubMed

Wood, Richard T A; Griffiths, Mark D; Eatough, Virginia

2004-10-01

The paper outlines the advantages and disadvantages of using the Internet to collect data concerning both online and offline gamers. Drawing from experience of a number of studies carried out online by the authors and by reviewing the available literature, the authors discuss the main issues concerning data collected from video game players. The paper examines a number of areas, including recruiting and utilizing participants, validity, suitable methods of data collection (i.e., questionnaire studies, online tests, participant observation, online interviews), and ethical issues. It is concluded that online research methods can be a useful way of examining the psychosocial aspects of video game playing.

Organisational performance and business continuity management: a theoretical perspective and a case study.

PubMed

Sawalha, Ihab Hanna Salman

2013-01-01

This paper seeks to extend the research relating to the strategic view of business continuity management (BCM) to the context of organisational performance (OP). It discusses potential performance consequences resulting from applying BCM aspects/elements within an organisation. The paper contributes to the understanding of the role of BCM in OP by discussing how deployment of BCM key aspects/elements can improve OP. Two main issues are discussed: first, background to performance and the elements of OP; and secondly, the role of BCM in achieving optimised OP. These issues are significant, as they go further than the extant literature relating to the significance of BCM and its potential influence on OP. The study focuses on Jordanian banks as a case study and as a way of illustrating how BCM helps improve OP for those organisations facing performance shortcomings or difficulties.

Climate variability and change in high elevation regions: Past, present & future

USGS Publications Warehouse

Diaz, Henry F.; Grosjean, Martin; Graumlich, Lisa J.

2003-01-01

This special issue of Climatic Change contains a series of research and review articles, arising from papers that were presented and discussed at a workshop held in Davos, Switzerland on 25–28 June 2001. The workshop was titled ‘Climate Change at High Elevation Sites: Emerging Impacts’, and was convened to reprise an earlier conference on the same subject that was held in Wengen, Switzerland in 1995 (Diaz et al., 1997). The Davos meeting had as its main goals, a discussion of the following key issues: (1) reviewing recent climatic trends in high elevation regions of the world, (2) assessing the reliability of various biological indicators as indicators of climatic change, and (3) assessing whether physical impacts of climatic change in high elevation areas are becoming evident, and to discuss a range of monitoring strategies needed to observe and to understand the nature of any changes.

Summary of the 2014 Sandia V&V Challenge Workshop

DOE PAGES

Schroeder, Benjamin B.; Hu, Kenneth T.; Mullins, Joshua Grady; ...

2016-02-19

A discussion of the five responses to the 2014 Sandia Verification and Validation (V&V) Challenge Problem, presented within this special issue, is provided hereafter. Overviews of the challenge problem workshop, workshop participants, and the problem statement are also included. Brief summations of teams' responses to the challenge problem are provided. Issues that arose throughout the responses that are deemed applicable to the general verification, validation, and uncertainty quantification (VVUQ) community are the main focal point of this paper. The discussion is oriented and organized into big picture comparison of data and model usage, VVUQ activities, and differentiating conceptual themes behindmore » the teams' VVUQ strategies. Significant differences are noted in the teams' approaches toward all VVUQ activities, and those deemed most relevant are discussed. Beyond the specific details of VVUQ implementations, thematic concepts are found to create differences among the approaches; some of the major themes are discussed. Lastly, an encapsulation of the key contributions, the lessons learned, and advice for the future are presented.« less

Extending systems ergonomics thinking to accommodate the socio-technical issues of Systems of Systems.

PubMed

Siemieniuch, C E; Sinclair, M A

2014-01-01

Socio-technical issues for Systems of Systems (SoS) differ in several ways from those for systems, mainly because the individual systems that are components of the SoS are usually owned by different organisations, each responsible for the optimisation and operation of its own system. Consequently, management of the SoS is about negotiation and management of the interfaces. Because of issues of Intellectual Property Rights (IPRs), commercial confidence, and the like, there is seldom sufficient, timely information in circulation about the SoS. Surprises are endemic to SoS, and resilience is a fundamental requirement. This paper outlines the different characteristics of SoS compared to ordinary systems, discusses many of the socio-technical issues involved, and then outlines a generic approach to these issues, treating the SoS as a 'wicked problem'. Endemic to this is the need for governance, which is discussed briefly. This is followed by a description of the evident gaps in knowledge about the functioning of SoS, and a listing of tool classes, the development of which would enable progress to be made more effectively. Finally, the paper discusses how the SoS approach might be the best way to entrain ICT to address global drivers, thus pointing to the importance of the SoS approach. Copyright © 2013 Elsevier Ltd and The Ergonomics Society. All rights reserved.

Integration Issues of Cells into Battery Packs for Plug-in and Hybrid Electric Vehicles: Preprint

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

Pesaran, A. A.; Kim, G. H.; Keyser, M.

2009-05-01

The main barriers to increased market share of hybrid electric vehicles (HEVs) and commercialization of plug-in HEVs are the cost, safety, and life of lithium ion batteries. Significant effort is being directed to address these issues for lithium ion cells. However, even the best cells may not perform as well when integrated into packs for vehicles because of the environment in which vehicles operate. This paper discusses mechanical, electrical, and thermal integration issues and vehicle interface issues that could impact the cost, life, and safety of the system. It also compares the advantages and disadvantages of using many small cellsmore » versus a few large cells and using prismatic cells versus cylindrical cells.« less

An innovative approach to teaching bioethics in management of healthcare.

PubMed

Aleksandrova-Yankulovska, Silviya

2016-03-01

Bioethical courses were introduced in the curricula in medical universities in Bulgaria in 1990s. In the beginning, the courses were mainly theoretical, and systematic case analyses and discussions of movies were introduced later on. The benefits of using films to teach ethics have been previously analyzed in the literature; however, to our knowledge such studies in Bulgaria are yet lacking. The aim of this study was to survey the opinions of students and analyze the results from the application of movies in bioethics teaching in a medical university in the north of Bulgaria. A survey was carried out among 92 students in the management of healthcare. Two movies were used, and separate protocols for film discussion were developed. The study was conducted anonymously and with students' free informed consent. The students distinguished in total 21 different dilemmas and concepts in the first movie. The ethical dilemmas were classified into five groups: general ethical issues, deontological issues, special ethical issues, principles of bioethics, and theories of ethics. The second movie focused students' attention on the issues of death and dying. In total, 18 elements of palliative care were described by the students. The range of different categories was a positive indicator of an increased ethical sensitivity. The students evaluated the movies' discussions as a generally positive educational approach. They perceived the experience as contributing to their better understanding of bioethical issues. The innovative approach was well accepted by the students. The introduction of movies in the courses of bioethics had the potential to provide vivid illustrations of bioethical issues and to contribute to the exploration of specific theses and arguments. The presentation and discussion should be preceded by accumulation of theoretical knowledge. The future of effective bioethics education lays in the interactive involvement of students. © The Author(s) 2014.

Diversity and Social Cohesion

ERIC Educational Resources Information Center

Pagani, Camilla

2014-01-01

The issue of diversity, in its broadest sense, is discussed here in its relation to social cohesion, cross-cultural relations, ingroup-outgroup relations and educational interventions. The main thesis of the paper is that real social cohesion in an ingroup rests on the acknowledgment of and the dialog with the diversities of the members of the…

Adult Education Development and International Aid. Some Issues and Trends.

ERIC Educational Resources Information Center

Rydstrom, Gunnar, Comp.

This document reports, in narrative format, the proceedings of a conference in Sweden attended by more than 40 adult educators from around the world to discuss aid to education in developing nations. The report describes the conference's two main objectives: (1) to exchange experiences about financing and supporting adult education in the…

Does Student Quality Matter in the Teaching of Economic Principles?

ERIC Educational Resources Information Center

Andreopoulos, Giuliana Campanelli; Panayides, Alexandros

2010-01-01

Economics is usually perceived as a difficult subject among undergraduate students and the literature suggests that the student's problems with principles of economics are mainly related to the chalk and talk type of teaching, the simplicity of economic models, limited discussions on current economic issues, and on race, gender, and other types of…

78 FR 56654 - Agenda and Notice of Public Meeting of the Maine Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-13

... Civil Rights (Commission), and the Federal Advisory Committee Act (FACA), that orientation and planning..., 2013, 309 Cumberland Avenue, Suite 201, Portland, ME 04112. The purpose of the orientation meeting is..., discuss current civil rights issues in the State and to plan future activities. Members of the public are...

Analysing Language Education Policy for China's Minority Groups in Its Entirety

ERIC Educational Resources Information Center

Feng, Anwei; Sunuodula, Mamtimyn

2009-01-01

Two main bodies of literature are identifiable in minority education policy studies in China. Many adopt a descriptive approach to examining policy documents and general outcomes in their historical contexts while others focus on evaluating preferential policies made to address inequality issues in minority education. In most discussions,…

Equity in Cross-Cultural Gifted Screening from a Philippine Perspective

ERIC Educational Resources Information Center

Vista, Alvin

2015-01-01

This paper discusses issues on cross-cultural gifted screening from a Philippine perspective. Research on gifted education in the Philippines, and Southeast Asia in general, is still nascent. The main focus of this review of literature is on equity of the gifted education screening process across wide socioeconomic, cultural, and linguistic…

Planning, Collaboration, and Implementation Strategies for Truancy Programs. Truancy Prevention in Action

ERIC Educational Resources Information Center

Cash, Terry; Duttweiler, Patricia Cloud

2006-01-01

This truancy prevention publication provides a general background discussion on the issue of truancy but mainly centers on the nuts and bolts of developing and implementing an effective community wide collaborative to address truancy. The first section provides some understanding of the factors associated with truancy and the resulting high costs…

Abuse of Disabled Children in Ghana

ERIC Educational Resources Information Center

Kassah, Alexander Kwesi; Kassah, Bente Lilljan Lind; Agbota, Tete Kobla

2012-01-01

Even though disabled children are targets of various forms of abuse, such issues remain mostly undocumented open secrets in many countries including Ghana. The article is based on a qualitative data provided by three key informants. Six stories emerged from the data and are discussed in terms of four main forms of abuse. Labelling theories are…

Different Types of Word Links in the Mental Lexicon

ERIC Educational Resources Information Center

Zhang, Baoguo

2008-01-01

This essay mainly discusses the following issue: Do people from different cultures store English words in their minds in different ways; and what elements determine people's mental lexicon? The findings from my experiment showed that cultural factors only play a minor role on this stage. The leading dominants in this light are the linguistic…

Increasing the Openness of Education as an Approach to Promoting Educational Reform and Development

ERIC Educational Resources Information Center

Jinqiu, He

2012-01-01

This paper presents the main content of the portion on "increasing the openness of China's education" in the "National Medium- and Long-Term Educational Reform and Development Guideline (2010-20)" (hereafter abbreviated as the "Guideline") and the key issues studied and discussed in the formulation process. Issues…

Integrating E-Books into Science Teaching by Preservice Elementary School Teachers

ERIC Educational Resources Information Center

Lai, Ching-San

2016-01-01

This study aims to discuss the issues of integrating e-books into science teaching by preservice elementary school teachers. The study adopts both qualitative and quantitative research methods. In total, 24 preservice elementary school teachers participated in this study. The main sources of research data included e-books produced by preservice…

Perceptions of Educational Leadership in Medieval Islamic Thought: A Contribution to Multicultural Contexts

ERIC Educational Resources Information Center

Arar, Khalid; Haj-Yehia, Kussai

2018-01-01

This article identifies main characteristics of Educational Leadership in Islam (ELI), described by four Muslim scholars (in Arabic: 'ulama'), who discussed educational issues and educational leadership during Islam's Golden Age (GA). It uses hermeneutic content analysis of four scholars' Arabic texts to identify the contribution of these texts to…

Music Education for Social Change in the Secondary Public Schools of Costa Rica

ERIC Educational Resources Information Center

Rosabal-Coto, Guillermo

2010-01-01

This article focuses on a recently implemented general music curriculum in secondary public schools, whose main goal is to address social issues in Costa Rica. The author describes and discusses its context, rationale, theoretical tenets, and proposed practices with the purpose of advancing theory-practice reflection on music education practices…

Why undertake a pilot in a qualitative PhD study? Lessons learned to promote success.

PubMed

Wray, Jane; Archibong, Uduak; Walton, Sean

2017-01-23

Background Pilot studies can play an important role in qualitative studies. Methodological and practical issues can be shaped and refined by undertaking pilots. Personal development and researchers' competence are enhanced and lessons learned can inform the development and quality of the main study. However, pilot studies are rarely published, despite their potential to improve knowledge and understanding of the research. Aim To present the main lessons learned from undertaking a pilot in a qualitative PhD study. Discussion This paper draws together lessons learned when undertaking a pilot as part of a qualitative research project. Important methodological and practical issues identified during the pilot study are discussed including access, recruitment, data collection and the personal development of the researcher. The resulting changes to the final study are also highlighted. Conclusion Sharing experiences of and lessons learned in a pilot study enhances personal development, improves researchers' confidence and competence, and contributes to the understanding of research. Implications for practice Pilots can be used effectively in qualitative studies to refine the final design, and provide the researcher with practical experience to enhance confidence and competence.

Natural gas in the energy industry of the 21st century

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

Cuttica, J.

1995-12-31

This paper provides a gas industry perspective on the impacts of restructuring the natural gas and electric industries. The four main implications discussed are: (1) market trends, (2) strategic positioning, (3) significant market implications, and (4) issues for the future. Market trends discussed include transitioning rate of return to market competition and regulatory impacts. Significant market implications for gas-fired generation identified include limited new generation investment, extension of existing plants, and an opportunity for distributed power generation. 12 tabs.

Argumentation in elementary science education: addressing methodological issues and conceptual understanding

NASA Astrophysics Data System (ADS)

Kaya, Ebru

2017-11-01

In this review essay I respond to issues raised in Mijung Kim and Wolff-Michael Roth's paper titled "Dialogical argumentation in elementary science classrooms", which presents a study dealing with dialogical argumentation in early elementary school classrooms. Since there is very limited research on lower primary school students' argumentation in school science, their paper makes a contribution to research on children's argumentation skills. In this response, I focus on two main issues to extend the discussion in Kim and Roth's paper: (a) methodological issues including conducting a quantitative study on children's argumentation levels and focusing on children's written argumentation in addition to their dialogical argumentation, and (b) investigating children's conceptual understanding along with their argumentation levels. Kim and Roth emphasize the difficulty in determining the level of children's argumentation through the Toulmin's Argument Pattern and lack of high level arguments by children due to their difficulties in writing texts. Regarding these methodological issues, I suggest designing quantitative research on coding children's argument levels because such research could potentially provide important findings on children's argumentation. Furthermore, I discuss alternative written products including posters, figures, or pictures generated by children in order to trace children's arguments, and finally articulating argumentation and conceptual understanding of children.

Passport to promiscuity or lifesaver: press coverage of HPV vaccination and risky sexual behavior.

PubMed

Forster, Alice; Wardle, Jane; Stephenson, Judith; Waller, Jo

2010-03-01

A significant minority of parents are concerned about adolescents engaging in risky sexual behavior following human papillomavirus (HPV) vaccination. The way the HPV vaccine is reported in the media has the potential to influence public understanding and vaccination decisions. The present study examined the content of articles published between 2003 and 2008 in British national newspapers that addressed the issue of adolescents engaging in risky sexual behavior following HPV vaccination. We used mixed methods to analyze 92 articles in which the issue was mentioned. Qualitative framework analysis highlighted three main types of discussion: news stories proposing that adolescents will engage in risky sexual behavior following HPV vaccination, counterarguments insisting that adolescents will not engage in risky sexual behavior after HPV vaccination, and parents' views of the issue of risky sexual behavior. The results indicated that newspapers provide parents with broadly positive descriptive norms about vaccination; however, the issue that adolescents will engage in risky sexual behaviors following HPV vaccination is regularly discussed in the national press and has the potential to increase parents' concerns about vaccination.

Faith healing and faith in healing.

PubMed

Gopichandran, Vijayaprasad

2015-01-01

Sarkar and Seshadri have presented an interesting paper in this issue on the ethical approach that a physician should take when faced with requests for faith healing (1). The paper describes four approaches that the physician can take. These are rejecting the request, keeping oneself detached from the issue, endorsing the request and trying to understand the practices concerned so as to make a reasoned decision. This commentary attempts to explore the issue of faith healing further, from the point of view of clinical care. It shall discuss five important dimensions which can supplement the arguments by Sarkar and Seshadri. These are the concepts of faith, spirituality and religion and faith healing; the difference between cure and healing; patient-centred care; the various factors influencing a doctor's response to requests for faith healing; and finally, the ethical issues to be considered while making a decision. Before launching into the discussion, it should be made clear that this commentary refers mainly to those faith healing practices which are not overtly harmful, such as prayers, and wearing rings and amulets.

Recent patents on biosafety strategies of selectable marker genes in genetically modified crops.

PubMed

Jiang, Yiming; Hu, Xiaoning; Huang, Haiying

2014-01-01

Genetically modified crops (GMCs) have been planted world wide since 1990s, but the potential insecurity of selectable marker genes raises the questions about GMC safety. Therefore, several researches have been conducted on marker gene safety issues and recently several patents have been issued on this subject. There are two main approaches to achieve this goal: seeking the biosafety selectable marker and eliminating these insecure marker genes after transformation. Results show that these two systems are quite effective. Recent patents on the two ways are discussed in this review.

Coal gasification systems engineering and analysis. Appendix F: Critical technology items/issues

NASA Technical Reports Server (NTRS)

1980-01-01

Critical technology items and issues are defined in which there is a need for developmental research in order to assure technical and economic success for the state of the art of coal gasification in the United States. Technology development needs for the main processing units and the supporting units are discussed. While development needs are shown for a large number of systems, the most critical areas are associated with the gasifier itself and those systems which either feed the gasifier or directly receive products form the gasifier.

Health-care data collecting, sharing, and using in Thailand, China mainland, South Korea, Taiwan, Japan, and Malaysia.

PubMed

Aljunid, Syed Mohamed; Srithamrongsawat, Samrit; Chen, Wen; Bae, Seung Jin; Pwu, Raoh-Fang; Ikeda, Shunya; Xu, Ling

2012-01-01

This article sought to describe the health-care data situation in six selected economies in the Asia-Pacific region. Authors from Thailand, China mainland, South Korea, Taiwan, Japan, and Malaysia present their analyses in three parts. The first part of the article describes the data-collection process and the sources of data. The second part of the article presents issues around policies of data sharing with the stakeholders. The third and final part of the article focuses on the extent of health-care data use for policy reform in these different economies. Even though these economies differ in their economic structure and population size, they share some similarities on issues related to health-care data. There are two main institutions that collect and manage the health-care data in these economies. In Thailand, China mainland, Taiwan, and Malaysia, the Ministry of Health is responsible through its various agencies for collecting and managing the health-care data. On the other hand, health insurance is the main institution that collects and stores health-care data in South Korea and Japan. In all economies, sharing of and access to data is an issue. The reasons for limited access to some data are privacy protection, fragmented health-care system, poor quality of routinely collected data, unclear policies and procedures to access the data, and control on the freedom on publication. The primary objective of collecting health-care data in these economies is to aid the policymakers and researchers in policy decision making as well as create an awareness on health-care issues for the general public. The usage of data in monitoring the performance of the heath system is still in the process of development. In conclusion, for the region under discussion, health-care data collection is under the responsibility of the Ministry of Health and health insurance agencies. Data are collected from health-care providers mainly from the public sector. Routinely collected data are supplemented by national surveys. Accessibility to the data is a major issue in most of the economies under discussion. Accurate health-care data are required mainly to support policy making and evidence-based decisions. Copyright © 2012 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Magnetohydrodynamics and the National Coal Science, Technology, and Engineering Development Acts

NASA Astrophysics Data System (ADS)

The organization of a national coal science program and the production of electricity from coal using magnetohydrodynamic processes were the topics of a hearing before the subcommittee on energy research and development. The analysis of commercial energy at electric power plants, with an emphasis on the protection of the environment, were the main issues discussed.

Youth Civic Engagement: An Institutional Turn. Circle Working Paper 45

ERIC Educational Resources Information Center

Levine, Peter, Ed.; Youniss, James

2006-01-01

The papers in this collection were written by an interdisciplinary group to address two main questions: What conditions deter young 'involvement in politics and civic life? What reforms could enhance youth engagement? Most of the contributors met face-to-face in Washington, DC in March 2005 to discuss their papers and the general issue of youth…

Online Identity: Guidelines for Discerning Covert Racism in Blogs

ERIC Educational Resources Information Center

Kurubacak, Gulsun

2008-01-01

Blogs are web sites, which have the specific themes and are updated with the latest news, views, and trends including philosophical reflections, opinions, and social and/or political issues. Due to representing the personality of the author or the web site, the main purpose of this article is to discuss the guidelines of discerning covert racism…

Reflections on the Language Issues in Macau: Policies, Realities, and Prospects.

ERIC Educational Resources Information Center

Ieong, Sylvia S. L.

Discussion of the role of languages in Macau focuses on three areas: forces in determination of language policy; actual language use in Macau; and prospects beyond 1999. Four main forces for language policy are identified: emergence of a middle class due to economic progress and access to higher education; arrival of well-educated, liberal…

Grounding Leadership Theory and Research: Issues, Perspectives, and Methods. Leadership Horizons Series.

ERIC Educational Resources Information Center

Parry, Ken W., Ed.; Meindl, James R., Ed.

This book is a collection of 11 essays about research into the phenomena of leadership and other social processes of influence in organizations. After a context-setting introduction by Ken W. Perry and James R. Meindl, the main text includes the following essays: (1) "Salient Bias in Discussion and Research on Leadership" (Micha Popper);…

Casualization of Academics in the Australian Higher Education: Is Teaching Quality at Risk?

ERIC Educational Resources Information Center

Lama, Tek; Joullié, Jean-Etienne

2015-01-01

This article explores the issues casual academics face in Australia and whether these pose risks to teaching quality. The logic of the rampant casualisation in Australian universities is exposed first (i.e., mainly flexibility and cost saving to offset drops in government funding), followed by a discussion on the theoretical risks casualisation…

Autonomy, Critical Thinking and the Wittgensteinian Legacy: Reflections on Christopher Winch, "Education, Autonomy and Critical Thinking"

ERIC Educational Resources Information Center

Siegel, Harvey

2008-01-01

In this review of Christopher Winch's new book, "Education, Autonomy and Critical Thinking" (2006), I discuss its main theses, supporting some and criticising others. In particular, I take issue with several of Winch's claims and arguments concerning critical thinking and rationality, and deplore his reliance on what I suggest are problematic…

Writing with Computers in ESL Classroom: Enhancing ESL Learners' Motivation, Confidence and Writing Proficiency

ERIC Educational Resources Information Center

Hadi, Marham Jupri

2013-01-01

Researcher's observation on his ESL class indicates the main issues concerning the writing skills: learners' low motivation to write, minimum interaction in writing, and poor writing skills. These limitations have led them to be less confidence to write in English. This article discusses how computers can be used for the purpose of increasing…

From Primary to Secondary Science: Keeping the Threads Intact

ERIC Educational Resources Information Center

Mould, Kirsten

2015-01-01

There are many transition points in the school life of a child, but the move from primary to secondary school is a particularly significant one. How can both the social and academic threads remain intact? In this article, Kristen Mould discusses the main issues relating to transition from primary to secondary science. She cites the primary factors…

Ethical Issues in Internet Research: International Good Practice and Irish Research Ethics Documents

ERIC Educational Resources Information Center

Felzmann, Heike

2013-01-01

This chapter discusses the main research ethical concerns that arise in internet research and reviews existing research ethical guidance in the Irish context in relation to its application to internet research. The chapter begins with a brief outline of high profile cases in the early history of the internet that highlighted specific emerging…

Mobility of Knowledge as a Recognition Challenge: Experiences from Sweden

ERIC Educational Resources Information Center

Andersson, Per; Fejes, Andreas

2010-01-01

This article focuses on the tensions between mobility, knowledge and recognition, and what the impact of migration could be on lifelong education and society. This is discussed with the case of Sweden as the starting point. The main issue in Sweden concerning migration is the admission of refugees. Sweden has had a relatively open policy…

Foreign Policy & Morality: Framework for a Moral Audit.

ERIC Educational Resources Information Center

Hesburgh, Theodore M.; Halle, Louis J.

Two papers and several commentaries discuss a viable moral framework for foreign policy. It is hoped that the thought of some of the world's major thinkers can provide at least the foundations for a more enduring approach to the issues of political morality. The two main papers are by Father Theodore M. Hesburgh, C.S.C., president of the…

78 FR 53194 - Advisory Group to the Internal Revenue Service Tax Exempt and Government Entities Division (TE/GE...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-28

..., Acting Designated Federal Officer, TE/GE Communications and Liaison; 1111 Constitution Ave. NW.; SE:T:CL... Constitution Ave. NW.; Room 3313; Washington, DC. Issues to be discussed relate to Employee Plans, Exempt... clearance. Photo identification must be presented. Please use the main entrance at 1111 Constitution Ave. NW...

Age Effects in Second Language Learning: Stepping Stones toward Better Understanding

ERIC Educational Resources Information Center

DeKeyser, Robert M.

2013-01-01

The effect of age of acquisition on ultimate attainment in second language learning has been a controversial topic for years. After providing a very brief overview of the ideas that are at the core of the controversy, I discuss the two main reasons why these issues are so controversial: conceptual misunderstandings and methodological difficulties.…

In a Different Voice: Promises and Trials of Non-English Medium Journals

ERIC Educational Resources Information Center

Lee, Yew-Jin

2015-01-01

Various issues confronting science education publications that cater for non-English speaking audiences are explored. With reference to an English-medium journal that the author co-edits, two main conundrums are discussed: (1) How to serve local school practitioners in concrete ways while fulfilling the institutional goals of academia, and (2) the…

Ethical, legal and clinical aspects of live surgery in urology – contemporary issues and a glimpse of the future

PubMed Central

Ferician, Ovidiu Catalin; Latcu, Silviu Constantin; Pricop, Catalin; Bardan, Razvan Tiberiu

2017-01-01

Beside dry and wet lab training, simulators, video tapes, fellowships and clinical visits, live surgery has gained popularity during the last years, being an attraction point at large scientific meetings and at postgraduate courses as well. This type of surgical training raises both ethical and legal issues. Thus, there are professional societies that have banned such meetings, mainly due to safety reasons for the patient. The current article aims to identify and to discuss ethical and legal issues related to the topic, advantages, disadvantages and weak points of this emerging challenge for modern medicine, trying to analyze the issues from all relevant points of view: those of the patient, the surgeon and the session attendant. PMID:28446925

Patient perspective workshop: moving towards OMERACT guidelines for choosing or developing instruments to measure patient-reported outcomes.

PubMed

Kirwan, John R; Fries, James F; Hewlett, Sarah E; Osborne, Richard H; Newman, Stanton; Ciciriello, Sabina; van de Laar, Mart A; Dures, Emma; Minnock, Patricia; Heiberg, Turid; Sanderson, Tessa C; Flurey, Caroline A; Leong, Amy L; Montie, Pamela; Richards, Pam

2011-08-01

The workshop Choosing or Developing Instruments held at the Outcome Measures in Rheumatology (OMERACT) 10 meeting was designed to help participants think about the underlying methods of instrument development. Conference pre-reading material and 3 brief introductory presentations elaborated the issues, and participants broke into discussion groups before reconvening to share insights, engage in a more general discussion of the issues, and vote on recommendations. Tradeoffs between using current imperfect measures and the long and complex process of developing new instruments were considered, together with the need for rigor in patient-reported outcome (PRO) instrument development. The main considerations for PRO instrument development were listed and a research agenda for action produced. As part of the agenda for action, it is recommended that researchers and patient partners work together to tackle these issues, and that OMERACT bring forward proposals for acceptable instrument development protocols that would meet an enhanced "Truth" statement in the OMERACT Filter.

Ethical and methodological issues in research with Sami experiencing disability.

PubMed

Melbøe, Line; Hansen, Ketil Lenert; Johnsen, Bjørn-Eirik; Fedreheim, Gunn Elin; Dinesen, Tone; Minde, Gunn-Tove; Rustad, Marit

2016-01-01

A study of disability among the indigenous Sami people in Norway presented a number of ethical and methodological challenges rarely addressed in the literature. The main study was designed to examine and understand the everyday life, transitions between life stages and democratic participation of Norwegian Sami people experiencing disability. Hence, the purpose of this article is to increase the understanding of possible ethical and methodological issues in research within this field. The article describes and discusses ethical and methodological issues that arose when conducting our study and identifies some strategies for addressing issues like these. The ethical and methodological issues addressed in the article are based on a qualitative study among indigenous Norwegian Sami people experiencing disability. The data in this study were collected through 31 semi-structured in-depth interviews with altogether 24 Sami people experiencing disability and 13 next of kin of Sami people experiencing disability (8 mothers, 2 fathers, 2 sister and 1 guardian). The researchers identified 4 main areas of ethical and methodological issues. We present these issues chronologically as they emerged in the research process: 1) concept of knowledge when designing the study, 2) gaining access, 3) data collection and 4) analysis and accountability. The knowledge generated from this study has the potential to benefit future health research, specifically of Norwegian Sami people experiencing disability, as well as health research concerning indigenous people in general, providing scientific-based insight into important ethical and methodological issues in research with indigenous people experiencing disability.

Women's roundtable discussion on the economic, social and political impacts of the Southeast Asian financial crisis.

PubMed

Kelkar, G

1998-01-01

This article summarizes the main issues revealed at a women's roundtable discussion on the Economic, Social, and Political Impacts of the Southeast Asian Financial Crisis. The discussion was organized by the Development Alternatives of Women for the New Era (DAWN) and was held during April 12-14, 1998, in Manila, the Philippines. The aim was to explore the effects of the financial crisis and its management by states and multilateral agencies on women's political, economic, cultural, and social status; and to reach regional understanding of new issues for the women's movement in Asia and to identify areas of advocacy. Participants included women scholars and activists from Southeast, East, and South Asia; Africa; the Caribbean; Latin America; and the Pacific. Participants came from a wide variety of backgrounds. Nine issues were emphasized. For example, some predicted the currency devaluation before July 1997. The financial crisis is linked with globalization. The International Monetary Fund (IMF) is the primary institution for addressing the financial crisis. IMF conditions on inflation rates and budget surpluses are recessionary and government budget oriented. The crisis has exposed cronyism and corruption within capitalism. Patriarchal values have reemerged as Asian values. Women have lost jobs and income, while the cost of living continues to increase. Prostitution has become more acceptable as legitimate work. Women's human rights are not legally protected. State ideology assumes domestic and sex roles. Issues in each region are identified. 14 key issues pertain to all regions.

Multidisciplinary study on anthropogenic landslides in Nepal

NASA Astrophysics Data System (ADS)

Puglia, Christopher; Derron, Marc-Henri; Nicolet, Pierrick; Sudmeier-Rieux, Karen; Jaboyedoff, Michel; Devkota, Sanjay

2013-04-01

Nepal is a country in which shallow landslide is a frequent phenomenon. Monsoon is the main triggering factor but anthropogenic influence is often significant too. Indeed, many infrastructures, such as roads or water pipes, are not built in a rigorous way because of a lack of funds and knowledge. In the present study we examine the technical, social and economic issues of landslide management for two sites in Nepal. The first site is located in Sanusiruwari VDC (Sindhupalchock district, central Nepal) and the second one in Namadi VDC (Ramecchap district, central Nepal). Both sites are affected by landslides induced by the construction of hydropower plants. These landslides may threaten the viability of the hydropower plants. At both sites the problems are quite similar, but the first site project is a private one and the second one is a public one implemented by the United Nations Development Programme (UNDP). For both sites, bioengineering methods using Vetiver (Vetyveria zizanioides) plantations is the main stabilization measure. To follow the progression of both landslides, fieldwork observations were conducted before and after the 2012 rainy season, including photogrammetric and distancemeter acquisitions. Main issues were discussed with communities and stakeholders of the hydropower projects through interviews and participatory risk mapping. Main issues include: lack of communication between the project managers and communities leading to conflict and the lack of maintenance of the bio-engineering sites, leading to less effective Vetiver growth and slope stabilization. Comparing the landslide management (technical, social and economic) of the two projects allows to point out some specific issues within an integrated risk perspective.

[Contact dermatitis: an approach used by a medical officer].

PubMed

Vologzhanin, D A; Bozhchenko, A A; Bala, A M

2012-01-01

The article deals with contact dermatitis issues, that are of interest not only for dermatologists and specialists in professional pathology, but as well as for general practitioners. Issues of contact dermatitis classification, pathogenic peculiarities of the disease main forms and their basic causes are discussed. Clinical manifestations of irritative and allergic contact dermatitis are described in detail, aspects of differential diagnostics analysed. A detailed consideration is given to allergic diagnostics of contact dermatitis using application test-systems with the most common contact allergens. Main principles of contact dermatitis treatment are outlined in the article. The necessity of a complex approach to this disease therapy that requires not only external therapy, but the compliance with an appropriate treatment regimen, diet as well as application of a particular system therapy is shown. Recommendations for contact dermatitis prophylaxis are given.

A Bayesian approach for calibrating probability judgments

NASA Astrophysics Data System (ADS)

Firmino, Paulo Renato A.; Santana, Nielson A.

2012-10-01

Eliciting experts' opinions has been one of the main alternatives for addressing paucity of data. In the vanguard of this area is the development of calibration models (CMs). CMs are models dedicated to overcome miscalibration, i.e. judgment biases reflecting deficient strategies of reasoning adopted by the expert when inferring about an unknown. One of the main challenges of CMs is to determine how and when to intervene against miscalibration, in order to enhance the tradeoff between costs (time spent with calibration processes) and accuracy of the resulting models. The current paper dedicates special attention to this issue by presenting a dynamic Bayesian framework for monitoring, diagnosing, and handling miscalibration patterns. The framework is based on Beta-, Uniform, or Triangular-Bernoulli models and classes of judgmental calibration theories. Issues regarding the usefulness of the proposed framework are discussed and illustrated via simulation studies.

Detectors for Linear Colliders: Detector design for a Future Electron-Positron Collider (4/4)

ScienceCinema

Thomson, Mark

2018-05-21

In this lecture I will discuss the issues related to the overall design and optimization of a detector for ILC and CLIC energies. I will concentrate on the two main detector concepts which are being developed in the context of the ILC. Here there has been much recent progress in developing realistic detector models and in understanding the physics performance of the overall detector concept. In addition, I will discuss the how the differences in the detector requirements for the ILC and CLIC impact the overall detector design.

Dynamic data distributions in Vienna Fortran

NASA Technical Reports Server (NTRS)

Chapman, Barbara; Mehrotra, Piyush; Moritsch, Hans; Zima, Hans

1993-01-01

Vienna Fortran is a machine-independent language extension of Fortran, which is based upon the Single-Program-Multiple-Data (SPMD) paradigm and allows the user to write programs for distributed-memory systems using global addresses. The language features focus mainly on the issue of distributing data across virtual processor structures. Those features of Vienna Fortran that allow the data distributions of arrays to change dynamically, depending on runtime conditions are discussed. The relevant language features are discussed, their implementation is outlined, and how they may be used in applications is described.

[Nuclear energy and environment: review of the IAEA environmental projects].

PubMed

Fesenko, S; Fogt, G

2012-01-01

The review of the environmental projects of the International Atomic Energy Agency is presented. Basic IAEA documents intended to protect humans and the Environment are considered and their main features are discussed. Some challenging issues in the area of protection of the Environment and man, including the impact of nuclear facilities on the environment, radioactive waste management, and remediation of the areas affected by radiological accidents, nuclear testing and sites of nuclear facilities are also discussed. The need to maintain the existing knowledge in radioecology and protection of the environment is emphasised.

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.

Evaluation of natural language processing systems: Issues and approaches

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

Guida, G.; Mauri, G.

This paper encompasses two main topics: a broad and general analysis of the issue of performance evaluation of NLP systems and a report on a specific approach developed by the authors and experimented on a sample test case. More precisely, it first presents a brief survey of the major works in the area of NLP systems evaluation. Then, after introducing the notion of the life cycle of an NLP system, it focuses on the concept of performance evaluation and analyzes the scope and the major problems of the investigation. The tools generally used within computer science to assess the qualitymore » of a software system are briefly reviewed, and their applicability to the task of evaluation of NLP systems is discussed. Particular attention is devoted to the concepts of efficiency, correctness, reliability, and adequacy, and how all of them basically fail in capturing the peculiar features of performance evaluation of an NLP system is discussed. Two main approaches to performance evaluation are later introduced; namely, black-box- and model-based, and their most important characteristics are presented. Finally, a specific model for performance evaluation proposed by the authors is illustrated, and the results of an experiment with a sample application are reported. The paper concludes with a discussion on research perspective, open problems, and importance of performance evaluation to industrial applications.« less

Consideration of climate change impacts and adaptation in EIA practice — Perspectives of actors in Austria and Germany

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

Jiricka, Alexandra, E-mail: alexandra.jiricka@boku.ac.at; Department of Landscape, Spatial and Infrastructure Sciences, Institute for Landscape Development, Recreation and Conservation Planning, Peter-Jordan-Straße 82, 1190 Vienna; Formayer, Herbert

Current political discussions and developments indicate the importance and urgency of incorporating climate change considerations into EIA processes. The recent revision of the EU Directive 2014/52/EU on Environmental Impact Assessment (EIA) requires changes in the EIA practice of the EU member states. This paper investigates the extent to which the Environmental Impact Assessment (EIA) can contribute to an early consideration of climate change consequences in planning processes. In particular the roles of different actors in order to incorporate climate change impacts and adaptation into project planning subject to EIA at the appropriate levels are a core topic. Semi-structured expert interviewsmore » were carried out with representatives of the main infrastructure companies and institutions responsible in these sectors in Austria, which have to carry out EIA regularly. In a second step expert interviews were conducted with EIA assessors and EIA authorities in Austria and Germany, in order to examine the extent to which climate-based changes are already considered in EIA processes. This paper aims to discuss the different perspectives in the current EIA practice with regard to integrating climate change impacts as well as barriers and solutions identified by the groups of actors involved, namely project developers, environmental competent authorities and consultants (EIA assessors/practitioners). The interviews show that different groups of actors consider the topic to different degrees. Downscaling of climate change scenarios is in this context both, a critical issue with regards to availability of data and costs. Furthermore, assistance for the interpretation of relevant impacts, to be deducted from climate change scenarios, on the specific environmental issues in the area is needed. The main barriers identified by the EIA experts therefore include a lack of data as well as general uncertainty as to how far climate change should be considered in the process without reliable data but in the presence of knowledge about possible consequences at an abstract level. A joint strategy on how to cope with uncertain prognoses about main impacts on environmental issues for areas without reliable data requires a discussion and cooperation between EIA consultants and environmental authorities. - Highlights: • The consideration of climate change impacts in EIA practice in Austria and Germany was analysed through expert interviews. • Barriers as well as possible solutions were indentified by the different groups of actors involved in EIA. • The main challenges regard the investigation of specific entry points. • Limits of feasibility need to be discussed amongst the different groups of actors.« less

Theorizing Land Cover and Land Use Changes: The Case of Tropical Deforestation

NASA Technical Reports Server (NTRS)

Walker, Robert

2004-01-01

This article addresses land-cover and land-use dynamics from the perspective of regional science and economic geography. It first provides an account of the so-called spatially explicit model, which has emerged in recent years as a key empirical approach to the issue. The article uses this discussion as a springboard to evaluate the potential utility of von Thuenen to the discourse on land-cover and land-use change. After identifying shortcomings of current theoretical approaches to land use in mainly urban models, the article filters a discussion of deforestation through the lens of bid-rent and assesses its effectiveness in helping us comprehend the destruction of tropical forest in the Amazon basin. The article considers the adjustments that would have to be made to existing theory to make it more useful to the empirical issues.

[Commentary on 'Ethical issues in living renal transplantation'].

PubMed

Spinsanti, S

2006-01-01

Legalizing kidney market: ethics considerations. The paper by E A Friedman and A L Friedman, advocating suitable kidney sale legislation, recently published in Kidney International, has aroused some controversy among the Italian Society of Nephrology Mailing List members (ML-SIN). A previous article reviewed the main issues and summarized Italian nephrologists' opinions. Generally speaking, ML-SIN participants were critical towards this proposal; the most widespread opinion was that trade of organs for transplant purposes is unethical and that Friedman's legislative suggestion is unlikely to succeed in Italy. To complete discussion, we report also the opinion of an authoritative Ethics expert.

Ethical aspects of care in the newborn surgical patient.

PubMed

Hazebroek, Frans W J; Tibboel, Dick; Wijnen, Rene M H

2014-10-01

This article places focus on three main subjects that are all related to the ethical aspects of care of newborns undergoing major surgical interventions. The first concerns the communication between the surgeon, as a representative of the treatment team, and the parents. The second is the way to handle new developments in neonatal surgery. The third issue covers several aspects of the ethical decision-making process with regard to forgoing life support in surgical neonates. These issues will be discussed on the basis of two clinical case reports. Copyright © 2014 Elsevier Inc. All rights reserved.

Further Education and Training in Swedish Working Life: A Discussion of Trends and Issues.

ERIC Educational Resources Information Center

Tuijnman, Albert

Written mainly for a non-Swedish audience, this document has a twofold purpose: (1) to examine how and to what extent the further education and training of the labor force is both presently and prospectively dealt with in collective bargaining agreements and other workplace negotiation processes in the Swedish labor market; and (2) to examine the…

Posibilidades y limites de un fomento cognitivo temprano (Possibilities and Limits of Early Cognitive Development).

ERIC Educational Resources Information Center

Schmalohr, Emil

This article discusses preschool education and the research conducted in that field on various relevant topics in an effort to establish recommendations and programs. Cognitive development is the main issue and is seen as a product of maturation as well as of a broad base of experience which results from interaction between the mind and the…

Humankind's Three Major Language Topics Today and the State of China's Linguistic Life

ERIC Educational Resources Information Center

Yuming, Li

2008-01-01

In the domain of language planning, humankind has since ancient times discussed three main topics: language problems, linguistic resources, and language rights. On the basis of the state of linguistic life in the world and China today, this article expounds on these three major topics and raises issues about China conducting a general survey of…

An Initial Approach to the Integration of Web 2.0 Technologies in the Research Environment

ERIC Educational Resources Information Center

Millan, Nandy; Bromage, Adrian

2011-01-01

Purpose: The paper comprises an extended discussion of the possibilities that Web 2.0 applications offer to doctoral researchers, and where such applications fit in the early twenty-first century in the research environment. It explores the main issues associated with their use by doctoral researchers, and how these factors have influenced the…

Education, Language and Professionalism: Issues in the Professional Development of Early Years Practitioners in Germany

ERIC Educational Resources Information Center

Fried, Lilian

2009-01-01

In the Federal Republic of Germany, many efforts are currently under way to improve the quality of early childhood education. One starting point is the quality of the professional training of early childhood practitioners. However, discussions mainly refer to input factors, such as the training curricula or the formal level of training. Output…

Finite difference methods for the solution of unsteady potential flows

NASA Technical Reports Server (NTRS)

Caradonna, F. X.

1982-01-01

Various problems which are confronted in the development of an unsteady finite difference potential code are reviewed mainly in the context of what is done for a typical small disturbance and full potential method. The issues discussed include choice of equations, linearization and conservation, differencing schemes, and algorithm development. A number of applications, including unsteady three dimensional rotor calculations, are demonstrated.

Executive Programs for Brazilian Mid-Career Public Managers: Pitfalls and Challenges

ERIC Educational Resources Information Center

Pacheco, Regina Silvia; Franzese, Cibele

2017-01-01

This paper discusses the challenges of professional education for mid-career public managers at graduate level, pointing out pitfalls to avoid and obstacles to face. Analyzing the Brazilian case, the goal is to raise issues that may also be present in other cases. The main argument developed here is that the puzzle faced by graduate programs on…

Rejoinder in Defense of the Standard Model of the Mind: From Whimsical to Systematic Science

ERIC Educational Resources Information Center

Demetriou, Andreas; Spanoudis, George; Mouyi, Antigoni

2012-01-01

This rejoinder discusses the issues raised by the three commentators of the target article. In agreement with Hunt, it is accepted that, as any overarching theory in any science, it does involve postulates about the mind that must be scrutinized by further research. However, its main postulates are well supported by the findings of specifically…

How to Produce Vocabulary Lists? Issues of Definition, Selection and Pedagogical Aims. A Response to Gabriele Stein

ERIC Educational Resources Information Center

Brezina, Vaclav; Gablasova, Dana

2017-01-01

This short contribution is a response to Stein's critical review of the New General Service List; it reviews Stein's argument and replies to the main points raised in her paper. We identify and discuss three fundamental principles of wordlist creation. In particular, we focus on defining and operationalising the vocabulary construct and the…

The Use of the Mother Tongue in Saudi EFL Classrooms

ERIC Educational Resources Information Center

Alshammari, Marzook M.

2011-01-01

The issue of including or excluding the learner's mother tongue in the EFL classroom has been the subject of ongoing discussion and controversy for a long time. This paper attempts to investigate the use of native Arabic in English classes at two Saudi technical colleges. The main objectives were to examine the purpose of L1 use and the attitudes…

Upland agricultural and forestry development in the Amazon: sustainability, criticality and resilience

Treesearch

Emmanuel Adilson S. Serrao; Daniel Nepstad; Robert Walker

1996-01-01

This paper provides an overview of agricultural and forestry development in the Amazon basin, and presents and discusses the main land use systems in evidence today in that region. These are logging, shifting-cultivation and ranching. The issue of sustainability is addressed, and current Amazonian land use is interpreted in light of ecological impacts and long-run...

How to Motivate Our Students to Study Physics?

ERIC Educational Resources Information Center

Holubova, Renata

2015-01-01

The main issue of this paper is the discussion around the question "How can we teach and motivate the why-generation learners and the generation Z learners?". The aim of our project was to find out teaching and learning methods that teachers and learners can use in 21st century classroom. Strategies how to engage gen Y and gen Z learners…

The Lumad and Moro of Mindanao. Minority Rights Group International Report 93/2.

ERIC Educational Resources Information Center

Rodil, B. R.

This document analyzes the two main indigenous groups in the south of the Philippines. It outlines the history of the Lumad and Moro communities of Mindanao. The document discusses the effects of development and business interests in the region, and their campaigns around land issues. The Lumad and Moro accept the need to develop new sources of…

Performance Contracting in Schools: Profit Motive Tested as Incentive to Learning. An Education U.S.A. Special Report.

ERIC Educational Resources Information Center

Mecklenburger, James

This report attempts to cut through the rhetoric of both the opponents and the proponents of performance contracting and to bring the main issues into focus. The report (1) describes different kinds of contracts; (2) discusses testing problems; (3) gives a description of the Texarkana and Banneker elementary school projects; (4) provides sample…

It's Not Easy Being Green: A Survey of Staff Experiences with Environmental Issues in Sci-Tech and Other Libraries.

ERIC Educational Resources Information Center

Alpi, Kristine M.

2000-01-01

Discusses the results of a survey, mainly from science and technology libraries, that asked about environmental policies and committees, individual and institutional attitudes and behavior related to recycling, and the effects of electronic journals and reserves on copying and printing. A copy of the electronic mail survey is appended. (Contains…

Indicators of University-Industry Knowledge Transfer Performance and Their Implications for Universities: Evidence from the United Kingdom

ERIC Educational Resources Information Center

Rossi, Federica; Rosli, Ainurul

2015-01-01

The issue of what indicators are most appropriate in order to measure the performance of universities in knowledge transfer (KT) activities remains relatively under-investigated. The main aim of this paper is to identify and discuss the limitations to the current measurements of university-industry KT performance, and propose some directions for…

Recent Progress on Supernova Remnants - Progenitors, Evolution, Cosmic-ray Acceleration

NASA Astrophysics Data System (ADS)

Bamba, A.

2017-10-01

Supernova remnants supplies heavy elements, kinetic and thermal energies, and cosmic rays, into the universe, and are the key sources to make the diversity of the universe. On the other hand, we do not know the fundamental issues of supernova remnants, such as (1) what their main progenitors are, (2) how they evolve into the realistic (non-uniform) interstellar space, and (3) which type of supernova remnants can accelerate cosmic rays to the knee energy. Recent X-ray studies with XMM-Newton, Chandra, Suzaku, NuSTAR, and Hitomi, progressed understandings of these issues, and found that each issue connect others tightly. In this paper, we will overview these progresses with focusing the above three topics, and discuss what we should do next.

Rotavirus Vaccines: a story of success with challenges ahead

PubMed Central

O’Ryan, Miguel

2017-01-01

Approximately 40 years have passed since the discovery of the rotavirus and 10 years since the introduction and progressive dissemination of rotavirus vaccines worldwide. Currently, 92 countries have introduced rotavirus vaccines into national or subnational programs with evident impact in disease reduction. Two vaccines have been widely used, and four additional vaccines have been licensed and are being used in defined regions. In this context, one main issue that remains unsolved is the lower vaccine efficacy/effectiveness in low-income countries. An additional partially answered issue relates to rotavirus strain circulation in vaccinated populations. These issues are discussed in this review. The most imperative challenge ahead is to fulfill the WHO’s recommendation to introduce rotavirus vaccines in all countries. PMID:28928954

Awareness of Societal Issues Among High School Biology Teachers Teaching Genetics

NASA Astrophysics Data System (ADS)

Lazarowitz, Reuven; Bloch, Ilit

2005-12-01

The purpose of this study was to investigate how aware high school biology teachers are of societal issues (values, moral, ethic, and legal issues) while teaching genetics, genetics engineering, molecular genetics, human heredity, and evolution. The study includes a short historical review of World War II atrocities during the Holocaust when scientists from all the above-mentioned disciplines had been involved in trying to support and develop the eugenics theories. It investigates pre- and postwar theories of the eugenics movement in the United States which were implemented successfully in Germany and a literature survey of the studies of societal issues related to these subjects. The sample consisted of 30 male and female biology teachers. Enclosed are teachers' answers in favor or against including debates about societal issues in their classrooms while teaching the disciplines mentioned above. Teachers' answers were analyzed in relation to three variables: years of teaching experience, gender, and religion faith. Data were collected from questionnaires and personal interviews and analyzed according to qualitative and quantitative methods. The results show that amongst the teachers there is a medium to low level of awareness of societal issues, while mainly emphasizing scientific subjects in preparation of matriculation examinations. The majority of the teachers do not include societal issues in their teaching, but if students raise these issues, teachers claimed to address them. No differences in teachers' opinions to societal issues were found in relation to gender or religious faith. Teachers with more years of teaching experience tend to teach with a more Science, Technology, and Society (STS) approach than novice teachers. The results are discussed in relation to teachers' professional development and teaching strategies are suggested to be used in their classrooms based on a STS approach, which includes the societal issues as a main goal.

Theoretical frameworks used to discuss ethical issues in private physiotherapy practice and proposal of a new ethical tool.

PubMed

Drolet, Marie-Josée; Hudon, Anne

2015-02-01

In the past, several researchers in the field of physiotherapy have asserted that physiotherapy clinicians rarely use ethical knowledge to solve ethical issues raised by their practice. Does this assertion still hold true? Do the theoretical frameworks used by researchers and clinicians allow them to analyze thoroughly the ethical issues they encounter in their everyday practice? In our quest for answers, we conducted a literature review and analyzed the ethical theoretical frameworks used by physiotherapy researchers and clinicians to discuss the ethical issues raised by private physiotherapy practice. Our final analysis corpus consisted of thirty-nine texts. Our main finding is that researchers and clinicians in physiotherapy rarely use ethical knowledge to analyze the ethical issues raised in their practice and that gaps exist in the theoretical frameworks currently used to analyze these issues. Consequently, we developed, for ethical analysis, a four-part prism which we have called the Quadripartite Ethical Tool (QET). This tool can be incorporated into existing theoretical frameworks to enable professionals to integrate ethical knowledge into their ethical analyses. The innovative particularity of the QET is that it encompasses three ethical theories (utilitarism, deontologism, and virtue ethics) and axiological ontology (professional values) and also draws on both deductive and inductive approaches. It is our hope that this new tool will help researchers and clinicians integrate ethical knowledge into their analysis of ethical issues and contribute to fostering ethical analyses that are grounded in relevant philosophical and axiological foundations.

Use of digital media technology for primary prevention of STIs/HIV in youth.

PubMed

Chávez, Noé Rubén; Shearer, Lee S; Rosenthal, Susan L

2014-10-01

The relevant literature was reviewed to identify issues in research evaluating digital media technology (DMT) interventions for the primary prevention of STIs/HIV in adolescents and young adults. A literature search with relevant key terms was conducted in PubMed, for articles with studies that included: (a) participants between 11-29 years; (b) use of one or more of the following forms of DMT: interactive digital video or CD-ROM, computer, text messaging, or Internet; (c) evaluation of an STI/HIV primary prevention intervention; and (d) use of a cognitive, psychosocial, behavioral, or biological outcome. Twenty-nine studies were identified and included in the review. Based on the review of these studies, 7 main issues were discussed and recommendations for improving future research were offered. The 7 main issues were: (a) need for a balance between universal application and specific sub-group focus, (b) lack of a developmental framework, (c) challenge of applying DMT in resource limited contexts, (d) rapidly changing nature of DMT, (e) lack of biological outcomes, (f) lack of comparison/control groups to assess the impact of DMT, and (g) limited temporal follow-up. There is increasing literature evaluating the effectiveness of DMT for preventing STIs/HIV among adolescents and young adults. A careful consideration of 7 main issues identified in the literature can improve the design and evaluation of these interventions and enhance our understanding of their effectiveness. Copyright © 2014 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

Genetic Testing for Minors: Comparison between Italian and British Guidelines

PubMed Central

Tozzo, Pamela; Caenazzo, Luciana; Rodriguez, Daniele

2012-01-01

Genetic testing in children raises many important ethical, legal, and social issues. One of the main concerns is the ethically inappropriate genetic testing of minors. Various European countries established professional guidelines which reflect the different countries perspectives regarding the main ethical issues involved. In this paper, we analyze the Italian and the British guidelines by highlighting differences and similarities. We discuss presymptomatic, predictive, and carrier testing because we consider them to be the more ethically problematic types of genetic testing in minors. In our opinion, national guidelines should take into account the different needs in clinical practice. At the same time, in the case of genetic testing the national and supranational protection of minors could be strengthened by approving guidelines based on a common framework of principles and values. We suggest that the Oviedo Convention could represent an example of such a common framework or, at least, it could lead to articulate it. PMID:22567400

Progress on a cognitive-motivational-relational theory of emotion.

PubMed

Lazarus, R S

1991-08-01

The 2 main tasks of this article are 1st, to examine what a theory of emotion must do and basic issues that it must address. These include definitional issues, whether or not physiological activity should be a defining attribute, categorical versus dimensional strategies, the reconciliation of biological universals with sociocultural sources of variability, and a classification of the emotions. The 2nd main task is to apply an analysis of appraisal patterns and the core relational themes that they produce to a number of commonly identified emotions. Anger, anxiety, sadness, and pride (to include 1 positive emotion) are used as illustrations. The purpose is to show the capability of a cognitive-motivational-relational theory to explain and predict the emotions. The role of coping in emotion is also discussed, and the article ends with a response to criticisms of a phenomenological, folk-theory outlook.

A survey on temperature-aware routing protocols in wireless body sensor networks.

PubMed

Oey, Christian Henry Wijaya; Moh, Sangman

2013-08-02

The rapid growth of the elderly population in the world and the rising cost of healthcare impose big issues for healthcare and medical monitoring. A Wireless Body Sensor Network (WBSN) is comprised of small sensor nodes attached inside, on or around a human body, the main purpose of which is to monitor the functions and surroundings of the human body. However, the heat generated by the node's circuitry and antenna could cause damage to the human tissue. Therefore, in designing a routing protocol for WBSNs, it is important to reduce the heat by incorporating temperature into the routing metric. The main contribution of this paper is to survey existing temperature-aware routing protocols that have been proposed for WBSNs. In this paper, we present a brief overview of WBSNs, review the existing routing protocols comparatively and discuss challenging open issues in the design of routing protocols.

Culture as a variable in neuroscience and clinical neuropsychology: A comprehensive review

PubMed Central

Wajman, José Roberto; Bertolucci, Paulo Henrique Ferreira; Mansur, Letícia Lessa; Gauthier, Serge

2015-01-01

Culture is a dynamic system of bidirectional influences among individuals and their environment, including psychological and biological processes, which facilitate adaptation and social interaction. One of the main challenges in clinical neuropsychology involves cognitive, behavioral and functional assessment of people with different sociocultural backgrounds. In this review essay, examining culture from a historical perspective to ethical issues in cross-cultural research, including the latest significant and publications, the authors sought to explore the main features related to cultural variables in neuropsychological practice and to debate the challenges found regarding the operational methods currently in use. Literature findings suggest a more comprehensive approach in cognitive and behavioral neuroscience, including an interface between elementary disciplines and applied neuropsychology. Thus, as a basis for discussion on this issue, the authors analyzed key-topics related to the study of new trends in sociocultural neuroscience and the application of their concepts from a clinical perspective. PMID:29213964

A Survey on Temperature-Aware Routing Protocols in Wireless Body Sensor Networks

PubMed Central

Oey, Christian Henry Wijaya; Moh, Sangman

2013-01-01

The rapid growth of the elderly population in the world and the rising cost of healthcare impose big issues for healthcare and medical monitoring. A Wireless Body Sensor Network (WBSN) is comprised of small sensor nodes attached inside, on or around a human body, the main purpose of which is to monitor the functions and surroundings of the human body. However, the heat generated by the node's circuitry and antenna could cause damage to the human tissue. Therefore, in designing a routing protocol for WBSNs, it is important to reduce the heat by incorporating temperature into the routing metric. The main contribution of this paper is to survey existing temperature-aware routing protocols that have been proposed for WBSNs. In this paper, we present a brief overview of WBSNs, review the existing routing protocols comparatively and discuss challenging open issues in the design of routing protocols. PMID:23917259

The Intersection of Intellectual Disability and Dementia: Report of The International Summit on Intellectual Disability and Dementia.

PubMed

Watchman, Karen; Janicki, Matthew P

2017-11-02

An International Summit on Intellectual Disability and Dementia, held in Glasgow, Scotland (October 13-14, 2016), drew individuals and representatives of numerous international and national organizations and universities with a stake in issues affecting adults with intellectual disability (ID) affected by dementia. A discussion-based consensus process was used to examine and produce a series of topical reports examining three main conceptual areas: (a) human rights and personal resources (applications of the Convention for Rights of People with Disabilities and human rights to societal inclusion, and perspectives of persons with ID), (b) individualized services and clinical supports (advancing and advanced dementia, post-diagnostic supports, community supports and services, dementia-capable care practice, and end-of-life care practices), and (c) advocacy, public impact, family caregiver issues (nomenclature/terminology, inclusion of persons with ID in national plans, and family caregiver issues). Outcomes included recommendations incorporated into a series of publications and topical summary bulletins designed to be international resources, practice guidelines, and the impetus for planning and advocacy with, and on behalf of, people with ID affected by dementia, as well as their families. The general themes of the conceptual areas are discussed and the main recommendations are associated with three primary concerns. © The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Product vs corporate carbon footprint: Some methodological issues. A case study and review on the wine sector.

PubMed

Navarro, Alejandra; Puig, Rita; Fullana-I-Palmer, Pere

2017-03-01

Carbon footprint (CF) is nowadays one of the most widely used environmental indicators. The scope of the CF assessment could be corporate (when all production processes of a company are evaluated, together with upstream and downstream processes following a life cycle approach) or product (when one of the products is evaluated throughout its life cycle). Our hypothesis was that usually product CF studies (PCF) collect corporate data, because it is easier for companies to obtain them than product data. Six main methodological issues to take into account when collecting corporate data to be used for PCF studies were postulated and discussed in the present paper: fugitive emissions, credits from waste recycling, use of "equivalent factors", reference flow definition, accumulation and allocation of corporate values to minor products. A big project with 18 wineries, being wine one of the most important agri-food products assessed through CF methodologies, was used to study and to exemplify these 6 methodological issues. One of the main conclusions was that indeed, it is possible to collect corporate inventory data in a per year basis to perform a PCF, but having in mind the 6 methodological issues described here. In the literature, most of the papers are presenting their results as a PCF, while they collected company data and obtained, in fact, a "key performance indicator" (ie., CO 2 eq emissions per unit of product produced), which is then used as a product environmental impact figure. The methodology discussed in this paper for the wine case study is widely applicable to any other product or industrial activity. Copyright © 2017 Elsevier B.V. All rights reserved.

Ion-Sensitive Field-Effect Transistor for Biological Sensing

PubMed Central

Lee, Chang-Soo; Kim, Sang Kyu; Kim, Moonil

2009-01-01

In recent years there has been great progress in applying FET-type biosensors for highly sensitive biological detection. Among them, the ISFET (ion-sensitive field-effect transistor) is one of the most intriguing approaches in electrical biosensing technology. Here, we review some of the main advances in this field over the past few years, explore its application prospects, and discuss the main issues, approaches, and challenges, with the aim of stimulating a broader interest in developing ISFET-based biosensors and extending their applications for reliable and sensitive analysis of various biomolecules such as DNA, proteins, enzymes, and cells. PMID:22423205

[Modern nursing work management trends: the case of cooperative companies].

PubMed

Guimarães, Raphael Mendonça; Muzi, Camila Drumond; Mauro, Maria Yvone Chaves

2004-01-01

This article introduces the issue of nursing work management from a theoretical and conceptual perspective by raising some implications for the management of organizations, as well as its impact on work relationships and, consequently, on the worker's health. The main results about ways and modalities of cooperative companies bring about the consideration that proposals of positive changes in the category run contrary to progress. Indecent work conditions, poor quality assistance and low compensation make up the main negative factors in this work process. Therefore, it is urgent to resume the discussion of what one expects from nursing for the future.

Women's experiences of participation in a feminist group for women with complex mental health issues.

PubMed

Clements Eaton, Emma Catherine; Cox, Rachel

2015-01-01

A sample of women (n = 5) participated in a qualitative service evaluation concerning an open-ended, therapeutic group for women only. Data analysis followed suggestions by Halcomb and Davidson (2006). Main themes derived from the evaluation included: 'Groups are different from individual work', 'Belonging/ not being alone', 'Performance in the group', 'The group as a safety net', 'Life improvements and hope for the future' and 'The extent of emotional despair felt'. In this paper, several sub-themes within the main themes and relevant theories and implications for theory and service provision are discussed.

How Can Curriculum History Benefit from Sociolinguistics? The Importance of Language Controversy in the Making of Citizens in Nineteenth- and Twentieth-Century Europe

ERIC Educational Resources Information Center

Gardin, Matias; Gritter, Kris

2016-01-01

Based on small case-study illustrations from a variety of European countries, this study aims to explore methodological aspects of the study of curriculum history by expanding its traditional research scope. In so doing, it is argued that sociolinguistic issues are essential to this discussion. The main argument is that sociolinguistics and…

The Role and Use of E-Materials in Vocational Education and Training: The Case of Slovenia

ERIC Educational Resources Information Center

Mažgon, Jasna; Šebart, Mojca Kovac; Štefanc, Damijan

2015-01-01

In the paper some issues and problems regarding the implementation of ICT in initial vocational education and training in Slovenia are discussed. After the brief analysis of the main theoretical characteristics of ICT and e-materials, the key findings from the recent EU survey on the ICT in schools are presented and some conclusions on the basis…

Risk/Requirements Trade-off Guidelines for Low Cost Satellite Systems

NASA Technical Reports Server (NTRS)

Cornford, Steven L.; Man, Kin F.

1996-01-01

The accelerating trend toward faster, better, cheaper missions places increasing emphasis on the trade-offs between requirements and risk to reduce cost and development times, while still improving quality and reliability. The Risk/Requirement Trade-off Guidelines discussed in this paper are part of an integrated approach to address the main issues by focusing on the sum of prevention, analysis, control, or test (PACT) processes.

Sex, Lies, & Stereotypes: The Image of Arabs in American Popular Fiction. ADC Issue Paper No. 23.

ERIC Educational Resources Information Center

Sabbagh, Suha J.

This document discusses the treatment of Arabs in the western media. The main portion concentrates on the image of Arabs presented in American novels. Because television and films present visual images that communicate a powerful message in a matter of seconds, stereotyping appears as a shorthand form of communication and is, to a certain extent,…

Class-first analysis in a continuum: an approach to the complexities of schools, society, and insurgent science

NASA Astrophysics Data System (ADS)

Valdiviezo, Laura Alicia

2010-06-01

This essay addresses Katherine Richardson Bruna's paper: Mexican Immigrant Transnational Social Capital and Class Transformation: Examining the Role of Peer Mediation in Insurgent Science, through five main points . First, I offer a comparison between the traditional analysis of classism in Latin America and Richardson Bruna's call for a class-first analysis in the North American social sciences where there has been a tendency to obviate the specific examination of class relations and class issues. Secondly, I discuss that a class-first analysis solely cannot suffice to depict the complex dimensions in the relations of schools and society. Thus, I suggest a continuum in the class-first analysis. Third, I argue that social constructions surrounding issues of language, ethnicity, and gender necessarily intersect with issues of class and that, in fact, those other constructions offer compatible epistemologies that aid in representing the complexity of social and institutional practices in the capitalist society. Richardson Bruna's analysis of Augusto's interactions with his teacher and peers in the science class provides a fourth point of discussion in this essay. As a final point in my response I discuss Richardson Bruna's idea of making accessible class-first analysis knowledge to educators and especially to science teachers.

Enhancing the development and approval of acute stroke therapies: Stroke Therapy Academic Industry roundtable.

PubMed

Fisher, Marc; Albers, Gregory W; Donnan, Geoffrey A; Furlan, Anthony J; Grotta, James C; Kidwell, Chelsea S; Sacco, Ralph L; Wechsler, Lawrence R

2005-08-01

Previous Stroke Therapy Academic Industry Roundtable (STAIR) meetings focused on preclinical evidence of drug efficacy and enhancing acute stroke trial design and performance. A fourth (STAIR-IV) was held to discuss relevant issues related to acute stroke drug development and regulatory approval. The STAIR-IV meeting had 3 main focus areas. The first topic was novel approaches to statistical design of acute stroke trials and appropriate outcome measures. The second focus was the need for better cooperation among participants in stroke therapy development that may be addressed through a national consortium of stroke trial centers in the United States and elsewhere. Lastly, regulatory issues related to the approval of novel mono and multiple acute stroke therapies were discussed. The development of additional acute stroke therapies represents a large unmet need with many remaining challenges and also opportunities to incorporate novel approaches to clinical trial design that will lead to regulatory approval. The STAIR-IV meeting explored new concepts of trial methodology and data analysis, initiatives for implementing a US clinical trialist consortium, and pertinent regulatory issues to expedite approval of novel therapies.

Persuasive appeals in road safety communication campaigns: Theoretical frameworks and practical implications from the analysis of a decade of road safety campaign materials.

PubMed

Guttman, Nurit

2015-11-01

Communication campaigns are employed as an important tool to promote road safety practices. Researchers maintain road safety communication campaigns are more effective when their persuasive appeals, which are central to their communicative strategy, are based on explicit theoretical frameworks. This study's main objectives were to develop a detailed categorization of persuasive appeals used in road safety communication campaigns that differentiate between appeals that appear to be similar but differ conceptually, and to indicate the advantages, limitations and ethical issues associated with each type, drawing on behavior change theories. Materials from over 300 campaigns were obtained from 41 countries, mainly using road safety organizations' websites. Drawing on the literature, five types of main approaches were identified, and the analysis yielded a more detailed categorizations of appeals within these general categories. The analysis points to advantages, limitations, ethical issues and challenges in using different types of appeals. The discussion summarizes challenges in designing persuasive-appeals for road safety communication campaigns. Copyright © 2015 Elsevier Ltd. All rights reserved.

Reprint of "Persuasive appeals in road safety communication campaigns: Theoretical frameworks and practical implications from the analysis of a decade of road safety campaign materials".

PubMed

Guttman, Nurit

2016-12-01

Communication campaigns are employed as an important tool to promote road safety practices. Researchers maintain road safety communication campaigns are more effective when their persuasive appeals, which are central to their communicative strategy, are based on explicit theoretical frameworks. This study's main objectives were to develop a detailed categorization of persuasive appeals used in road safety communication campaigns that differentiate between appeals that appear to be similar but differ conceptually, and to indicate the advantages, limitations and ethical issues associated with each type, drawing on behavior change theories. Materials from over 300 campaigns were obtained from 41 countries, mainly using road safety organizations' websites. Drawing on the literature, five types of main approaches were identified, and the analysis yielded a more detailed categorizations of appeals within these general categories. The analysis points to advantages, limitations, ethical issues and challenges in using different types of appeals. The discussion summarizes challenges in designing persuasive-appeals for road safety communication campaigns. Copyright © 2015 Elsevier Ltd. All rights reserved.

Preface: Current perspectives in modelling, monitoring, and predicting geophysical fluid dynamics

NASA Astrophysics Data System (ADS)

Mancho, Ana M.; Hernández-García, Emilio; López, Cristóbal; Turiel, Antonio; Wiggins, Stephen; Pérez-Muñuzuri, Vicente

2018-02-01

The third edition of the international workshop Nonlinear Processes in Oceanic and Atmospheric Flows was held at the Institute of Mathematical Sciences (ICMAT) in Madrid from 6 to 8 July 2016. The event gathered oceanographers, atmospheric scientists, physicists, and applied mathematicians sharing a common interest in the nonlinear dynamics of geophysical fluid flows. The philosophy of this meeting was to bring together researchers from a variety of backgrounds into an environment that favoured a vigorous discussion of concepts across different disciplines. The present Special Issue on Current perspectives in modelling, monitoring, and predicting geophysical fluid dynamics contains selected contributions, mainly from attendants of the workshop, providing an updated perspective on modelling aspects of geophysical flows as well as issues on prediction and assimilation of observational data and novel tools for describing transport and mixing processes in these contexts. More details on these aspects are discussed in this preface.

Psychiatric comorbidities in asperger syndrome and high functioning autism: diagnostic challenges

PubMed Central

2012-01-01

Several psychiatric conditions, both internalizing and externalizing, have been documented in comorbidity with Asperger Syndrome (AS) and High Functioning Autism (HFA). In this review we examine the interplay between psychiatric comorbidities and AS/HFA. In particular, we will focus our attention on three main issues. First, we examine which psychiatric disorders are more frequently associated with AS/HFA. Second, we review which diagnostic tools are currently available for clinicians to investigate and diagnose the associated psychiatric disorders in individuals with AS/HFA. Third, we discuss the challenges that clinicians and researchers face in trying to determine whether the psychiatric symptoms are phenotypic manifestations of AS/HFA or rather they are the expression of a distinct, though comorbid, disorder. We will also consider the role played by the environment in the manifestation and interpretation of these symptoms. Finally, we will propose some strategies to try to address these issues, and we will discuss therapeutic implications. PMID:22731684

Obesity prevention: Comparison of techniques and potential solution

NASA Astrophysics Data System (ADS)

Zulkepli, Jafri; Abidin, Norhaslinda Zainal; Zaibidi, Nerda Zura

2014-12-01

Over the years, obesity prevention has been a broadly studied subject by both academicians and practitioners. It is one of the most serious public health issue as it can cause numerous chronic health and psychosocial problems. Research is needed to suggest a population-based strategy for obesity prevention. In the academic environment, the importance of obesity prevention has triggered various problem solving approaches. A good obesity prevention model, should comprehend and cater all complex and dynamics issues. Hence, the main purpose of this paper is to discuss the qualitative and quantitative approaches on obesity prevention study and to provide an extensive literature review on various recent modelling techniques for obesity prevention. Based on these literatures, the comparison of both quantitative and qualitative approahes are highlighted and the justification on the used of system dynamics technique to solve the population of obesity is discussed. Lastly, a potential framework solution based on system dynamics modelling is proposed.

'They don't just come for Machu Picchu': locals' views of tourist-local sexual relationships in Cuzco, Peru.

PubMed

Bauer, Irmgard

2008-08-01

Sexual and romantic relationships between local people and tourists have long taken place. Such encounters are not a modern phenomenon, but the potential of sexually transmitted infections (STIs), including HIV/AIDS, warrants greater research into the issue. This paper analyses local people's views of local-tourist relationships in Cuzco/Peru. Data were obtained through in-depth interviews, participant and non-participant observation and informal discussions. Attraction based on physical difference was reportedly the main trigger for such relationships. Emerging themes discussed include issues of self-esteem, strategies of approach, tourists' motives, emotional involvement and expectations from such encounters. Levels of unprotected sexual behaviour and lack of STI awareness are of sufficient concern to recommend urgent action. Suggestions for sexual health education are made with particular emphasis on targeting local people involved in the tourism and hospitality industries.

Russian engineering education in the era of change

NASA Astrophysics Data System (ADS)

Vladimirovich Pukharenko, Yurii; Vladimirovna Norina, Natalia; Aleksandrovich Norin, Veniamin

2017-03-01

The article investigates modern issues of engineering education in Russia related to introduction of the Bologna system. The author shows that the situation in the education in general gives reasons for concern; the issue of qualitative enrolment of students for engineering specialties escalates; graduates with masters and bachelors' degrees are not in demand in industries or agriculture due to poor training for work in the real life. The main cause of problems in the engineering personnel training in Russia (lacking effective relationship with employers and universities) is discussed. The ways to overcome such issues in quality engineering training were investigated. The author has considered new requirements to engineering education and have briefly compare the Russian model of engineering education with the European and American models. The prospects of the Russian engineering education (transiting to the sixth technological mode) and issues of NBIC-convergent engineering education have been examined.

Description and Application of a Mathematical Method for the Analysis of Harmony

PubMed Central

Zuo, Qiting; Jin, Runfang; Ma, Junxia

2015-01-01

Harmony issues are widespread in human society and nature. To analyze these issues, harmony theory has been proposed as the main theoretical approach for the study of interpersonal relationships and relationships between humans and nature. Therefore, it is of great importance to study harmony theory. After briefly introducing the basic concepts of harmony theory, this paper expounds the five elements that are essential for the quantitative description of harmony issues in water resources management: harmony participant, harmony objective, harmony regulation, harmony factor, and harmony action. A basic mathematical equation for the harmony degree, that is, a quantitative expression of harmony issues, is introduced in the paper: HD = ai − bj, where a is the uniform degree, b is the difference degree, i is the harmony coefficient, and j is the disharmony coefficient. This paper also discusses harmony assessment and harmony regulation and introduces some application examples. PMID:26167535

Perceptions and experiences of adolescents, parents and school administrators regarding adolescent-parent communication on sexual and reproductive health issues in urban and rural Uganda.

PubMed

Muhwezi, Wilson Winstons; Katahoire, Anne Ruhweza; Banura, Cecily; Mugooda, Herbert; Kwesiga, Doris; Bastien, Sheri; Klepp, Knut-Inge

2015-11-30

Evidence suggests that in spite of some adolescents being sexually active, many parents do not discuss sex-related issues with them due to lack of age-appropriate respectful vocabulary and skills. The likelihood of parent-adolescent communication improving sexual and reproductive health outcomes appears plausible. The desire to understand parent-adolescent communication and how to improve it for promotion of healthy sexual behaviours inspired this research. The paper is meant to describe perceptions of adolescents, parents and school administrators about parent-adolescent communication on sexual issues; describe the content of such communication and identify factors that influence this communication. The study was done among two urban and two rural secondary school students in their second year of education. Data were collected from 11 focus group discussions and 10 key Informants Interviews. Data management, analysis and interpretation followed thematic analysis principles. Illuminating verbatim quotations are used to illustrate findings. Parental warmth and acceptability of children was perceived by parents to be foundational for a healthy adolescent- parent communication. Perceptions of adolescents tended to point to more open and frequent communication with mothers than fathers and to cordial relationships with mothers. Fathers were perceived by adolescents to be strict, intimidating, unapproachable and unavailable. While adolescents tended to generally discuss sexual issues with mothers, male adolescents communicated less with anyone on sex, relationships and condoms. Much of the parent-adolescent communication was perceived to focus on sexually transmitted infections and body changes. Discussions of sex and dating with adolescents were perceived to be rare. Common triggers of sexuality discussions with female adolescents were; onset of menstruation and perceived abortion in the neighbourhood. Discussion with male adolescents, if it occurred was perceived to be triggered by parental suspicion of having female 'friends' or coming home late. Peers at school and mass media were perceived to the main source of sexuality information. Communication on sexuality issues between parents and their adolescent children was infrequent and critical elements like sex and specifics of protection against undesirable sexual behaviour consequences were avoided. Peers, schools and mass media should be creatively harnessed to improve parent-adolescent communication about sexuality issues.

Enabling Analytics on Sensitive Medical Data with Secure Multi-Party Computation.

PubMed

Veeningen, Meilof; Chatterjea, Supriyo; Horváth, Anna Zsófia; Spindler, Gerald; Boersma, Eric; van der Spek, Peter; van der Galiën, Onno; Gutteling, Job; Kraaij, Wessel; Veugen, Thijs

2018-01-01

While there is a clear need to apply data analytics in the healthcare sector, this is often difficult because it requires combining sensitive data from multiple data sources. In this paper, we show how the cryptographic technique of secure multi-party computation can enable such data analytics by performing analytics without the need to share the underlying data. We discuss the issue of compliance to European privacy legislation; report on three pilots bringing these techniques closer to practice; and discuss the main challenges ahead to make fully privacy-preserving data analytics in the medical sector commonplace.

Nanomedicines for the Treatment of CNS Diseases.

PubMed

Reynolds, Jessica L; Mahato, Ram I

2017-03-01

Targeting and delivering macromolecular therapeutics to the central nervous system (CNS) has been a major challenge. The blood-brain barrier (BBB) is the main obstacle that must be overcome to allow compounds to reach their targets in the brain. Therefore, much effort has been channelled into improving transport of therapeutics across the BBB and into the CNS including the use of nanoparticles. In this thematic issue, several reviews and original research are presented that address "Nanomedicines for CNS Diseases." The articles in this issue are concentrated on either CNS-HIV disease or CNS tumors. In regards to CNS-HIV disease, there are two reviews that discuss the role of nanoparticles for improving the delivery of HIV therapeutics to the CNS. In addition, there are two original articles focusing on therapies for CNS-HIV, one of them uses nanoparticles for delivery of siRNA specific to a key protein in autophagy to microglia, and another discusses nanoparticle delivery of a soluble mediator to suppress neuroinflammation. Furthermore, a comprehensive review about gene therapy for CNS neurological diseases is also included. Finally, this issue also includes review articles on enhanced drug targeting to CNS tumors. These articles include a review on the use of nanoparticles for CNS tumors, a review on functionalization (ligands) of nanoparticles for drug targeting to the brain tumor by overcoming BBB, and the final review discusses the use of macrophages as a delivery vehicle to CNS tumors. This thematic issue provides a wealth of knowledge on using nanomedicines for CNS diseases.

Awake craniotomy for brain tumor: indications, technique and benefits.

PubMed

Dziedzic, Tomasz; Bernstein, Mark

2014-12-01

Increasing interest in the quality of life of patients after treatment of brain tumors has led to the exploration of methods that can improve intraoperative assessment of neurological status to avoid neurological deficits. The only method that can provide assessment of all eloquent areas of cerebral cortex and white matter is brain mapping during awake craniotomy. This method helps ensure that the quality of life and the neuro-oncological result of treatment are not compromised. Apart from the medical aspects of awake surgery, its economic issues are also favorable. Here, we review the main aspects of awake brain tumor surgery. Neurosurgical, neuropsychological, neurophysiological and anesthetic issues are briefly discussed.

Privacy, anonymity and subjectivity in genomic research.

PubMed

McGonigle, Ian; Shomron, Noam

2016-01-14

The use of non-anonymized human genome data is becoming increasingly popular in research. Here we review the proceedings of a special meeting on this topic that took place at European Molecular Biology Organization (EMBO) in December 2014. The main points discussed centered on how to achieve 'anonymity,' 'trust,' and 'protection of data' in relation to new genomic technologies and research. Following our report of this meeting, we also raise three further issues for future consideration: the harmonization of international law in relation to genetic data protection; the complex issues around the 'dividual' nature of genetic data; and the growing commercial value of personal data. In conclusion, we stress the importance of scientists working in the area of genomic research engaging in interdisciplinary collaborations with humanities and social science scholars and addressing these complicated issues.

The nutritional requirements of infants. Towards EU alignment of reference values: the EURRECA network.

PubMed

Hermoso, Maria; Tabacchi, Garden; Iglesia-Altaba, Iris; Bel-Serrat, Silvia; Moreno-Aznar, Luis A; García-Santos, Yurena; García-Luzardo, Ma del Rosario; Santana-Salguero, Beatriz; Peña-Quintana, Luis; Serra-Majem, Lluis; Moran, Victoria Hall; Dykes, Fiona; Decsi, Tamás; Benetou, Vassiliki; Plada, Maria; Trichopoulou, Antonia; Raats, Monique M; Doets, Esmée L; Berti, Cristiana; Cetin, Irene; Koletzko, Berthold

2010-10-01

This paper presents a review of the current knowledge regarding the macro- and micronutrient requirements of infants and discusses issues related to these requirements during the first year of life. The paper also reviews the current reference values used in European countries and the methodological approaches used to derive them by a sample of seven European and international authoritative committees from which background scientific reports are available. Throughout the paper, the main issues contributing to disparities in micronutrient reference values for infants are highlighted. The identification of these issues in relation to the specific physiological aspects of infants is important for informing future initiatives aimed at providing standardized approaches to overcome variability of micronutrient reference values across Europe for this age group. © 2010 Blackwell Publishing Ltd.

Maine State Briefing Book on low-level radioactive waste management

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

Not Available

1981-08-01

The Maine State Briefing Book is one of a series of state briefing books on low-level radioactive waste management practices. It has been prepared to assist state and Federal agency officials in planning for safe low-level radioactive waste disposal. The report contains a profile of low-level radioactive waste generators in Maine. The profile is the result of a survey of radioactive material licensees in Maine. The briefing book also contains a comprehensive assessment of low-level radioactive waste management issues and concerns as defined by all major interested partices including industry, government, the media, and interest groups. The assessment was developedmore » through personal communications with representatives of interested parties, and through a review of media sources. Lastly, the briefing book provides demographic and socioeconomic data and a discussion of relevant goverment agencies and activities, all of which may impact management practices in Maine.« less

Evidence on public policy: methodological issues, political issues and examples.

PubMed

Attanasio, Orazio P

2014-03-01

In this paper I discuss how evidence on public policy is generated and in particular the issue of evaluation of public policies. In economics, the issue of attribution and the identification of causal links has recently received considerable attention. Important methodological issues have been tackled and new techniques have been proposed and used. Randomized Control Trials have become some sort of gold standard. However, they are not exempt from problems and have important limitations: in some case they cannot be constructed and, more generally, problems of external validity and transferability of results can be important. The paper then moves on to discuss the political economy of policy evaluations for policy evaluations to have an impact for the conduct of actual policy, it is important that the demand for evaluation comes directly from the policy making process and is generated endogenously within it. In this sense it is important that the institutional design of policy making is such that policy making institutions are incentivized to use rigorous evaluation in the process of designing policies and allocating resources to alternative options. Economists are currently involved in the design and evaluation of many policies, including policies about health, nutrition and education. The role they can play in these fields is not completely obvious. The paper argues that their main contribution is in the modelling of how individual reacts to incentives (including those provided by public policies).

Common challenges for ecological modelling: synthesis of facilitated discussions held at the symposia organized for the 2009 conference of the International Society for Ecological Modelling in Quebec City, Canada, (October 6-9, 2009)

USGS Publications Warehouse

Larocque, Guy R.; Mailly, D.; Yue, T.-X.; Anand, M.; Peng, C.; Kazanci, C.; Etterson, M.; Goethals, P.; Jorgensen, S.E.; Schramski, J.R.; McIntire, E.J.B.; Marceau, D.J.; Chen, B.; Chen, G.Q.; Yang, Z.F.; Novotna, B.; Luckai, N.; Bhatti, Jagtar S.; Liu, J.; Munson, A.; Gordon, Andrew M.; Ascough, J.C.

2011-01-01

The eleven symposia organized for the 2009 conference of the International Society for Ecological Modelling (ISEM 2009) held in Quebec City, Canada, October 6–9, 2009, included facilitated discussion sessions following formal presentations. Each symposium focused on a specific subject, and all the subjects could be classified into three broad categories: theoretical development, population dynamics and ecosystem processes. Following discussions with the symposia organizers, which indicated that they all shared similar issues and concerns, the facilitated discussions were task-oriented around four basic questions: (1) key challenges in the research area, (2) generating and sharing new ideas, (3) improving collaboration and networking, and (4) increasing visibility to decision-makers, partners and clients. Common challenges that emerged from the symposia included the need for improved communication and collaboration among different academic disciplines, further progress in both theoretical and practical modelling approaches, and accentuation of technology transfer. Regarding the generation and sharing of new ideas, the main issue that emerged was the type of positive interactions that should be encouraged among potential collaborators. The usefulness of the Internet, particularly for the sharing of open-source software and conducting discussion forums, was highlighted for improving collaboration and networking. Several communication tools are available today, and it is important for modellers to use them more intensively. Visibility can be increased by publishing professional newsletters, maintaining informal contacts with the public, organizing educational sessions in primary and secondary schools, and developing simplified analytical frameworks and pilot studies. Specific issues raised in each symposium are also discussed.

Finite difference methods for the solution of unsteady potential flows

NASA Technical Reports Server (NTRS)

Caradonna, F. X.

1985-01-01

A brief review is presented of various problems which are confronted in the development of an unsteady finite difference potential code. This review is conducted mainly in the context of what is done for a typical small disturbance and full potential methods. The issues discussed include choice of equation, linearization and conservation, differencing schemes, and algorithm development. A number of applications including unsteady three-dimensional rotor calculation, are demonstrated.

JPRS Report, West Europe

DTIC Science & Technology

1987-06-22

with another difficult issue. KRF has invested considerable prestige in the discussion of the artificial insemination law. KRF is putting pressure on...immediately halt the widespread use of artificial fertilizer, which was seen as one of the main causes of groundwater pollution. This struck at the...the same side. 45 Insemination and Taxes In addition there were the many disagreements in last fall’s budget debate. The three must also deal

Spatial Displays and Spatial Instruments

NASA Technical Reports Server (NTRS)

Ellis, Stephen R. (Editor); Kaiser, Mary K. (Editor); Grunwald, Arthur J. (Editor)

1989-01-01

The conference proceedings topics are divided into two main areas: (1) issues of spatial and picture perception raised by graphical electronic displays of spatial information; and (2) design questions raised by the practical experience of designers actually defining new spatial instruments for use in new aircraft and spacecraft. Each topic is considered from both a theoretical and an applied direction. Emphasis is placed on discussion of phenomena and determination of design principles.

The Role of the Community College in Welfare Reform since Passage of the Welfare Reform Act of 1996.

ERIC Educational Resources Information Center

Delmonico, Matt

The paper addresses the impact of welfare reform on the community college and discusses how community colleges are responding to this important social and economic issue. One of the main tenants of the 1996 Welfare Reform Bill is to shift the responsibility for welfare to the states, requiring that half of all able-bodied recipients find work by…

Surgical management of chest wall trauma.

PubMed

Molnar, Tamas F

2010-11-01

Recent paradigm shift in major trauma profile elevates chest wall injuries among the most important topics of the specialty. Due to mass casualties of terror attacks and asymmetric warfare, civilian and military trauma care challenges thoracic surgery, traumatology, intensive anesthesiology, and related specialties. Contemporary advances of the main issues are systemically presented and discussed, such as soft tissue and bony structure injuries, complex traumas like flail chest, and extensively destroyed chest wall.

VLSI Based Multiprocessor Communications Networks.

DTIC Science & Technology

1982-09-01

year of the contract. Research plans for year three are also presented. Need for a research effort in the area of VLSI based communication networks... plans for year three of the contract. Section 4 concludes with a summary discussion of the research thus far. A number of appendices follow the main...pin constraints. We plan to investigate some -12- of these issues during the coming year in addition to developing similar models and bandwidth

Space Shuttle program orbital flight test program results and implications

NASA Technical Reports Server (NTRS)

Kohrs, R. H.

1982-01-01

The Space Shuttle System Orbital Flight Test (OFT) program results are described along with an overview of significant development issues and their resolution. In addition, an overall summary of the development status and the follow-on flight demonstrations of Shuttle improvements such as Lightweight External Tank, High Performance SRBs, Full Power Level (109%) Main Engine Operation, and the SRB Filament Wound Case (FWC) will be discussed.

Review of Carbonate Breccia Genetic Classification in West Hill, Beijing

NASA Astrophysics Data System (ADS)

Yang, Shuran; Danek, Tomas; Cheng, Xianfeng; Huang, Qianrui

2017-12-01

This thesis proposes genetic classification for carbonate breccia in West Hill, Beijing, summarizes the genesis mechanism and features of 14 types of carbonate breccia there, and raises research questions. Not at all of types were included in this classification, mainly which are not so commonly discussed, such as impact breccia formed by meteorolite. Among other things, it raises the issue of overlapping the concept, which requires further research.

Clinical practice: vocal nodules in dysphonic children.

PubMed

Martins, Regina Helena Garcia; Branco, Anete; Tavares, Elaine Lara Mendes; Gramuglia, Andrea Cristina Jóia

2013-09-01

Common among children, vocal symptoms are a cause of concern for parents who seek elucidation of their diagnosis and treatment. Vocal nodules are the major cause of dysphonias in children and are related to vocal abuse. We conducted a literature review considering clinical, physiopathological, epidemiological, and histological aspects of vocal nodules, as well as diagnostic methods, highlighting the main studies addressing this issue. The controversial points of treatments were also discussed.

The Role of Hybrid Make-to-Stock (MTS) - Make-to-Order (MTO) and Economic Order Quantity (EOQ) Inventory Control Models in Food and Beverage Processing Industry

NASA Astrophysics Data System (ADS)

Najhan Mohd Nagib, Ahmad; Naufal Adnan, Ahmad; Ismail, Azianti; Halim, Nurul Hayati Abdul; Syuhadah Khusaini, Nurul

2016-11-01

The inventory model had been utilized since the early 1900s. The implementation of the inventory management model is generally to ensure that an organisation is able to fulfil customer's demand at the lowest possible cost to improve profitability. This paper focuses on reviewing previous published papers regarding inventory control model mainly in the food and beverage processing industry. The author discusses four inventory models, which are the make-to-stock (MTS), make-to-order (MTO), economic order quantity (EOQ), and hybrid of MTS-MTO models. The issues raised by the researchers on the above techniques as well as the elements need to be considered upon selection have been discussed in this paper. The main objective of the study is to highlight the important role played by these inventory control models in the food and beverage processing industry.

Innovation and Integrity in Intervention Research: Conceptual Issues, Methodology, and Knowledge Translation.

PubMed

Malti, Tina; Beelmann, Andreas; Noam, Gil G; Sommer, Simon

2018-04-01

In this article, we introduce the special issue entitled Innovation and Integrity in Intervention Science. Its focus is on essential problems and prospects for intervention research examining two related topics, i.e., methodological issues and research integrity, and challenges in the transfer of research knowledge into practice and policy. The main aims are to identify how to advance methodology in order to improve research quality, examine scientific integrity in the field of intervention science, and discuss future steps to enhance the transfer of knowledge about evidence-based intervention principles into sustained practice, routine activities, and policy decisions. Themes of the special issue are twofold. The first includes questions about research methodology in intervention science, both in terms of research design and methods, as well as data analyses and the reporting of findings. Second, the issue tackles questions surrounding the types of knowledge translation frameworks that might be beneficial to mobilize the transfer of research-based knowledge into practice and public policies. The issue argues that innovations in methodology and thoughtful approaches to knowledge translation can enable transparency, quality, and sustainability of intervention research.

Patients' Perspectives on Information and Communication About Sexual and Relational Issues in Rheumatology Health Care.

PubMed

Helland, Ylva; Dagfinrud, Hanne; Haugen, Mona-Iren; Kjeken, Ingvild; Zangi, Heidi

2017-06-01

Men and women with rheumatic diseases report a significantly negative impact on multiple areas of life, including sexuality. Research indicates that patients want to discuss sexual issues with health professionals (HPs) in rheumatology care but these issues are rarely addressed in consultations. The objective of the present study was to explore patients' experiences of communication with HPs about disease-related sexual issues, their perceptions of the relevance of these issues in rheumatology care and their preferences for how these topics should be handled. A qualitative design was used and 18 semi-structured interviews were performed, including eight women and ten men with inflammatory rheumatic joint diseases, aged 29-62 years. The interviews were recorded and transcribed verbatim. Data were analysed thematically. Four main themes were derived from the interviews: (i) relevance of sexual issues; (ii) vital conditions for communication; (iii) individual preferences in mode and timing of information and communication; and (iv) benefits of information and communication. The participants expressed that, although sexual issues are relevant, necessary conditions for good communication are largely lacking. HPs' knowledge, experience and personal skills, as well as having sufficient time were essential. HPs lack of initiating sexual topics contributed to uncertainty about whether their sexual challenges were disease related and whether it was a legitimate topic to discuss in rheumatology care. Patients wanted HPs to possess knowledge about possible disease-related challenges in sexual life and intimate relationships, and to facilitate communication about these aspects. There is a need to develop practice guidelines to enable HPs to integrate sexual issues as an aspect of healthcare delivery in a patient-friendly manner. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Egg Production and Donation: A New Frontier in the Global Landscape of Cross-Border Reproductive Care: Ethical Concerns.

PubMed

Neri, Margherita; Turillazzi, Emanuela; Pascale, Natasha; Riezzo, Irene; Pomara, Cristoforo

2016-01-01

Cross-border reproductive care (CBRC) is a multifaceted phenomenon. It may involve both the movement of patients to undertake assisted reproductive treatment through technologies otherwise denied and the movement of assisted reproduction professionals, egg and sperm donors and surrogates, as well as the importing and exporting of gametes. The reasons for CBRC vary between countries. In this global landscape, the search for donor oocytes is one of the main reasons for patients seeking cross-border reproductive care. The egg market has led to ethical and political concerns about the means of procuring donor oocytes, the possibility of exploiting economically underprivileged women mainly in poor countries, and the issue of the responsibility and accountability of medical doctors and fertility clinics. Ethical concerns relating to international egg donation are discussed with special focus on the issues of compensation/ reimbursement, the health and welfare of women donating eggs, informed consent to donation, the possible conflict of interest for physicians involved in egg donation programmes, and equity in the distribution of economic resources from CBRC. Finally, the need for global solutions to this global issue is underlined.

Evolution of transcriptional enhancers and animal diversity

PubMed Central

Rubinstein, Marcelo; de Souza, Flávio S. J.

2013-01-01

Deciphering the genetic bases that drive animal diversity is one of the major challenges of modern biology. Although four decades ago it was proposed that animal evolution was mainly driven by changes in cis-regulatory DNA elements controlling gene expression rather than in protein-coding sequences, only now are powerful bioinformatics and experimental approaches available to accelerate studies into how the evolution of transcriptional enhancers contributes to novel forms and functions. In the introduction to this Theme Issue, we start by defining the general properties of transcriptional enhancers, such as modularity and the coexistence of tight sequence conservation with transcription factor-binding site shuffling as different mechanisms that maintain the enhancer grammar over evolutionary time. We discuss past and current methods used to identify cell-type-specific enhancers and provide examples of how enhancers originate de novo, change and are lost in particular lineages. We then focus in the central part of this Theme Issue on analysing examples of how the molecular evolution of enhancers may change form and function. Throughout this introduction, we present the main findings of the articles, reviews and perspectives contributed to this Theme Issue that together illustrate some of the great advances and current frontiers in the field. PMID:24218630

Bridging the divide: global governance of trade and health.

PubMed

Lee, Kelley; Sridhar, Devi; Patel, Mayur

2009-01-31

The main institutions responsible for governing international trade and health-the World Trade Organization (WTO), which replaced the General Agreement on Tariffs and Trade (GATT) in 1995, and WHO-were established after World War 2. For many decades the two institutions operated in isolation, with little cooperation between them. The growth and expansion of world trade over the past half century amid economic globalisation, and the increased importance of health issues to the functioning of a more interconnected world, brings the two domains closer together on a broad range of issues. Foremost is the capacity of each to govern their respective domains, and their ability to cooperate in tackling issues that lie at the intersection of trade and health. This paper discusses how the governance of these two areas relate to one another, and how well existing institutions work together.

Bridging the divide: global governance of trade and health

PubMed Central

Lee, Kelley; Sridhar, Devi; Patel, Mayur

2009-01-01

The main institutions responsible for governing international trade and health—the World Trade Organization (WTO), which replaced the General Agreement on Tariffs and Trade (GATT) in 1995, and WHO—were established after World War 2. For many decades the two institutions operated in isolation, with little cooperation between them. The growth and expansion of world trade over the past half century amid economic globalisation, and the increased importance of health issues to the functioning of a more interconnected world, brings the two domains closer together on a broad range of issues. Foremost is the capacity of each to govern their respective domains, and their ability to cooperate in tackling issues that lie at the intersection of trade and health. This paper discusses how the governance of these two areas relate to one another, and how well existing institutions work together. PMID:19167060

GENDER DIFFERENCES IN QUALITY OF LIFE AMONG LONG-TERM COLORECTAL CANCER SURVIVORS WITH OSTOMIES

PubMed Central

Grant, Marcia; McMullen, Carmit K.; Altschuler, Andrea; Mohler, M. Jane; Hornbrook, Mark C.; Herrinton, Lisa J.; Wendel, Christopher S.; Baldwin, Carol M.; Krouse, Robert S.

2011-01-01

Objective To describe how gender shapes the concerns and adaptations of long-term (> 5 years) colorectal cancer (CRC) survivors with ostomies. Design Qualitative study using content analysis of focus group content. Setting Member of Kaiser Permanente, residing in either Oregon, Southwest Washington State, or Northern California. Sample Four female and four male focus groups selected from quantitative survey participants with health-related quality of life (HRQOL) scores in the highest or lowest quartile. Methods Eight focus groups, discussed challenges of living with an ostomy. Content was recorded, transcribed, and analyzed using directive and summative content analysis. Main Research Variables HRQOL domains of physical, psychological, social and spiritual well being. Findings All groups reported avoiding foods that cause gas or rapid transit, and discussed how limiting the amount of food eaten controlled the output. All groups discussed physical activities, getting support from friends and family, and the importance of being resilient. Both genders identified challenges with sexuality/intimacy. Coping and adjustment difficulties were discussed by women with men only discussing these issues to a small extent. Difficulties with sleep were primarily identified by Low HRQOL women. Problems with body image and depression were discussed only by Low HRQOL women. Conclusions Common issues included diet management, physical activity, social support and sexuality. Women with low HRQOL discussed problems with depression, body image, and sleep. Implications for Nursing Application of these gender-based differences can inform educational interventions for CRC survivors with ostomies. PMID:21875846

[Moral case deliberation: time for ethical reflection in the daily practice of mental health care].

PubMed

Vellinga, A; van Melle-Baaijens, E A H

2016-01-01

Nowadays, reflecting on ethics, which we choose to call moral case deliberation, is occurring more and more frequently in psychiatric institutions. We have personal experience of organising and supervising moral case deliberation in a large psychiatric institute and we can confirm the positive effects of moral case deliberation which have been reported in the literature. To describe a structured method for moral case deliberation which enables care-givers in health care and/or addiction care to reflect on moral dilemmas. We refer to the main findings in relevant literature and describe how we developed a structured method for implementing moral case deliberation. Our studies of the literature indicate that systematic reflection about ethical dilemmas can improve the quality of care and make care-givers more satisfied with their work. This is why we have developed our own method which is applicable particularly to psychiatric and/or addition care and which can be used systematically in discussions of moral dilemmas. Our method for discussing ethical issues works well in clinical practice, particularly when it is embedded in a multidisciplinary context. Of course, to ensure the continuity of the system, deliberation about moral and ethical issues needs to be financially safeguarded and embedded in the organisation. Discussion of moral issues improves the quality of care and increases care-givers' satisfaction with their work.

Materials in the economy; material flows, scarcity, and the environment

USGS Publications Warehouse

Wagner, Lorie A.

2002-01-01

The importance of materials to the economy of the United States is described, including the levels of consumption and uses of materials. The paths (or flows) that materials take from extraction, through processing, to consumer products, and then final disposition are illustrated. Scarcity and environmental issues as they relate to the flow of materials are discussed. Examples for the three main themes of the report (material flows, scarcity, and the environment) are presented.

[Health insurance companies and medical genetics, what do they want to know? Expert opinions concerning medical genetic services].

PubMed

Nippert, Reinhart Peter; Schmidtke, J

2012-03-01

Based on the compilation of medical opinions delivered by a medical genetic expert between 2002 and 2010, solicited by private health insurance companies in Germany, an analysis of the main issues raised was made to identify the information needs of company employees with respect to human and medical genetics. The findings are discussed and recommendations for improvement and further training are suggested.

Conceptual design of the MHD Engineering Test Facility

NASA Technical Reports Server (NTRS)

Bents, D. J.; Bercaw, R. W.; Burkhart, J. A.; Mroz, T. S.; Rigo, H. S.; Pearson, C. V.; Warinner, D. K.; Hatch, A. M.; Borden, M.; Giza, D. A.

1981-01-01

The reference conceptual design of the MHD engineering test facility, a prototype 200 MWe coal-fired electric generating plant designed to demonstrate the commerical feasibility of open cycle MHD is summarized. Main elements of the design are identified and explained, and the rationale behind them is reviewed. Major systems and plant facilities are listed and discussed. Construction cost and schedule estimates are included and the engineering issues that should be reexamined are identified.

Alternative Processes for Water Reclamation and Solid Waste Processing in a Physical/chemical Bioregenerative Life Support System

NASA Technical Reports Server (NTRS)

Rogers, Tom D.

1990-01-01

Viewgraphs on alternative processes for water reclamation and solid waste processing in a physical/chemical-bioregenerative life support system are presented. The main objective is to focus attention on emerging influences of secondary factors (i.e., waste composition, type and level of chemical contaminants, and effects of microorganisms, primarily bacteria) and to constructively address these issues by discussing approaches which attack them in a direct manner.

A Comparative Investigation of the Previous and New Secondary History Curriculum: The Issues of the Definition of the Aims and Objectives and the Selection of Curriculum Content

ERIC Educational Resources Information Center

Dinc, Erkan

2011-01-01

Discussions on history teaching in Turkey indicate that the previous versions of the history curriculum and the pedagogy of history in the country bear many problems and deficiencies. The problems of Turkish history curriculum mainly arise from the perspectives it takes and the selection of its content. Since 2003, there have been extensive…

MLA Exchange and Medical Libraries in India

PubMed Central

Pathan, A. M.

1973-01-01

The paper deals with problems in obtaining single issues and complete volumes of medical periodicals through the international exchanges, mainly the Medical Library Association Exchange. It describes in detail how St. John's Medical College, Bangalore, acquires exchange material. It stresses the need to make the MLA Exchange known to those libraries which are presently unaware of its existence. Means of shipping exchange materials in the United States and Canada are also discussed. PMID:4702805

Impact and Potential of Decision Research on Decision Aiding

DTIC Science & Technology

1987-12-01

series was generated by the APA Committee on Research Support (CORS). a committee reporting to APA’s major scientific policy-making body, the Board of... Scientific Affairs. CORS initiated the series to provide a forum for the discussion of behavioral research issues related to the defense mission...are interested mainly in the scientific or theoretical aspects of their work, and are usually not in the best position to understand its potential

Market and policy barriers to deployment of energy storage

DOE PAGES

Sioshansi, Ramteen; Denholm, Paul; Jenkin, Thomas

2012-04-01

There has recently been resurgent interest in energy storage, due to a number of developments in the electricity industry. Despite this interest, very little storage, beyond some small demonstration projects, has been deployed recently. While technical issues, such as cost, device efficiency, and other technical characteristics are often listed as barriers to storage, there are a number of non-technical and policy-related issues. This paper surveys some of these main barriers and proposes some potential research and policy steps that can help address them. Furthermore, while the discussion is focused on the United States, a number of the findings and observationsmore » may be more broadly applicable.« less

Lessons learned and their application to program development and cultural issues

NASA Technical Reports Server (NTRS)

Roth, Gilbert L.

1991-01-01

The main objectives of space product assurance are, in effect, the same as those of Total Quality Management (TQM) or its many variants. The most significant ingredients are the lessons learned and their application to ongoing and future programs as they are affected by changes in the cultural environment. The cultural issues which affect almost everything done in technical programs and projects are considered. Understanding the lessons learned and the synergism which results from this combination of knowledge, culture, and lessons learned is identified as crucial. A brief discussion of the closed loop linkage that should exist between the world of hands on activities and that of educational institutions is presented.

Quality of life assessment in children: a review of conceptual and methodological issues in multidimensional health status measures.

PubMed Central

Pal, D K

1996-01-01

STUDY OBJECTIVE: To clarify concepts and methodological problems in existing multidimensional health status measures for children. DESIGN: Thematic review of instruments found by computerised and manual searches, 1979-95. SUBJECTS: Nine health status instruments. MAIN RESULTS: Many instruments did not satisfy criteria of being child centered or family focussed; few had sufficient psychometric properties for research or clinical use; underlying conceptual assumptions were rarely explicit. CONCLUSIONS: Quality of life measures should be viewed cautiously. Interdisciplinary discussion is required, as well as discussion with children and parents, to establish constructs that are truly useful. PMID:8882220

Beyond Artificial Intelligence toward Engineered Psychology

NASA Astrophysics Data System (ADS)

Bozinovski, Stevo; Bozinovska, Liljana

This paper addresses the field of Artificial Intelligence, road it went so far and possible road it should go. The paper was invited by the Conference of IT Revolutions 2008, and discusses some issues not emphasized in AI trajectory so far. The recommendations are that the main focus should be personalities rather than programs or agents, that genetic environment should be introduced in reasoning about personalities, and that limbic system should be studied and modeled. Engineered Psychology is proposed as a road to go. Need for basic principles in psychology are discussed and a mathematical equation is proposed as fundamental law of engineered and human psychology.

A short history of randomized experiments in criminology. A meager feast.

PubMed

Farrington, David P

2003-06-01

This article discusses advantages of randomized experiments and key issues raised in the following articles. The main concern is the growth and decrease in the use of randomized experiments by the California Youth Authority, the U.S. National Institute of Justice, and the British Home Office, although other experiments are also discussed. It is concluded that feast and famine periods are influenced by key individuals. It is recommended that policy makers, practitioners, funders, the mass media, and the general public need better education in research quality so that they can tell the difference between good and poor evaluation studies. They might then demand better evaluations using randomized experiments.

Serious games for health: three steps forwards.

PubMed

Drummond, David; Hadchouel, Alice; Tesnière, Antoine

2017-01-01

Serious games are educational tools which are more and more used in patient and health professional education. In this article, we discuss three main points that developers and educators need to address during the development of a serious game for health. We first explain how to develop motivating serious games by finding a point where the intrinsic and extrinsic motivations of end users can converge. Then, we propose to identify the features of serious games which enhance their learning effectiveness on the basis of a framework derived from cognitive science and called "the four pillars of learning." Finally, we discuss issues and solutions related to the evaluation of serious games.

Editorial

NASA Astrophysics Data System (ADS)

Bruzzi, Mara; Cartiglia, Nicolo; Pace, Emanuele; Talamonti, Cinzia

2015-10-01

The 10th edition of the International Conference on Radiation Effects on Semiconductor Materials, Detectors and Devices (RESMDD) was held in Florence, at Dipartimento di Fisica ed Astronomia on October 8-10, 2014. It has been aimed at discussing frontier research activities in several application fields as nuclear and particle physics, astrophysics, medical and solid-state physics. Main topics discussed in this conference concern performance of heavily irradiated silicon detectors, developments required for the luminosity upgrade of the Large Hadron Collider (HL-LHC), ultra-fast silicon detectors design and manufacturing, high-band gap semiconductor detectors, novel semiconductor-based devices for medical applications, radiation damage issues in semiconductors and related radiation-hardening technologies.

Pediatric Glioma at the Optic Pathway and Thalamus

PubMed Central

Park, Eun Suk; Park, Jun Bum; Ra, Young-Shin

2018-01-01

Gliomas are the most common pediatric tumors of the central nervous system. In this review, we discuss the clinical features, treatment paradigms, and evolving concepts related to two types of pediatric gliomas affecting two main locations: the optic pathway and thalamus. In particular, we discuss recently revised pathologic classification, which adopting molecular parameter. We believe that our review contribute to the readers’ better understanding of pediatric glioma because pediatric glioma differs in many ways from adult glioma according to the newest advances in molecular characterization of this tumor. A better understanding of current and evolving issues in pediatric glioma is needed to ensure effective management decision. PMID:29742884

A technological approach to studying motor planning ability in children at high risk for ASD.

PubMed

Taffoni, F; Focaroli, V; Keller, F; Iverson, J M

2014-01-01

In this work we propose a new method to study the development of motor planning abilities in children and, in particular, in children at high risk for ASD. Although several modified motor signs have been found in children with ASD, no specific markers enabling the early assessment of risk have been found yet. In this work, we discuss the problem posed by objective and quantitative behavioral analysis in non-structured environment. After an initial description of the main constraints imposed by the ecological approach, a technological and methodological solution to these issues is presented. Preliminary results on 12 children are reported and briefly discussed.

Development of the roadmap for reducing cardiovascular morbidity and mortality through the detection, treatment and control of hypertension in Africa: report of a working group of the PASCAR Hypertension Task Force.

PubMed

Dzudie, Anastase; Kane, Abdoul; Kramoh, Euloge; Anzouan-Kacou, Jean-Baptiste; Damourou, Jean Marie; Allawaye, Lucien; Nzisabira, Jolis; Mousse, Latif; Balde, Dadier; Nouhom, Ouane; Nkoa, Jean Louis; Kaki, Kimbally; Djomou, Armel; Menanga, Alain; Nganou, Christ Nadege; Mipinda, Jean Bruno; Nebie, Lucie; Kuate, Liliane Mfeukeu; Kingue, Samuel; Ba, Serigne Abdou

The fourth Pan-African Society of Cardiology (PASCAR) hypertension taskforce meeting was held at the Yaoundé Hilton Hotel on 16 March 2016. Its main goals were to update and facilitate understanding of the PASCAR roadmap for the control of hypertension on the continent, to refine the PASCAR hypertension algorithm, and to discuss the next steps of the PASCAR hypertension policy, including how the PASCAR initiative can be customised at country level. The formation of the PASCAR coalition against hypertension, the writing group and the current status of the PASCAR hypertension policy document as well as the algorithm were presented to delegates representing 12 French-speaking countries. The urgency to finalise the continental policy was recognised and consensus was achieved by discussion on the main points and strategy. Relevant scientific issues were discussed and comments were received on all points, including how the algorithm could be simplified and made more accessible for implementation at primary healthcare centres.

Material considerations for third generation infrared photon detectors

NASA Astrophysics Data System (ADS)

Rogalski, A.

2007-04-01

In the paper, issues associated with the development and exploitation of materials used in fabrication of third generation infrared photon detectors are discussed. In this class of detectors two main competitors, HgCdTe photodiodes and quantum well photoconductors are considered. The performance figures of merit of state-of-the-art HgCdTe and QWIP focal plane arrays (FPAs) are similar because the main limitations come from the readout circuits. The metallurgical issues of the epitaxial layers such as uniformity and number of defected elements are the serious problems in the case of long wavelength infrared (LWIR) and very LWIR (VLWIR) HgCdTe FPAs. It is predicted that superlattice based InAs/GaInSb system grown on GaSb substrate seems to be an alternative to HgCdTe with good spatial uniformity and an ability to span cutoff wavelength from 3 to 25 μm. In this context the material properties of type II superlattices are considered more in detail.

Astronomy in the streets

NASA Astrophysics Data System (ADS)

Kebe, Fatoumata

2015-08-01

The Ephemerides Association was founded last year by a PhD student in Astronomy. The association is devoted to the promotion and advancement of knowledge of the universe through research and education.The main activities of the association are scientific meetings, the planning and realization of scientific projects, the support of the scientific activities of its members, and the dissemination of related information among members and other interested persons.The association targets the disadvantaged zones of the Paris suburbs.The main issue was how to bring astronomy in those places. In the suburbs, since most of the youth are poor, most leisure activities like cinema are out of your reach. Thus, mostly of them will play football or basketball outside.We decided to go to meet young people who find themselves together in the evening. We prepare the telescope as well as the fasicules to start the observation of the planets. The discussion finally lead to their career plans and aspirations. Astronomy has become a tool to address societal issues. We present our results after one year of activity.

Talking about epilepsy: Challenges parents face when communicating with their child about epilepsy and epilepsy-related issues.

PubMed

O'Toole, Stephanie; Lambert, Veronica; Gallagher, Pamela; Shahwan, Amre; Austin, Joan K

2016-04-01

The aim of this qualitative study was to explore the challenges that parents of children with epilepsy experienced when engaging in dialog with their child about epilepsy and epilepsy-related issues. Using a qualitative exploratory approach, interviews were conducted with 34 parents of children with epilepsy (aged 6-16 years), consisting of 27 mothers and 7 fathers. Data were transcribed verbatim and thematically analyzed. Findings revealed five main themes: normalizing epilepsy, the invisibility of epilepsy, information concealment, fear of misinforming the child, and difficulty in discussing particular epilepsy-related issues. Many of the communicative challenges experienced by parents impacted on their ability to engage openly in parent-child dialog about epilepsy in the home. Parents face specific challenges when choosing to communicate with their child about epilepsy, relating to creating a sense of normality, reducing fear of causing their child worry, and having a lack of epilepsy-related knowledge. Healthcare professionals who work closely with families living with epilepsy should remain mindful of the importance of discussing family communication surrounding epilepsy and the challenges parents of children with epilepsy face when talking about epilepsy within the home. Copyright © 2016 Elsevier Inc. All rights reserved.

In the right words: addressing language and culture in providing health care.

PubMed

2003-08-01

As part of its continuing mission to serve trustees, executives, and staff of health foundations and corporate giving programs, Grantmakers In Health (GIH) convened a group of experts from philanthropy, research, health care practice, and policy on April 4, 2003, to discuss the roles of language and culture in providing effective health care. During this Issue Dialogue, In the Right Words: Addressing Language and Culture in Providing Health Care, health grantmakers and experts from policy and practice participated in an open exchange of ideas and perspectives on language access and heard from fellow grantmakers who are funding innovative programs in this area. Together they explored ways to effectively support comprehensive language services, including the use of interpreters and translation of written materials. This Issue Brief synthesizes key points from the day's discussion with a background paper previously prepared for Issue Dialogue participants. It focuses on the challenges and opportunities involved with ensuring language access for the growing number of people who require it. Sections include: recent immigration trends and demographic changes; the effect of language barriers on health outcomes and health care processes; laws and policies regarding the provision of language services to patients, including an overview of public financing mechanisms; strategies for improving language access, including enhancing access in delivery settings, promoting advocacy and policy change, improving interpreter training, and advancing research; and roles for foundations in supporting improved language access, including examples of current activities. The Issue Dialogue focused mainly on activities and programs that ensure linguistic access to health care for all patients. Although language and culture are clearly inseparable, a full exploration of the field of cultural competence and initiatives that promote its application to the health care setting are beyond the scope of this Issue Brief. The day's discussion did, however, raise provocative issues of culture that are reflected throughout this report.

LGBT people's knowledge of and preparedness to discuss end-of-life care planning options.

PubMed

Hughes, Mark; Cartwright, Colleen

2014-09-01

Despite the devastating impact of HIV/AIDS, end-of-life care planning among lesbian, gay, bisexual and transgender (LGBT) communities is relatively under-researched, especially in Australia. This paper reports findings of a survey of 305 LGBT people living in New South Wales, which examined their knowledge of and attitudes towards end-of-life care. The focus of this paper is their preparedness to discuss with healthcare providers any end-of-life care plans. The results highlight that while the majority of respondents were aware of three of the four key end-of-life care planning options available in New South Wales--enduring powers of attorney, enduring guardians and person responsible (only a minority had heard of advance healthcare directives)--a much smaller number of people had actually taken up these options. Only a minority of respondents were able to identify correctly who had the legal right to make treatment decisions for a person who is unconscious following a car accident. A small proportion of people had discussed end-of-life care options with general practitioners or another main healthcare provider, and only in very few cases were these issues raised by the practitioners themselves. Those most likely to not feel comfortable discussing these issues with practitioners included younger people, those not fully open about their sexuality to family members, and transgender people and others who do not define their gender as male or female. The paper highlights the importance of education strategies to raise awareness of the end-of-life care planning options among LGBT people, as well as strategies for increasing health providers' preparedness to discuss these issues with LGBT patients. © 2014 John Wiley & Sons Ltd.

Health Information System in a Cloud Computing Context.

PubMed

Sadoughi, Farahnaz; Erfannia, Leila

2017-01-01

Healthcare as a worldwide industry is experiencing a period of growth based on health information technology. The capabilities of cloud systems make it as an option to develop eHealth goals. The main objectives of the present study was to evaluate the advantages and limitations of health information systems implementation in a cloud-computing context that was conducted as a systematic review in 2016. Science direct, Scopus, Web of science, IEEE, PubMed and Google scholar were searched according study criteria. Among 308 articles initially found, 21 articles were entered in the final analysis. All the studies had considered cloud computing as a positive tool to help advance health technology, but none had insisted too much on its limitations and threats. Electronic health record systems have been mostly studied in the fields of implementation, designing, and presentation of models and prototypes. According to this research, the main advantages of cloud-based health information systems could be categorized into the following groups: economic benefits and advantages of information management. The main limitations of the implementation of cloud-based health information systems could be categorized into the 4 groups of security, legal, technical, and human restrictions. Compared to earlier studies, the present research had the advantage of dealing with the issue of health information systems in a cloud platform. The high frequency of studies conducted on the implementation of cloud-based health information systems revealed health industry interest in the application of this technology. Security was a subject discussed in most studies due to health information sensitivity. In this investigation, some mechanisms and solutions were discussed concerning the mentioned systems, which would provide a suitable area for future scientific research on this issue. The limitations and solutions discussed in this systematic study would help healthcare managers and decision-makers take better and more efficient advantages of this technology and make better planning to adopt cloud-based health information systems.

Vaccines and global health.

PubMed

Greenwood, Brian; Salisbury, David; Hill, Adrian V S

2011-10-12

Vaccines have made a major contribution to global health in recent decades but they could do much more. In November 2011, a Royal Society discussion meeting, 'New vaccines for global health', was held in London to discuss the past contribution of vaccines to global health and to consider what more could be expected in the future. Papers presented at the meeting reviewed recent successes in the deployment of vaccines against major infections of childhood and the challenges faced in developing vaccines against some of the world's remaining major infectious diseases such as human immunodeficiency virus (HIV), malaria and tuberculosis. The important contribution that development of more effective veterinary vaccines could make to global health was also addressed. Some of the social and financial challenges to the development and deployment of new vaccines were reviewed. The latter issues were also discussed at a subsequent satellite meeting, 'Accelerating vaccine development', held at the Kavli Royal Society International Centre. Delegates at this meeting considered challenges to the more rapid development and deployment of both human and veterinary vaccines and how these might be addressed. Papers based on presentations at the discussion meeting and a summary of the main conclusions of the satellite meeting are included in this issue of Philosophical Transactions of the Royal Society B.

Recent progress in stabilizing hybrid perovskites for solar cell applications

NASA Astrophysics Data System (ADS)

Chen, Jianqing; Cai, Xin; Yang, Donghui; Song, Dan; Wang, Jiajia; Jiang, Jinghua; Ma, Aibin; Lv, Shiquan; Hu, Michael Z.; Ni, Chaoying

2017-07-01

Hybrid inorganic-organic perovskites have quickly evolved as a promising group of materials for solar cells and optoelectronic applications mainly owing to the inexpensive materials, relatively simple and versatile fabrication and high power conversion efficiency (PCE). The certified energy conversion efficiency for perovskite solar cell (PSC) has reached above 20%, which is compatible to the current best for commercial applications. However, long-term stabilities of the materials and devices remain to be the biggest challenging issue for realistic implementation of the PSCs. This article discusses the key issues related to the stability of perovskite absorbing layer including crystal structural stability, chemical stability under moisture, oxygen, illumination and interface reaction, effects of electron-transporting materials (ETM), hole-transporting materials (HTM), contact electrodes, ion migration and preparation conditions. Towards the end, prospective strategies for improving the stability of PSCs are also briefly discussed and summarized. We focus on recent understanding of the stability of materials and devices and our perspectives about the strategies for the stability improvement.

Enabling disability inclusive practices within the University of Cape Town curriculum: A case study.

PubMed

Ohajunwa, Chioma; Mckenzie, Judith; Lorenzo, Theresa

2015-01-01

Disability inclusion in the curricula of higher education institutions contributes to socially responsive graduates with a capacity to address the cross-cutting issue of disability in development. This article discusses a study conducted at the University of Cape Town (UCT), South Africa, to explore disability inclusion. An instrumental case study approach was adopted and a thematic analysis of data was done. Academic staff found a variety of ways to include disability, such as discussions in class, practice and service learning, but mainly as part of disciplinary requirements. Including disability as an issue of social justice stems mostly from the personal interest of staff, and is done in an ad hoc manner. Disability should be valued, and integrated into the curriculum in a structured manner as a perspective on diversity with which to interrogate our beliefs about ourselves and society. Theorising on disability is needed, as well as the unique perspectives that emerge across interdisciplinary boundaries, especially within the African context.

Ethical issues in patient safety: Implications for nursing management.

PubMed

Kangasniemi, Mari; Vaismoradi, Mojtaba; Jasper, Melanie; Turunen, Hannele

2013-12-01

The purpose of this article is to discuss the ethical issues impacting the phenomenon of patient safety and to present implications for nursing management. Previous knowledge of this perspective is fragmented. In this discussion, the main drivers are identified and formulated in 'the ethical imperative' of patient safety. Underlying values and principles are considered, with the aim of increasing their visibility for nurse managers' decision-making. The contradictory nature of individual and utilitarian safety is identified as a challenge in nurse management practice, together with the context of shared responsibility and identification of future challenges. As a conclusion, nurse managers play a strategic role in patient safety. Their role is to incorporate ethical values of patient safety into decision-making at all levels in an organization, and also to encourage clinical nurses to consider values in the provision of care to patients. Patient safety that is sensitive to ethics provides sustainable practice where the humanity and dignity of all stakeholders are respected.

Enabling disability inclusive practices within the University of Cape Town curriculum: A case study

PubMed Central

Ohajunwa, Chioma

2015-01-01

Background Disability inclusion in the curricula of higher education institutions contributes to socially responsive graduates with a capacity to address the cross-cutting issue of disability in development. This article discusses a study conducted at the University of Cape Town (UCT), South Africa, to explore disability inclusion. Methodology An instrumental case study approach was adopted and a thematic analysis of data was done. Findings Academic staff found a variety of ways to include disability, such as discussions in class, practice and service learning, but mainly as part of disciplinary requirements. Including disability as an issue of social justice stems mostly from the personal interest of staff, and is done in an ad hoc manner. Conclusion Disability should be valued, and integrated into the curriculum in a structured manner as a perspective on diversity with which to interrogate our beliefs about ourselves and society. Theorising on disability is needed, as well as the unique perspectives that emerge across interdisciplinary boundaries, especially within the African context. PMID:28730025

Ethical considerations in industry-sponsored multiregional clinical trials.

PubMed

Ibia, Ekopimo; Binkowitz, Bruce; Saillot, Jean-Louis; Talerico, Steven; Koerner, Chin; Ferreira, Irene; Agarwal, Anupam; Metz, Craig; Maman, Marianne

2010-01-01

During the last several decades, the scientific and ethics communities have addressed important ethical issues in medical research, resulting in the elaboration and adoption of concepts, guidelines, and codes. Ethical issues in the conduct of Multiregional Clinical Trials have attracted significant attention mainly in the last two decades. With the globalization of clinical research and the rapid expansion to countries with a limited tradition of biomedical research, sponsors must proactively address local ethical issues, the adequacy of oversight as well as the applicability and validity of data, and scientific conclusions drawn from diverse patient populations. This paper highlights some core ethical principles and milestones in medical research, and, from an industry perspective, it discusses ethical issues that the clinical trial team may face when conducting Multiregional Clinical Trials (MRCT, clinical trials conducted at sites located across multiple geographic regions of the world). This paper further highlights the areas of consensus and controversies and proposes points to consider. Copyright © 2010 John Wiley & Sons, Ltd.

Politics and public health ethics in practice: right and left meet right and wrong.

PubMed

Gollust, Sarah E; Baum, Nancy M; Jacobson, Peter D

2008-01-01

As public health practitioners are no doubt aware, public health practice and politics are closely linked. Although theoretical discussion of the emerging field of public health ethics has been rich, scholars have paid little attention to the relationship between ethical issues and politics in public health practice. We conducted semistructured interviews with 45 public health practitioners across a range of occupations (eg, health officers, medical directors, sanitarians, nurses, educators, and commissioners) working at 12 local health departments across Michigan and the state health department. Practitioners were asked to describe the ethical issues they faced in their daily practice. Ethical issues that resulted from the political environment emerged as one major category of ethical issues our interviewees described. This article illustrates how political issues engender ethical challenges in 4 main areas: public health agenda-setting, political pressures, political conflicts with best practices, and the scope of public health practice. The findings suggest that politics and public health ethics intrinsically intersect, because political pressures and priorities often impose ethical challenges that practitioners negotiate in their daily work.

From what should we protect future generations: germ-line therapy or genetic screening?

PubMed

Mallia, Pierre; ten Have, Henk

2003-01-01

This paper discusses the issue of whether we have responsibilities to future generations with respect to genetic screening, including for purposes of selective abortion or discard. Future generations have been discussed at length among scholars. The concept of 'Guardian for Future Generations' is tackled and its main criticisms discussed. Whilst germ-line cures, it is argued, can only affect family trees, genetic screening and testing can have wider implications. If asking how this may affect future generations is a legitimate question and since we indeed make retrospective moral judgements, it would be wise to consider that future generations will make the same retrospective judgements on us. Moreover such technologies affect present embryos to which we indeed can be considered to have an obligation.

Issues of health care under weightlessness.

PubMed

Sekiguchi, C

1994-01-01

This review will address issues of effects of space flights on the body. Cardiovascular deconditioning often induce symptoms like orthostatic intolerance after flight, and during flight there will be space motion sickness during the first few days with headache, malaise, nausea and eventually vomiting. These symptoms disappear and do not interfere with the performance of the astronauts after several days. During long-term flights, effects will be muscle atrophy and calcium loss from the skeleton. Radiation effects will be a significant issue, increasing with the length of the space flight. Also during long-term flights, psychological problems will become of increasing importance. Astronaut health care will be discussed related to Space Shuttle missions and Space Station missions. Furthermore, countermeasures for long-term space flights (up to 6 months) will be outlined. The NASA health care programme is reviewed, and the frequency of illnesses and injuries encountered in the NASA programme is discussed. There will be a need for setting up an international health care programme in view of the upcoming international cooperation in the Space Station era. It is emphasized that the Space Station is an international platform. Therefore, the health care team will be composed of international personnel, mainly from NASA with participation of Europe, Canada, Russia, and Japan. Specialized medical doctors will form the team and support the crew members from the ground. Some issues, such as medical licensing and responsibility, remain to be solved.

Magnetohydrodynamics (MHD) Engineering Test Facility (ETF) 200 MWe power plant. Conceptual Design Engineering Report (CDER). Volume 1: Executive summary

NASA Astrophysics Data System (ADS)

1981-09-01

Main elements of the design are identified and explained, and the rationale behind them was reviewed. Major systems and plant facilities are listed and discussed. Construction cost and schedule estimates are presented, and the engineering issues that should be reexamined are identified. The latest (1980-1981) information from the MHD technology program is integrated with the elements of a conventional steam power electric generating plant.

Dynamic Education as a Modern Education System of University

NASA Astrophysics Data System (ADS)

Buranská, Eva; Buranský, Ivan

2014-06-01

The contribution discusses the issue of modern education system of university. This method of education was designed within the KEGA project. Implementation of on-line classroom for dynamic education of the secondary technical school and university students focused on the design and manufacturing of freeform surfaces. The main objective of this teaching method of is improving the parent faculty cooperation with training centres and increasing the interest of secondary school students in the university studies of technical orientation.

Structural and compositional features of high-rise buildings: experimental design in Yekaterinburg

NASA Astrophysics Data System (ADS)

Yankovskaya, Yulia; Lobanov, Yuriy; Temnov, Vladimir

2018-03-01

The study looks at the specifics of high-rise development in Yekaterinburg. High-rise buildings are considered in the context of their historical development, structural features, compositional and imaginative design techniques. Experience of Yekaterinburg architects in experimental design is considered and analyzed. Main issues and prospects of high-rise development within the Yekaterinburg structure are studied. The most interesting and significant conceptual approaches to the structural and compositional arrangement of high-rise buildings are discussed.

Diagnosis and management of male breast enlargement in patients with HIV/AIDS.

PubMed

Qazi, N; Morlese, J; King, D M; Ahmad, R; Nelson, M

2000-12-01

There have been several recent reports describing gynecomastia in HIV-1-seropositive patients treated with HAART. However, the etiology of gynecomastia in this setting is far from clear. In this article, we describe the main issues in diagnosis and treatment of gynecomastia and stress the importance of differentiating between "true" gynecomastia and "lipomastia" (pseudogynecomastia), characterized by subcutaneous fat deposition. The importance of switching antiretroviral drugs is also discussed. In addition, newer medical therapies are highlighted.

Magnetohydrodynamics (MHD) Engineering Test Facility (ETF) 200 MWe power plant. Conceptual Design Engineering Report (CDER). Volume 1: Executive summary

NASA Technical Reports Server (NTRS)

1981-01-01

Main elements of the design are identified and explained, and the rationale behind them was reviewed. Major systems and plant facilities are listed and discussed. Construction cost and schedule estimates are presented, and the engineering issues that should be reexamined are identified. The latest (1980-1981) information from the MHD technology program is integrated with the elements of a conventional steam power electric generating plant.

The Gando Dispute and the Future of Northeast Asia’s Stability

DTIC Science & Technology

2011-03-24

Chinese main-land. 28 The first time Qing and Chosun discussed China-Korea border issues was in 1627 during peace negotiations following the...explaining the background of the Dongbei Project, stated that “after the Chinese economic reform, international relations in northeast border area...arrogance…But Chosun is obsessed by cultural toadyism toward Han Chinese …Chosun will certainly be collapsed.” See, 北厓 (BukAe), 揆園史話 (A History Written in

Introductory life science mathematics and quantitative neuroscience courses.

PubMed

Duffus, Dwight; Olifer, Andrei

2010-01-01

We describe two sets of courses designed to enhance the mathematical, statistical, and computational training of life science undergraduates at Emory College. The first course is an introductory sequence in differential and integral calculus, modeling with differential equations, probability, and inferential statistics. The second is an upper-division course in computational neuroscience. We provide a description of each course, detailed syllabi, examples of content, and a brief discussion of the main issues encountered in developing and offering the courses.

Hydrologic research on instrumented watersheds

USGS Publications Warehouse

Leopold, Luna Bergere

1970-01-01

The successful research man is the one who asks himself the right question. Research must go on primarily in the mind and only secondarily in the physical and biological world. It is only too easy to confuse the choice of a proper tool and the choice of a proper question. Some tools are quite unsuited to certain questions and some questions cannot be answered without the appropriate tool.There has been in recent years a large amount of discussion about whether the high costs and the extensive time period required for experimental watershed* research is really worth the investment. Recent discussions of this matter have cited as major criticisms of the instrumented basin that they are expensive, they leak water, they are unrepresentative, they produce changes too small for detection, and it is difficult to transfer the results. (See Hewlett, Lull, and Reinhart, 1969.) These are all questions worth talking about, but in one sense they tend to obscure the main issue. The main issue is what do we want to learn? If we can decide what it is we want to know, then we can logically ask ourselves what is the best way of going about obtaining that knowledge. It is in this context that we are most likely to place the experimental watershed in a useful and logical position in a classification of research methods.

Reduction of CO2 Emissions Due to Wind Energy - Methods and Issues in Estimating Operational Emission Reductions

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

Holttinen, Hannele; Kiviluoma, Juha; McCann, John

2015-10-05

This paper presents ways of estimating CO2 reductions of wind power using different methodologies. Estimates based on historical data have more pitfalls in methodology than estimates based on dispatch simulations. Taking into account exchange of electricity with neighboring regions is challenging for all methods. Results for CO2 emission reductions are shown from several countries. Wind power will reduce emissions for about 0.3-0.4 MtCO2/MWh when replacing mainly gas and up to 0.7 MtCO2/MWh when replacing mainly coal powered generation. The paper focuses on CO2 emissions from power system operation phase, but long term impacts are shortly discussed.

Data Partitioning and Load Balancing in Parallel Disk Systems

NASA Technical Reports Server (NTRS)

Scheuermann, Peter; Weikum, Gerhard; Zabback, Peter

1997-01-01

Parallel disk systems provide opportunities for exploiting I/O parallelism in two possible waves, namely via inter-request and intra-request parallelism. In this paper we discuss the main issues in performance tuning of such systems, namely striping and load balancing, and show their relationship to response time and throughput. We outline the main components of an intelligent, self-reliant file system that aims to optimize striping by taking into account the requirements of the applications and performs load balancing by judicious file allocation and dynamic redistributions of the data when access patterns change. Our system uses simple but effective heuristics that incur only little overhead. We present performance experiments based on synthetic workloads and real-life traces.

Non-verbal Full Body Emotional and Social Interaction: A Case Study on Multimedia Systems for Active Music Listening

NASA Astrophysics Data System (ADS)

Camurri, Antonio

Research on HCI and multimedia systems for art and entertainment based on non-verbal, full-body, emotional and social interaction is the main topic of this paper. A short review of previous research projects in this area at our centre are presented, to introduce the main issues discussed in the paper. In particular, a case study based on novel paradigms of social active music listening is presented. Active music listening experience enables users to dynamically mould expressive performance of music and of audiovisual content. This research is partially supported by the 7FP EU-ICT Project SAME (Sound and Music for Everyone, Everyday, Everywhere, Every Way, www.sameproject.eu).

Space-based solar power conversion and delivery systems study. Volume 3: Economic analysis of space-based solar power systems

NASA Technical Reports Server (NTRS)

Hazelrigg, G. A., Jr.

1976-01-01

A variety of economic and programmatic issues are discussed concerning the development and deployment of a fleet of space-based solar power satellites (SSPS). The costs, uncertainties and risks associated with the current photovoltaic SSPS configuration, and with issues affecting the development of an economically viable SSPS development program are analyzed. The desirability of a low earth orbit (LEO) demonstration satellite and a geosynchronous (GEO) pilot satellite is examined and critical technology areas are identified. In addition, a preliminary examination of utility interface issues is reported. The main focus of the effort reported is the development of SSPS unit production, and operation and maintenance cost models suitable for incorporation into a risk assessment (Monte Carlo) model (RAM). It is shown that the key technology area deals with the productivity of man in space, not, as might be expected, with some hardware component technology.

Industry 1.61803: the transition to an industry with reduced material demand fit for a low carbon future

PubMed Central

2017-01-01

Arising from a discussion meeting in September 2016, this editorial introduces a special issue on the transition to a future industrial system with greatly reduced demand for material production and attempts to synthesize the main findings. The motivation for such a transition is to reduce industrial greenhouse gas emissions, but unlike previous industrial transformations, there are no major stakeholders who will pursue the change for their own immediate benefit. The special issue, therefore, explores the means by which such a transition could be brought about. The editorial presents an overview of the opportunities identified in the papers of the volume, presents examples of actions that can be taken today to begin the process of change and concludes with an agenda for research that might support a rapid acceleration in the rate of change. This article is part of the themed issue ‘Material demand reduction’. PMID:28461426

Patterns in Students' Argumentation Confronted with a Risk-focused Socio-scientific Issue

NASA Astrophysics Data System (ADS)

Kolstø, Stein Dankert

2006-11-01

This paper reports a qualitative study on students’ informal reasoning on a controversial socio-scientific issue. Twenty-two students from four science classes in Norway were interviewed about the local construction of new power lines and the possible increased risk of childhood leukaemia. The focus in the study is on what arguments the students employ when asked about their decision-making and the interplay between knowledge and personal values. Five different types of main arguments are identified: the relative risk argument, the precautionary argument, the uncertainty argument, the small risk argument, and the pros and cons argument. These arguments are presented through case studies, and crucial information and values are identified for each argument. The students made use of a range of both scientific and non-scientific knowledge. The findings are discussed in relation to possible consequences for teaching models aimed at increasing students’ ability to make thoughtful decisions on socio-scientific issues.

Industry 1.61803: the transition to an industry with reduced material demand fit for a low carbon future.

PubMed

Allwood, Julian M; Gutowski, Timothy G; Serrenho, André C; Skelton, Alexandra C H; Worrell, Ernst

2017-06-13

Arising from a discussion meeting in September 2016, this editorial introduces a special issue on the transition to a future industrial system with greatly reduced demand for material production and attempts to synthesize the main findings. The motivation for such a transition is to reduce industrial greenhouse gas emissions, but unlike previous industrial transformations, there are no major stakeholders who will pursue the change for their own immediate benefit. The special issue, therefore, explores the means by which such a transition could be brought about. The editorial presents an overview of the opportunities identified in the papers of the volume, presents examples of actions that can be taken today to begin the process of change and concludes with an agenda for research that might support a rapid acceleration in the rate of change.This article is part of the themed issue 'Material demand reduction'. © 2017 The Authors.

Individual differences in working memory: introduction to the special section.

PubMed

Miyake, A

2001-06-01

This special section includes a set of 5 articles that examine the nature of inter- and intraindividual differences in working memory, using working memory span tasks as the main research tools. These span tasks are different from traditional short-term memory spans (e.g., digit or word span) in that they require participants to maintain some target memory items (e.g., words) while simultaneously performing some other tasks (e.g., reading sentences). In this introduction, a brief discussion of these working memory span tasks and their characteristics is provided first. This is followed by an overview of 2 major theoretical issues that are addressed by the subsequent articles--(a) the factors influencing the inter- and intraindividual differences in working memory performance and (b) the domain generality versus domain specificity of working memory--and also of some important issues that must be kept in mind when readers try to evaluate the claims regarding these 2 theoretical issues.

Chronic hyperkalemia in non-dialysis CKD: controversial issues in nephrology practice.

PubMed

De Nicola, Luca; Di Lullo, Luca; Paoletti, Ernesto; Cupisti, Adamasco; Bianchi, Stefano

2018-06-07

Chronic hyperkalemia is a major complication of chronic kidney disease (CKD) that occurs frequently, heralds poor prognosis, and necessitates careful management by the nephrologist. Current strategies aimed at prevention and treatment of hyperkalemia are still suboptimal, as evidenced by the relatively high prevalence of hyperkalemia in patients under stable nephrology care, and even in the ideal setting of randomized trials where best treatment and monitoring are mandatory. The aim of this review was to identify and discuss a range of unresolved issues related to the management of chronic hyperkalemia in non-dialysis CKD. The following topics of clinical interest were addressed: diagnosis, relationship with main comorbidities of CKD, therapy with inhibitors of the renin-angiotensin-aldosterone system, efficacy of current dietary and pharmacological treatment, and the potential role of the new generation of potassium binders. Opinion-based answers are provided for each of these controversial issues.

Health circles for teleworkers: selective results on stress, strain and coping styles.

PubMed

Konradt, U; Schmook, R; Wilm, A; Hertel, G

2000-06-01

Telework is decentralized computer-mediated performance of work activities at a location distant from the employing organization. In order to improve well-being at such remote workplaces, we developed a health circle (HC) concept for teleworkers. Three HC sessions were conducted with a total of 17 teleworkers from diverse organizations and branches. The sessions were moderated by a professional facilitator, while the participants selected the discussion issues. Typical issues were technical problems at the home-based computer, time management, communication with supervisors, colleagues and customers, and feelings of isolation from the main company. Besides discussing these stress factors, participants developed concrete coping strategies based on the exchange of experiences and additional informational input by external experts. Process evaluation at the end of each meeting revealed that participants found the exchange of personal experiences and the informational input during the HCs very helpful, as well as the common development of coping strategies. Moreover, a questionnaire 2 months after the last HC session revealed that participants reported significantly more positive changes in typical stress factors than teleworkers in a control group. The implications of these results for preventive and corrective strategies of telework design are discussed.

Heart-type fatty acid binding protein (H-FABP) as a biomarker for acute myocardial injury and long-term post-ischemic prognosis.

PubMed

Ye, Xiao-Dong; He, Yi; Wang, Sheng; Wong, Gordon T; Irwin, Michael G; Xia, Zhengyuan

2018-05-17

Acute myocardial infarction (AMI) is a life-threatening event. Even with timely treatment, acute ischemic myocardial injury and ensuing ischemia reperfusion injury (IRI) can still be difficult issues to tackle. Apart from radiological and other auxiliary examinations, laboratory tests of applicable cardiac biomarkers are also necessary for early diagnosis and close monitoring of this disorder. Heart-type fatty acid binding protein (H-FABP), which mainly exists inside cardiomyocytes, has recently emerged as a potentially promising biomarker for myocardial injury. In this review we discuss the sensitivity and specificity of H-FABP in the assessment of myocardial injury and IRI, especially in the early stage, and its long-term prognostic value in comparison with other commonly used cardiac biomarkers, including myoglobin (Mb), cardiac troponin I (cTnI), creatine kinase MB (CK-MB), C-reactive protein (CRP), glycogen phosphorylase isoenzyme BB (GPBB), and high-sensitivity cardiac troponin T (hs-cTnT). The potential and value of combined application of H-FABP with other biomarkers are also discussed. Finally, the prospect of H-FABP is summarized; several technical issues are discussed to facilitate wider application of H-FABP in clinical practice.

Changes to processes in estuaries and coastal waters due to intense multiple pressures - An introduction and synthesis

NASA Astrophysics Data System (ADS)

Mitchell, Steven B.; Jennerjahn, Tim C.; Vizzini, Salvatrice; Zhang, Weiguo

2015-04-01

From the 2013 ECSA conference 'Estuaries and Coastal Areas in Times of Intense Change' a theme emerged that has ended up being the focus of this Special Issue of Estuarine Coastal and Shelf Science, namely 'Changes to processes in estuaries and coastal waters due to intense multiple pressures'. Many parts of the world are continuing to experience unprecedented rates of economic growth, and those responsible for managing coastal and estuarine areas must respond accordingly. At the same time, global climate change and sea level rise are also continuing, placing new or more intense pressures on coastal areas that must be dealt with in ways that are as far as possible managed as a result of good scientific understanding. There are other pressures too, which depend on the system concerned. This article provides an overview of the papers contained within the Special Issue and provides a discussion of how these fit within the main theme of intense multiple stressors, considering how a balance can be achieved between the needs of various different stakeholders and interest groups, and the sustainability of the system concerned. We categorise the papers in four main groupings: (1) stressors related to sea level rise; (2) stressors related to changes in fresh water inputs; (3) stressors related to anthropogenic pollution; and (4) the use of indicators as a means of assessing the effects of stressors, and reflect on the fact that despite the diversity of different challenges and geographical regions involved many of the approaches and discussions contained within the Special Issue have strong similarities, leading to a set of overarching principles that should be considered when making recommendations on management strategies.

Drugs in the Brazilian print media: an exploratory survey of newspaper and magazine stories in the year 2000.

PubMed

Noto, Ana Regina; Pinsky, Ilana; Mastroianni, Fábio de Carvalho

2006-01-01

Print media is one of the key factors for defining public opinion and setting public policies regarding drugs. Therefore, surveying its content should provide us with a better understanding of the situation. The few existing surveys on this issue in Brazil point out discrepancies between print media and public health. The objective of the present survey is to enhance the analysis of drug-related stories in the Brazilian print media, based on a new time frame, in the year 2000. Major newspapers and magazines of all Brazilian state capitals have been surveyed throughout year 2000, with 4,669 stories presenting drugs as their main topic. A random sample of 964 stories underwent content analysis. Approximately half the stories (49.6%) dealt with smuggling- and repression-related issues. The remainder of the stories (50.4%) approached health, legislation, and public policy issues. Tobacco was the most widely discussed drug, with stories focusing mainly on damage caused by use and on measures for reducing consumption rates among the population. Articles about cocaine, also featured frequently in the print media, dealt mainly with the issues of drug dealing and of damage caused by cocaine use. Regarding marijuana, in addition to the law enforcement repressive approach, some articles dealt with decriminalization and therapeutic use. Articles about alcoholic beverages, featured less frequently in the print media, approached the subject matter from various angles. The number of stories on solvents and psychotropic medication was negligible. The results confirm discrepancies between print media coverage and epidemiology. They also indicate that each drug is approached differently, allowing for a better understanding of the "social climate" in Brazil regarding each drug. Of all possible social interventions for dealing with the issue repression stands out, whereas stories about treatment and damage reduction are relatively scarce. These findings suggest the need for improved communication between journalists and health professionals.

Moral competence as a positive youth development construct: conceptual bases and implications for curriculum development.

PubMed

Ma, Hing Keung

2006-01-01

Moral competence refers to the orientation to perform altruistic behavior and the ability to judge moral issues logically, consistently and at an advanced level of development. A brief review of the concepts of altruism and justice is presented. The gender and cultural issues are also discussed. The contents of moral competence program units include four major topics: (1) Fairness, (2) Proper conduct (mainly altruistic and prosocial orientation), (3) Responsibility and altruistic orientation, and (4) Integrity and fairness. The general goal is to help students to develop an altruistic orientation and a judgment structure of a high level of justice. This paper is part of the development of the positive youth development program in Hong Kong.

Bearing Surface Pressure Distribution of Nut with Cone-form Bearing Surface

NASA Astrophysics Data System (ADS)

Okada, Manabu; Kasei, Shinji

Recently, wheel separation accidents in such vehicles as trucks, buses and passenger cars have drawn a social concern. Explications of their causes and adequate practices of countermeasures for them have been urgently required. In relation to this issue, the authors have taken notice of subjects which are concerned in bolted joints at wheels and are especially trying to study the pressure distribution at the bearing surface of nuts. This report deals with the subject of a nut with a cone-form bearing surface. Considerations are based on numerical results derived from finite-element-analysis. Feature of the pressure distribution by this profile and influences from geometrical deviations of the form are mainly discussed, and some other information concerning this issue is presented.

Challenges and Developments in the Assessment of (Mal)adaptive Personality and Pathological States in Older Adults.

PubMed

Rossi, Gina; Videler, Arjan; van Alphen, S P J

2018-04-01

Since older adults often show an atypical presentation of (mal)adaptive personality traits and pathological states, the articles in this special issue will concisely discuss some perennial issues in clinical assessment in older adults and thus outline the main challenges this domain faces. By bringing empirical work and meta-analytic studies from leading scholars in the field of geropsychology, the articles will also address these challenges by reporting the latest developments in the field. This way, we hope to reshape the way clinicians and researchers assess (mal)adaptive personality and pathological states in older adults into a more reliable and valid assessment method that integrates the specific biopsychosocial context of older age.

Magnetohydrodynamics (MHD) Engineering Test Facility (ETF) 200 MWe power plant. Conceptual Design Engineering Report (CDER). Volume 4: Supplementary engineering data

NASA Astrophysics Data System (ADS)

1981-09-01

The reference conceptual design of the Magnetohydrodynamic Engineering Test Facility (ETF), a prototype 200 MWe coal-fired electric generating plant designed to demonstrate the commercial feasibility of open cycle MHD is summarized. Main elements of the design are identified and explained, and the rationale behind them is reviewed. Major systems and plant facilities are listed and discussed. Construction cost and schedule estimates, and identification of engineering issues that should be reexamined are also given. The latest (1980-1981) information from the MHD technology program are integrated with the elements of a conventional steam power electric generating plant. Supplementary Engineering Data (Issues, Background, Performance Assurance Plan, Design Details, System Design Descriptions and Related Drawings) is presented.

Project Artemis

NASA Technical Reports Server (NTRS)

Birchenough, Shawn; Kato, Denise; Kennedy, Fred; Akin, David

1990-01-01

The goals of Project Artemis are designed to meet the challege of President Bush to return to the Moon, this time to stay. The first goal of the project is to establish a permanent manned base on the Moon for the purposes of scientific research and technological development. The knowledge gained from the establishment and operations of the lunar base will then be used to achieve the second goal of Project Artemis, the establishment of a manned base on the Martian surface. Throughout both phases of the program, crew safety will be the number one priority. There are four main issues that have governed the entire program: crew safety and mission success, commonality, growth potential, and costing and scheduling. These issues are discussed in more detail.

Magnetohydrodynamics (MHD) Engineering Test Facility (ETF) 200 MWe power plant. Conceptual Design Engineering Report (CDER). Volume 4: Supplementary engineering data

NASA Technical Reports Server (NTRS)

1981-01-01

The reference conceptual design of the Magnetohydrodynamic Engineering Test Facility (ETF), a prototype 200 MWe coal-fired electric generating plant designed to demonstrate the commercial feasibility of open cycle MHD is summarized. Main elements of the design are identified and explained, and the rationale behind them is reviewed. Major systems and plant facilities are listed and discussed. Construction cost and schedule estimates, and identification of engineering issues that should be reexamined are also given. The latest (1980-1981) information from the MHD technology program are integrated with the elements of a conventional steam power electric generating plant. Supplementary Engineering Data (Issues, Background, Performance Assurance Plan, Design Details, System Design Descriptions and Related Drawings) is presented.

Urbanisation, poverty and employment: the large metropolis in the third world.

PubMed

Singh, A

1992-01-01

"The main purpose of this paper is to provide an overall review of the chief analytical as well as economic policy issues in relation to Third World cities in the light of the available theoretical and empirical studies on urbanisation, poverty and employment in the developing countries.... Part I...provides basic information on urbanisation in the Third World...[and] outlines the nature and extent of urban poverty in these large cities and considers the impact of the world economic crisis on the urban poor. Part II of the paper discusses the most important structural features of urbanisation in relation to economic development....Finally, Part III briefly examines policy issues in relation to urbanisation and poverty in the Third World's large cities." excerpt

Main directions in the simulation of physical characteristics of the World Ocean and seas

NASA Astrophysics Data System (ADS)

Sarkisyan, A. S.

2016-07-01

A brief analysis of the oceanographic papers printed in this issue is presented. For convenience of the reader, the paper by K. Bryan, a prominent scientist and expert in modeling the physical characteristics of the ocean, is discussed in detail. The remaining studies are described briefly in several sections: direct prognostic modeling, diagnosis-adaptation, four-dimensional analysis, and operational oceanography. At the end of the study, we separately discuss the problem of the reproduction of coastal intensification of temperature, salinity, density, and currents. We believe that the quality of the simulation results can be best assessed in terms of the intensity of coastal currents. In conclusion, this opinion is justified in detail.

Role of CFD in propulsion design - Government perspective

NASA Technical Reports Server (NTRS)

Schutzenhofer, L. A.; Mcconnaughey, H. V.; Mcconnaughey, P. K.

1990-01-01

Various aspects of computational fluid dynamics (CFD), as it relates to design applications in rocket propulsion activities from the government perspective, are discussed. Specific examples are given that demonstrate the application of CFD to support hardware development activities, such as Space Shuttle Main Engine flight issues, and the associated teaming strategy used for solving such problems. In addition, select examples that delineate the motivation, methods of approach, goals and key milestones for several space flight progams are cited. An approach is described toward applying CFD in the design environment from the government perspective. A discussion of benchmark validation, advanced technology hardware concepts, accomplishments, needs, future applications, and near-term expectations from the flight-center perspective is presented.

Approaching morphing wing concepts on the basis of micro aerial vehicles

NASA Astrophysics Data System (ADS)

Boller, C.; Kuo, C.-M.; Qin, N.

2007-04-01

Morphing wings have been discussed since the early days of smart structures. Concepts and demonstrations started mainly in the context of real existing fixed wing aircraft. The complexity of existing aircraft and the limitations in terms of energy required and thus resulting cost made morphing wings mainly impossible to be successfully integrated into existing aircraft designs. Going however to smaller scaled aircraft where designs are less or possibly even not defined at all makes demonstration of morphing wings much more feasible. This paper will therefore discuss some morphing wing issues for micro aerial vehicle (MAV) designs where an MAV is considered to be an air vehicle of around 30 to 50 cm in span and a weight of less than 250 grams. At first the aerodynamics in terms of different wing shapes for such a small type of aircraft will be discussed followed by a design procedure on how to successfully design and analyse a morphing wing MAV. A more detailed description will then be given with regard to adaptively changing a wing's thickness where the actuation principles applied will be outlined in terms of conventional mechanical as well as smart structural solutions. Experimental results achieved in real flight tests will be described and discussed.

Teaching socioscientific issues: classroom culture and students' performances

NASA Astrophysics Data System (ADS)

Tal, Tali; Kedmi, Yarden

2006-12-01

The "Treasures in the Sea: Use and Abuse" unit that deals with authentic socioscientific issues related to the Mediterranean was developed as part of a national effort to increase scientific literacy. The unit aimed to enhance active participation of the learners and encourage higher order thinking in class by applying teaching methods that reduce the unfamiliarity felt by students. This was expected through an explicit use of a variety of teaching and assessment-for-learning methods, suitable for Science for All students. Our main goal was to examine the culture of Science for All classes in which the unit was enacted. In order to address the main learning objectives, we monitored students' performances in tasks that required the higher order thinking skills of argumentation and value judgment, which are central constituents of decision-making processes. We show that while socioscientific issues were discussed in whole class and small group sessions, and students' argumentation improved, there is still a long way to go in applying a thinking culture in non-science major classes. We suggest that science teachers should shift from traditional content-based and value-free approach, to a sociocultural approach that views science as a community practice and the students as active participants in decision-making processes.

Older Women's Sexual Desire Problems: Biopsychosocial Factors Impacting Them and Barriers to Their Clinical Assessment

PubMed Central

Maciel, Michelle; Laganà, Luciana

2014-01-01

Sexual desire is a major component of sexuality at any age, and inhibited desire is one of the main sexual dysfunctions reported by older women. Nonetheless, in medical settings, for a variety of reasons discussed herein, its assessment—as well as the assessment of older women's sexual health in general—is typically avoided or conducted by asking a single sex question. In this paper, we have reviewed the literature (most of which is preliminary in nature) regarding the main psychosocial and health factors that could impact older women's sexual desire, as well as potential obstacles to the assessment and treatment of this geriatric sexual issue. It is certainly advisable that medical care providers who are uncomfortable discussing older women's sexual concerns be prepared to make appropriate referrals to clinicians who possess the proper training to accurately assess and treat sexual challenges (and female sexual interest problems in particular) in this neglected patient population. PMID:24995267

Older women's sexual desire problems: biopsychosocial factors impacting them and barriers to their clinical assessment.

PubMed

Maciel, Michelle; Laganà, Luciana

2014-01-01

Sexual desire is a major component of sexuality at any age, and inhibited desire is one of the main sexual dysfunctions reported by older women. Nonetheless, in medical settings, for a variety of reasons discussed herein, its assessment--as well as the assessment of older women's sexual health in general--is typically avoided or conducted by asking a single sex question. In this paper, we have reviewed the literature (most of which is preliminary in nature) regarding the main psychosocial and health factors that could impact older women's sexual desire, as well as potential obstacles to the assessment and treatment of this geriatric sexual issue. It is certainly advisable that medical care providers who are uncomfortable discussing older women's sexual concerns be prepared to make appropriate referrals to clinicians who possess the proper training to accurately assess and treat sexual challenges (and female sexual interest problems in particular) in this neglected patient population.

LDRD Final Report: Global Optimization for Engineering Science Problems

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

HART,WILLIAM E.

1999-12-01

For a wide variety of scientific and engineering problems the desired solution corresponds to an optimal set of objective function parameters, where the objective function measures a solution's quality. The main goal of the LDRD ''Global Optimization for Engineering Science Problems'' was the development of new robust and efficient optimization algorithms that can be used to find globally optimal solutions to complex optimization problems. This SAND report summarizes the technical accomplishments of this LDRD, discusses lessons learned and describes open research issues.

"Not clinically indicated": patients' interests or resource allocation?

PubMed Central

Hope, T; Sprigings, D; Crisp, R

1993-01-01

The decision that a particular intervention is not clinically indicated may conceal two quite different ethical assumptions. The first assumption is that the intervention is not of overall benefit to this patient. The second is that limited resources should not be used for this patient. These issues are discussed with reference to cardiac surgery in elderly patients with reference to the main theories of allocation: QALYs, needs theories, the sanctity of life theory, the lottery theory, and market forces. Images p380-a PMID:8461686

Drinking water in traditional Persian medicine: Do’s and don’ts

PubMed Central

Nimrouzi, Majid; Daneshfard, Babak

2017-01-01

Water is the main component of our body and its balance is vital for maintaining normal physiology. Accordingly, adequate fluid intake in the daily diet is very important for a healthy life. Nevertheless, there is a controversy about what the suitable amount of water that we need to drink is. In this paper, we aimed to discuss this important issue based on the doctrine of traditional Persian medicine (TPM) and our clinical experience in a practical manner. PMID:28713503

Introductory Life Science Mathematics and Quantitative Neuroscience Courses

PubMed Central

Olifer, Andrei

2010-01-01

We describe two sets of courses designed to enhance the mathematical, statistical, and computational training of life science undergraduates at Emory College. The first course is an introductory sequence in differential and integral calculus, modeling with differential equations, probability, and inferential statistics. The second is an upper-division course in computational neuroscience. We provide a description of each course, detailed syllabi, examples of content, and a brief discussion of the main issues encountered in developing and offering the courses. PMID:20810971

Massive Black Holes and the Laser Interferometer Space Antenna (LISA)

NASA Technical Reports Server (NTRS)

Blender, Peter L.; Hils, Dieter; Stebbins, Robin T.

1998-01-01

The goals of the USA mission include both astrophysical investigations and fundamental physics tests. The main astrophysical questions concern the space density, growth, mass function, and surroundings of massive black holes. Thus the crucial issue for the USA mission is the likelihood of observing signals from such sources. Four possible sources of this kind are discussed briefly in this paper. It appears plausible, or even likely. that one or more of these types of sources can be detected and studied by LISA.

Status of the PAMELA silicon tracker

NASA Astrophysics Data System (ADS)

Bonechi, L.; Adriani, O.; Bongi, M.; Bottai, S.; Castellini, G.; Fedele, D.; Grandi, M.; Papini, P.; Ricciarini, S.; Spillantini, P.; Straulino, S.; Taddei, E.; Vannuccini, E.

2007-01-01

PAMELA is a composite particle detector which will be launched during the first half of 2006 on board the Russian satellite Resurs DK-1 from Baikonur cosmodrome in Kazakhstan. This experiment is mainly conceived for the study of cosmic-ray antiparticles and for the search for light antinuclei, but other issues related to the cosmic-ray physics will be investigated. In this work the structure of the whole apparatus is shortly discussed with particular attention to the magnetic spectrometer, which has been designed and built in Firenze.

Characterization and Calibration of the 12-m Antenna in Warkworth, New Zealand

NASA Technical Reports Server (NTRS)

Gulyaev, Sergei; Natusch, Tim; Wilson, David

2010-01-01

The New Zealand 12-m antenna is scheduled to start participating in regular IVS VLBI sessions from the middle of 2010. Characterization procedures and results of calibration of the New Zealand 12- m radio telescope are presented, including the main reflector surface accuracy measurement, pointing model creation, and the system equivalent flux density (SEFD) determination in both S and X bands. Important issues of network connectivity, co-located geodetic systems, and the use of the antenna in education are also discussed.

Civil forensic psychiatry - Part 2: specific issues.

PubMed

Samuels, Anthony H

2018-06-01

This paper describes the main areas of civil forensic psychiatry (FP) and the skills required by psychiatric experts. Some specific areas of civil FP are discussed, including tort law reform, reliability of psychiatric evidence, contentious psychiatric disorders, and the many domains of civil FP. Civil FP is an important sub-specialty component of forensic psychiatry that requires greater emphasis in the training and continuing education of psychiatrists. A process of accrediting psychiatrists as having competency in advanced civil FP may be of value.

[The problems of diagnosis and correction of autism in children (an example of Asperger's syndrome)].

PubMed

Iovchuk, N M; Severnyĭ, A A

Based on the analysis of literature and own clinical experience, we discuss diagnostic issues of early autistic disorders in children. Main differential-diagnostic signs that permit to differentiate mild forms of autism in childhood diagnosed as Asperger's syndrome from childhood schizophrenia, residual organic CNS damage, circular affective disorders are described. Cases of Asperger's syndrome followed up for many years and recommendations for social and psychological adaptation of children and adolescents with Asperger's syndrome in different age periods are presented.

Overview of external reference pricing systems in Europe

PubMed Central

Rémuzat, Cécile; Urbinati, Duccio; Mzoughi, Olfa; El Hammi, Emna; Belgaied, Wael; Toumi, Mondher

2015-01-01

Background and objectives External reference pricing (ERP) is a price regulation tool widely used by policy makers in the European Union (EU) Member States (MS) to contain drug cost, although in theory, it may contribute to modulate prices up and down. The objective of this article was to summarise and discuss the main findings of part of a large project conducted for the European Commission (‘External reference pricing of medicinal products: simulation-based considerations for cross-country coordination’; see www.ec.europa.eu/health/healthcare/docs/erp_reimbursement_medicinal_products_en.pdf) that aimed to provide an overview of ERP systems, both on processes and potential issues in 31 European countries (28 EU MS, Iceland, Norway, and Switzerland). Methods A systematic structured literature review was conducted to identify and characterise the use of ERP in the selected countries, to describe its impact on the prices of pharmaceuticals, and to discuss the possible cross-country coordination issues in EU MS. This research was complemented with a consultation of competent authorities’ and international organisations’ representatives to address the main issues or uncertainties identified through the literature review. Results All selected countries applied ERP, except the United Kingdom and Sweden. Twenty-three countries used ERP as the main systematic criterion for pricing. In the majority of European countries, ERP was based on legislated pricing rules with different levels of accuracy. ERP was applied either for all marketed drugs or for specific categories of medicines; it was mainly used for publicly reimbursed medicines. The number of reference countries included in the basket varied from 1 to 31. There was a great variation in the calculation methods used to compute the price; 15 countries used the average price, 7 countries used the lowest price, and 7 countries used other calculation methods. Reported limitations of ERP application included the lack of reliable sources of price information, price heterogeneity, exchange rate volatility, and hidden discounts. Spill-over effect and downward price convergence have often been mentioned as ERP's consequences leading to pricing strategies from pharmaceutical companies. Conclusion While ERP is widely used in Europe, processes and availability of price information vary from one country to another, thus limiting ERP implementation. Furthermore, ERP spill-over effect is a major concern of pharmaceutical firms leading to implementation of the so-called ‘launch sequence strategies’. PMID:27123181

Overview of external reference pricing systems in Europe.

PubMed

Rémuzat, Cécile; Urbinati, Duccio; Mzoughi, Olfa; El Hammi, Emna; Belgaied, Wael; Toumi, Mondher

2015-01-01

External reference pricing (ERP) is a price regulation tool widely used by policy makers in the European Union (EU) Member States (MS) to contain drug cost, although in theory, it may contribute to modulate prices up and down. The objective of this article was to summarise and discuss the main findings of part of a large project conducted for the European Commission ('External reference pricing of medicinal products: simulation-based considerations for cross-country coordination'; see www.ec.europa.eu/health/healthcare/docs/erp_reimbursement_medicinal_products_en.pdf) that aimed to provide an overview of ERP systems, both on processes and potential issues in 31 European countries (28 EU MS, Iceland, Norway, and Switzerland). A systematic structured literature review was conducted to identify and characterise the use of ERP in the selected countries, to describe its impact on the prices of pharmaceuticals, and to discuss the possible cross-country coordination issues in EU MS. This research was complemented with a consultation of competent authorities' and international organisations' representatives to address the main issues or uncertainties identified through the literature review. All selected countries applied ERP, except the United Kingdom and Sweden. Twenty-three countries used ERP as the main systematic criterion for pricing. In the majority of European countries, ERP was based on legislated pricing rules with different levels of accuracy. ERP was applied either for all marketed drugs or for specific categories of medicines; it was mainly used for publicly reimbursed medicines. The number of reference countries included in the basket varied from 1 to 31. There was a great variation in the calculation methods used to compute the price; 15 countries used the average price, 7 countries used the lowest price, and 7 countries used other calculation methods. Reported limitations of ERP application included the lack of reliable sources of price information, price heterogeneity, exchange rate volatility, and hidden discounts. Spill-over effect and downward price convergence have often been mentioned as ERP's consequences leading to pricing strategies from pharmaceutical companies. While ERP is widely used in Europe, processes and availability of price information vary from one country to another, thus limiting ERP implementation. Furthermore, ERP spill-over effect is a major concern of pharmaceutical firms leading to implementation of the so-called 'launch sequence strategies'.

Systems Health Care: daily measurement and lifestyle change

NASA Astrophysics Data System (ADS)

Nakajima, Hiroshi; Tsuchiya, Naoki; Shiga, Toshikazu; Hata, Yutaka

2012-06-01

Health is quite important to be realized in our daily life. However, its idea covers wide area and has individual dependency. Activities in health care have been widely developed by medical, drag, insurance, food, and other types of industries mainly centering diseases. In this article, systems approach named Systems Health Care is introduced and discussed to generate new and precious values based on measurements in daily life to change lifestyle habits for realizing each health. Firstly, issues related to health such as its definitions are introduced and discussed by centering health rather than disease. In response to the discussions on health, Home and Medical Care is continuously introduced to point out the important role causality between life style and vital signal such as exercise and blood pressure based on detailed sampling time. Systems approaches of Systems Health Care are discussed from various points of views. Real applications of devices and services are used to make the studies and discussions deeper on the subjects of the article.

Analysis of US Food and Drug Administration Warning Letters: False Promotional Claims Relating to Prescription and Over-the-Counter Medications.

PubMed

Salas, Maribel; Martin, Michelle; Pisu, Maria; McCall, Erin; Zuluaga, Alvaro; Glasser, Stephen P

2008-03-01

Recent studies have suggested that there has been an increase in the number of 'warning letters' issued by the US Food and Drug Administration (FDA) despite the publication of the FDA advertising guidelines. However, limited information is available on the description of warning letters. The objective of this study was to analyse the frequency and content of FDA warning letters in relation to promotional claims and discuss the influence of regulatory and industry constraints on promotion. All warning letters published by the FDA between 5 May 1995 and 11 June 2007 were reviewed. Warning letters related to promotional issues were included and analysed. Information related to the identification number, date of the warning letter, FDA division that issued the letter, drug name, manufacturer, specific warning problem, type of promotional material and requested action was extracted. Two independent investigators reviewed and classified each PDF file, any differences were discussed until a consensus was reached. Between May 1995 and June 2007 a total of 8692 warning letters were issued, of which 25% were related to drugs. Of these, 206 warning letters focused on drug promotion and were included in this study: 23% were issued in 2005, 15% in 2004 and 14% in 1998. In total, 47% of the warning letters were issued because of false or misleading unapproved doses and uses, 27% failed to disclose risks, 15% cited misleading promotion, 8% related to misleading labelling and 3% promoted false effectiveness claims. There is an important variation in the number of warning letters issued in the last decade, probably because of the increasing number of drugs approved by the FDA, drug withdrawal scandals, and the publication of the FDA and the Pharmaceutical Research and Manufacturers of America (PhRMA) guidelines. We found that benefit-related claims, such as unapproved uses or doses of drugs, and failure to disclose risks, are the main causes of FDA issued warning letters for promotional claims related to medications.

[Euthanasia and/or medically assisted suicide: Reflection on the new responsibility of the hospital pharmacist].

PubMed

Boissinot, L; Benamou, M; Léglise, P; Mancret, R-C; Huchon-Bécel, D

2014-03-01

Concern about euthanasia and medically assisted suicide is currently growing around the world and particularly in France. Though not authorized at present in France, the role of hospital pharmacist in this issue needs to be discussed. This article aims to gather medical and legal literature of European Union member states on these issues and particularly in France. To propose a practical thinking on the possible role of hospital pharmacist. Among European Union, euthanasia and/or assisted suicide have already been introduced in some member states' laws. In France, Leonetti law currently sets the legal framework for the management of end of life. To address the society's demand on these issues, French President F. Hollande made two ethics committees responsible for working on it. Both were mainly against euthanasia and assisted suicide. Though a bit forgotten in this debate, hospital pharmacist needs to be associated in the thinking, as the main "drug-keeper". Indeed, guidelines are necessary to outline and ensure a safe drug use, complying with professional ethics, if lethal doses are voluntarily prescribed. Pharmaceutical work is in constant evolution and is addressing new issues still unanswered, including assisted suicide and euthanasia. French pharmaceutical authorities should seize upon them, in order to guarantee pharmaceutical ethics. These practices, if authorized by law, should remain exceptional, and law strictly enforced. The pharmacist could be one of these "lawkeepers". Copyright © 2014 Elsevier Masson SAS. All rights reserved.

[New italian law about end of life: self-determination and shared care pathway.

PubMed

Ciliberti, Rosagemma; Gulino, Matteo; Gorini, Ilaria

2018-05-01

The Italian Parliament has recently approved the Law n. 219/2017 concerning "Rules on informed consent and advance directives". The manuscript points out the main key points of the new law, in order to clarify the role of the advance directives and to provide clear operational guidelines for healthcare personnel. Taking into consideration the Italian deontological and juridical context, along with the main jurisprudential judgements, the law has been analysed. The Authors discussed the new rules and the bioethical issues also in relation to the provisions stated by the Convention on Human Rights and Biomedicine (Convention of Oviedo). The new law deals with relevant issues that were confined to jurisprudential rulings so far, such as the informed consent, the withdrawal/withholding of medical treatment (including artificial nutrition and hydration), the content of medical information, including the modalities, the medical responsibility and, finally, the value of advance directives. In the Authors' opinion this law provides essential rules to expressly strengthen the patients' autonomy, eliminating the juridical uncertainty on many central issues (such us, for example, the refusal of life-sustainment treatments) that have been the subject of contradictory judgments ruled by the Italian Courts. Nevertheless, advance directives should be regarded as a dynamic tools of relationship between physicians and assisted person and, thus, as an essential integrant part of the advance care planning. The education of health professionals and citizens about end of life issues is the basis for the successful implementation of this legislation.

Ethical considerations in clinical research on herbal medicine for prevention of cardiovascular disease in the ageing.

PubMed

Koonrungsesomboon, Nut; Karbwang, Juntra

2016-10-15

Cardiovascular disease (CVD) in the ageing is a major public health problem worldwide. The nature of most CVD is subclinical with pathological processes that can span over years. Use of preventive measures could be an appropriate approach to prevailing over CVD in the ageing, and herbal medicine is one of the promising preventive approaches and is currently of interest among medical societies. In the evidence-based era, herbal medicine is, however, often underestimated and approached with skepticism, mainly due to the paucity of scientific evidence. Properly designed clinical trials on herbal medicine for prevention of CVD in a geriatric population are thus of importance and of clinical value. To review ethical issues and discuss considerations when such research is proposed. Four ethical issues, including the scientific validity of research, risk-benefit assessments, subject selection and vulnerability, and informed consent, are structured and extensively discussed in this article. Ethical core considerations of prevention research of CVD on herbal medicine involve particular attention on the scientific validity of research, risk-benefit assessments, subject selection and vulnerability, and informed consent. These issues and considerations are keys, although they must be adapted to an individual research setting in which a clinical study is proposed. Copyright © 2015 Elsevier GmbH. All rights reserved.

Perovskites-Based Solar Cells: A Review of Recent Progress, Materials and Processing Methods

PubMed Central

Shi, Zhengqi; Jayatissa, Ahalapitiya H.

2018-01-01

With the rapid increase of efficiency up to 22.1% during the past few years, hybrid organic-inorganic metal halide perovskite solar cells (PSCs) have become a research “hot spot” for many solar cell researchers. The perovskite materials show various advantages such as long carrier diffusion lengths, widely-tunable band gap with great light absorption potential. The low-cost fabrication techniques together with the high efficiency makes PSCs comparable with Si-based solar cells. But the drawbacks such as device instability, J-V hysteresis and lead toxicity reduce the further improvement and the future commercialization of PSCs. This review begins with the discussion of crystal and electronic structures of perovskite based on recent research findings. An evolution of PSCs is also analyzed with a greater detail of each component, device structures, major device fabrication methods and the performance of PSCs acquired by each method. The following part of this review is the discussion of major barriers on the pathway for the commercialization of PSCs. The effects of crystal structure, fabrication temperature, moisture, oxygen and UV towards the stability of PSCs are discussed. The stability of other components in the PSCs are also discussed. The lead toxicity and updated research progress on lead replacement are reviewed to understand the sustainability issues of PSCs. The origin of J-V hysteresis is also briefly discussed. Finally, this review provides a roadmap on the current needs and future research directions to address the main issues of PSCs. PMID:29734667

Climate Change and Everyday Life: Repertoires children use to negotiate a socio-scientific issue

NASA Astrophysics Data System (ADS)

Byrne, Jenny; Ideland, Malin; Malmberg, Claes; Grace, Marcus

2014-06-01

There are only a few studies about how primary school students engage in socio-scientific discussions. This study aims to add to this field of research by focusing on how 9-10-year-olds in Sweden and England handle climate change as a complex environmental socio-scientific issue (SSI), within the context of their own lives and in relation to society at large. It focuses on how different interpretative repertoires were used by the students in discussions to legitimise or question their everyday lifestyles. They discussed four possible options that a government might consider to help reduce carbon dioxide production. Six main repertoires were identified: Everyday life, Self-Interest, Environment, Science and Technology, Society and Justice. The Everyday life repertoire was used when students related their discussion to their everyday lifestyles. Science and technology-related solutions were offered to maintain or improve things, but these were sometimes rather unrealistic. Arguments related to environment and health frequently appeared to have a superior status compared to the others. Findings also highlighted how conflicts between the students were actually productive by bringing in several perspectives to negotiate the solutions. These primary school students were, therefore, able to discuss and negotiate a complex real-world SSI. Students positioned themselves as active contributors to society, using their life experiences and limited knowledge to understand the problems that affected their everyday lives. Honing these skills within a school science community of practice could facilitate primary students' engagement with SSIs and empower them as citizens.

Goals of clinical ethics support: perceptions of Dutch healthcare institutions.

PubMed

Dauwerse, L; Abma, T A; Molewijk, B; Widdershoven, G

2013-12-01

In previous literature, ethicists mention several goals of Clinical Ethics Support (CES). It is unknown what key persons in healthcare institutions see as main--and sub-goals of CES. This article presents the goals of CES as perceived by board members and members of ethics support staff. This is part of a Dutch national research using a mixed methods design with questionnaires, focus groups and interviews. Quantitative and qualitative data were analyzed and combined in an iterative process. Four main clusters of goals were found: 1) encouraging an ethical climate, 2) fostering an accountable and transparent organization, 3) developing professionalism and a final goal, overarching the previous three, 4) good care. Most important sub-goals of CES were: attention for ethical issues, raising awareness of ethical issues, fostering ethical reflection and supporting employees. The article ends with a discussion on the desirability to further operationalize the general goal of good care, the context-boundedness of our findings and the need to relate goals of CES to the features of organizational cultures to further improve the integration of CES in healthcare institutions.

Utilization of design data on conventional system to building information modeling (BIM)

NASA Astrophysics Data System (ADS)

Akbar, Boyke M.; Z. R., Dewi Larasati

2017-11-01

Nowadays infrastructure development becomes one of the main priorities in the developed country such as Indonesia. The use of conventional design system is considered no longer effectively support the infrastructure projects, especially for the high complexity building design, due to its fragmented system issues. BIM comes as one of the solutions in managing projects in an integrated manner. Despite of the all known BIM benefits, there are some obstacles on the migration process to BIM. The two main of the obstacles are; the BIM implementation unpreparedness of some project parties and a concerns to leave behind the existing database and create a new one on the BIM system. This paper discusses the utilization probabilities of the existing CAD data from the conventional design system for BIM system. The existing conventional CAD data's and BIM design system output was studied to examine compatibility issues between two subject and followed by an utilization scheme-strategy probabilities. The goal of this study is to add project parties' eagerness in migrating to BIM by maximizing the existing data utilization and hopefully could also increase BIM based project workflow quality.

Integration and interpretation of InSAR deformation products from the Sentinel-1 constellation - experiences from the InSARap project

NASA Astrophysics Data System (ADS)

Dehls, John F.; Larsen, Yngvar; Marinkovic, Petar; Perski, Zbigniew

2017-04-01

The Sentinel-1 mission has been in operational mode for more than two years, and with the successful commissioning of S1B in Sep 2016, the constellation is now complete. While the InSAR community initially faced many processing challenges due to the introduction of the new TOPS mode, these issues can by now considered resolved. However, truly operational workflows are still to be designed and deployed, and there are a number of integration and interpretation challenges that need to be addressed to achieve operational processing of 6-day revisit InSAR data. In this contribution, we will focus mainly on the integration and interpretation of InSAR products in scientific workflows, rather than on algorithmic details. We will motivate discussion with results obtained from selected pilot sites within the ESA SEOM InSARap project. The sites cover a large part of the application domain for InSAR - "from decimeter to millimeter". Specifically, landslide and corner reflector validation test sites in Norway and Poland will be discussed. The results will serve as basis for a discussion on how to communicate and streamline a portfolio of subsidence products to end users, which is a challenge in itself. We will conclude with a discussion on remaining open questions regarding how we as a community can address these issues to a wider audience.

IT behind a platform for Translational Cancer Research - concept and objectives.

PubMed

Steffens, Michael; Husmann, Gabriele; Koca, Mithat; Lablans, Martin; Komor, Martina; Zeissig, Sylke; Emrich, Katharina; Brandts, Christian; Serve, Hubert; Blettner, Maria; Uckert, Frank

2012-01-01

The German Consortium for Translational Cancer Research (DKTK) and the Rhine-Main Translational Cancer Research Network (RM-TCRN) are designed to exploit large population cohorts of cancer patients for the purpose of bio-banking, clinical trials, and clinical cancer registration. Hence, the success of these platforms is heavily dependent on the close interlinking of clinical data from cancer patients, information from study registries, and data from bio-banking systems of different laboratories and scientific institutions. This article referring to the poster discusses the main challenges of the platforms from an information technology point of view, legal and data security issues, and outlines an integrative IT-concept concerning a decentralized, distributed search approach where data management and search is in compliance with existing legislative rules.

Use of communication technologies in document exchange for the management of construction projects

NASA Astrophysics Data System (ADS)

Mesároš, Peter; Mandičák, Tomáš

2016-06-01

Information and communication technologies represent a set of people, processes, technical and software tools providing collection, transport, storage and processing of data for distribution and presentation of information. Particularly communication systems are the main tool for information exchange. Of the other part, these technologies have a broad focus and use. One of them is the exchange of documents in the management of construction projects. Paper discusses the issue of exploitation level of communication technologies in construction project management. The main objective of this paper is to analyze exploitation level of communication technologies. Another aim of the paper is to compare exploitation level or rate of document exchange by electronic communication devices and face-to-face communication.

WHO collaboration in hazardous waste management in the Western Pacific Region

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

Ogawa, Hisashi

Since April 1989 when the World Health Organization`s (WHO`s) activities in hazardous waste management in the Western Pacific Region were presented at the Pacific Basin Conference in Singapore, WHO and its Member States have carried out a number of collaborative activities in hazardous waste management. These activities focused on three main areas: national capacity building in the management of toxic chemicals and hazardous wastes in rapidly industrializing countries, management of clinical or medical waste, and hazardous waste management in Pacific Island countries. This paper summarizes these collaborative activities, identifies the main problems and issues encountered, and discusses future prospects ofmore » WHO collaboration with its Member States in the area of hazardous waste management. 1 fig., 1 tab.« less

Advances in metabolome information retrieval: turning chemistry into biology. Part II: biological information recovery.

PubMed

Tebani, Abdellah; Afonso, Carlos; Bekri, Soumeya

2018-05-01

This work reports the second part of a review intending to give the state of the art of major metabolic phenotyping strategies. It particularly deals with inherent advantages and limits regarding data analysis issues and biological information retrieval tools along with translational challenges. This Part starts with introducing the main data preprocessing strategies of the different metabolomics data. Then, it describes the main data analysis techniques including univariate and multivariate aspects. It also addresses the challenges related to metabolite annotation and characterization. Finally, functional analysis including pathway and network strategies are discussed. The last section of this review is devoted to practical considerations and current challenges and pathways to bring metabolomics into clinical environments.

Progression: things we need to remember but often forget to think about.

PubMed

Artes, Paul H

2008-06-01

Detecting progression, and estimating the rate of change, are among the most important challenges in the care of patients with glaucoma. With rapidly developing technology, there is a need to rethink what we mean to measure, why we measure it, and how we think about these measurements and how they relate to the disease. This article outlines, informally, a small number of issues that may be important to clinicians and researchers alike but are not often discussed in the literature. It is intended to be useful as a highly selective minireview of recent work and a stimulus for future research. It is organized under three main headings that sum up the main message of each section.

Bird Integumentary Melanins: Biosynthesis, Forms, Function and Evolution.

PubMed

Galván, Ismael; Solano, Francisco

2016-04-08

Melanins are the ubiquitous pigments distributed in nature. They are one of the main pigments responsible for colors in living cells. Birds are among the most diverse animals regarding melanin-based coloration, especially in the plumage, although they also pigment bare parts of the integument. This review is devoted to the main characteristics of bird melanins, including updated views of the formation and nature of melanin granules, whose interest has been raised in the last years for inferring the color of extinct birds and non-avian theropod dinosaurs using resistant fossil feathers. The molecular structure of the two main types of melanin, eumelanin and pheomelanin, and the environmental and genetic factors that regulate avian melanogenesis are also presented, establishing the main relationship between them. Finally, the special functions of melanin in bird feathers are also discussed, emphasizing the aspects more closely related to these animals, such as honest signaling, and the factors that may drive the evolution of pheomelanin and pheomelanin-based color traits, an issue for which birds have been pioneer study models.

Utilization of High-Temperature Slags From Metallurgy Based on Crystallization Behaviors

NASA Astrophysics Data System (ADS)

Sun, Yongqi; Zhang, Zuotai

2018-05-01

Here, following the principle of modifying crystallization behaviors, including avoidance and optimization, we review recent research on the utilization of hot slags. Because of the high-temperature property (1450-1650°C), the utilization of hot slags are much different from that of other wastes. We approach this issue from two main directions, namely, material recycling and heat utilization. From the respect of material recycling, the utilization of slags mainly follows total utilization and partial utilization, whereas the heat recovery from slags follows two main paths, namely, physical granulation and chemical reaction. The effective disposal of hot slags greatly depends on clarifying the crystallization behaviors, and thus, we discuss some optical techniques and their applicable scientific insights. For the purpose of crystallization avoidance, characterizing the glass-forming ability of slags is of great significance, whereas for crystallization modification, the selection of chemical additives and control of crystallization conditions comprise the central routes.

Benefit-finding intervention for Alzheimer caregivers: conceptual framework, implementation issues, and preliminary efficacy.

PubMed

Cheng, Sheung-Tak; Lau, Rosanna W L; Mak, Emily P M; Ng, Natalie S S; Lam, Linda C W

2014-12-01

To describe an intervention promoting benefit-finding in Alzheimer caregivers, to discuss key issues in implementation and ways to resolve them, and to examine whether the intervention reduced burden and depression in a small randomized trial. Twenty-five caregivers were randomized into benefit-finding and psychoeducation groups. Both groups had eight weekly sessions. Outcome measures including role overload, Zarit Burden Interview, and Hamilton depression scale were collected at baseline and after treatment. Results were analyzed using analysis of covariance. Additionally, the challenges of implementing such interventions, some of which related to cultural issues, were analyzed qualitatively. Controlling for pretest, the benefit-finding group had lower depression than the psychoeducation group at post-test, despite the fact that some caregivers found benefit-finding challenging. The two groups did not differ on overload and burden. However, within-group analysis suggested that both groups showed significant reductions in overload from pretest to post-test. In addition, we discussed participants' difficulties in grasping the technique of thought modification for benefit-finding, recording such exercises at home, and sharing their thoughts and experiences in groups. We described measures undertaken in the main trial to overcome these issues. Cognitive approaches focusing on benefit-finding are feasible among Chinese caregivers, with preliminary evidence suggesting an effect on alleviating depression. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Cinemeducation: A pilot student project using movies to help students learn medical professionalism.

PubMed

Lumlertgul, Nuttha; Kijpaisalratana, Naruchorn; Pityaratstian, Nuttorn; Wangsaturaka, Danai

2009-07-01

Using movies has been accepted worldwide as a tool to help students learn medical professionalism. In the second year, a group of medical students conducted the "Cinemeducation" project to promote professionalism in the "Medical Ethics and Critical Thinking" course. Five movies with professionalism issues were screened with 20-30 students attending each session. After the show, participants then were asked to reflect on what they had learned in terms of professionalism. Two students led group discussion emphasizing questioning and argumentation for 60 min. Additional learning issues emerging from each session were also explored in more depth and arranged into a report. In the Cinemeducation Project, medical students have learned five main ethical issues in each film, which were the doctor-patient relationship, informed consent and clinical trials in patients, management of genetic disorders, patient management, and brain death and organ transplantation. In addition to issues of professionalism, they also developed critical thinking and moral reasoning skills. Using a case-based scenario in movies has proven to be an effective and entertaining method of facilitating students with learning on professionalism.

Ethical issues in newer assisted reproductive technologies: A view from Nigeria.

PubMed

Fadare, J O; Adeniyi, A A

2015-12-01

Infertility is a prevalent condition in many developing countries with significant physical and psychosocial implications. The aim of this study is to discuss briefly the ethics of newer assisted reproductive technology (ART) with special emphasis on the peculiarities in Nigeria. MEDLINE and Google Scholar were searched for English-language articles from January 1990 to July 2014 using the search terms "ethics of ART AND Nigeria," "ethical issues in in vitro fertilization AND Nigeria." Using the above search phrases, a total of 43 articles were retrieved out of which only 5 dealt specifically with the subject matter. The core ethical issues found in the reviewed literature are listed in [Table 1]. Inequitable access to ART due to its high cost, lack of regulatory body, safety of the procedure, and fate of the embryos were the main themes identified from the papers. Surrogacy, sex selection, and gamete donation were additional relevant ethical issues. There is an urgent need for stakeholders in developing countries to formulate cultural and context-specific guidelines to help address some of these ethical dilemmas.

Is the biggest security threat to medical information simply a lack of understanding?

PubMed

Williams, Patricia A H

2011-01-01

Connecting Australian health services and the e-health initiative is a major focus in the current health environment. Many issues are presented as key to its success including solving issues with confidentiality and privacy. However, the main problem may not be these issues in sharing information but the fact that the point of origin of such records is still relatively insecure. This paper highlights why this may be the case. Research into the security of medical information has shown that many primary healthcare providers are unable to create an environment with effective information security. Numerous factors contribute to this complex situation including a trustful environment, the resultant security culture and the capability of individual healthcare organisations. Further, the growing importance of new directions in the use of patient information is considered. This paper discusses these issues and positions them within the complex environment that is healthcare. In our current health system infrastructure, the points of origin of patient information are our most vulnerable. This entwined with progressively new uses of this information expose additional security concerns, such as re-identification of information, that require attention.

Does Evidence Matter? How Middle School Students Make Decisions About Socioscientific Issues

NASA Astrophysics Data System (ADS)

Emery, Katherine Beth

People worldwide are faced with making decisions daily. While many decisions are quick (e.g., what clothes to wear), others, such as those about environmental issues (e.g., overfishing), require more thought and have less immediate outcomes. How one makes such decisions depends on how one interprets, evaluates, and uses evidence. The central objective of this thesis was to investigate environmental science literacy in general, and specifically, to understand how evidence and other factors impact decision-making. I conducted three main studies: First, I provide an example of how decision-making practices affect environmental systems and services through a descriptive case study of Atlantic bluefin tuna overfishing. I reviewed the scientific, historical and cultural factors contributing to a paradox of marine preservation in the Mediterranean and highlighted the need for education and informed decision-making about such social and ecological issues. This study motivated me to investigate how people make decisions about environmental issues. Second, I interviewed middle school students to understand how they describe and evaluate evidence hypothetically and in practice about environmental issues---a key component of environmental literacy. Students discussed how they would evaluate evidence and then were then given a packet containing multiple excerpts of information from conflicting stakeholders about an environmental issue and asked how they would make voting or purchasing decisions about these issues. Findings showed that students' ideas about evaluating evidence (e.g., by scientific and non-scientific criteria) match their practices in part. This study was unique in that it investigated how students evaluate evidence that (1) contradicts other evidence and (2), conflicts with the student's prior positions. Finally, I investigated whether middle school students used evidence when making decisions about socioscientific issues. I hypothesized that holding a strong opinion would decrease the likelihood of changing decisions when presented with additional information. Findings indicated that most students do not change their stance after reading additional evidence. Students were more likely to change their decisions about issues that they cared least about than about issues that they cared most about. Implications for science teaching and learning are discussed.

Intelligent personal health record: experience and open issues.

PubMed

Luo, Gang; Tang, Chunqiang; Thomas, Selena B

2012-08-01

Web-based personal health records (PHRs) are under massive deployment. To improve PHR's capability and usability, we previously proposed the concept of intelligent PHR (iPHR). By introducing and extending expert system technology and Web search technology into the PHR domain, iPHR can automatically provide users with personalized healthcare information to facilitate their daily activities of living. Our iPHR system currently provides three functions: guided search for disease information, recommendation of home nursing activities, and recommendation of home medical products. This paper discusses our experience with iPHR as well as the open issues, including both enhancements to the existing functions and potential new functions. We outline some preliminary solutions, whereas a main purpose of this paper is to stimulate future research work in the area of consumer health informatics.

Issues encountered in a qualitative secondary analysis of help-seeking in the prodrome to psychosis.

PubMed

Gladstone, Brenda M; Volpe, Tiziana; Boydell, Katherine M

2007-10-01

Primary data are rarely used explicitly as a source of data outside of the original research purpose for which they were collected. As a result, qualitative secondary analysis (QSA) has been described as an "invisible enterprise" for which there is a "notable silence" amongst the qualitative research community. In this paper, we report on the methodological implications of conducting a secondary analysis of qualitative data focusing on parents' narratives of help-seeking activities in the prodrome to psychosis. We review the literature on QSA, highlighting the main characteristics of the approach, and discuss issues and challenges encountered in conducting a secondary analysis. We conclude with some thoughts on the implications for conducting a QSA in children's mental health services and research.

The maze and the minotaur: mental health in primary health care.

PubMed

Hirdes, Alice; Scarparo, Helena Beatriz Kochenborger

2015-02-01

The article aims to discuss the issue of integration of mental health in primary care by matrix support in mental health. We point out the main barriers in the use of this work method, as well as the facilitating factors of the matrix support of mental health in primary care. The first are within the scope of epistemological specificities, professional issues and management in the political and ideological dimensions. Among the second, we highlight: the care for people with mental disorders in the territory; the reduction of stigma and discrimination; the development of new skills for professionals in primary care; reduction of costs; simultaneous treatment of physical and mental illness, which often overlap; the possibility of incorporating mental health care in a perspective of extended clinical service using an inter/transdisciplinary approach.

Contributions to the History of Astronomy, Vol. 3. (German Title: Beiträge zur Astronomiegeschichte, Band 3)

NASA Astrophysics Data System (ADS)

Dick, Wolfgang R.; Hamel, Jürgen

The main papers of this issue deal with previously unknown details of the foundation of the astronomical observatories in Gotha and in Königsberg (with numerous original documents by F.W. Bessel), with the Mecklenburg ordnance survey (1853-1873, with previously unknown letters by C.F. Gauss), with the merits of the Leipzig astronomer G.A. Jahn, with the internationality of the Astronomische Gesellschaft, and with early, previously little noted works on the expansion of the Universe. The issue contains a description of the important collection of sundials in the Kassel museum, discussions about the Medieval ``Phantom Period'', about Goethe's description of the zodiacal light, as well as obituaries and book reviews. Most papers in German, one in English.

Advanced voice function assessment: editorial introduction to this special issue.

PubMed

Barney, Anna; Kob, Malte

2015-04-01

ICT COST Action 2103 was an EU-funded collaborative network of speech processing engineers, laryngologists, and phoniatricians that started on 19 December 2006 and ended on 18 June 2011. The main objectives were to improve the clinical assessment of voice using new technologies; to encourage clinicians and technologists to work closely together to understand the needs and limitations of each other's fields and, in parallel, to acquire new data with a view to elaborating better voice production models. The papers in this special issue represent some of the outcomes of that partnership. This editorial introduces the background and context for COST Action 2103 and each of the papers. In conclusion we discuss the impact of the Action and what aspects of it may have a lasting effect on practice.

Software Tool Issues

NASA Astrophysics Data System (ADS)

Hennell, Michael

This chapter relies on experience with tool development gained over the last thirty years. It shows that there are a large number of techniques that contribute to any successful project, and that formality is always the key: a modern software test tool is based on a firm mathematical foundation. After a brief introduction, Section 2 recalls and extends the terminology of Chapter 1. Section 3 discusses the the design of different sorts of static and dynamic analysis tools. Nine important issues to be taken into consideration when evaluating such tools are presented in Section 4. Section 5 investigates the interplay between testing and proof. In Section 6, we call for developers to take their own medicine and verify their tools. Finally, we conclude in Section 7 with a summary of our main messages, emphasising the important role of testing.

Molecular and Clinical Issues about the Risk of Venous Thromboembolism in Older Patients: A Focus on Parkinson’s Disease and Parkinsonism

PubMed Central

Tana, Claudio; Lauretani, Fulvio; Ticinesi, Andrea; Prati, Beatrice; Meschi, Tiziana

2018-01-01

Venous thromboembolism (VTE) is a common and potentially life-threatening condition which includes both deep-vein thrombosis (DVT) and pulmonary embolism (PE). VTE has a significant clinical and epidemiological impact in the elderly, and its incidence increases to more than 1% per year in older patients, suggesting the presence of specific age-related risk factors in this population. Immobilization seems to predominate as the main cause in patients admitted for medical acute illness in medicine wards, and there is evidence of a high risk in older patients with immobilization resulting from advanced forms of Parkinson’s disease (PD), regardless of the presence of an acute medical condition. In this review, we would to discuss the recent evidence on clinical, molecular and epidemiological features of VTE in older frail subjects focusing on patients with PD and parkinsonism. We also discuss some therapeutic issues about the risk prevention and we suggest a thorough comprehensive geriatric assessment that can represent an optimal strategy to identify and prevent the VTE risk in these patients. PMID:29701703

The risks and rights of sexualization: an appreciative commentary on Lerum and Dworkin's "bad girls rule".

PubMed

Vanwesenbeeck, Ine

2009-01-01

This commentary wholeheartedly supports the critical observations by Kari Lerum and Shari L. Dworkin in this issue of the Journal of Sex Research with regard to the 2007 Report of the APA (American Psychological Association) Task Force on the Sexualization of Girls. The APA task force makes an overwhelmingly strong point for the dangers of the sexualization of women and girls and the self-objectification connected to it. However, their discussion of the evidence is noteworthy for being one-sided, generalizing, and negatively toned. Among the arguments presented in this commentary are notions about the rather diverse and often ambiguous nature of sexualized imagery and about the all too often ignored complexity of its presumed "effects." In addition, the issue of female sexual power and the case of sex workers are discussed. When sexualization is defined as only negative, both sex worker's rights and, more generally, women's rights to be sexual, get into a tight corner. The main contention is that sexualization is associated with risks, as well as with rights, and that any productive analysis will have to consider both.

Do We Really Want a Future as Qualitative Psychologists?

PubMed

Fasulo, Alessandra

2015-12-01

In this article I pick up some threads from the contributions in the previous special issue of IPSB dedicated to the future of qualitative psychology, and elaborate on them around two main points. The first is the status of qualitative psychology as a social and institutional category; the second is what we mean by experience. As concerns the first point, I argue that using the label of qualitative psychology may separate us from the rest of psychology, also creating a false impression of homogeneity among qualitative approaches and a false opposition with quantitative methods. Implications for teaching as well as research are discussed. The second issue has to do with experience as the object of qualitative psychology investigations. I propose three ways of formulating experience in research which would prevent naïve assumptions about accessing it directly through language. These are 1) experience as experience of the researcher, 2) experience as situated intersubjectivity, and 3) experience as expression. I discuss how being clearer about definitions of experience and going towards engaged forms of research could safeguard the integrity of both researcher and participants.

Multidisciplinary Treatment Approach for Prosthetic Vascular Graft Infection in the Thoracic Aortic Area

PubMed Central

Watanabe, Yoshinori

2015-01-01

Prosthetic vascular graft infection in the thoracic aortic area is a rare but serious complication. Adequate management of the complication is essential to increase the chance of success of open surgery. While surgical site infection is suggested as the root cause of the complication, it is also related to decreased host tolerance, especially as found in elderly patients. The handling of prosthetic vascular graft infection has been widely discussed to date. This paper mainly provides a summary of literature reports published within the past 5 years to discuss issues related to multidisciplinary treatment approaches, including surgical site infection, timing of onset, diagnostic methods, causative pathogens, auxiliary diagnostic methods, antibiotic treatment, anti-infective structures of vascular prostheses, surgical treatment, treatment strategy against infectious aortic aneurysms, future surgical treatment, postoperative systemic therapy, and antimicrobial stewardship. A thorough understanding of these issues will enable us to prevent prosthetic vascular graft infection in the thoracic aortic area as far as possible. In the event of its occurrence, the early introduction of appropriate treatment is expected to cure the disease without worsening of the underlying pathological condition. PMID:26356686

Nonstationarities in Catchment Response According to Basin and Rainfall Characteristics: Application to Korean Watershed

NASA Astrophysics Data System (ADS)

Kwon, Hyun-Han; Kim, Jin-Guk; Jung, Il-Won

2015-04-01

It must be acknowledged that application of rainfall-runoff models to simulate rainfall-runoff processes are successful in gauged watershed. However, there still remain some issues that will need to be further discussed. In particular, the quantitive representation of nonstationarity issue in basin response (e.g. concentration time, storage coefficient and roughness) along with ungauged watershed needs to be studied. In this regard, this study aims to investigate nonstationarity in basin response so as to potentially provide useful information in simulating runoff processes in ungauged watershed. For this purpose, HEC-1 rainfall-runoff model was mainly utilized. In addition, this study combined HEC-1 model with Bayesian statistical model to estimate uncertainty of the parameters which is called Bayesian HEC-1 (BHEC-1). The proposed rainfall-runofall model is applied to various catchments along with various rainfall patterns to understand nonstationarities in catchment response. Further discussion about the nonstationarity in catchment response and possible regionalization of the parameters for ungauged watershed are discussed. KEYWORDS: Nonstationary, Catchment response, Uncertainty, Bayesian Acknowledgement This research was supported by a Grant (13SCIPA01) from Smart Civil Infrastructure Research Program funded by the Ministry of Land, Infrastructure and Transport (MOLIT) of Korea government and the Korea Agency for Infrastructure Technology Advancement (KAIA).

Developing Astronomy Research and Education in the Philippines

NASA Astrophysics Data System (ADS)

Sese, R. M. D.; Kouwenhoven, M. B. N. Thijs

2015-03-01

In the past few years, the Philippines has been gradually developing its research and educational capabilities in astronomy and astrophysics. In terms of astronomy development, it is still lagging behind several neighboring Southeast Asian countries such as Indonesia, Thailand and Malaysia, while it is advanced with respect to several others. One of the main issues hampering progress is the scarcity of trained professional Filipino astronomers, as well as long-term visions for astronomy development. Here, we will be presenting an overview of astronomy education and research in the country. We will discuss the history and current status of astronomy in the Philippines, including all levels of education, outreach and awareness activities, as well as potential areas for research and collaborations. We also discuss issues that need to be addressed to ensure sustainable astronomy development in the Philippines. Finally, we discuss several ongoing and future programs aimed at promoting astronomy research and education. In essence, the work is a precursor of a possible white paper which we envision to submit to the Department of Science and Technology (DOST) in the near future, with which we aim to further convince the authorities of the importance of astrophysics. With the support of the International Astronomical Union (IAU), this may eventually lead to the creation of a separate astronomy agency in the Philippines.

Exploring morally relevant issues facing families in their decisions to monitor the health-related behaviours of loved ones.

PubMed

Gammon, D; Christiansen, E K; Wynn, R

2009-07-01

Patient self-management of disease is increasingly supported by technologies that can monitor a wide range of behavioural and biomedical parameters. Incorporated into everyday devices such as cell phones and clothes, these technologies become integral to the psychosocial aspects of everyday life. Many technologies are likely to be marketed directly to families with ill members, and families may enlist the support of clinicians in shaping use. Current ethical frameworks are mainly conceptualised from the perspective of caregivers, researchers, developers and regulators in order to ensure the ethics of their own practices. This paper focuses on families as autonomous decision-makers outside the regulated context of healthcare. We discuss some morally relevant issues facing families in their decisions to monitor the health-related behaviours of loved ones. An example - remote parental monitoring of adolescent blood glucose - is presented and discussed through the lens of two contrasting accounts of ethics; one reflecting the predominant focus on health outcomes within the health technology assessment (HTA) framework and the other that attends to the broader sociocultural contexts shaping technologies and their implications. Issues discussed include the focus of assessments, informed consent and child assent, and family co-creation of system characteristics and implications. The parents' decisions to remotely monitor their child has relational implications that are likely to influence conflict levels and thus also health outcomes. Current efforts to better integrate outcome assessments with social and ethical assessments are particularly relevant for informed decision-making about health monitoring technologies in families.

Addressing the vexed issue of authorship and author order: A discussion paper.

PubMed

McCann, Terence V; Polacsek, Meg

2018-05-23

To review and discuss authorship and author order in the context of nursing and midwifery publications and to present a set of principles to guide and justify author order. Variation in author order trends is evident across different authors, disciplines and countries. Confusion and conflict between authors give rise to important issues concerning ethics and collaboration and may delay publication. Lack of transparency in authorship practices also impedes judgements when individual contributions are used in support of employment, promotion, tenure and/or research funding applications. Discussion paper. A literature search of BioMed Central, Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE with Full Text and PubMed for original peer-reviewed papers published in English between 2007 - 2017, in the disciplines of nursing and midwifery. Much is written about authorship practices across disciplines and countries. Despite existing authorship guidelines, author order remains an area of confusion and contention. Disputes about authorship and author order have the potential to cause distrust and breakdowns in research relationships, thereby disrupting nursing and midwifery scholarship and research. The main issues concern honorary and ghost authorship, authorship versus acknowledgement, confusion regarding collaboration, author order, research students as co-authors, equal author credit and the need for explicit guidelines. Good communication and mutual respect are crucial to the authorship process. However, clear instructions are needed to guide decisions on authorship and author order. It is recommended that the 'first-last-author-emphasis' be adopted uniformly internationally across nursing and midwifery research. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Dietary Intakes and Nutritional Issues in Neurologically Impaired Children.

PubMed

Penagini, Francesca; Mameli, Chiara; Fabiano, Valentina; Brunetti, Domenica; Dilillo, Dario; Zuccotti, Gian Vincenzo

2015-11-13

Neurologically impaired (NI) children are at increased risk of malnutrition due to several nutritional and non-nutritional factors. Among the nutritional factors, insufficient dietary intake as a consequence of feeding difficulties is one of the main issues. Feeding problems are frequently secondary to oropharyngeal dysphagia, which usually correlates with the severity of motor impairment and presents in around 90% of preschool children with cerebral palsy (CP) during the first year of life. Other nutritional factors are represented by excessive nutrient losses, often subsequent to gastroesophageal reflux and altered energy metabolism. Among the non-nutritional factors, the type and severity of neurological impairment, ambulatory status, the degree of cognitive impairment, and use of entiepileptic medication altogether concur to determination of nutritional status. With the present review, the current literature is discussed and a practical approach for nutritional assessment in NI children is proposed. Early identification and intervention of nutritional issues of NI children with a multidisciplinary approach is crucial to improve the overall health and quality of life of these complex children.

Green trees for greenhouse gases: a fair trade-off?

PubMed

Schmidt, C W

2001-03-01

While forests retain carbon in plants, detritus, and soils, utility companies spew it into the air as carbon dioxide, the main greenhouse gas behind global warming. Industrial carbon dioxide emissions aren't currently regulated by federal law, but a number of companies are trying to address the problem voluntarily by launching carbon sequestration programs in heavily forested countries, where carbon is contained in so-called sinks. But the November 2000 meeting of the Kyoto Protocol delegates in The Hague collapsed over the issue of the acceptability of carbon sinks as a source of carbon pollution credits, delivering what many see as a deathblow to the concept. At issue are a host of ecological and statistical questions, differing local land use practices, cultural factors, issues of verifiability, and even disagreement over definitions of basic terms such as "forest" Kyoto negotiators are gearing up for another round of discussions in Bonn in May 2001, and it is likely that the continuing debate over carbon sinks will dominate the agenda.

The benefits of daily data and scale up issues in hydrologic models-SWAT and CRAFT

NASA Astrophysics Data System (ADS)

Huang, Yumei; Quinn, Paul; Liang, Qiuhua; Adams, Russell

2017-04-01

When modelling the flow pathways for nutrient transport, the lack of good data and limitation of data resolution become the key cause of low quality output in various hydrologic models. The scale of catchment being studied would present the main issues of the sensitivity and uncertainty expected on the hydrologic modelling. Equally, the time step chosen is also important to nutrient dynamics. This study aims to evaluate the benefits of using both monthly and daily data in hydrologic models, and to address the issues of catchment scale when using the two hydrologic models, the Soil and Water Assessment Tool (SWAT), and Catchment Runoff Attenuation Flux Tool (CRAFT), by comparing the difference between SWAT and CRAFT in flow pathways and sediment transport. The models are different in terms of complexity, therefore the poster will discuss the strengths and weakness of the models. Also we can show the problems of calibration and how the models can be used to support catchment modelling.

Dietary Intakes and Nutritional Issues in Neurologically Impaired Children

PubMed Central

Penagini, Francesca; Mameli, Chiara; Fabiano, Valentina; Brunetti, Domenica; Dilillo, Dario; Zuccotti, Gian Vincenzo

2015-01-01

Neurologically impaired (NI) children are at increased risk of malnutrition due to several nutritional and non-nutritional factors. Among the nutritional factors, insufficient dietary intake as a consequence of feeding difficulties is one of the main issues. Feeding problems are frequently secondary to oropharyngeal dysphagia, which usually correlates with the severity of motor impairment and presents in around 90% of preschool children with cerebral palsy (CP) during the first year of life. Other nutritional factors are represented by excessive nutrient losses, often subsequent to gastroesophageal reflux and altered energy metabolism. Among the non-nutritional factors, the type and severity of neurological impairment, ambulatory status, the degree of cognitive impairment, and use of entiepileptic medication altogether concur to determination of nutritional status. With the present review, the current literature is discussed and a practical approach for nutritional assessment in NI children is proposed. Early identification and intervention of nutritional issues of NI children with a multidisciplinary approach is crucial to improve the overall health and quality of life of these complex children. PMID:26580646

Health care financing and the sustainability of health systems.

PubMed

Liaropoulos, Lycourgos; Goranitis, Ilias

2015-09-15

The economic crisis brought an unprecedented attention to the issue of health system sustainability in the developed world. The discussion, however, has been mainly limited to "traditional" issues of cost-effectiveness, quality of care, and, lately, patient involvement. Not enough attention has yet been paid to the issue of who pays and, more importantly, to the sustainability of financing. This fundamental concept in the economics of health policy needs to be reconsidered carefully. In a globalized economy, as the share of labor decreases relative to that of capital, wage income is increasingly insufficient to cover the rising cost of care. At the same time, as the cost of Social Health Insurance through employment contributions rises with medical costs, it imperils the competitiveness of the economy. These reasons explain why spreading health care cost to all factors of production through comprehensive National Health Insurance financed by progressive taxation of income from all sources, instead of employer-employee contributions, protects health system objectives, especially during economic recessions, and ensures health system sustainability.

Solar Week 2000: Using role models to encourage an interest in science

NASA Astrophysics Data System (ADS)

Alexander, D.

2000-12-01

Solar Week 2000 is a week-long set of games and activities allowing students to interact directly with solar science and solar scientists. The main goal of Solar Week was to provide young women, primarily in grades 6-8, with access to role models in the sciences. The scientists participating in Solar Week are women from a variety of backgrounds and with a variety of scientific expertise. An online bulletin board was used to foster discussion between the students and the scientists about both science and career issues. In this presentation I will discuss the successes and failures of the first run of Solar Week which occurred on 9-13 October 2000. Our aim is to provide some insight into doing activity-based space science on the web and to discuss the lessons-learned from tailoring to a specific group of participants.

Ensuring the security and availability of a hospital wireless LAN system.

PubMed

Hanada, Eisuke; Kudou, Takato; Tsumoto, Shusaku

2013-01-01

Wireless technologies as part of the data communication infrastructure of modern hospitals are being rapidly introduced. Even though there are concerns about problems associated with wireless communication security, the demand is remarkably large. Herein we discuss security countermeasures that must be taken and issues concerning availability that must be considered to ensure safe hospital/business use of wireless LAN systems, referring to the procedures introduced at a university hospital. Security countermeasures differ according to their purpose, such as preventing illegal use or ensuring availability, both of which are discussed. The main focus of the availability discussion is on signal reach, electromagnetic noise elimination, and maintaining power supply to the network apparatus. It is our hope that this information will assist others in their efforts to ensure safe implementation of wireless LAN systems, especially in hospitals where they have the potential to greatly improve information sharing and patient safety.

Intracranial atherosclerosis: current concepts.

PubMed

Arenillas, Juan F

2011-01-01

The most relevant ideas discussed in this article are described here. Intracranial atherosclerotic disease (ICAD) represents the most common cause of ischemic stroke worldwide. Its importance in whites may have been underestimated. New technical developments, such as high-resolution MRI, allow direct assessment of the intracranial atherosclerotic plaque, which may have a profound impact on ICAD diagnosis and therapy in the near future. Early detection of ICAD may allow therapeutic intervention while the disease is still asymptomatic. The Barcelonès Nord and Maresme Asymptomatic Intracranial Atherosclerosis Study is presented here. The main prognostic factors that characterize the patients who are at a higher risk for ICAD recurrence are classified and discussed. The best treatment for ICAD remains to be established. The Stenting Versus Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis Study is currently ongoing to address this crucial issue. These and other topics will be discussed at the Fifth International Intracranial Atherosclerosis Conference (Valladolid, Spain, autumn 2011).

23 CFR 636.508 - Can price or cost be an issue in discussions?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 23 Highways 1 2010-04-01 2010-04-01 false Can price or cost be an issue in discussions? 636.508... TRAFFIC OPERATIONS DESIGN-BUILD CONTRACTING Discussions, Proposal Revisions and Source Selection § 636.508 Can price or cost be an issue in discussions? You may inform an offeror that its price is considered...

Theory of mind, social development, and psychosis.

PubMed

Casacchia, Massimo; Mazza, Monica; Roncone, Rita

2004-06-01

The difficulty in interpreting other people's mental states found in children with autism and in people affected by schizophrenia may be explained in terms of a unique mental process called Theory of Mind. The paper discusses the main operational issues of such a peculiar aspect of social cognition, the Theory of Mind, and its implication in schizophrenia, including a review of its related neural structures. Theory of Mind abilities may be a relevant aspect of social interaction involving people affected by schizophrenia, and they need to be further investigated in clinical research.

Nitrogen species

NASA Technical Reports Server (NTRS)

Harries, J. E.; Brasseur, G.; Coffey, M. T.; Fischer, H.; Gille, J.; Jones, R.; Louisnard, N.; Mccormick, M. P.; Noxon, J.; Owens, A. J.

1985-01-01

Total odd nitrogen, NO(y), may be defined as the sum of all active nitrogen species that interchange photochemically with one another on a time scale of the order of weeks or less. As noted, NO + NO2 reactions dominate the processes controlling the ozone balance in the contemporary stratosphere. The observational data from non-satellite platforms are reviewed. The growth in available satellite data in the past four years is considered. Some of the most important scientific issues are discussed, taking into account new results from atmospheric models (mainly 2-D). The model results are compared with the observational data.

International Conference on Problems Related to the Stratosphere

NASA Technical Reports Server (NTRS)

Huntress, W., Jr.

1977-01-01

The conference focused on four main areas of investigation: laboratory studies and stratospheric chemistry and constituents, sources for and chemical budget of stratospheric halogen compounds, sources for and chemical budget of stratospheric nitrous oxide, and the dynamics of decision making on regulation of potential pollutants of the stratosphere. Abstracts of the scientific sessions of the conference as well as complete transcriptions of the panel discussions on sources for an atmospheric budget of holocarbons and nitrous oxide are included. The political, social and economic issues involving regulation of potential stratospheric pollutants were examined extensively.

Molecular dynamics simulations: advances and applications

PubMed Central

Hospital, Adam; Goñi, Josep Ramon; Orozco, Modesto; Gelpí, Josep L

2015-01-01

Molecular dynamics simulations have evolved into a mature technique that can be used effectively to understand macromolecular structure-to-function relationships. Present simulation times are close to biologically relevant ones. Information gathered about the dynamic properties of macromolecules is rich enough to shift the usual paradigm of structural bioinformatics from studying single structures to analyze conformational ensembles. Here, we describe the foundations of molecular dynamics and the improvements made in the direction of getting such ensemble. Specific application of the technique to three main issues (allosteric regulation, docking, and structure refinement) is discussed. PMID:26604800

Analytical Analysis and Case Study of Transient Behavior of Inrush Current in Power Transformer for Designing of Efficient Circuit Breakers

NASA Astrophysics Data System (ADS)

Harmanpreet, Singh, Sukhwinder; Kumar, Ashok; Kaur, Parneet

2010-11-01

Stability & security are main aspects in electrical power systems. Transformer protection is major issue of concern to system operation. There are many mall-trip cases of transformer protection are caused by inrush current problems. The phenomenon of transformer inrush current has been discussed in many papers since 1958. In this paper analytical analysis of inrush current in a transformer switched on dc and ac supply has been done. This analysis will help in design aspects of circuit breakers for better performance.

Schizophrenia: breaking down the barriers.

PubMed

Haghighat, R

1997-01-01

This paper reviews the key issues presented during the Fourth International Conference on Schizophrenia, which was held in October 1996 in Vancouver, Canada. The main emphasis was placed on the problem of stigma, loneliness and work as well as on the necessity to further elucidate the physiopathology of schizophrenia. Some of the barriers discussed are unlikely to disappear from human societies in the short term with any possible cure for schizophrenia as they are part of any major long-term illness, of which there is a long and ever increasing list.

Rethinking medical humanities.

PubMed

Chiapperino, Luca; Boniolo, Giovanni

2014-12-01

This paper questions different conceptions of Medical Humanities in order to provide a clearer understanding of what they are and why they matter. Building upon former attempts, we defend a conception of Medical Humanities as a humanistic problem-based approach to medicine aiming at influencing its nature and practice. In particular, we discuss three main conceptual issues regarding the overall nature of this discipline: (i) a problem-driven approach to Medical Humanities; (ii) the need for an integration of Medical Humanities into medicine; (iii) the methodological requirements that could render Medical Humanities an effective framework for medical decision-making.

Cosmological implications of Higgs near-criticality

NASA Astrophysics Data System (ADS)

Espinosa, J. R.

2018-01-01

The Standard Model electroweak (EW) vacuum, in the absence of new physics below the Planck scale, lies very close to the boundary between stability and metastability, with the last option being the most probable. Several cosmological implications of this so-called `near-criticality' are discussed. In the metastable vacuum case, the main challenges that the survival of the EW vacuum faces during the evolution of the Universe are analysed. In the stable vacuum case, the possibility of implementing Higgs inflation is critically examined. This article is part of the Theo Murphy meeting issue `Higgs cosmology'.

Analyses of group sequential clinical trials.

PubMed

Koepcke, W

1989-12-01

In the first part of this article the methodology of group sequential plans is reviewed. After introducing the basic definition of such plans the main properties are shown. At the end of this section three different plans (Pocock, O'Brien-Fleming, Koepcke) are compared. In the second part of the article some unresolved issues and recent developments in the application of group sequential methods to long-term controlled clinical trials are discussed. These include deviation from the assumptions, life table methods, multiple-arm clinical trials, multiple outcome measures, and confidence intervals.

Osteoarthritis subpopulations and implications for clinical trial design

PubMed Central

2011-01-01

Treatment guidelines for osteoarthritis have stressed the need for research on clinical predictors of response to different treatments. However, identifying such clinical predictors of response is less easy than it seems, and there is not a given classification of osteoarthritis subpopulations. This review article highlights the key methodical issues when analyzing and designing clinical studies to detect important subgroups with respect to treatment effect. In addition, we discuss the main osteoarthritis subpopulations and give examples of how specific treatment effects in these subpopulations have been assessed. PMID:21470393

CONSTITUTING THE OUTLINES OF A PHILOSOPHY OF AYURVEDA: MAINLY ON MENTAL HEALTH IMPORT

PubMed Central

Balodhi, J.P.

1987-01-01

SUMMARY The antiquity of achievements of Hindus in the field of Mental health is explained. The chief points discussed in this article are: (1) The exact sense in which the school of ancient Indian Medicine (Ayurveda) is to be understood. (2) The interpretation of some of the fundamental philosophical issues governing the laws of mental sciences and (3) The relevance of such laws to modern scientific world. However, the present article limits its scope to Charaka Samhita- the most fundamental book on Ayurveda only. PMID:21927226

The Unanticipated Challenges Associated With Implementing an Observational Study Protocol in a Large-Scale Physical Activity and Global Positioning System Data Collection

PubMed Central

Walker, David; Ellaway, Anne

2018-01-01

Background Large-scale primary data collections are complex, costly, and time-consuming. Study protocols for trial-based research are now commonplace, with a growing number of similar pieces of work being published on observational research. However, useful additions to the literature base are publications that describe the issues and challenges faced while conducting observational studies. These can provide researchers with insightful knowledge that can inform funding proposals or project development work. Objectives In this study, we identify and reflectively discuss the unforeseen or often unpublished issues associated with organizing and implementing a large-scale objectively measured physical activity and global positioning system (GPS) data collection. Methods The SPACES (Studying Physical Activity in Children’s Environments across Scotland) study was designed to collect objectively measured physical activity and GPS data from 10- to 11-year-old children across Scotland, using a postal delivery method. The 3 main phases of the project (recruitment, delivery of project materials, and data collection and processing) are described within a 2-stage framework: (1) intended design and (2) implementation of the intended design. Results Unanticipated challenges arose, which influenced the data collection process; these encompass four main impact categories: (1) cost, budget, and funding; (2) project timeline; (3) participation and engagement; and (4) data challenges. The main unforeseen issues that impacted our timeline included the informed consent process for children under the age of 18 years; the use of, and coordination with, the postal service to deliver study information and equipment; and the variability associated with when participants began data collection and the time taken to send devices and consent forms back (1-12 months). Unanticipated budgetary issues included the identification of some study materials (AC power adapter) not fitting through letterboxes, as well as the employment of fieldworkers to increase recruitment and the return of consent forms. Finally, we encountered data issues when processing physical activity and GPS data that had been initiated across daylight saving time. Conclusions We present learning points and recommendations that may benefit future studies of similar methodology in their early stages of development. PMID:29712624

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.

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

Hanlon, Edward; Capece, John

Hendry County Sustainable Bio-Fuels Center (HCSBC) is introduced and its main components are explained. These primarily include (1) farming systems, (2) sustainability analysis, (3) economic analysis and (4) educational components. Each of these components is discussed in further details, main researchers and their responsibility areas and introduced. The main focus of this presentation is a new farming concept. The proposed new farming concept is an alternative to the current "two sides of the ditch" model, in which on one side are yield-maximizing, input-intensive, commodity price-dependent farms, while on the other side are publicly-financed, nutrient-removing treatment areas and water reservoirs tryingmore » to mitigate the externalized costs of food production systems and other human-induced problems. The proposed approach is rental of the land back to agriculture corporations during the restoration transition period in order to increase water storage (allowing for greater water flow-through and/or water storage on farms), preventing issues such as nutrients removal, using flood-tolerant crops and reducing soil subsidence. Various pros and cons of the proposed agricultural eco-services are discussed - the advantages include flexibility for participating farmers to achieve environmental outcomes with reduced costs and using innovative incentives; the minuses include the fact that the potential markets are not developed yet or that existing regulations may prevent agricultural producers from selling their services.« less

Mixed-Reality Prototypes to Support Early Creative Design

NASA Astrophysics Data System (ADS)

Safin, Stéphane; Delfosse, Vincent; Leclercq, Pierre

The domain we address is creative design, mainly architecture. Rooted in a multidisciplinary approach as well as a deep understanding of architecture and design, our method aims at proposing adapted mixed-reality solutions to support two crucial activities: sketch-based preliminary design and distant synchronous collaboration in design. This chapter provides a summary of our work on a mixed-reality device, based on a drawing table (the Virtual Desktop), designed specifically to address real-life/business-focused issues. We explain our methodology, describe the two supported activities and the related users’ needs, detail the technological solution we have developed, and present the main results of multiple evaluation sessions. We conclude with a discussion of the usefulness of a profession-centered methodology and the relevance of mixed reality to support creative design activities.

Integrating gender medicine into the workplace health and safety policy in the scientific research institutions: a mandatory task.

PubMed

Giammarioli, Anna Maria; Siracusano, Alessandra; Sorrentino, Eugenio; Bettoni, Monica; Malorni, Walter

2012-01-01

Gender medicine is a multi-faceted field of investigation integrating various aspects of psycho-social and biological sciences but it mainly deals with the impact of the gender on human physiology, pathophysiology, and clinical features of diseases. In Italy, the Decree Law 81/2008 recently introduced the gender issue in the risk assessment at the workplaces. This review briefly describes our current knowledge on gender medicine and on the Italian legislation in risk management. Public or private scientific institutions should be the first to pay attention to the safety of their workers, who are simultaneously subjected to biological, chemical and physical agents. Main tasks of risk management in scientific research institutions are here analyzed and discussed in a gender perspective.

A review of exoplanetary biosignatures

NASA Astrophysics Data System (ADS)

Grenfell, John Lee

2017-11-01

We review the field of exoplanetary biosignatures with a main focus upon atmospheric gas-phase species. Due to the paucity of data in Earth-like planetary atmospheres a common approach is to extrapolate knowledge from the Solar System and Early Earth to Earth-like exoplanets. We therefore review the main processes (e.g. atmospheric photochemistry and transport) affecting the most commonly-considered species (e.g. O2, O3, N2O, CH4 etc.) in the context of the modern Earth, Early Earth, the Solar System and Earth-like exoplanets. We consider thereby known abiotic sources for these species in the Solar System and beyond. We also discuss detectability issues related to atmospheric biosignature spectra such as band strength and uniqueness. Finally, we summarize current space agency roadmaps related to biosignature science in an exoplanet context.

Factors affecting parent-adolescent discussion on reproductive health issues in Harar, eastern Ethiopia: a cross-sectional study.

PubMed

Yadeta, Tesfaye Assebe; Bedane, Haji Kedir; Tura, Abera Kenay

2014-01-01

Open family discussion on reproductive health (RH) issues often leads to increased awareness on RH matters and reduces risky behaviors among adolescents. This study was conducted to assess factors affecting parent-adolescent discussion on RH issues in Harar, Ethiopia. A cross-sectional survey using face to face interview supplemented with focus group discussion (FGD) was conducted on 751 randomly selected parents of 10-19-year-old adolescents. Data was analyzed using SPSS version 15. More than one-fourth (28.76%) of parents reported discussing RH issues with their adolescents during the last six months. In the logistic regression, parents who have demonstrated good RH knowledge and positive attitude towards RH were almost six times and seventy percent (AOR 5.69, 95% CI: 3.67-8.82; AOR 1.70, 95% CI: 1.08-2.68) higher in discussing RH with their adolescents than their counterparts, respectively. Parent-adolescent discussion about RH issues rarely occurs and is bounded by lack of knowledge, sociocultural norms, and parental concern that discussion would encourage premarital sex. Reproductive health programs should target on improving awareness of parents and addressing sociocultural norms surrounding reproductive health issues.

Why kidneys fail post-partum: a tubulocentric viewpoint.

PubMed

Villie, Patricia; Dommergues, Marc; Brocheriou, Isabelle; Piccoli, Giorgina Barbara; Tourret, Jérôme; Hertig, Alexandre

2018-04-10

Kidneys may fail post-partum in a number of circumstances due, for example, to post-partum haemorrhage, preeclampsia, amniotic fluid embolism or septic abortion. All these conditions in pregnancy and post partum represent a threat not only to the endothelium but also to the renal tubular epithelium, and as such may lead to rapid and also irreversible impairment of the renal function. This paper is a non-systematic review of the literature and of our experience, in which we discuss the main open issues on kidney disease in pregnancy and following delivery, in particular as regards tubular damage, with the aim to help reasoning on acute kidney injury (AKI) following delivery. The review will emphasize the often under-estimated importance of the tubular epithelium in the peri-partum period and will: (1) describe the main characteristics of the renal tissues around delivery; (2) define pregnancy-related AKI according to recent Kidney Disease/Improving Global Outcome (KDIGO) guidelines; (3) discuss the most common circumstances of post-partum AKI; and (4) describe the input expected from urinalysis, renal imaging and kidney biopsy.

The compression-mode giant resonances and nuclear incompressibility

NASA Astrophysics Data System (ADS)

Garg, Umesh; Colò, Gianluca

2018-07-01

The compression-mode giant resonances, namely the isoscalar giant monopole and isoscalar giant dipole modes, are examples of collective nuclear motion. Their main interest stems from the fact that one hopes to extrapolate from their properties the incompressibility of uniform nuclear matter, which is a key parameter of the nuclear Equation of State (EoS). Our understanding of these issues has undergone two major jumps, one in the late 1970s when the Isoscalar Giant Monopole Resonance (ISGMR) was experimentally identified, and another around the turn of the millennium since when theory has been able to start giving reliable error bars to the incompressibility. However, mainly magic nuclei have been involved in the deduction of the incompressibility from the vibrations of finite nuclei. The present review deals with the developments beyond all this. Experimental techniques have been improved, and new open-shell, and deformed, nuclei have been investigated. The associated changes in our understanding of the problem of the nuclear incompressibility are discussed. New theoretical models, decay measurements, and the search for the evolution of compressional modes in exotic nuclei are also discussed.

Cyber-support: an analysis of online self-help forums (online self-help forums in bipolar disorder).

PubMed

Bauer, Rita; Bauer, Michael; Spiessl, Hermann; Kagerbauer, Tanja

2013-06-01

The Internet is becoming increasingly important in psychiatry and psychotherapy. The objective of this study was to evaluate if and how online self-help forums are used by patients with bipolar disorders, their relatives and treating professionals. A total of 2400 postings in two online forums were analysed qualitatively and quantitatively. "Disclosure", "friendship" and "online-group cohesion" were the main self-help mechanisms. The topics most discussed were "social network", "symptoms of the illness" and "medication". Factor analyses revealed three factors concerning self-help mechanisms: "group cohesion", "emotional support" and "exchange of information", as well as three factors concerning fields of interest: "illness-related aspects", "social aspects" and "financial and legal issues". We infer that the main interest in participating in online forums for patients with bipolar disorders and their relatives is to share emotions and to discuss their daily struggles with the illness. Our study also reveals that social networking is very important for patients coping with bipolar disorders. Psycho-educative programmes should focus on those aspects.

Foundations of Black Hole Accretion Disk Theory.

PubMed

Abramowicz, Marek A; Fragile, P Chris

2013-01-01

This review covers the main aspects of black hole accretion disk theory. We begin with the view that one of the main goals of the theory is to better understand the nature of black holes themselves. In this light we discuss how accretion disks might reveal some of the unique signatures of strong gravity: the event horizon, the innermost stable circular orbit, and the ergosphere. We then review, from a first-principles perspective, the physical processes at play in accretion disks. This leads us to the four primary accretion disk models that we review: Polish doughnuts (thick disks), Shakura-Sunyaev (thin) disks, slim disks, and advection-dominated accretion flows (ADAFs). After presenting the models we discuss issues of stability, oscillations, and jets. Following our review of the analytic work, we take a parallel approach in reviewing numerical studies of black hole accretion disks. We finish with a few select applications that highlight particular astrophysical applications: measurements of black hole mass and spin, black hole vs. neutron star accretion disks, black hole accretion disk spectral states, and quasi-periodic oscillations (QPOs).

Tribological advancements for reliable wind turbine performance.

PubMed

Kotzalas, Michael N; Doll, Gary L

2010-10-28

Wind turbines have had various limitations to their mechanical system reliability owing to tribological problems over the past few decades. While several studies show that turbines are becoming more reliable, it is still not at an overall acceptable level to the operators based on their current business models. Data show that the electrical components are the most problematic; however, the parts are small, thus easy and inexpensive to replace in the nacelle, on top of the tower. It is the tribological issues that receive the most attention as they have higher costs associated with repair or replacement. These include the blade pitch systems, nacelle yaw systems, main shaft bearings, gearboxes and generator bearings, which are the focus of this review paper. The major tribological issues in wind turbines and the technological developments to understand and solve them are discussed within. The study starts with an overview of fretting corrosion, rolling contact fatigue, and frictional torque of the blade pitch and nacelle yaw bearings, and references to some of the recent design approaches applied to solve them. Also included is a brief overview into lubricant contamination issues in the gearbox and electric current discharge or arcing damage of the generator bearings. The primary focus of this review is the detailed examination of main shaft spherical roller bearing micropitting and gearbox bearing scuffing, micropitting and the newer phenomenon of white-etch area flaking. The main shaft and gearbox are integrally related and are the most commonly referred to items involving expensive repair costs and downtime. As such, the latest research and developments related to the cause of the wear and damage modes and the technologies used or proposed to solve them are presented.

Autonomy Software: V&V Challenges and Characteristics

NASA Technical Reports Server (NTRS)

Schumann, Johann; Visser, Willem

2006-01-01

The successful operation of unmanned air vehicles requires software with a high degree of autonomy. Only if high level functions can be carried out without human control and intervention, complex missions in a changing and potentially unknown environment can be carried out successfully. Autonomy software is highly mission and safety critical: failures, caused by flaws in the software cannot only jeopardize the mission, but could also endanger human life (e.g., a crash of an UAV in a densely populated area). Due to its large size, high complexity, and use of specialized algorithms (planner, constraint-solver, etc.), autonomy software poses specific challenges for its verification, validation, and certification. -- - we have carried out a survey among researchers aid scientists at NASA to study these issues. In this paper, we will present major results of this study, discussing the broad spectrum. of notions and characteristics of autonomy software and its challenges for design and development. A main focus of this survey was to evaluate verification and validation (V&V) issues and challenges, compared to the development of "traditional" safety-critical software. We will discuss important issues in V&V of autonomous software and advanced V&V tools which can help to mitigate software risks. Results of this survey will help to identify and understand safety concerns in autonomy software and will lead to improved strategies for mitigation of these risks.

Scientists' perspectives on the ethical issues of stem cell research.

PubMed

Longstaff, Holly; Schuppli, Catherine A; Preto, Nina; Lafrenière, Darquise; McDonald, Michael

2009-06-01

This paper describes findings from an ethics education project funded by the Canadian Stem Cell Network (SCN). The project is part of a larger research initiative entitled "The Stem Cell Research Environment: Drawing the Evidence and Experience Together". The ethics education study began with a series of focus groups with SCN researchers and trainees as part of a "needs assessment" effort. The purpose of these discussions was to identify the main ethical issues associated with stem cell (SC) research from the perspective of the stem cell community. This paper will focus on five prominent themes that emerged from the focus group data including: (1) the source of stem cells; (2) the power of stem cells; (3) working within a charged research environment; (4) the regulatory context; and (5) ethics training for scientists. Additional discussions are planned with others involved in Canadian stem cell research (e.g., research ethics board members, policy makers) to supplement initial findings. These assessment results combined with existing bioethics literature will ultimately inform a web-based ethics education module for the SCN. We believe that our efforts are important for those analyzing the ethical, legal, and social issues (ELSI) in this area because our in depth understanding of stem cell researcher perspectives will enable us to develop more relevant and effective education material, which in turn should help SC researchers address the important ethical challenges in their area.

Ethical aspects of human biobanks: a systematic review

PubMed Central

Budimir, Danijela; Polašek, Ozren; Marušić, Ana; Kolčić, Ivana; Zemunik, Tatijana; Boraska, Vesna; Jerončić, Ana; Boban, Mladen; Campbell, Harry; Rudan, Igor

2011-01-01

Aim To systematically assess the existing literature on ethical aspects of human biobanks. Method We searched the Web of Science and PubMed databases to find studies addressing ethical problems in biobanks with no limits set (study design, study population, time period, or language of publication). All identified articles published until November 2010 were included. We analyzed the type of published articles, journals publishing them, involvement of countries/institutions, year of publication, and citations received, and qualitatively assessed every article in order to identify ethical issues addressed by the majority of published research on human biobanking. Results Hundred and fifty four studies satisfied our review criteria. The studies mainly came from highly developed countries and were all published in the last two decades, with over half of them published in 2009 or 2010. They most commonly discussed the informed consent, privacy and identifiability, return of results to participants, importance of public trust, involvement of children, commercialization, the role of ethics boards, international data exchange, ownership of samples, and benefit sharing. Conclusions The focus on ethical aspects is strongly present through the whole biobanking research field. Although there is a consensus on the old and most typical ethical issues, with further development of the field and increasingly complex structure of human biobanks, these issues will likely continue to arise and accumulate, hence requiring constant re-appraisal and continuing discussion. PMID:21674823

Interpreting BOLD: towards a dialogue between cognitive and cellular neuroscience.

PubMed

Hall, Catherine N; Howarth, Clare; Kurth-Nelson, Zebulun; Mishra, Anusha

2016-10-05

Cognitive neuroscience depends on the use of blood oxygenation level-dependent (BOLD) functional magnetic resonance imaging (fMRI) to probe brain function. Although commonly used as a surrogate measure of neuronal activity, BOLD signals actually reflect changes in brain blood oxygenation. Understanding the mechanisms linking neuronal activity to vascular perfusion is, therefore, critical in interpreting BOLD. Advances in cellular neuroscience demonstrating differences in this neurovascular relationship in different brain regions, conditions or pathologies are often not accounted for when interpreting BOLD. Meanwhile, within cognitive neuroscience, the increasing use of high magnetic field strengths and the development of model-based tasks and analyses have broadened the capability of BOLD signals to inform us about the underlying neuronal activity, but these methods are less well understood by cellular neuroscientists. In 2016, a Royal Society Theo Murphy Meeting brought scientists from the two communities together to discuss these issues. Here, we consolidate the main conclusions arising from that meeting. We discuss areas of consensus about what BOLD fMRI can tell us about underlying neuronal activity, and how advanced modelling techniques have improved our ability to use and interpret BOLD. We also highlight areas of controversy in understanding BOLD and suggest research directions required to resolve these issues.This article is part of the themed issue 'Interpreting BOLD: a dialogue between cognitive and cellular neuroscience'. © 2016 The Author(s).

Material efficiency: providing material services with less material production

PubMed Central

Allwood, Julian M.; Ashby, Michael F.; Gutowski, Timothy G.; Worrell, Ernst

2013-01-01

Material efficiency, as discussed in this Meeting Issue, entails the pursuit of the technical strategies, business models, consumer preferences and policy instruments that would lead to a substantial reduction in the production of high-volume energy-intensive materials required to deliver human well-being. This paper, which introduces a Discussion Meeting Issue on the topic of material efficiency, aims to give an overview of current thinking on the topic, spanning environmental, engineering, economics, sociology and policy issues. The motivations for material efficiency include reducing energy demand, reducing the emissions and other environmental impacts of industry, and increasing national resource security. There are many technical strategies that might bring it about, and these could mainly be implemented today if preferred by customers or producers. However, current economic structures favour the substitution of material for labour, and consumer preferences for material consumption appear to continue even beyond the point at which increased consumption provides any increase in well-being. Therefore, policy will be required to stimulate material efficiency. A theoretically ideal policy measure, such as a carbon price, would internalize the externality of emissions associated with material production, and thus motivate change directly. However, implementation of such a measure has proved elusive, and instead the adjustment of existing government purchasing policies or existing regulations— for instance to do with building design, planning or vehicle standards—is likely to have a more immediate effect. PMID:23359746

Material efficiency: providing material services with less material production.

PubMed

Allwood, Julian M; Ashby, Michael F; Gutowski, Timothy G; Worrell, Ernst

2013-03-13

Material efficiency, as discussed in this Meeting Issue, entails the pursuit of the technical strategies, business models, consumer preferences and policy instruments that would lead to a substantial reduction in the production of high-volume energy-intensive materials required to deliver human well-being. This paper, which introduces a Discussion Meeting Issue on the topic of material efficiency, aims to give an overview of current thinking on the topic, spanning environmental, engineering, economics, sociology and policy issues. The motivations for material efficiency include reducing energy demand, reducing the emissions and other environmental impacts of industry, and increasing national resource security. There are many technical strategies that might bring it about, and these could mainly be implemented today if preferred by customers or producers. However, current economic structures favour the substitution of material for labour, and consumer preferences for material consumption appear to continue even beyond the point at which increased consumption provides any increase in well-being. Therefore, policy will be required to stimulate material efficiency. A theoretically ideal policy measure, such as a carbon price, would internalize the externality of emissions associated with material production, and thus motivate change directly. However, implementation of such a measure has proved elusive, and instead the adjustment of existing government purchasing policies or existing regulations-- for instance to do with building design, planning or vehicle standards--is likely to have a more immediate effect.

Limitations and drawbacks of using Preliminary Environmental Reports (PERs) as an input to Environmental Licensing in Sao Paulo State: A case study on natural gas pipeline routing

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

Kirchhoff, Denis; Montano, Marcelo; Ranieri, Victor Eduardo Lima

2007-05-15

This article discusses the limitations and implications to environmental management issues posed by the Environmental Licensing approach adopted in Sao Paulo State. In Brazil, Environmental Impact Assessment (EIA) is an essential precondition to the Environmental Licensing of activities and, in fact, it has been the most important and required tool for the licensing of projects. However, in 1994 the State of Sao Paulo implemented a simplified instrument called a 'Preliminary Environmental Report' in order to make the environmental licensing process faster. Since then, the Preliminary Environmental Report (PER) has had the role of indicating whether an EIA needs to bemore » elaborated upon or not. The positives and negatives regarding technical, institutional and legal aspects related to the use of Preliminary Environmental Reports (rather than EIA) are discussed using the case study of a high-pressure natural gas pipeline between the cities of Sao Carlos and Porto Ferreira in the State of Sao Paulo. The main conclusion is that the Environmental Licensing process in Sao Paulo should not use PERs as the sole input to decision making about proposed activities, since the PER approach does not guarantee that the proposed activity is environmentally suitable, does not address locational issues or comparison of alternatives, and risk assessment issues are not considered in the earliest stages of assessment.« less

Understanding the contribution of environmental factors in the spread of antimicrobial resistance.

PubMed

Fletcher, Stephanie

2015-07-01

The overuse and abuse of antibiotics have contributed to the global epidemic of antibiotic resistance. Current evidence suggests that widespread dependency on antibiotics and complex interactions between human health, animal husbandry and veterinary medicine, have contributed to the propagation and spread of resistant organisms. The lack of information on pathogens of major public health importance, limited surveillance, and paucity of standards for a harmonised and coordinated approach, further complicates the issue. Despite the widespread nature of antimicrobial resistance, limited focus has been placed on the role of environmental factors in propagating resistance. There are limited studies that examine the role of the environment, specifically water, sanitation and hygiene factors that contribute to the development of resistant pathogens. Understanding these elements is necessary to identify any modifiable interactions to reduce or interrupt the spread of resistance from the environment into clinical settings. This paper discusses some environmental issues that contribute to antimicrobial resistance, including soil related factors, animal husbandry and waste management, potable and wastewater, and food safety, with examples drawn mainly from the Asian region. The discussion concludes that some of the common issues are often overlooked and whilst there are numerous opportunities for environmental factors to contribute to the growing burden of antimicrobial resistance, a renewed focus on innovative and traditional environmental approaches is needed to tackle the problem.

Proceedings of the Strategy Meeting for the Development of an International Consortium for Chinese Medicine and Cancer

PubMed Central

White, Jeffrey D.; Lin, Hongsheng; Wu, Roy S.; Lam, Stephen; Li, Jie; Dou, Jinhui; Kumar, Nagi; Lin, Lizhu; Lao, Lixing

2017-01-01

On November 3, 2014, in Bethesda, MD, the Office of Cancer Complementary and Alternative Medicine of the National Cancer Institute held a meeting to examine the potential utility and feasibility of establishing an international consortium for Chinese medicine and cancer. There is significant interest in the West in using components of Chinese medicine (CM) —such as botanicals and herbal medicines, acupuncture and acupressure, and qigong—in the field of oncology, as potential anticancer agents, for symptom management, and to improve quality of life. The proposal for a consortium on CM came from the Chinese Academy of Chinese Medical Sciences, with the aims of improving scientific communications and collaborations and modernizing the studies of CM for cancer. The US National Cancer Institute’s Office of Cancer Complementary and Alternative Medicine agreed to work with Chinese Academy of Chinese Medical Sciences to explore the feasibility of establishing an international consortium for Chinese medicine and cancer. At the meeting, participants from the United States, China, Canada, Australia, and Korea discussed issues in CM and cancer research, treatment, and management, including potential mechanisms of action, proof of efficacy, adverse effects, regulatory issues, and the need for improving the quality of randomized clinical trials of CM treatments and supportive care interventions. Presented in these proceedings are some of the main issues and opportunities discussed by workshop participants. PMID:29244995

Improving Competitiveness of U.S. Coal Dialogue

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

Kokkinos, Angelos

The Improving Competitiveness of U.S. Coal Dialogue held in September 2017 explored a broad range of technical developments that have the potential to improve U.S. coal competitiveness in domestic and overseas markets. The workshop is one in a series of events hosted by DOE to gather expert input on challenges and opportunities for reviving the coal economy. This event brought together coal industry experts to review developments in a broad range of technical areas such as conventional physical (e.g. dense-medium) technologies, and dry coal treatments; thermal, chemical, and bio-oxidation coal upgrading technologies; coal blending; and applications for ultrafine coal andmore » waste streams. The workshop was organized to focus on three main discussion topics: Challenges and Opportunities for Improving U.S. Coal Competitiveness in Overseas Markets, Mineral Processing, and Technologies to Expand the Market Reach of Coal Products. In each session, invited experts delivered presentations to help frame the subsequent group discussion. Throughout the discussions, participants described many possible areas of research and development (R&D) in which DOE involvement could help to produce significant outcomes. In addition, participants discussed a number of open questions—those that the industry has raised or investigated but not yet resolved. In discussing the three topics, the participants suggested potential areas of research and issues for further investigation. As summarized in Table ES-1, these crosscutting suggestions centered on combustion technologies, coal quality, coal processing, environmental issues, and other issues. The discussions at this workshop will serve as an input that DOE considers in developing initiatives that can be pursued by government and industry. This workshop generated strategies that described core research concepts, identified implementation steps, estimated benefits, clarified roles of government and industry, and outlined next steps. While more work is needed, each of these initiatives, included in the sections that follow, details new ideas to increase efficiency and reduce carbon emissions. DOE will integrate the results of this workshop with ongoing research work at the National Laboratories as well as other relevant data sources. This combined information will be used to develop a comprehensive strategy for capitalizing on the opportunity for U.S. coal and mineral competitiveness.« less

Ethical issues regarding human cloning: a nursing perspective.

PubMed

Dinç, Leyla

2003-05-01

Advances in cloning technology and successful cloning experiments in animals raised concerns about the possibility of human cloning in recent years. Despite many objections, this is not only a possibility but also a reality. Human cloning is a scientific revolution. However, it also introduces the potential for physical and psychosocial harm to human beings. From this point of view, it raises profound ethical, social and health related concerns. Human cloning would have an impact on the practice of nursing because it could result in the creation of new physiological and psychosocial conditions that would require nursing care. The nursing profession must therefore evaluate the ethics of human cloning, in particular the potential role of nurses. This article reviews the ethical considerations of reproductive human cloning, discusses the main reasons for concern, and reflects a nursing perspective regarding this issue.

Improving Access to Essential Medicines: How Health Concerns can be Prioritised in the Global Governance System

PubMed Central

Sridhar, Devi

2008-01-01

This paper discusses the politics of access to essential medicines and identifies ‘space’ in the current system where health concerns can be strengthened relative to trade. This issue is addressed from a global governance perspective focusing on the main actors who can have the greatest impact. These include developing country coalitions and citizens in developed countries though participation in civil society organisations. These actors have combined forces to tackle this issue successfully, resulting in the 2001 Doha Declaration on Public Health. The collaboration has been so powerful due to the assistance of the media as well as the decision to compromise with pharmaceutical companies and their host countries. To improve access to essential medicines, six C's are needed: coalitions, civil society, citizenship, compromise, communication and collaboration. PMID:19461853

Setting up a mobile dental practice within your present office structure.

PubMed

Morreale, James P; Dimitry, Susan; Morreale, Mark; Fattore, Isabella

2005-02-01

Different service models have emerged in Canada and the United States to address the issue of senior citizens' lack of access to comprehensive dental care. Over the past decade, one such model, the use of mobile dental service units, has emerged as a practical strategy. This article describes a mobile unit, operated as an adjunct to the general practitioner's office and relying mainly on existing office resources, both human and capital, to deliver services at long-term care institutions. The essential components of a profitable geriatric mobile unit are described, including education, equipment, marketing research and development, and human resource management. Issues related to patient consent and operating expenditures are also discussed. Data from one practitioner's mobile dental unit, in Hamilton, Ontario, are presented to demonstrate the feasibility and profitability of this approach.

Environmental issues and economic performance of the coal industry in Brazil

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

Santana, E.A.; Seabra, F.; Wendhausen, J.

1996-12-31

The purpose of this study is to investigate the main sources of inefficiency of the Brazilian coal industry. In addition, the authors examine the current and the future competitiveness of the Brazilian coal industry taking into account the effects of globalization, the modernization of the mining techniques and, most important, the environmental costs regarded under the concept of sustainable development. This paper examines some of the causes behind the alleged inefficiency of coal production and coal-electric generation, with special emphasis to environmental issues. The rest of the paper is organized as follows. Section 2 outlines a profile of the energeticmore » potential of coal reserves in Brazil. In section 3, the authors discuss environmental restrictions and other features that can be related to the performance of the coal industry in Brazil.« less

State of the Art in Trust and Reputation Models in P2P networks

NASA Astrophysics Data System (ADS)

Mármol, Félix Gómez; Pérez, Gregorio Martínez

Ensuring security in a distributed environment such as P2P networks is a critical issue nowadays. Nevertheless, it is in those kind of scenarios in which entities can enter or leave the community whenever they want, where traditional mboxsecurity schemes can not always be applied. Specifically, the use of a PKI (Public Key Infrastructure) may be unacceptable within highly distributed systems. Therefore, modeling concepts like trust and reputation may result very helpful and useful when trying to gain a certain level of security and confidence among inter-operating entities. Thus, this chapter presents a review of some of the most representative trust and reputation models for P2P networks, discussing their main characteristics and also their weaknesses and deficiencies. Open issues and challenges associated with them will be also covered.

Practical issues of hyperspectral imaging analysis of solid dosage forms.

PubMed

Amigo, José Manuel

2010-09-01

Hyperspectral imaging techniques have widely demonstrated their usefulness in different areas of interest in pharmaceutical research during the last decade. In particular, middle infrared, near infrared, and Raman methods have gained special relevance. This rapid increase has been promoted by the capability of hyperspectral techniques to provide robust and reliable chemical and spatial information on the distribution of components in pharmaceutical solid dosage forms. Furthermore, the valuable combination of hyperspectral imaging devices with adequate data processing techniques offers the perfect landscape for developing new methods for scanning and analyzing surfaces. Nevertheless, the instrumentation and subsequent data analysis are not exempt from issues that must be thoughtfully considered. This paper describes and discusses the main advantages and drawbacks of the measurements and data analysis of hyperspectral imaging techniques in the development of solid dosage forms.

Simple Gifts: Ethical Issues in the Conduct of Person-Based Composition Research.

ERIC Educational Resources Information Center

Anderson, Paul V.

1998-01-01

Discusses ethical issues involved with person-based research. Discusses the ethical discourse embodied in the "Nuremberg Code," federal regulations, and the "Belmont Report." Discusses several specific issues in research ethics to illustrate how this discourse provides new ways of thinking about what must be done to treat…

Motivating a Productive Discussion of Normative Issues through Debates

ERIC Educational Resources Information Center

Hennessey, Jessica

2014-01-01

In this article, the author presents a way of using in-class debates to discuss contentious issues and help students develop critical thinking skills. Three elements were incorporated into an undergraduate public finance course: a presentation of ethical approaches in order to formally discuss normative issues, class debates which required…

Civil Rights in Maine. Proceedings of a consultation sponsored by the Maine Advisory Committee to the U.S. Commission on Civil Rights (Augusta, Maine, November 16-17, 1978).

ERIC Educational Resources Information Center

Maine Advisory Committee to the U.S. Commission on Civil Rights, Augusta.

This publication records statements made by representatives of some 20 organizations at a Consultation on the Status of Civil Rights in Maine. Following the chairperson's introductory remarks, presentations on the following five sets of issues are offered: (1) general and multiple civil rights issues (the Maine Human Rights Commission, the Pine…

Techniques: Integrating the National Issues Forums into ABE Programs.

ERIC Educational Resources Information Center

Colhapp, Barbara Jones

1989-01-01

This article discusses the National Issues Forum (NIF), a national, nonpartisan program designed to encourage citizen discussion of important public issues. The programs try to recreate the town meeting concept of reaching consensus on public issues. Short workbooks are available on two reading levels for issues such as the superpowers, crime,…

Atomic spectrometry methods for wine analysis: a critical evaluation and discussion of recent applications.

PubMed

Grindlay, Guillermo; Mora, Juan; Gras, Luis; de Loos-Vollebregt, Margaretha T C

2011-04-08

The analysis of wine is of great importance since wine components strongly determine its stability, organoleptic or nutrition characteristics. In addition, wine analysis is also important to prevent fraud and to assess toxicological issues. Among the different analytical techniques described in the literature, atomic spectrometry has been traditionally employed for elemental wine analysis due to its simplicity and good analytical figures of merit. The scope of this review is to summarize the main advantages and drawbacks of various atomic spectrometry techniques for elemental wine analysis. Special attention is paid to interferences (i.e. matrix effects) affecting the analysis as well as the strategies available to mitigate them. Finally, latest studies about wine speciation are briefly discussed. Copyright © 2011 Elsevier B.V. All rights reserved.

Abortion in Islamic Ethics, and How it is Perceived in Turkey: A Secular, Muslim Country

PubMed Central

Ekmekci, Perihan Elif

2016-01-01

Abortion is among the most widely discussed concepts of medical ethics. Since the well-known ethical theories have emerged from Western world, the position of Islamic ethics regarding main issues of medical ethics has been overlooked. Muslims constitute a considerable amount of world population. Turkish Republic is the only Muslim country ruled with secular democracy and one of the three Muslim countries where abortion is legalized. The first aim of this paper is to present discussions on abortion in Islamic ethics in the context of major ethical concepts; the legal status of the fetus, respect for life and the right not to be born. The second aim is to put forth Turkey’s present legislation about abortion in the context of Islamic ethical and religious aspects. PMID:27364347

Molecular Diode Studies Based on a Highly Sensitive Molecular Measurement Technique.

PubMed

Iwane, Madoka; Fujii, Shintaro; Kiguchi, Manabu

2017-04-26

In 1974, molecular electronics pioneers Mark Ratner and Arieh Aviram predicted that a single molecule could act as a diode, in which electronic current can be rectified. The electronic rectification property of the diode is one of basic functions of electronic components and since then, the molecular diode has been investigated as a first single-molecule device that would have a practical application. In this review, we first describe the experimental fabrication and electronic characterization techniques of molecular diodes consisting of a small number of molecules or a single molecule. Then, two main mechanisms of the rectification property of the molecular diode are discussed. Finally, representative results for the molecular diode are reviewed and a brief outlook on crucial issues that need to be addressed in future research is discussed.

Molecular Diode Studies Based on a Highly Sensitive Molecular Measurement Technique

PubMed Central

Iwane, Madoka; Fujii, Shintaro; Kiguchi, Manabu

2017-01-01

In 1974, molecular electronics pioneers Mark Ratner and Arieh Aviram predicted that a single molecule could act as a diode, in which electronic current can be rectified. The electronic rectification property of the diode is one of basic functions of electronic components and since then, the molecular diode has been investigated as a first single-molecule device that would have a practical application. In this review, we first describe the experimental fabrication and electronic characterization techniques of molecular diodes consisting of a small number of molecules or a single molecule. Then, two main mechanisms of the rectification property of the molecular diode are discussed. Finally, representative results for the molecular diode are reviewed and a brief outlook on crucial issues that need to be addressed in future research is discussed. PMID:28445393

A Scientific Approach to the Investigation on Anomalous Atmospheric Light Phenomena

NASA Astrophysics Data System (ADS)

Teodorani, M.

2011-12-01

Anomalous atmospheric light phenomena tend to occur recurrently in several places of our planet. Statistical studies show that a phenomenon's real recurrence area can be identified only after pondering reported cases on the population number and on the diffusion of communication media. The main scientific results that have been obtained so far after explorative instrumented missions have been carried out are presented, including the empirical models that have been set up in order to describe the observed reality. Subsequently, a focused theorization is discussed in order to attack the physical problem concerning the structure and the dynamics of "light balls" and the enigma related to the central force that maintains them in spherical shape. Finally, several important issues are discussed regarding methodology, strategy, tactics and interdisciplinary approaches.

Food Applications and Regulation

NASA Astrophysics Data System (ADS)

Gálvez, Antonio; Abriouel, Hikmate; Omar, Nabil Ben; Lucas, Rosario

This chapter deals with food applications of bacteriocins. Regulatory issues on the different possibilities for incorporating bacteriocins as bioprotectants are discussed. Specific applications of bacteriocins or bacteriocin-producing strains are described for main food categories, including milk and dairy products, raw meats, ready-to-eat meat and poultry products, fermented meats, fish and fish products or fermented fish. The last section of the chapter deals with applications in foods and beverages derived from plant materials, such as raw vegetable foods, fruits and fruit juices, cooked food products, fermented vegetable foods and ­fermented beverages. Results obtained for application of bacteriocins in combination with other hurdles are also discussed for each specific case, with a special emphasis on novel food packaging and food-processing technologies, such as irradiation, pulsed electric field treatments or high hydrostatic pressure treatment.

Abortion in Islamic Ethics, and How it is Perceived in Turkey: A Secular, Muslim Country.

PubMed

Ekmekci, Perihan Elif

2017-06-01

Abortion is among the most widely discussed concepts of medical ethics. Since the well-known ethical theories have emerged from Western world, the position of Islamic ethics regarding main issues of medical ethics has been overlooked. Muslims constitute a considerable amount of world population. Turkish Republic is the only Muslim country ruled with secular democracy and one of the three Muslim countries where abortion is legalized. The first aim of this paper is to present discussions on abortion in Islamic ethics in the context of major ethical concepts; the legal status of the fetus, respect for life and the right not to be born. The second aim is to put forth Turkey's present legislation about abortion in the context of Islamic ethical and religious aspects.

Navigating "thorny" issues

NASA Astrophysics Data System (ADS)

Hutchinson, Kashema; Gilbert, Aderinsola; Malyukova, Anna

2016-09-01

In their article Mindfulness and discussing ` thorny' issues in the classroom Konstantinos Alexakos et al. (Cult Stud Sci Educ, 2016. doi: 10.1007/s11422-015-9718-0) describe "thorny" issues as "difficult topics to discuss because they are more personal to some perhaps even cause pain and violence." As women from different backgrounds, we engage in a metalogue, which expands on our thoughts and emotions the thorny issues evoked. Our discussion is grounded in theoretical frameworks of mindfulness, wellness, and safe space for learning. We also reflect on our experiences of facing some of the thorny issues in our academic and personal lives. Having trust and respect for one another and being aware of thorny issues allows for a meaningful conversation about the complexity and nuances involved in discussing difficult topics in a classroom setting.

[Forum: twenty years of experience and the challenge with the Unified National Health System. Introduction].

PubMed

Maio, Marcos Chor; Lima, Nísia Trindade

2009-07-01

This Introduction presents the Forum on the 20 years of experience with the Unified National Health System (SUS), consisting of 3 articles and a postscript. The first article provides a historical overview of the implementation of the SUS, in light of the Constitutional provisions pertaining to health. It discusses the context and main issues underlying the creation of the SUS in Brazil and proposes a renewed linkage between health sector policies and an expanded project for Brazilian society. The second article analyzes the SUS' dynamics; strides in access to and comprehensiveness of care; and challenges for the achievement of its objectives, in light of factors that are external to the system, involving the need for greater politicization of analyses on the issue. The third article approaches social and political processes that developed from 1988 to 2008. It mainly analyzes the history of two collegiate bodies under the SUS at the Federal level: the National Health Council and the Tripartite Inter-Managers' Commission. Despite the complexity identified by the authors and the important obstacles they identify, the reflections indicate that the SUS has been a successful social policy, besides contributing to the consolidation of democracy in Brazil.

Micromachined Fluid Inertial Sensors

PubMed Central

Liu, Shiqiang; Zhu, Rong

2017-01-01

Micromachined fluid inertial sensors are an important class of inertial sensors, which mainly includes thermal accelerometers and fluid gyroscopes, which have now been developed since the end of the last century for about 20 years. Compared with conventional silicon or quartz inertial sensors, the fluid inertial sensors use a fluid instead of a solid proof mass as the moving and sensitive element, and thus offer advantages of simple structures, low cost, high shock resistance, and large measurement ranges while the sensitivity and bandwidth are not competitive. Many studies and various designs have been reported in the past two decades. This review firstly introduces the working principles of fluid inertial sensors, followed by the relevant research developments. The micromachined thermal accelerometers based on thermal convection have developed maturely and become commercialized. However, the micromachined fluid gyroscopes, which are based on jet flow or thermal flow, are less mature. The key issues and technologies of the thermal accelerometers, mainly including bandwidth, temperature compensation, monolithic integration of tri-axis accelerometers and strategies for high production yields are also summarized and discussed. For the micromachined fluid gyroscopes, improving integration and sensitivity, reducing thermal errors and cross coupling errors are the issues of most concern. PMID:28216569

Technologies to measure and modify physical activity and eating environments.

PubMed

King, Abby C; Glanz, Karen; Patrick, Kevin

2015-05-01

The explosion of technologic advances in information capture and delivery offers unparalleled opportunities to assess and modify built and social environments in ways that can positively impact health behaviors. This paper highlights some potentially transformative current and emerging trends in the technology arena applicable to environmental context-based assessment and intervention relevant to physical activity and dietary behaviors. A team of experts convened in 2013 to discuss the main issues related to technology use in assessing and changing built environments for health behaviors particularly relevant to obesity prevention. Each expert was assigned a specific domain to describe, commensurate with their research and expertise in the field, along with examples of specific applications. This activity was accompanied by selective examination of published literature to cover the main issues and elucidate relevant applications of technologic tools and innovations in this field. Decisions concerning which technology examples to highlight were reached through discussion and consensus-building among the team of experts. Two levels of impact are highlighted: the "me" domain, which primarily targets measurement and intervention activities aimed at individual-level behaviors and their surrounding environments; and the "we" domain, which generally focuses on aggregated data aimed at groups and larger population segments and locales. The paper ends with a set of challenges and opportunities for significantly advancing the field. Key areas for progress include data collection and expansion, managing technologic considerations, and working across sectors to maximize the population potential of behavioral health technologies. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Reporting and dealing with missing quality of life data in RCTs: has the picture changed in the last decade?

PubMed

Fielding, S; Ogbuagu, A; Sivasubramaniam, S; MacLennan, G; Ramsay, C R

2016-12-01

Missing data are a major problem in the analysis of data from randomised trials affecting power and potentially producing biased treatment effects. Specifically focussing on quality of life outcomes, we aimed to report the amount of missing data, whether imputation was used and what methods and was the missing mechanism discussed from four leading medical journals and compare the picture to our previous review nearly a decade ago. A random selection (50 %) of all RCTS published during 2013-2014 in BMJ, JAMA, Lancet and NEJM was obtained. RCTs reported in research letters, cluster RCTs, non-randomised designs, review articles and meta-analysis were excluded. We included 87 RCTs in the review of which 35 % the amount of missing primary QoL data was unclear, 31 (36 %) used imputation. Only 23 % discussed the missing data mechanism. Nearly half used complete case analysis. Reporting was more unclear for secondary QoL outcomes. Compared to the previous review, multiple imputation was used more prominently but mainly in sensitivity analysis. Inadequate reporting and handling of missing QoL data in RCTs are still an issue. There is a large gap between statistical methods research relating to missing data and the use of the methods in applications. A sensitivity analysis should be undertaken to explore the sensitivity of the main results to different missing data assumptions. Medical journals can help to improve the situation by requiring higher standards of reporting and analytical methods to deal with missing data, and by issuing guidance to authors on expected standard.

The use of bacterial bioremediation of metals in aquatic environments in the twenty-first century: a systematic review.

PubMed

de Alencar, Feliphe Lacerda Souza; Navoni, Julio Alejandro; do Amaral, Viviane Souza

2017-07-01

Metal pollution is a current environmental issue as a consequence of unregulated anthropic activiy. A wide range of bioremediation strategies have been successfully implemented to recover contaminated areas. Among them, bacterial bioremediation stands out as a promising tool to confront these types of concerns. This study aimed to compare and discuss worldwide scientific evolution of bacterial potential for metal bioremediation in aquatic ecosystems. The study consisted of a systematic review, elaborated through a conceptual hypothesis model, during the period from 2000 to 2016, using PubMed, MEDLINE, and SciELO databases as data resources. The countries with the largest number of reports included in this work were India and the USA. Industrial wastewater discharge was the main subject associated to metal contamination/pollution and where bacterial bioremediations have mostly been applied. Biosorption is the main bioremediation mechanism described. Bacterial adaptation to metal presence was discussed in all the selected studies, and chromium was the most researched bioremedied substrate. Gram-negative Pseudomonas aeruginosas and the Gram-positive Bacillus subtilis bacteria were microorganisms with the greatest applicability for metal bioremediation. Most reports involved the study of genes and/or proteins related to metal metabolism and/or resistence, and Chromobacterium violaceum was the most studied. The present work shows the relevance of metal bacterial bioremediation through the high number of studies aimed at understanding the microbiological mechanisms involved. Moreover, the developed processes applied in removal and/or reducing the resulting environmental metal contaminant/pollutant load have become a current and increasingly biotechnological issue for recovering impacted areas.

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

Bird Integumentary Melanins: Biosynthesis, Forms, Function and Evolution

PubMed Central

Galván, Ismael; Solano, Francisco

2016-01-01

Melanins are the ubiquitous pigments distributed in nature. They are one of the main pigments responsible for colors in living cells. Birds are among the most diverse animals regarding melanin-based coloration, especially in the plumage, although they also pigment bare parts of the integument. This review is devoted to the main characteristics of bird melanins, including updated views of the formation and nature of melanin granules, whose interest has been raised in the last years for inferring the color of extinct birds and non-avian theropod dinosaurs using resistant fossil feathers. The molecular structure of the two main types of melanin, eumelanin and pheomelanin, and the environmental and genetic factors that regulate avian melanogenesis are also presented, establishing the main relationship between them. Finally, the special functions of melanin in bird feathers are also discussed, emphasizing the aspects more closely related to these animals, such as honest signaling, and the factors that may drive the evolution of pheomelanin and pheomelanin-based color traits, an issue for which birds have been pioneer study models. PMID:27070583

Using Issues-Based Art Education to Facilitate Middle School Students' Learning in Racial Issues

ERIC Educational Resources Information Center

Li, Dan

2018-01-01

Issues-based art education encourages students to express their perspectives on different social issues through art making. In this article, the author discusses racial issues with middle school students through contemporary artwork discussion and hands-on poster making. The difficulties that students encounter in their poster making session will…

Communication between parents and their children about sexual health.

PubMed

Ogle, Sharron; Glasier, Anna; Riley, Simon C

2008-04-01

Communicating about sex with parents has been shown to influence some aspects of sexual behavior in young people. The aim of this study was to investigate how comfortable parents and children find this type of discussion and to compare parental responses with those of their children. Self-completed questionnaires were distributed to 317 teenagers from a state school in Edinburgh, Scotland, and to 575 of their parents. The questionnaire was designed to appraise relative levels of comfort/discomfort about discussing six sexual health topics. Where a parent and their child had both completed questionnaires, their responses were compared. Three hundred forty-five parents, 162 girls and 155 boys, completed questionnaires. Most parents considered themselves "comfortable" or "very comfortable" discussing sexual health issues with their children, with "boyfriends/girlfriends" as the most comfortable (p< or =.001) and "sexual intercourse" the least comfortable topic (p<.0005). However, many children stated they "definitely would not" talk to parents (19-65% of participants, depending on the topic), citing "embarrassment" as the main reason. Eight-six pairs of parent-child responses were matched and compared showing that on all topics the least communication occurred between fathers and their daughters. There are clearly barriers to communicating about sexual health issues between parents and their children in this population, and this seems to stem from reluctance on the part of the children rather than of their parents.

Soil ecotoxicology in Brazil is taking its course.

PubMed

Niva, Cintia Carla; Niemeyer, Julia Carina; Júnior, Flávio Manoel Rodrigues Da Silva; Nunes, Maria Edna Tenório; De Sousa, Danilo Lourenço; Aragão, Clara Wandenkolck Silva; Sautter, Klaus Dieter; Espindola, Evaldo Gaeta; Sousa, José Paulo; Römbke, Jörg

2016-06-01

Soil ecotoxicology has been motivated by the increasing global awareness on environmental issues. Northern Hemisphere has been the main driver of this science branch; however, the number and quality of contributions from the Southern Hemisphere are increasing quickly. In this case study, Brazil is taken as an example of how soil ecotoxicology has developed over the last 30 years. It starts with a brief historical overview depicting the main events on soil ecotoxicology in the country. Following, an overview on the Brazilian legislation related to soil ecotoxicology is given, covering regulations with prospective focus, mainly on the registration of pesticides. Regulations with retrospective focus in contaminated areas are also given. Then, an outline of the actors in soil ecotoxicology and examples of prospective ecotoxicological studies performed with soil organisms and plants are given by stressor groups: pesticides, pharmaceuticals, metals, and residues. Experiences from retrospective studies, mainly looking at the assessment of industrial sites, are also covered. Emphasis is given on methodological aspects, pointing to needed actions, mainly regarding the different biotic and abiotic conditions of a tropical country. Finally, the last session discusses how soil ecotoxicology could be improved in methodological adaptations as well as legal requirements.

Deep brain stimulation for Parkinson's disease: recent trends and future direction.

PubMed

Fukaya, Chikashi; Yamamoto, Takamitsu

2015-01-01

To date, deep brain stimulation (DBS) has already been performed on more than 120,000 patients worldwide and in more than 7,000 patients in Japan. However, fundamental understanding of DBS effects on the pathological neural circuitry remains insufficient. Recent studies have specifically shown the importance of cortico-striato-thalamo-cortical (CSTC) loops, which were identified as functionally and anatomically discrete units. Three main circuits exist in the CSTC loops, namely, the motor, associative, and limbic circuits. From these theoretical backgrounds, it is determined that DBS sometimes influences not only motor functions but also the cognitive and affective functions of Parkinson's disease (PD) patients. The main targets of DBS for PD are subthalamic nucleus (STN) and globus pallidus interna (GPi). Ventralis intermedius (Vim)-DBS was found to be effective in improving tremor. However, Vim-DBS cannot sufficiently improve akinesia and rigidity. Therefore, Vim-DBS is seldom carried out for the treatment of PD. In this article, we review the present state of DBS, mainly STN-DBS and GPi-DBS, for PD. In the first part of the article, appropriate indications and practical effects established in previous studies are discussed. The findings of previous investigations on the complications caused by the surgical procedure and on the adverse events induced by DBS itself are reviewed. In the second part, we discuss target selection (GPi vs. STN) and the effect of DBS on nonmotor symptoms. In the final part, as issues that should be resolved, the suitable timing of surgery, symptoms unresponsive to DBS such as on-period axial symptoms, and the related postoperative programing of stimulation parameters, are discussed.

Acoustic Features Influence Musical Choices Across Multiple Genres.

PubMed

Barone, Michael D; Bansal, Jotthi; Woolhouse, Matthew H

2017-01-01

Based on a large behavioral dataset of music downloads, two analyses investigate whether the acoustic features of listeners' preferred musical genres influence their choice of tracks within non-preferred, secondary musical styles. Analysis 1 identifies feature distributions for pairs of genre-defined subgroups that are distinct. Using correlation analysis, these distributions are used to test the degree of similarity between subgroups' main genres and the other music within their download collections. Analysis 2 explores the issue of main-to-secondary genre influence through the production of 10 feature-influence matrices, one per acoustic feature, in which cell values indicate the percentage change in features for genres and subgroups compared to overall population averages. In total, 10 acoustic features and 10 genre-defined subgroups are explored within the two analyses. Results strongly indicate that the acoustic features of people's main genres influence the tracks they download within non-preferred, secondary musical styles. The nature of this influence and its possible actuating mechanisms are discussed with respect to research on musical preference, personality, and statistical learning.

Talking with patients and peers: medical students' difficulties with learning communication skills.

PubMed

Lumma-Sellenthin, Antje

2009-06-01

Patient-centered communication skills, such as an empathic attitude towards patients and a holistic perspective on health, are difficult to acquire. Designing effective courses requires better understanding of the difficulties that students perceive with learning to talk with patients The study aimed at exploring students' common difficulties with learning patient-centered communication skills. Group discussions about student-patient interviews were videotaped and analyzed with regard to issues that students perceived as difficult and to their reflections about these difficulties. The students reported feeling intrusive as they explored the patient's psychosocial situation. They avoided being empathic and felt insecure about coping adequately with emotionally loaded topics. Their difficulties were mainly due to insufficient understanding of the functional relations between psychosocial issues and health conditions. Moreover, students were insecure concerning the function of affective feedback in the diagnostic process. However, the group discussions generated a language for analyzing and structuring interviews that helped develop the students' professional identities. Students experienced moral qualms about applying major aspects of patient-centered interviewing. Instruction in communication skills should aim at filling the students' knowledge gaps and fostering their awareness and expression of emotional perceptions. Long-term relationships with patients could help develop patient-centered communication.

Methodology Series Module 10: Qualitative Health Research

PubMed Central

Setia, Maninder Singh

2017-01-01

Although quantitative designs are commonly used in clinical research, some studies require qualitative methods. These designs are different from quantitative methods; thus, researchers should be aware of data collection methods and analyses for qualitative research. Qualitative methods are particularly useful to understand patient experiences with the treatment or new methods of management or to explore issues in detail. These methods are useful in social and behavioral research. In qualitative research, often, the main focus is to understand the issue in detail rather than generalizability; thus, the sampling methods commonly used are purposive sampling; quota sampling; and snowball sampling (for hard to reach groups). Data can be collected using in-depth interviews (IDIs) or focus group discussions (FGDs). IDI is a one-to-one interview with the participant. FGD is a method of group interview or discussion, in which more than one participant is interviewed at the same time and is usually led by a facilitator. The commonly used methods for data analysis are: thematic analysis; grounded theory analysis; and framework analysis. Qualitative data collection and analysis require special expertise. Hence, if the reader plans to conduct qualitative research, they should team up with a qualitative researcher. PMID:28794545

Identifying and addressing sexual health in serious mental illness: Views of mental health staff working in two National Health Service organizations in England.

PubMed

Hughes, Elizabeth; Edmondson, Amanda J; Onyekwe, Ijeoma; Quinn, Chris; Nolan, Fiona

2018-06-01

People with serious mental illness (service users) have needs related to sexual health and sexuality, yet these have been poorly addressed in mental health services. In the present study, we report the current practice of mental health professionals in relation to sexual health. Focus groups conducted in two mental health trusts explored routine practice in relation to discussing, assessing, and planning care in relation to sexual health. A thematic analysis identified seven themes: (i) sexual health provision is a complex issue; (ii) mental health staff are aware of sexual health needs; (iii) current provision regarding sexual health is 'neglected'; (iv) barriers to sexual health provision; (v) enabling a discussion around sexual health; (vi) sexual health provision is a role for mental health professionals; and (vii) training needs. Mental health staff are aware of complex issues related to sexual health for service users, but this is mainly seen through the lens of risk management and safeguarding. We need to develop the mental health workforce to be able to incorporate sexual health into routine health care. © 2017 Australian College of Mental Health Nurses Inc.

Methodology Series Module 10: Qualitative Health Research.

PubMed

Setia, Maninder Singh

2017-01-01

Although quantitative designs are commonly used in clinical research, some studies require qualitative methods. These designs are different from quantitative methods; thus, researchers should be aware of data collection methods and analyses for qualitative research. Qualitative methods are particularly useful to understand patient experiences with the treatment or new methods of management or to explore issues in detail. These methods are useful in social and behavioral research. In qualitative research, often, the main focus is to understand the issue in detail rather than generalizability; thus, the sampling methods commonly used are purposive sampling; quota sampling; and snowball sampling (for hard to reach groups). Data can be collected using in-depth interviews (IDIs) or focus group discussions (FGDs). IDI is a one-to-one interview with the participant. FGD is a method of group interview or discussion, in which more than one participant is interviewed at the same time and is usually led by a facilitator. The commonly used methods for data analysis are: thematic analysis; grounded theory analysis; and framework analysis. Qualitative data collection and analysis require special expertise. Hence, if the reader plans to conduct qualitative research, they should team up with a qualitative researcher.

Using PROMs to guide patients and practitioners through the head and neck cancer journey

PubMed Central

Rogers, Simon N; Barber, Brittany

2017-01-01

The measurement of patient-reported outcome measures (PROMs) following head and neck cancer (HNC) has the capacity to substantially enhance the care of patients and their care-givers following the diagnosis and treatment of HNC. Literature concerning PROMs has increased exponentially in the past 2 decades, producing a vast array of data upon which the multidisciplinary team can reflect. For this review, “Handle On QOL” has been used as a source of references to illustrate the points raised. PROMs are contextualized by considering the clinically-distinct key stages that cancer patients endure: diagnosis, treatment, acute toxicity, early recovery, late effects, recurrence, and palliation. The PROMs are considered in six main categories: 1) those addressing cornucopia of issues not specific to cancer; 2) those addressing issues common to all cancers; 3) questionnaires with items specific to HNC; 4) questionnaires that focus on a particular aspect of head and neck function; 5) those measuring psychological concerns, such as depression, anxiety, or self-esteem; and 6) item prompt lists. Potential benefits of PROMs in clinical practice are discussed, as are barriers to use. The way forward in integrating PROMs into routine HNC care is discussed with an emphasis on information technology. PMID:29184455

Bridging the gender gap: a blue-print for global guidelines? Human rights: women's issues.

PubMed

Tapper, A

1998-04-01

This article reports the issues discussed during the 10th African AIDS and sexually transmitted diseases (STDs) conference in Abidjan. The conference focuses on the gender gap in providing HIV/AIDS preventive measures and it passes certain recommendations on how to disclose the subject. During the discussion, the participants identified special problems of women that place them at risk for HIV/AIDS. Also, the meeting came up with four areas that need immediate action: 1) more services for women of reproductive age at STD, family planning, and maternal clinics; more voluntary testing; more partner counseling; 2) education and information for very young girls (and boys) before the onset of sexual activity; 3) it was agreed that the constructive and supportive involvement of men has to be sought by all means; and 4) the economic condition of women and families affected by HIV must be improved by access to credit. The main recommendations approved by the UNFPA/UNAIDS workshops are: 1) create greater equality (especially in program implementation); 2) review of educational programs; 3) better prevention and care; and 4) improve the economic status of women and HIV-infected families.

Exploring Geographic Variation of Mental Health Risk and Service Utilization of Doctors and Hospitals in Toronto: A Shared Component Spatial Modeling Approach

PubMed Central

Perlman, Christopher

2018-01-01

Mental Health has been known to vary geographically. Different rates of utilization of mental health services in local areas reflect geographic variation of mental health and complexity of health care. Variations and inequalities in how the health care system addresses risks are two critical issues for addressing population mental health. This study examines these issues by analyzing the utilization of mental health services in Toronto at the neighbourhood level. We adopted a shared component spatial modeling approach that allows simultaneous analysis of two main health service utilizations: doctor visits and hospitalizations related to mental health conditions. Our results reflect a geographic variation of both types of mental health service utilization across neighbourhoods in Toronto. We identified hot and cold spots of mental health risks that are common to both or specific to only one type of health service utilization. Based on the evidence found, we discuss intervention strategies, focusing on the hotspots and provision of health services about doctors and hospitals, to improve mental health for the neighbourhoods. Limitations of the study and further research directions are also discussed. PMID:29587426

23 CFR 636.508 - Can price or cost be an issue in discussions?

Code of Federal Regulations, 2013 CFR

2013-04-01

... 23 Highways 1 2013-04-01 2013-04-01 false Can price or cost be an issue in discussions? 636.508 Section 636.508 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND... Can price or cost be an issue in discussions? You may inform an offeror that its price is considered...

23 CFR 636.508 - Can price or cost be an issue in discussions?

Code of Federal Regulations, 2012 CFR

2012-04-01

... 23 Highways 1 2012-04-01 2012-04-01 false Can price or cost be an issue in discussions? 636.508 Section 636.508 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND... Can price or cost be an issue in discussions? You may inform an offeror that its price is considered...

23 CFR 636.508 - Can price or cost be an issue in discussions?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 23 Highways 1 2011-04-01 2011-04-01 false Can price or cost be an issue in discussions? 636.508 Section 636.508 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND... Can price or cost be an issue in discussions? You may inform an offeror that its price is considered...

23 CFR 636.508 - Can price or cost be an issue in discussions?

Code of Federal Regulations, 2014 CFR

2014-04-01

... 23 Highways 1 2014-04-01 2014-04-01 false Can price or cost be an issue in discussions? 636.508 Section 636.508 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND... Can price or cost be an issue in discussions? You may inform an offeror that its price is considered...

Disassembling archeology, reassembling the modern world.

PubMed

Carruthers, William; Van Damme, Stéphane

2017-09-01

This article provides a substantive discussion of the relevance of the history of archeology to the history of science. At the same time, the article introduces the papers contained in this special issue as exemplars of this relevance. To make its case, the article moves through various themes in the history of archeology that overlap with key issues in the history of science. The article discusses the role and tension of regimes of science in antiquarian and archeological practices, and also considers issues of scale and place, particularly in relation to the field. Additionally, the piece attends to issues of professionalization and the constitution of an archeological public, at the same time as discussing issues of empire, colonialism, and the circulation of knowledge. Meanwhile, enriching discussions within and beyond the history of science, the article discusses the history of archeology and its relationship with museums, collecting, and material culture and materiality. Finally, the piece discusses the relationship of the history of archeology with wider discussions about scientific ethics. In conclusion, the article questions whether we should speak of 'the history of archeology' at all.

Physics issues in diffraction limited storage ring design

NASA Astrophysics Data System (ADS)

Fan, Wei; Bai, ZhengHe; Gao, WeiWei; Feng, GuangYao; Li, WeiMin; Wang, Lin; He, DuoHui

2012-05-01

Diffraction limited electron storage ring is considered a promising candidate for future light sources, whose main characteristics are higher brilliance, better transverse coherence and better stability. The challenge of diffraction limited storage ring design is how to achieve the ultra low beam emittance with acceptable nonlinear performance. Effective linear and nonlinear parameter optimization methods based on Artificial Intelligence were developed for the storage ring physical design. As an example of application, partial physical design of HALS (Hefei Advanced Light Source), which is a diffraction limited VUV and soft X-ray light source, was introduced. Severe emittance growth due to the Intra Beam Scattering effect, which is the main obstacle to achieve ultra low emittance, was estimated quantitatively and possible cures were discussed. It is inspiring that better performance of diffraction limited storage ring can be achieved in principle with careful parameter optimization.

RF emittance in a low energy electron linear accelerator

NASA Astrophysics Data System (ADS)

Sanaye Hajari, Sh.; Haghtalab, S.; Shaker, H.; Kelisani, M. Dayyani

2018-04-01

Transverse beam dynamics of an 8 MeV low current (10 mA) S-band traveling wave electron linear accelerator has been studied and optimized. The main issue is to limit the beam emittance, mainly induced by the transverse RF forces. The linac is being constructed at Institute for Research in Fundamental Science (IPM), Tehran Iran Labeled as Iran's First Linac, nearly all components of this accelerator are designed and constructed within the country. This paper discusses the RF coupler induced field asymmetry and the corresponding emittance at different focusing levels, introduces a detailed beam dynamics design of a solenoid focusing channel aiming to reduce the emittance growth and studies the solenoid misalignment tolerances. In addition it has been demonstrated that a prebuncher cavity with appropriate parameters can help improving the beam quality in the transverse plane.

[Follow-up of newborns with hypoxic-ischaemic encephalopathy].

PubMed

Martínez-Biarge, M; Blanco, D; García-Alix, A; Salas, S

2014-07-01

Hypothermia treatment for newborn infants with hypoxic-ischemic encephalopathy reduces the number of neonates who die or have permanent neurological deficits. Although this therapy is now standard of care, neonatal hypoxic-ischaemic encephalopathy still has a significant impact on the child's neurodevelopment and quality of life. Infants with hypoxic-ischaemic encephalopathy should be enrolled in multidisciplinary follow-up programs in order to detect impairments, to initiate early intervention, and to provide counselling and support for families. This article describes the main neurodevelopmental outcomes after term neonatal hypoxic-ischaemic encephalopathy. We offer recommendations for follow-up based on the infant's clinical condition and other prognostic indicators, mainly neonatal neuroimaging. Other aspects, such as palliative care and medico-legal issues, are also briefly discussed. Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

How is organ transplantation depicted in internal medicine and transplantation journals.

PubMed

Durand, Céline; Duplantie, Andrée; Chabot, Yves; Doucet, Hubert; Fortin, Marie-Chantal

2013-10-02

In their book Spare Parts, published in 1992, Fox and Swazey criticized various aspects of organ transplantation, including the routinization of the procedure, ignorance regarding its inherent uncertainties, and the ethos of transplant professionals. Using this work as a frame of reference, we analyzed articles on organ transplantation published in internal medicine and transplantation journals between 1995 and 2008 to see whether Fox and Swazey's critiques of organ transplantation were still relevant. Using the PubMed database, we retrieved 1,120 articles from the top ten internal medicine journals and 4,644 articles from the two main transplantation journals (Transplantation and American Journal of Transplantation). Out of the internal medicine journal articles, we analyzed those in which organ transplantation was the main topic (349 articles). A total of 349 articles were randomly selected from the transplantation journals for content analysis. In our sample, organ transplantation was described in positive terms and was presented as a routine treatment. Few articles addressed ethical issues, patients' experiences and uncertainties related to organ transplantation. The internal medicine journals reported on more ethical issues than the transplantation journals. The most important ethical issues discussed were related to the justice principle: organ allocation, differential access to transplantation, and the organ shortage. Our study provides insight into representations of organ transplantation in the transplant and general medical communities, as reflected in medical journals. The various portrayals of organ transplantation in our sample of articles suggest that Fox and Swazey's critiques of the procedure are still relevant.

"Being flexible and creative": a qualitative study on maternity care assistants' experiences with non-Western immigrant women.

PubMed

Boerleider, Agatha W; Francke, Anneke L; van de Reep, Merle; Manniën, Judith; Wiegers, Therese A; Devillé, Walter L J M

2014-01-01

Several studies conducted in developed countries have explored postnatal care professionals' experiences with non-western women. These studies reported different cultural practices, lack of knowledge of the maternity care system, communication difficulties, and the important role of the baby's grandmother as care-giver in the postnatal period. However, not much attention has been paid in existing literature to postnatal care professionals' approaches to these issues. Our main objective was to gain insight into how Dutch postnatal care providers--'maternity care assistants' (MCA)--address issues encountered when providing care for non-western women. A generic qualitative research approach was used. Two researchers interviewed fifteen MCAs individually, analysing the interview material separately and then comparing and discussing their results. Analytical codes were organised into main themes and subthemes. MCAs perceive caring for non-western women as interesting and challenging, but sometimes difficult too. To guarantee the health and safety of mother and baby, they have adopted flexible and creative approaches to address issues concerning traditional practices, socioeconomic status and communication. Furthermore, they employ several other strategies to establish relationships with non-western clients and their families, improve women's knowledge of the maternity care system and give health education. Provision of postnatal care to non-western clients may require special skills and measures. The quality of care for non-western clients might be improved by including these skills in education and retraining programmes for postnatal care providers on top of factual knowledge about traditional practices.

Global women's health: a spotlight on caregiving.

PubMed

Berg, Judith A; Woods, Nancy Fugate

2009-09-01

Caregiving is a women's health issue globally, as many more women than men are informal caregivers. Caregiving related to gender role socialization, burden, and economic and health consequences has been discussed in the literature. Together this body of work demonstrates some positive but mainly negative consequences to the health and economic circumstances of women. Overall achievement of the United Nations' Millennium Development Goals has important implications for informal caregivers globally, because achievement of these goals is essential to reducing the undue burden, the lost opportunities, and the injustice of health care systems that take advantage of women's volunteer caregiving.

A Physicist in Business: Opportunities, Pitfalls, and Lifestyle.

NASA Astrophysics Data System (ADS)

Woollam, John

2007-03-01

A traditional education in physics does not normally include business classes or dealing with opportunities to start a company, yet scientists often now start and run small companies. Physicists are mainly interested in technology. However, other factors quickly dominate chances for business success. These include finance, accounting, cash flow analysis, recruiting, interviewing, personnel issues, marketing, investments, retirement plans, patents and other not always so fun activities. Technical decisions are often strongly influenced by company finances and market-analysis. This talk discusses how to recognize opportunity, how to minimize chances for failure, and lifestyle changes one needs to be aware of before entrepreneurship involvement.

[Problems of exobiology: the origin of life on Earth].

PubMed

Tairbekov, M G; Klimovitskiĭ, V Ia; Il'in, E A

2003-01-01

The basic problem of exobiology is origin and evolution of life as a space phenomenon. Consideration is given to the facts for the space origin, spreading in the interstellar space of and invasion of the surface of planets by organic compounds, constituents of archetypes of living systems. The authors bring up to discussion the issues of life development under the conditions of Earth, and formation of the main properties of the living organisms differing in the level of organization. Outlined are some international projects on exobiological research in experiments with bio-objects on space platforms.

Space engine safety system

NASA Technical Reports Server (NTRS)

Maul, William A.; Meyer, Claudia M.

1991-01-01

A rocket engine safety system was designed to initiate control procedures to minimize damage to the engine or vehicle or test stand in the event of an engine failure. The features and the implementation issues associated with rocket engine safety systems are discussed, as well as the specific concerns of safety systems applied to a space-based engine and long duration space missions. Examples of safety system features and architectures are given, based on recent safety monitoring investigations conducted for the Space Shuttle Main Engine and for future liquid rocket engines. Also, the general design and implementation process for rocket engine safety systems is presented.

Cosmological implications of Higgs near-criticality.

PubMed

Espinosa, J R

2018-03-06

The Standard Model electroweak (EW) vacuum, in the absence of new physics below the Planck scale, lies very close to the boundary between stability and metastability, with the last option being the most probable. Several cosmological implications of this so-called 'near-criticality' are discussed. In the metastable vacuum case, the main challenges that the survival of the EW vacuum faces during the evolution of the Universe are analysed. In the stable vacuum case, the possibility of implementing Higgs inflation is critically examined.This article is part of the Theo Murphy meeting issue 'Higgs cosmology'. © 2018 The Author(s).

[Concept frame for curricular innovation in health care schools].

PubMed

Hawes, Gustavo; Rojas-Serey, Ana María; Espinoza, Mónica; Oyarzo, Sandra; Castillo-Parra, Silvana; Castillo, Manuel; Romero, Luis

2017-09-01

We herein describe the conceptual dimension of the curricular innovation process carried out in the Faculty of Medicine of the University of Chile. We describe the context of innovation. The theoretical pertinence and relevance of a competence driven curriculum for health care professionals is discussed. The epistemological, ontological and didactic dimensions of the curricular innovation are examined. A main issue is the notion of competence and its significance in professional training. The curriculum is essentially considered as a moral endeavor, especially for health care professionals and their quest to improve the quality of life of the population.

Optical Fiber Grating Hydrogen Sensors: A Review

PubMed Central

Dai, Jixiang; Zhu, Li; Wang, Gaopeng; Xiang, Feng; Qin, Yuhuan; Wang, Min; Yang, Minghong

2017-01-01

In terms of hydrogen sensing and detection, optical fiber hydrogen sensors have been a research issue due to their intrinsic safety and good anti-electromagnetic interference. Among these sensors, hydrogen sensors consisting of fiber grating coated with sensitive materials have attracted intensive research interests due to their good reliability and distributed measurements. This review paper mainly focuses on optical fiber hydrogen sensors associated with fiber gratings and various materials. Their configurations and sensing performances proposed by different groups worldwide are reviewed, compared and discussed in this paper. Meanwhile, the challenges for fiber grating hydrogen sensors are also addressed. PMID:28287499

Optical Fiber Grating Hydrogen Sensors: A Review.

PubMed

Dai, Jixiang; Zhu, Li; Wang, Gaopeng; Xiang, Feng; Qin, Yuhuan; Wang, Min; Yang, Minghong

2017-03-12

In terms of hydrogen sensing and detection, optical fiber hydrogen sensors have been a research issue due to their intrinsic safety and good anti-electromagnetic interference. Among these sensors, hydrogen sensors consisting of fiber grating coated with sensitive materials have attracted intensive research interests due to their good reliability and distributed measurements. This review paper mainly focuses on optical fiber hydrogen sensors associated with fiber gratings and various materials. Their configurations and sensing performances proposed by different groups worldwide are reviewed, compared and discussed in this paper. Meanwhile, the challenges for fiber grating hydrogen sensors are also addressed.

Licensing: pros and cons for biotech.

PubMed

Villiger, Ralph; Bogdan, Boris

2009-03-01

This article guides the reader through strategic considerations when facing the option to license a drug development project. It is crucial to understand these licensing events in their full complexity in order to achieve maximum value for the company and the shareholders, while minimizing risk. First, the nature of various license agreements and the needs of licensor and licensee are discussed. Second, the main strategic issues for the licensor are explained and a guideline, how to come to a decision whether to license and to what terms, is given. Third, the authors explain how to overcome different assumptions when negotiating a license contract.

Scopus: A system for the evaluation of scientific journals

NASA Astrophysics Data System (ADS)

Guz, A. N.; Rushchitsky, J. J.

2009-04-01

The paper discusses the evaluation of scientific journals based on the Scopus database, information tools, and criteria. The SJR (SCImago Journal Rank) as the main criterion used by Scopus to evaluate scientific journals is considered. The Scopus and ISI systems are compared using information on the journal Prikladnaya Mekhanika ( International Applied Mechanics), a number of world-known journals on mechanics, and some journals on natural sciences issued by the National Academy of Sciences of Ukraine. Some comments and proposals are formulated. This paper may be considered as a follow up on papers published in Prikladnaya Mekhanika ( International Applied Mechanics) in 2005-2009

Crimean-Congo hemorrhagic fever: epidemiological trends and controversies in treatment.

PubMed

Maltezou, Helena C; Papa, Anna

2011-12-08

Crimean-Congo hemorrhagic fever (CCHF) virus has the widest geographic range of all tick-borne viruses and is endemic in more than 30 countries in Eurasia and Africa. Over the past decade, new foci have emerged or re-emerged in the Balkans and neighboring areas. Here we discuss the factors influencing CCHF incidence and focus on the main issue of the use of ribavirin for treating this infection. Given the dynamics of CCHF emergence in the past decade, development of new anti-viral drugs and a vaccine is urgently needed to treat and prevent this acute, life-threatening disease.

Crimean-Congo hemorrhagic fever: epidemiological trends and controversies in treatment

PubMed Central

2011-01-01

Crimean-Congo hemorrhagic fever (CCHF) virus has the widest geographic range of all tick-borne viruses and is endemic in more than 30 countries in Eurasia and Africa. Over the past decade, new foci have emerged or re-emerged in the Balkans and neighboring areas. Here we discuss the factors influencing CCHF incidence and focus on the main issue of the use of ribavirin for treating this infection. Given the dynamics of CCHF emergence in the past decade, development of new anti-viral drugs and a vaccine is urgently needed to treat and prevent this acute, life-threatening disease. PMID:22152109

The use of online methodologies in studying paraphilias - A review.

PubMed

Griffiths, Mark D

2012-12-01

Aims The paper outlines the advantages, disadvantages, and other implications of using the Internet to collect data from those people displaying sexually paraphilic behavior. Method Using empirical and clinical studies published in the paraphilia literature, the main issues concerning online paraphilic data collection are reviewed and discussed. Results The specific online data collection methods examined included the collection of paraphilic data via (i) online questionnaires, (ii) online forums, (iii) online interviews, and (iv) online participant observation. Conclusions It is concluded that there are many useful and practical advantages of using online research methodologies to examine sexually paraphilic behavior.

In a different voice: promises and trials of non-English medium journals

NASA Astrophysics Data System (ADS)

Lee, Yew-Jin

2015-12-01

Various issues confronting science education publications that cater for non-English speaking audiences are explored. With reference to an English-medium journal that the author co-edits, two main conundrums are discussed: (1) How to serve local school practitioners in concrete ways while fulfilling the institutional goals of academia, and (2) the struggle to promote research from non-English speaking contexts against the hegemony of the English language. It is suggested that valuing difference can create much educational value and thereby allow one's science teaching to be interrogated, evolve, and maintain its relevancy.

Where Christ did not go: men, women and Frusculicchi. Gender identity disorder (GID): epistemological and ethical issues relating to the psychiatric diagnosis.

PubMed

Giordano, Simona

2011-09-01

Gender Identity Disorder (GID) is classified as a mental illness and included in the DSM-IV and ICD-1O. It will also be included in the DSM-V. The psychiatric diagnosis, in spite of some apparent advantages, has significant psychological and social adverse implications. This paper discusses some of the main epistemological reasons to consider gender variance as a mental disorder. It will also evaluate whether reasons of other kinds (pragmatic, rather than epistemological) may justify the inclusion of gender variance amongst mental illnesses.

Acquisition and production of skilled behavior in dynamic decision-making tasks

NASA Technical Reports Server (NTRS)

Kirlik, Alex

1992-01-01

Currently, two main approaches exist for improving the human-machine interface component of a system in order to improve overall system performance - display enhancement and intelligent decision making. Discussed here are the characteristic issues of these two decision-making strategies. Differences in expert and novice decision making are described in order to help determine whether a particular strategy may be better for a particular type of user. Research is outlined to compare and contrast the two technologies, as well as to examine the interaction effects introduced by the different skill levels and the different methods for training operators.

Understanding logistic regression analysis.

PubMed

Sperandei, Sandro

2014-01-01

Logistic regression is used to obtain odds ratio in the presence of more than one explanatory variable. The procedure is quite similar to multiple linear regression, with the exception that the response variable is binomial. The result is the impact of each variable on the odds ratio of the observed event of interest. The main advantage is to avoid confounding effects by analyzing the association of all variables together. In this article, we explain the logistic regression procedure using examples to make it as simple as possible. After definition of the technique, the basic interpretation of the results is highlighted and then some special issues are discussed.

Space Physiology and Operational Space Medicine

NASA Technical Reports Server (NTRS)

Scheuring, Richard A.

2009-01-01

The objectives of this slide presentation are to teach a level of familiarity with: the effects of short and long duration space flight on the human body, the major medical concerns regarding future long duration missions, the environmental issues that have potential medical impact on the crew, the role and capabilities of the Space Medicine Flight Surgeon and the environmental impacts experienced by the Apollo crews. The main physiological effects of space flight on the human body reviewed in this presentation are: space motion sickness (SMS), neurovestibular, cardiovascular, musculoskeletal, immune/hematopoietic system and behavioral/psycho-social. Some countermeasures are discussed to these effects.

Measuring Graduation and Attrition at Ontario Colleges: A Discussion of Measurement Issues and Their Usefulness as Indicators of Student Success.

ERIC Educational Resources Information Center

Donner, Arthur; Lazar, Fred

This report discusses measurement issues and their usefulness as indicators of student success at the Colleges of Applied Arts and Technology of Ontario. The following sections are included: (1) executive summary; (2) introduction; (3) retention rates, which discusses a number of issues associated with defining and measuring graduation rates; (4)…

Problems and Issues for the Classroom: What Works in Generating Class Discussions Using the Method of Shared Inquiry.

ERIC Educational Resources Information Center

Wallace, Robert L.

1997-01-01

Potential extinction of the human smallpox virus lies in the hands of a few scientists and policymakers. Whether this decision should be made can serve as an excellent issue for extended, focused classroom discussion. Outlines the history of smallpox, illustrates the debate, and describes preparation needed before discussing the issue. Also…

The chance of transport behavior paradigm in the largest cities of Russian Federation

NASA Astrophysics Data System (ADS)

Vlasov, Denis

2017-06-01

This article discusses the issue of transit scenarios (or paradigm) changes in the largest Russian cities. Carrying out research and evaluation studies the authors surveyed the passengers of the new rapid off-street transit system, the Moscow Central Circle (MCC). The survey was prepared using the MCC reports data on passengers landing measured in the morning peak hours. Analysis of the survey results obtained by the authors, reveals shifts in pedestrian traffic and permits to estimate its size and main directions. It was noted a significant change in common behaviour regarding the increased length of the walking distance to the stations of rapid off-street transport. In view of the fact that the issue of the walking distance standard governs a huge range of further decisions, the research results can be used in sustainable transit travel planning and urban territorial development as well as in preparation of the regulatory documentation.

Class-modelling in food analytical chemistry: Development, sampling, optimisation and validation issues - A tutorial.

PubMed

Oliveri, Paolo

2017-08-22

Qualitative data modelling is a fundamental branch of pattern recognition, with many applications in analytical chemistry, and embraces two main families: discriminant and class-modelling methods. The first strategy is appropriate when at least two classes are meaningfully defined in the problem under study, while the second strategy is the right choice when the focus is on a single class. For this reason, class-modelling methods are also referred to as one-class classifiers. Although, in the food analytical field, most of the issues would be properly addressed by class-modelling strategies, the use of such techniques is rather limited and, in many cases, discriminant methods are forcedly used for one-class problems, introducing a bias in the outcomes. Key aspects related to the development, optimisation and validation of suitable class models for the characterisation of food products are critically analysed and discussed. Copyright © 2017 Elsevier B.V. All rights reserved.

Differential Patient-Caregiver Opinions of Treatment and Care For Advanced Lung Cancer Patients

PubMed Central

Zyzanski, Stephen J; Siminoff, Laura A

2010-01-01

This study examined the differences of opinion between cancer patients and caregivers with regard to treatment and care decisions. 184 advanced lung cancer patients and 171 primary caregivers were recruited as a convenience sample from clinics in Cleveland, Ohio. A telephone interview was conducted to collect data using a semi-structured questionnaire. Nonparametric tests and regression analysis were performed. The findings showed that patients and caregivers reported significant disagreement on three main issues: trade-off between treatment side effects and benefits; reporting treatment side effects to physicians, and hospice care. Caregivers were more concerned about patient’s quality of life and more willing to discuss hospice issues than were patients. Perceived family disagreement is associated with depression in both patients and caregivers. The study provided empirical evidence for patient-caregiver disagreement about treatment and care decisions and its significant adverse impact on both patients and caregivers. PMID:20137849

Virtual reality rehabilitation for stroke patients: Recent review and research issues

NASA Astrophysics Data System (ADS)

Arip, Eza Surya Mohd; Ismail, Waidah; Nordin, Md Jan; Radman, Abduljalil

2017-11-01

Stroke is one of the main causes of disability in the world. In order for stroke survivors to reduce their disability, they need to go through a rehabilitation process to regain back their independence and improve their quality of life. To guide patients in their rehabilitation process and improve their receptiveness in performing repetitive exercises, a new rehabilitation training program using Virtual Reality (VR) technology has been introduced. This has attracted many researchers to explore more on VR technology as a new tool for stroke patient's rehabilitation. This paper presents a review on existing VR systems that have been developed for stroke rehabilitation. First, recent VR systems utilized for rehabilitation after stroke are delineated and categorized. Each of these categories concludes with a discussion on limitations and any issues that arise from it. Finally, a concise summary with significant findings and future possibilities in VR rehabilitation research is presented in table format.

Disease prevention--should we target obesity or sedentary lifestyle?

PubMed

Charansonney, Olivier L; Després, Jean-Pierre

2010-08-01

Obesity is a major health challenge facing the modern world. Some evidence points to obesity itself as the main driver of premature mortality. We propose that this view is oversimplified. For example, high levels of physical activity and cardiorespiratory fitness are associated with lower mortality, even in those who are overweight or obese. To address this issue, we combine epidemiological and physiological evidence in a new paradigm that integrates excess calorie intake, sedentary behavior, and a maladaptive response to stress. Human physiology is optimized to allow large distances to be covered on foot every day in order to find enough food to sustain brain metabolism. Furthermore, when the body is immobilized by an injury, it triggers efficient life-saving metabolic and inflammatory responses. Both these critical adaptations are, however, confounded by a sedentary lifestyle. The implications of these issues for clinical trial design and epidemiologic data analysis are discussed in this article.

Editorial

NASA Astrophysics Data System (ADS)

Goh, Gregory K. L.

2014-06-01

This special issue of the Journal of Solid State Chemistry is a peer-reviewed collection of papers presented at the 7th International Conference on Materials for Advanced Technologies (ICMAT2013), Symposium Q - Innovative processing of inorganic films and nanostructures of functional materials, organised by the Materials Research Society, Singapore and held at the Singapore International Convention & Exhibition Centre, Singapore, from 30 June to 5 July 2013. The symposium focused mainly on films, porous networks and nanostructures formed by innovative processing routes that reduce energy consumption, use new mediums, combine techniques or even innovative synthesis approaches. The understanding of film and nanostructure growth mechanisms and crystal shape control were also discussed. We acknowledge the invaluable contributions of all invited, oral and poster presenters. I also take this opportunity to thank reviewers from all over the world who kindly helped in reviewing the manuscripts and provided valuable comments, making the publication of this high quality issue possible.

Proceedings ICASS 2017

NASA Astrophysics Data System (ADS)

Fu, Qiang; Schaaf, Peter

2018-07-01

This special issue of the high impact international peer reviewed journal Applied Surface Science represents the proceedings of the 2nd International Conference on Applied Surface Science ICASS held 12-16 June 2017 in Dalian China. The conference provided a forum for researchers in all areas of applied surface science to present their work. The main topics of the conference are in line with the most popular areas of research reported in Applied Surface Science. Thus, this issue includes current research on the role and use of surfaces in chemical and physical processes, related to catalysis, electrochemistry, surface engineering and functionalization, biointerfaces, semiconductors, 2D-layered materials, surface nanotechnology, energy, new/functional materials and nanotechnology. Also the various techniques and characterization methods will be discussed. Hence, scientific research on the atomic and molecular level of material properties investigated with specific surface analytical techniques and/or computational methods is essential for any further progress in these fields.

How do older people discuss their own sexuality? A systematic review of qualitative research studies.

PubMed

Gewirtz-Meydan, Ateret; Hafford-Letchfield, Trish; Ayalon, Liat; Benyamini, Yael; Biermann, Violetta; Coffey, Alice; Jackson, Jeanne; Phelan, Amanda; Voß, Peggy; Geiger Zeman, Marija; Zeman, Zdenko

2018-06-04

This study captured older people's attitudes and concerns about sex and sexuality in later life by synthesising qualitative research published on this issue. The systematic review was conducted between November 2015 and June 2016 based on a pre-determined protocol. Key words were used to ensure a precise search strategy. Empirically based, qualitative literature from 18 databases was found. Twenty studies met the inclusion criteria. Thomas and Harden's thematic synthesis was used to generate 'analytical themes' which summarise this body of literature. Three main themes were identified: (a) social legitimacy for sexuality in later life; (b) health, not age, is what truly impacts sexuality, and (c) the hegemony of penetrative sex. The themes illustrate the complex and delicate relation between ageing and sexuality. Older adults facing health issues that affect sexual function adopt broader definitions of sexuality and sexual activity.

A look into the Medical and Veterinary Entomology crystal ball.

PubMed

Dantas-Torres, F; Cameron, M M; Colwell, D D; Otranto, D

2014-08-01

Medical and Veterinary Entomology (MVE) represents a leading periodical in its field and covers many aspects of the biology and control of insects, ticks, mites and other arthropods of medical and veterinary importance. Since the first issue of the journal, researchers working in both developed and developing countries have published in MVE, with direct impact on current knowledge in the field. An increasing number of articles dealing with the epidemiology and transmission of vector-borne pathogens have been published in MVE, reflecting rapid changes in vector distribution, pathogen transmission and host-arthropod interactions. This article represents a gaze into the crystal ball in which we identify areas of increasing interest, discuss the main changes that have occurred in the epidemiology of parasitic arthropods since the first issue of MVE, and predict the principal scientific topics that might arise in the next 25 years for scientists working in medical and veterinary entomology. © 2014 The Royal Entomological Society.

Pip pin reliability and design

NASA Technical Reports Server (NTRS)

Skyles, Lane P.

1994-01-01

Pip pins are used in many engineering applications. Of particular interest to the aerospace industry is their use in various mechanism designs. Many payloads that fly aboard our nation's Space Shuttle have at least one actuated mechanism. Often these mechanisms incorporate pip pins in their design in order to fasten interfacing parts or joints. Pip pins are most often used when an astronaut will have a direct interface with the mechanism. This interfacing can be done during Space Shuttle mission EVA's (ExtraVehicular Activity). The main reason for incorporating pip pins is convenience and their ability to provide a quick release for interfacing parts. However, there are some issues that must be taken into account when using them in a design. These issues include documented failures and quality control problems when using substandard pip pins. A history of pip pins as they relate to the aerospace industry as well as general design features is discussed.

Current Issues: Critical Issues Confronting the Nation and the World. 1990 Edition.

ERIC Educational Resources Information Center

Close Up Foundation, Arlington, VA.

This annual publication seeks to inform interested readers about issues currently confronting the United States. The introductory section briefly discusses the 101st Congress, members of the Bush administration, and the Supreme Court. The federal budget process is also discussed in this section. The section on domestic policy issues contains the…

Teaching Gender Issues in Storytelling and in the College Teaching Class.

ERIC Educational Resources Information Center

Hanson, Trudy L.

An instructor, who teaches both graduate and undergraduate courses in storytelling, incorporates discussions of gender issues throughout the semester in various ways. In one course, class discussions are used to raise issues of the origin of Grimm's fairy tales and of story variants. Students are also encouraged to choose gender issues in…

Design strategies for the International Space University's variable gravity research facility

NASA Technical Reports Server (NTRS)

Bailey, Sheila G.; Chiaramonte, Francis P.; Davidian, Kenneth J.

1990-01-01

A variable gravity research facility named 'Newton' was designed by 58 students from 13 countries at the International Space University's 1989 summer session at the Universite Louis Pasteur, Strasbourge, France. The project was comprehensive in scope, including a political and legal foundation for international cooperation, development and financing; technical, science and engineering issues; architectural design; plausible schedules; and operations, crew issues and maintenance. Since log-term exposure to zero gravity is known to be harmful to the human body, the main goal was to design a unique variable gravity research facility which would find a practical solution to this problem, permitting a manned mission to Mars. The facility would not duplicate other space-based facilities and would provide the flexibility for examining a number of gravity levels, including lunar and Martian gravities. Major design alternatives included a truss versus a tether based system which also involved the question of docking while spinning or despinning to dock. These design issues are described. The relative advantages or disadvantages are discussed, including comments on the necessary research and technology development required for each.

Immediate recall of health issues discussed during a pre-travel consultation.

PubMed

McGuinness, Sarah L; Spelman, Tim; Johnson, Douglas F; Leder, Karin

2015-01-01

An important role of pre-travel consultations is to improve travelers' understanding of travel-related diseases, but the efficacy of education provided is unknown. This study sought to assess recall and knowledge immediately following a pre-travel consultation. The study was conducted at a hospital-based pre-travel clinic in Melbourne, Australia. Travelers aged ≥16 years seen between September 2010 and March 2012 were invited to complete an anonymous self-administered questionnaire immediately following their consultation to assess knowledge of appropriate preventive measures and presumptive self-treatment strategies for common travel risks. The doctor of each participating traveler also completed a survey regarding issues discussed. A total of 300 participants were recruited (34% male, median age 31 years). Most were traveling for vacation (77%) and reported previous travel (95%). Main travel destinations were Asia (43%), Americas (21%), and Africa (17%). Doctors' and travelers' surveys showed variable levels of concordance: 94% of patients recalled discussion of malaria, 84% rabies, and 76% dengue. For malaria, 95% remembered discussions regarding insect repellents, and 92% recalled that medical advice should be sought if fever developed. For travelers with whom rabies was discussed, 94% recalled that medical advice must be urgently sought following a bite/scratch. For travelers' diarrhea (TD), 99% knew to drink only boiled/bottled water, but 13% did not recall avoiding unpeeled fruit/vegetables as a prevention strategy. There was 20% discordance between doctors and travelers regarding antibiotics for TD self-treatment, but only 4% discordance regarding prescription of malaria prophylaxis. Factors associated with improved recall were doctor discussion, previous travel, and a university education. Key travel health messages are well assimilated after pre-travel consultation. However, large amounts of information are discussed and immediate recollection of all information is not possible. This study reinforces the importance of providing supplementary information (eg, written and/or electronic resources) to accompany pre-travel consultations. © 2015 International Society of Travel Medicine.

Molecular interactions in nanocellulose assembly

NASA Astrophysics Data System (ADS)

Nishiyama, Yoshiharu

2017-12-01

The contribution of hydrogen bonds and the London dispersion force in the cohesion of cellulose is discussed in the light of the structure, spectroscopic data, empirical molecular-modelling parameters and thermodynamics data of analogue molecules. The hydrogen bond of cellulose is mainly electrostatic, and the stabilization energy in cellulose for each hydrogen bond is estimated to be between 17 and 30 kJ mol-1. On average, hydroxyl groups of cellulose form hydrogen bonds comparable to those of other simple alcohols. The London dispersion interaction may be estimated from empirical attraction terms in molecular modelling by simple integration over all components. Although this interaction extends to relatively large distances in colloidal systems, the short-range interaction is dominant for the cohesion of cellulose and is equivalent to a compression of 3 GPa. Trends of heat of vaporization of alkyl alcohols and alkanes suggests a stabilization by such hydroxyl group hydrogen bonding to be of the order of 24 kJ mol-1, whereas the London dispersion force contributes about 0.41 kJ mol-1 Da-1. The simple arithmetic sum of the energy is consistent with the experimental enthalpy of sublimation of small sugars, where the main part of the cohesive energy comes from hydrogen bonds. For cellulose, because of the reduced number of hydroxyl groups, the London dispersion force provides the main contribution to intermolecular cohesion. This article is part of a discussion meeting issue `New horizons for cellulose nanotechnology'.

Methodological Issues and Practices in Qualitative Research.

ERIC Educational Resources Information Center

Bradley, Jana

1993-01-01

Discusses methodological issues concerning qualitative research and describes research practices that qualitative researchers use to address these methodological issues. Topics discussed include the researcher as interpreter, the emergent nature of qualitative research, understanding the experience of others, trustworthiness in qualitative…

Consensus and controversies in best practices for molecular genetic testing of spinocerebellar ataxias

PubMed Central

Sequeiros, Jorge; Seneca, Sara; Martindale, Joanne

2010-01-01

Many laboratories worldwide are offering molecular genetic testing for spinocerebellar ataxias (SCAs). This is essential for differential diagnosis and adequate genetic counselling. The European Molecular Genetics Quality Network (EMQN) started an SCA external quality assessment scheme in 2004. There was a clear need for updated laboratory guidelines. EMQN and EuroGentest organized a Best Practice (BP) meeting to discuss current practices and achieve consensus. A pre-meeting survey showed that 36 laboratories (20 countries) conducted nearly 18 000 SCA tests the year before, and identified issues to discuss. Draft guidelines were produced immediately after the meeting and discussed online for several months. The final version was endorsed by EMQN, and harmonized with guidelines from other oligonucleotide repeat disorders. We present the procedures taken to organize the survey, BP meeting, as well as drafting and approval of BP guidelines. We emphasize the most important recommendations on (1) pre-test requirements, (2) appropriate methodologies and (3) interpretation and reporting, and focus on the discussion of controversial issues not included in the final document. In addition, after an extensive review of scientific literature, and responding to recommendations made, we now produce information that we hope will facilitate the activities of diagnostic laboratories and foster quality SCA testing. For the main loci, this includes (1) a list of repeat sequences, as originally published; (2) primers in use; and (3) an evidence-based description of the normal and pathogenic repeat-size ranges, including those of reduced penetrance and those in which there is still some uncertainty. This information will be maintained and updated in http://www.scabase.eu. PMID:20179748

The use of alternative therapies in the Saskatchewan stroke rehabilitation population

PubMed Central

Blackmer, Jeff; Jefromova, Ludmilla

2002-01-01

Background Many patients use alternative therapies. The purpose of this study was to determine the percentage of stroke rehabilitation patients in Saskatchewan using alternative therapies, whether patients found these therapies effective in alleviating stroke-related symptoms, how often those patients who used alternative therapies discuss this fact with their primary care doctor and the main reason why patients might not do so. Methods Telephone questionnaire surveys were conducted with 117 patients who had suffered a stroke and undergone inpatient or outpatient rehabilitation at Saskatoon City Hospital. Results The study revealed that 26.5% of 117 stroke rehabilitation patients visited alternative practitioners at least once or used some form of unconventional therapy. Only 16.1% of patients found that alternative therapy made them feel much better. Of those who used alternative therapy, 61.3% did not discuss this fact with their primary physician. Many of the respondents (47.3%) who did not inform their physician stated that they did not see the necessity of talking about these treatments and 21.1% did not discuss the issue with their physician because they felt that he or she might disapprove of alternative therapies. Conclusion A relatively small percentage of stroke patients found alternative therapies beneficial. Doctors should be aware that a significant number of patients will try alternative treatment without discussion with their primary care physician or specialist. The current study suggests that after completing routine questioning, doctors should also ask their patients about their use of alternative therapies and, when appropriate, review issues of safety and efficacy. PMID:12095423

Online Discussion Effects on Intention to Participate in Genetic Research: A Longitudinal Experimental Study

PubMed Central

Kim, Sojung Claire; Cappella, Joseph N.; Price, Vincent

2016-01-01

Objective The National Human Genome Research Institute has emphasized community engagement and public dialogue in the U. S. on issues related to genetics. This study examines how online discussions among the U.S. public directly or indirectly influence psychosocial constructs of the Theory of Planned Behavior (TPB), including intention to take part in genetic research. Design After completing the baseline questionnaire, participants (n = 3,754) were randomly assigned to one of the following three groups: the discussion group, the pre/post only group, and the End-Of-Project group. The discussion group (n = 1,824) was invited and participated in up to three online discussions, which were held from November 2008 to May 2009. Main Outcome Measures Behavioral intention, beliefs, attitudes, subjective norm, and perceived behavioral control variables were assessed. Results The most interesting finding was that those participating in online discussions had fewer negative beliefs about volunteering for genetic research, which in turn, contributed to more positive attitudes, increased injunctive and descriptive norms, and enhanced behavioral control. These relationships, then, were associated with higher intention to participate in genetic research. Conclusion These findings suggest that continuous public discussions seem to positively affect volunteer intention for genetic research through ameliorating fears of negative consequences. PMID:26979570

'Now we call it research': participatory health research involving marginalized women who use drugs.

PubMed

Salmon, Amy; Browne, Annette J; Pederson, Ann

2010-12-01

In this paper, we discuss and analyse the strategies employed and challenges encountered when conducting a recent feminist participatory action research study with highly marginalized women who were illicit drug users in an inner city area of Vancouver, Canada. Through an analysis of the political economy of participatory praxis within current neoliberal contexts, we focus on three main areas: (i) reconceptualizing the pragmatics of participation; (ii) the microeconomic implications of participatory research, including ethical issues in payment for research participation; and (iii) the value and limits of using research as a tool for activism and empowerment. We conclude with a brief discussion of what we see to be some of the most salient social justice implications arising from feminist and participatory approaches to health research within neoliberal political spaces. © 2010 Blackwell Publishing Ltd.

Strategic analysis for safeguards systems: a feasibility study. Volume 2. Appendix

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

Goldman, A J

1984-12-01

This appendix provides detailed information regarding game theory (strategic analysis) and its potential role in safeguards to supplement the main body of this report. In particualr, it includes an extensive, though not comprehensive review of literature on game theory and on other topics that relate to the formulation of a game-theoretic model (e.g. the payoff functions). The appendix describes the basic form and components of game theory models, and the solvability of various models. It then discusses three basic issues related to the use of strategic analysis in material accounting: (1) its understandability; (2) its viability in regulatory settings; andmore » (3) difficulties in the use of mixed strategies. Each of the components of a game theoretic model are then discussed and related to the present context.« less

Social dimensions of pain. Comment on “Facing the experience of pain: A neuropsychological perspective” by Fabbro and Crescentini

NASA Astrophysics Data System (ADS)

Avenanti, Alessio; Vicario, Carmelo Mario; Borgomaneri, Sara

2014-09-01

In this issue, Fabbro and Crescentini [1] provide an integrative review of neuroscientific, psychological, cultural and philosophical aspects of pain experience and discuss some critical examples of its regulation. Here we focus on the two main social phenomena that are addressed in the review, namely the 'pain of separation' and 'empathy for pain' and further support the idea that these phenomena are intrinsically linked to physical pain, which may provide a 'proximal' physiological base to further understand them. In addition, we discuss the evolutionary 'ultimate' bases of such phenomena and suggest that they are linked to the evolution of parental care in social animals and as such support the development of social bonds. We conclude by considering the effect that positive social relationships and empathy have on the experience of pain.

The BioHome: A spinoff of space technology

NASA Technical Reports Server (NTRS)

Johnson, Anne

1990-01-01

The discussion of the BioHome is prefaced with some information about the work done at the environmental lab over the past 15 years concerning environmental issues related to biological life support such as the use of water hyacinths for wastewater purification, artificial marshes, indoor polluted air revitalization, and the reduction of organic contaminants using a biological system comprised of plants and microorganisms. One of the main concerns, especially with respect to a closed environment, is whether or not these systems are expelling microorganisms into the air. Analyses are being conducted to determine the numbers and types of microbes that are emitted. The BioHome is a 650 sq ft habitat that will enable the evaluation of the efficiency of bioregenerative technology in a closed system. This BioHome system is described and its functions discussed.

Plant proteomics in India and Nepal: current status and challenges ahead.

PubMed

Deswal, Renu; Gupta, Ravi; Dogra, Vivek; Singh, Raksha; Abat, Jasmeet Kaur; Sarkar, Abhijit; Mishra, Yogesh; Rai, Vandana; Sreenivasulu, Yelam; Amalraj, Ramesh Sundar; Raorane, Manish; Chaudhary, Ram Prasad; Kohli, Ajay; Giri, Ashok Prabhakar; Chakraborty, Niranjan; Zargar, Sajad Majeed; Agrawal, Vishwanath Prasad; Agrawal, Ganesh Kumar; Job, Dominique; Renaut, Jenny; Rakwal, Randeep

2013-10-01

Plant proteomics has made tremendous contributions in understanding the complex processes of plant biology. Here, its current status in India and Nepal is discussed. Gel-based proteomics is predominantly utilized on crops and non-crops to analyze majorly abiotic (49 %) and biotic (18 %) stress, development (11 %) and post-translational modifications (7 %). Rice is the most explored system (36 %) with major focus on abiotic mainly dehydration (36 %) stress. In spite of expensive proteomics setup and scarcity of trained workforce, output in form of publications is encouraging. To boost plant proteomics in India and Nepal, researchers have discussed ground level issues among themselves and with the International Plant Proteomics Organization (INPPO) to act in priority on concerns like food security. Active collaboration may help in translating this knowledge to fruitful applications.

Microbial fuel cells in saline and hypersaline environments: Advancements, challenges and future perspectives.

PubMed

Grattieri, Matteo; Minteer, Shelley D

2018-04-01

This review is aimed to report the possibility to utilize microbial fuel cells for the treatment of saline and hypersaline solutions. An introduction to the issues related with the biological treatment of saline and hypersaline wastewater is reported, discussing the limitation that characterizes classical aerobic and anaerobic digestions. The microbial fuel cell (MFC) technology, and the possibility to be applied in the presence of high salinity, is discussed before reviewing the most recent advancements in the development of MFCs operating in saline and hypersaline conditions, with their different and interesting applications. Specifically, the research performed in the last 5years will be the main focus of this review. Finally, the future perspectives for this technology, together with the most urgent research needs, are presented. Copyright © 2017 Elsevier B.V. All rights reserved.

Mechanisms and Barriers in Cancer Nanomedicine: Addressing Challenges, Looking for Solutions.

PubMed

Anchordoquy, Thomas J; Barenholz, Yechezkel; Boraschi, Diana; Chorny, Michael; Decuzzi, Paolo; Dobrovolskaia, Marina A; Farhangrazi, Z Shadi; Farrell, Dorothy; Gabizon, Alberto; Ghandehari, Hamidreza; Godin, Biana; La-Beck, Ninh M; Ljubimova, Julia; Moghimi, S Moein; Pagliaro, Len; Park, Ji-Ho; Peer, Dan; Ruoslahti, Erkki; Serkova, Natalie J; Simberg, Dmitri

2017-01-24

Remarkable progress has recently been made in the synthesis and characterization of engineered nanoparticles for imaging and treatment of cancers, resulting in several promising candidates in clinical trials. Despite these advances, clinical applications of nanoparticle-based therapeutic/imaging agents remain limited by biological, immunological, and translational barriers. In order to overcome the existing status quo in drug delivery, there is a need for open and frank discussion in the nanomedicine community on what is needed to make qualitative leaps toward translation. In this Nano Focus, we present the main discussion topics and conclusions from a recent workshop: "Mechanisms and Barriers in Nanomedicine". The focus of this informal meeting was on biological, toxicological, immunological, and translational aspects of nanomedicine and approaches to move the field forward productively. We believe that these topics reflect the most important issues in cancer nanomedicine.

The Big Bang Theory and the Nature of Science

NASA Astrophysics Data System (ADS)

Arthury, Luiz Henrique Martins; Peduzzi, Luiz O. Q.

2015-12-01

Modern cosmology was constituted, throughout the twentieth century to the present days, as a very productive field of research, resulting in major discoveries that attest to its explanatory power. The Big Bang Theory, the generic and popular name of the standard model of cosmology, is probably the most daring research program of physics and astronomy, trying to recreate the evolution of our observable universe. But contrary to what you might think, its conjectures are of a degree of refinement and corroborative evidence that make it our best explanation for the history of our cosmos. The Big Bang Theory is also an excellent field to discuss issues regarding the scientific activity itself. In this paper we discuss the main elements of this theory with an epistemological look, resulting in a text quite useful to work on educational activities with related goals.

Chemical warfare agents: their past and continuing threat and evolving therapies. Part I of II.

PubMed

Smith, Kathleen J; Skelton, Henry

2003-01-01

Chemical warfare agents are potentially accessible to even underdeveloped nations because they are easily and inexpensively produced. This means that they are ideal for use by terrorists and in military operations against civilian populations and troops. In terms of cutaneous injury, vesicants-mainly sulfur mustard-are the most significant chemical warfare agents. Advances in understanding the pathophysiology of the lesions produced by sulfur mustard have led to the research and development of barrier creams as well as pre- and post-exposure therapies to moderate the damage and accelerate healing. Part I of this paper will discuss the history and classification of chemical agents; Part II, which will appear in the September/October 2003 issue of SKINmed, will discuss characteristic manifestations of exposure to chemical agents, as well as prevention and therapy.

The duty to care in an influenza pandemic: a qualitative study of Canadian public perspectives.

PubMed

Bensimon, Cécile M; Smith, Maxwell J; Pisartchik, Dmitri; Sahni, Sachin; Upshur, Ross E G

2012-12-01

Ever since the emergence of SARS, when we were reminded that the nature of health care practitioners' duty to care is greatly contested, it has remained a polarizing issue. Discussions on the nature and limits of health care practitioners' duty to care during disasters and public health emergencies abounds the literature, ripe with arguments seeking to ground its foundations. However, to date there has been little public engagement on this issue. This study involved three Townhall meetings held between February 2008 and May 2010 in three urban settings in Canada in order to probe lay citizens' views about ethical issues related to pandemic influenza, including issues surrounding the duty to care. Participants included Canadian residents aged 18 and over who were fluent in English. Data were collected through day-long facilitated group discussions using case scenarios and focus group guides. Participant's views were organized according to several themes, including the following main themes (and respective sub-themes): 1. Legitimate limits; a) competing obligations; and b) appeal to personal choice; and 2. Legitimate expectations; a) reciprocity; and b) enforcement and planning. Our findings show that participants moved away from categorical notions of the duty to care towards more equivocal and often normative views throughout deliberations. Our analysis contributes a better understanding of the constitutive nature of the duty to care, defined in part by taking account of public views. This broadened understanding can further inform the articulation of acceptable norms of duty to care and policy development efforts. What is more, it illustrates the urgent need for policy-makers and regulators to get clarity on obligations, responsibilities, and accountability in the execution of HCPs' duty to care during times of universal vulnerability. Copyright © 2012 Elsevier Ltd. All rights reserved.

Science identity possibilities: a look into Blackness, masculinities, and economic power relations

NASA Astrophysics Data System (ADS)

Rosa, Katemari

2018-02-01

This forum paper dialogues with Sheron Mark's A bit of both science and economics: a non-traditional STEM identity narrative. In her paper, she discusses the development of a Science, Technology, Engineering, and Mathematics (STEM) identity by a young African American male during an informal STEM for Social Justice Program. Here, the discussion focuses on Black masculinities, identity formation, and the role of science educators in making STEM fields a welcoming place for young Black men. Drawing from Mark's data and discussion, this paper is a dialogue between science identity possibilities in the United States and in Brazil when we look at the intersections of race, gender, and socioeconomic status. Using the shared colonial past of both countries a connection is established to address race relations within science education. The main argument in this paper is that racism can no longer be denied and dismissed by the science education community worldwide and that intersectional approaches are needed to face this issue.

Recent Advances in the Clinical Management of Lead Poisoning.

PubMed

Kianoush, Sina; Sadeghi, Mahmood; Balali-Mood, Mahdi

2015-01-01

Lead poisoning is a historic universal disease. Acute or chronic lead exposure may cause reversible or even permanent damages in human beings. Environmental lead exposure is a global health concern in children. Occupational lead poisoning is still a health issue, particularly in developing countries. During the last decades, new methods and medications have been advocated for the prevention and treatment of lead poisoning. This review deals mainly with recent developments in the management of lead poisoning. Sources of lead exposure are introduced, and methods for the primary prevention of lead poisoning are discussed. Details for the screening of adults and children are also explained to serve as a practical guideline for the secondary prevention. Standard chelation therapy in different groups and up-to-date less toxic new medications for the treatment of lead poisoning are finally discussed. Our published clinical research on the therapeutic effects of garlic tablets in mild to moderate occupational lead poisoning will also be discussed.

Telemedicine for Developing Countries. A Survey and Some Design Issues.

PubMed

Combi, Carlo; Pozzani, Gabriele; Pozzi, Giuseppe

2016-11-02

Developing countries need telemedicine applications that help in many situations, when physicians are a small number with respect to the population, when specialized physicians are not available, when patients and physicians in rural villages need assistance in the delivery of health care. Moreover, the requirements of telemedicine applications for developing countries are somewhat more demanding than for developed countries. Indeed, further social, organizational, and technical aspects need to be considered for successful telemedicine applications in developing countries. We consider all the major projects in telemedicine, devoted to developing countries, as described by the proper scientific literature. On the basis of such literature, we want to define a specific taxonomy that allows a proper classification and a fast overview of telemedicine projects in developing countries. Moreover, by considering both the literature and some recent direct experiences, we want to complete such overview by discussing some design issues to be taken into consideration when developing telemedicine software systems. We considered and reviewed the major conferences and journals in depth, and looked for reports on the telemedicine projects. We provide the reader with a survey of the main projects and systems, from which we derived a taxonomy of features of telemedicine systems for developing countries. We also propose and discuss some classification criteria for design issues, based on the lessons learned in this research area. We highlight some challenges and recommendations to be considered when designing a telemedicine system for developing countries.

Context awareness and sensitivity in SEA implementation

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

Hilding-Rydevik, Tuija; Bjarnadottir, Holmfridur

2007-10-15

The Impact Assessment research community repeatedly asserts that the implementation of Strategic Environmental Assessment (SEA) should take the issue of context into consideration. The primary aim of this paper then is to attempt to give substance to the concept of 'context' in relation to the implementation of SEA. The second aim is to discuss the relevance of context consciousness and sensitivity in relation to one of the main aims given to SEA implementation i.e. to contribute to the 'integration' of environmental perspectives in planning processes. Context must be defined in relation to a certain question. In this paper the questionmore » in focus is the assumption that SEA implementation will contribute to integration of environmental issues in planning processes. Research results relating to the use of environmental tools, like for example SEA, and experiences of integration efforts, strongly indicate that the use of a single tool like SEA is not enough to achieve this integration. The current 'context free' normative and procedural assumptions concerning the aim of SEA implementation and 'best practice' in term of SEA can be criticised on the same grounds as normative and procedural planning theories, as being context free. The assumptions behind the current formulations of the aim and best practice of SEA need to be revisited. A firm empirical and theoretical knowledge and discussion is needed, especially in relation to the issue of context and integration. This paper provides a starting point in this direction.« less

Countermeasures to driver fatigue: a review of public awareness campaigns and legal approaches.

PubMed

Fletcher, A; McCulloch, K; Baulk, S D; Dawson, D

2005-10-01

Driver fatigue accounts for 10-40% of road crashes and is a critical area for public health. As other major road safety issues are more successfully managed, driver fatigue becomes proportionately more important. Both public awareness and legal developments have been slow to reach the same levels as for other road safety risks. The aim of this article is to review countermeasures for non-commercial drivers that are designed to reduce the likelihood of fatigue-related crashes through education and legislation. This review outlines information from a wide variety of sources including governments, road safety groups and the scientific literature. Educational and legislative approaches are discussed in terms of both their effectiveness and the associated implications for public health. Areas for improvement in education include personalising the risk to drivers and developing simple metrics for the self-assessment of fatigue. Legal implications should be more clearly defined and specific laws are needed to more effectively prosecute fatigued drivers who cause crashes. Additional research is needed to further investigate the efficacy of available countermeasures. Increasingly, road traffic injury is being discussed more broadly as a public health issue. However, the specific issue of driver fatigue still receives less attention than other main causes of road crashes, despite making a significant and comparable contribution to crash rates. Countries such as Australia and New Zealand have a responsibility to counter driver fatigue, as well as other causes of road crashes, and to further pursue improvements for the benefit of public health.

What are the priorities in basic asthma research? A United Kingdom perspective.

PubMed

Hallsworth, Matthew P; Major, Philippa J; Barnes, Jack; Lee, Tak H

2003-02-01

The National Asthma Campaign (in the United Kingdom) has recently completed a strategic review of priorities for basic asthma research over the next 5 to 10 years. Leading asthma experts and representatives of the main funding agencies were involved in a nationwide consultation. Discussions were carried out in 7 thematic areas: Genetics of asthma, early-life events, environmental influences, immunology and immunotherapy, inflammation and anti-inflammation, airway remodeling, and the interface between academia and industry. Discussions were not restricted by considerations of financial affordability but were driven by vision and science. The consultation highlighted a number of generic issues pertaining to the organization of basic asthma research. Phenotypes of asthma require more robust characterization, particularly for genetic studies. Emphasis on longitudinal studies should be encouraged, and more information can still be gained from existing well-characterized asthma cohorts, though this requires some coordination. Human research is particularly strong and should continue, and the use of human tissue is vital to our understanding of the disease at the cellular and molecular levels. Animal models of asthma remain an important tool with which to dissect disease mechanisms, but they must be improved and refined. The consultation covered a wide range of issues and highlighted the need for collaboration at all levels between research groups and with industry and also between funding agencies. The recommendations made have relevance to everyone involved in basic asthma research. This article describes the recommendations and reviews the specific research issues relating to each of the 7 thematic areas.

77 FR 41403 - Meetings of the Local Government Advisory Committee and the Small Communities Advisory...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-13

... Tuesday, July 31, 2012, 1 p.m.-2 p.m. (EDT). The Committee will discuss air quality issues, water quality.... (EDT). The Committee will discuss air quality issues, water quality issues, environmental justice and...

Transitions.

ERIC Educational Resources Information Center

Nathanson, Jeanne H., Ed.

1993-01-01

This theme issue on transitions for individuals with disabilities contains nine papers discussing transition programs and issues. "Transition Issues for the 1990s," by Michael J. Ward and William D. Halloran, discusses self-determination, school responsibility for transition, continued educational engagement of at-risk students, and service…

Working session 4: Preventative and corrective measures

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

Clark, R.; Slama, G.

1997-02-01

The Preventive and Corrective Measures working session included 13 members from France, Germany, Japan, Spain, Slovenia, and the United States. Attendee experience included regulators, utilities, three steam generator vendors, consultants and researchers. Discussions centered on four principal topics: (1) alternate materials, (2) mechanical mitigation, (3) maintenance, and (4) water chemistry. New or replacement steam generators and original equipment steam generators were separately addressed. Four papers were presented to the session, to provide information and stimulate various discussion topics. Topics discussed and issues raised during the several meeting sessions are provided below, followed by summary conclusions and recommendations on which themore » group was able to reach a majority consensus. The working session was composed of individuals with diverse experience and varied areas of specialized expertise. The somewhat broad range of topics addressed by the group at times saw discussion participation by only a few individuals. As in any technical meeting where all are allowed the opportunity to speak their mind, straying from an Individual topic was not unusual. Where useful, these stray topics are also presented below within the context In which they occurred. The main categories of discussion were: minimize sludge; new steam generators; maintenance; mechanical mitigation; water chemistry.« less

Design and Development of a Virtual Facility Tour Using iPIX(TM) Technology

NASA Technical Reports Server (NTRS)

Farley, Douglas L.

2002-01-01

The capabilities of the iPIX virtual tour software, in conjunction with a web-based interface create a unique and valuable system that provides users with an efficient virtual capability to tour facilities while being able to acquire the necessary technical content is demonstrated. A users guide to the Mechanics and Durability Branch's virtual tour is presented. The guide provides the user with instruction on operating both scripted and unscripted tours as well as a discussion of the tours for Buildings 1148, 1205 and 1256 and NASA Langley Research Center. Furthermore, an indepth discussion has been presented on how to develop a virtual tour using the iPIX software interface with conventional html and JavaScript. The main aspects for discussion are on network and computing issues associated with using this capability. A discussion of how to take the iPIX pictures, manipulate them and bond them together to form hemispherical images is also presented. Linking of images with additional multimedia content is discussed. Finally, a method to integrate the iPIX software with conventional HTML and JavaScript to facilitate linking with multi-media is presented.

Assessment of neuropsychiatric symptoms in dementia: toward improving accuracy

PubMed Central

Stella, Florindo

2013-01-01

The issue of this article concerned the discussion about tools frequently used tools for assessing neuropsychiatric symptoms of patients with dementia, particularly Alzheimer's disease. The aims were to discuss the main tools for evaluating behavioral disturbances, and particularly the accuracy of the Neuropsychiatric Inventory – Clinician Rating Scale (NPI-C). The clinical approach to and diagnosis of neuropsychiatric syndromes in dementia require suitable accuracy. Advances in the recognition and early accurate diagnosis of psychopathological symptoms help guide appropriate pharmacological and non-pharmacological interventions. In addition, recommended standardized and validated measurements contribute to both scientific research and clinical practice. Emotional distress, caregiver burden, and cognitive impairment often experienced by elderly caregivers, may affect the quality of caregiver reports. The clinician rating approach helps attenuate these misinterpretations. In this scenario, the NPI-C is a promising and versatile tool for assessing neuropsychiatric syndromes in dementia, offering good accuracy and high reliability, mainly based on the diagnostic impression of the clinician. This tool can provide both strategies: a comprehensive assessment of neuropsychiatric symptoms in dementia or the investigation of specific psychopathological syndromes such as agitation, depression, anxiety, apathy, sleep disorders, and aberrant motor disorders, among others. PMID:29213846

Assessment of safety-relevant aspects of Kraftwerk Union's 200-MW(thermal) nuclear district heating plant concept

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

Erlenwein, P.; Frisch, W.; Kafka, P.

Nuclear reactors of 200- to 400-MW(thermal) power for district heating are the subject of increasing interest, and several specific designs are under discussion today. In the Federal Republic of Germany (FRG), the Kraftwerk Union AG has presented a 200-MW(thermal) heating reactor concept. The main safety issues of this design are assessed. In this design, the primary system is fully integrated into the reactor pressure vessel (RPV), which is tightly enclosed by the containment. The low process parameters like pressure, temperature, and power density and the high ratio of coolant volume to thermal power allow the design of simple safety features.more » This is supported by the preference of passive over active components. A special feature is a newly designed hydraulic control and rod drive mechanism, which is also integrated into the RPV. Within the safety assessment an overview of the relevant FRG safety rules and guidelines, developed mainly for large, electricity-generating power plants, is given. Included is a discussion of the extent to which these licensing rules can be applied to the concept of heating reactors.« less

The Unanticipated Challenges Associated With Implementing an Observational Study Protocol in a Large-Scale Physical Activity and Global Positioning System Data Collection.

PubMed

McCrorie, Paul; Walker, David; Ellaway, Anne

2018-04-30

Large-scale primary data collections are complex, costly, and time-consuming. Study protocols for trial-based research are now commonplace, with a growing number of similar pieces of work being published on observational research. However, useful additions to the literature base are publications that describe the issues and challenges faced while conducting observational studies. These can provide researchers with insightful knowledge that can inform funding proposals or project development work. In this study, we identify and reflectively discuss the unforeseen or often unpublished issues associated with organizing and implementing a large-scale objectively measured physical activity and global positioning system (GPS) data collection. The SPACES (Studying Physical Activity in Children's Environments across Scotland) study was designed to collect objectively measured physical activity and GPS data from 10- to 11-year-old children across Scotland, using a postal delivery method. The 3 main phases of the project (recruitment, delivery of project materials, and data collection and processing) are described within a 2-stage framework: (1) intended design and (2) implementation of the intended design. Unanticipated challenges arose, which influenced the data collection process; these encompass four main impact categories: (1) cost, budget, and funding; (2) project timeline; (3) participation and engagement; and (4) data challenges. The main unforeseen issues that impacted our timeline included the informed consent process for children under the age of 18 years; the use of, and coordination with, the postal service to deliver study information and equipment; and the variability associated with when participants began data collection and the time taken to send devices and consent forms back (1-12 months). Unanticipated budgetary issues included the identification of some study materials (AC power adapter) not fitting through letterboxes, as well as the employment of fieldworkers to increase recruitment and the return of consent forms. Finally, we encountered data issues when processing physical activity and GPS data that had been initiated across daylight saving time. We present learning points and recommendations that may benefit future studies of similar methodology in their early stages of development. ©Paul McCrorie, David Walker, Anne Ellaway. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 30.04.2018.

Experts and Media: different agenda on the Amatrice seismic sequence

NASA Astrophysics Data System (ADS)

Musacchio, G.; Piangiamore, G. L.

2016-12-01

In the frame of a dialogical approach to science communication, we challenge here the paradigm for which issues that experts consider valuable are not in the Media's agenda. We studied the way Media addressed the Amatrice 2016 sequence and discuss news story-telling. Data include news published since the beginning the seismic sequence, but only selected days have been analyzed in detail. Our analysis inquires IF and HOW the media pivot discussion between prevention and resignation. We quantify the occurrence of specific indicators in the text of in-print and in the headlines of on-line articles and derive a statistic distribution. We set indicators to explore WHO does the journalist refers to (the source), WHAT is considered to be newsworthiness and who is actually the journalist trying to give VOICE to. In assessing newsworthiness we break down the WHAT into three main categories, which we think of major interest to understand natural disasters icons in the Media, in the first days of occurrence. They are: Scientific Coverage, Risk Reduction Issues and Earthquake Damage. First results show that Media do think valuable to provide their public with an in-depth scientific coverage and refers to authoritative sources. As time goes by, and aftershocks Magnitude decreases, a more reflexive thinking is triggered; news stories include more risk reduction indicators than damage. Although memory of past earthquakes is always part of the story, only one month after the main shock risk reduction disappears from the media's agenda. We also explored the level of public engagement in risk reduction and found out that Media (in Italy) still seem not believe that citizens should be active part of the debate upon their own safety.

The role of tramadol in pain management in Latin America: a report by the Change Pain Latin America Advisory Panel.

PubMed

Santos Garcia, Joäo Batista; Lech, Osvandré; Campos Kraychete, Durval; Rico, María Antonieta; Hernández-Castro, John Jairo; Colimon, Frantz; Guerrero, Carlos; Sempértegui Gallegos, Manuel; Lara-Solares, Argelia; Flores Cantisani, José Alberto; Amescua-Garcia, César; Guillén Núñez, María Del Rocío; Berenguel Cook, María Del Rosario; Jreige Iskandar, Aziza; Bonilla Sierra, Patricia

2017-09-01

Change Pain Latin America (CPLA) was created to enhance chronic pain understanding and develop pain management improving strategies in this region. During its seventh meeting (August 2016), the main objective was to discuss tramadol's role in treating pain in Latin America. Furthermore, potential pain management consequences were considered, if tramadol was to become more stringently controlled. Key topics discussed were: main indications for prescribing tramadol, its pharmacological characteristics, safety and tolerability, effects of restrictions on its availability and use, and consequent impact on pain care quality. The experts agreed that tramadol is used to treat a wide spectrum of non-oncological pain conditions (e.g. post-surgical, musculoskeletal, post-traumatic, neuropathic, fibromyalgia), as well as cancer pain. Its relevance when treating special patient groups (e.g. the elderly) is recognized. The main reasons for tramadol's high significance as a treatment option are: its broad efficacy, an inconspicuous safety profile and its availability, considering that access to strong analgesics - mainly controlled drugs (classical opioids) - is highly restricted in some countries. The CPLA also agreed that tramadol is well tolerated, without the safety issues associated with long-term nonsteroidal anti-inflammatory drug (NSAID) use, with fewer opioid-like side effects than classical opioids and lower abuse risk. In Latin America, tramadol is a valuable and frequently used medication for treating moderate to severe pain. More stringent regulations would have significant impact on its availability, especially for outpatients. This could cause regression to older and frequently inadequate pain management methods, resulting in unnecessary suffering for many Latin American patients.

Fertility and pregnancy issues in BRCA-mutated breast cancer patients.

PubMed

Lambertini, Matteo; Goldrat, Oranite; Toss, Angela; Azim, Hatem A; Peccatori, Fedro A; Ignatiadis, Michail; Del Mastro, Lucia; Demeestere, Isabelle

2017-09-01

Fertility and pregnancy-related issues represent one of the main areas of concerns for young women with breast cancer. Carrying a germline deleterious BRCA mutation adds additional burden on this regard due to the specific issues that should be considered during the oncofertility counseling of this special patient group. Despite the availability of a growing amount of data in the general breast cancer population on the feasibility and safety of fertility preservation and pregnancy after diagnosis, numerous challenges remain for BRCA-mutated breast cancer patients in whom very limited studies have been performed so far. Therefore, studies aiming to address the specific issues of these patients, including the impact of the mutation on their fertility potential, the safety and efficacy of the different strategies for fertility preservation, and the feasibility of having a pregnancy after diagnosis, should be considered a research priority. The aim of the present manuscript is to perform an in depth overview on the role of BRCA mutations in breast cancer with a specific focus on their impact on reproductive potential, and to discuss the fertility and pregnancy issues faced by BRCA-mutated breast cancer patients. The final goal of this manuscript is to highlight current and upcoming knowledge in this field for trying to help physicians dealing with these patients during oncofertility counseling. Copyright © 2017 Elsevier Ltd. All rights reserved.