Similarly Torn, Differentially Shorn? The Experience and Management of Conflict between Multiple Roles, Relationships, and Social Categories

PubMed Central

Jones, Janelle M.; Hynie, Michaela

2017-01-01

In three studies we examined the experience and management of conflict between different types of multiple identities. Participants described a conflict between pairs of role, relational, or social identities before rating the experience (i.e., magnitude, stress, and growth) and management of conflict on a newly developed scale assessing four strategies: reconciliation, where identities are integrated, realignment, where one identity is chosen over another, retreat, where both identities are avoided, and reflection, where fit (with others, situation) determines identity selection. In general, the types of identities mattered for conflict management but not its experience: Magnitude and growth did not differ, however, stress was greater for role identity conflicts (Study 3 only) and participants endorsed the use of more realignment for role conflicts (Study 2) and more retreat for relational conflicts (Study 3) relative to other types of identity conflicts. Furthermore, findings suggested that the perceived flexibility of identities, not their importance or valence, were associated with realignment and retreat for roles and with retreat for relationships. Experiencing conflicts between multiple identities leaves people similarly torn, but multiple roles and relationships may be differentially shorn to manage conflict. PMID:29051744

Similarly Torn, Differentially Shorn? The Experience and Management of Conflict between Multiple Roles, Relationships, and Social Categories.

PubMed

Jones, Janelle M; Hynie, Michaela

2017-01-01

In three studies we examined the experience and management of conflict between different types of multiple identities. Participants described a conflict between pairs of role, relational, or social identities before rating the experience (i.e., magnitude, stress, and growth) and management of conflict on a newly developed scale assessing four strategies: reconciliation , where identities are integrated, realignment , where one identity is chosen over another, retreat , where both identities are avoided, and reflection , where fit (with others, situation) determines identity selection. In general, the types of identities mattered for conflict management but not its experience: Magnitude and growth did not differ, however, stress was greater for role identity conflicts ( Study 3 only ) and participants endorsed the use of more realignment for role conflicts ( Study 2 ) and more retreat for relational conflicts ( Study 3 ) relative to other types of identity conflicts. Furthermore, findings suggested that the perceived flexibility of identities, not their importance or valence, were associated with realignment and retreat for roles and with retreat for relationships. Experiencing conflicts between multiple identities leaves people similarly torn, but multiple roles and relationships may be differentially shorn to manage conflict.

Mind the Gap: Reconstructing the timing and consequences of the blockage of the Humber Gap by the last British-Irish Ice Sheet

NASA Astrophysics Data System (ADS)

Bateman, Mark; Evans, David; Roberts, David; Ely, Jeremy; Medialdea, Alicia; Clark, Chris

2017-04-01

The Eastern England terrestrial glacial sequences are critical to the spatial and temporal reconstruction of the last British-Irish Ice sheet (BIIS). Understanding the Humber Gap area is key as its blockage by ice created the extensive proglacial lakes. Here we use the glacial geomorphology and luminescence based chronologies from the Humber Gap region to establish the extent and thickness of the North Sea Lobe (NSL) of the BIIS. From this we establish the initial maximal ice advance occurred regionally at 21.2 ka. The NSL retreated off-shore 18 ka (Stage 2). Punctuated in stages in the south of the region whilst in the north retreat was initially rapid before a series of near synchronous ice-advances occurred at 16.8 ka (Stage 3). Full withdrawal of BIIS ice occurred prior to 15 ka (Stage 4). Geomorphic mapping and stratigraphy confirms the existence of a proto Lake Humber in Stage 1 which persisted to Stage 3 expanding eastward as the NSL ice retreated. It appears wherever during the advance and retreat of the NSL ice encountered low topography and reverse gradients proglacial lakes commonly formed. These lakes through ice draw down and associated streaming/surging may in part explain the dynamism of the parts of the NSL. The above record of ice-dammed lakes provides an analogue for now off-shore parts of the BIIS where it advanced as number of asynchronous lowland lobes.

Carbon degradation in agricultural soils flooded with seawater after managed coastal realignment

NASA Astrophysics Data System (ADS)

Sjøgaard, Kamilla S.; Treusch, Alexander H.; Valdemarsen, Thomas B.

2017-09-01

Permanent flooding of low-lying coastal areas is a growing threat due to climate change and related sea-level rise. An increasingly common solution to protect coastal areas lying below sea level is intentional flooding by "managed coastal realignment". However, the biogeochemical implications of flooding agricultural soils with seawater are still not well understood. We conducted a 1-year mesocosm experiment to investigate microbial carbon degradation processes in soils flooded with seawater. Agricultural soils were sampled on the northern coast of the island Fyn (Denmark) at Gyldensteen Strand, an area that was subsequently flooded in a coastal realignment project. We found rapid carbon degradation to TCO2 1 day after experimental flooding and onwards and microbial sulfate reduction established quickly as an important mineralization pathway. Nevertheless, no free sulfide was observed as it precipitated as Fe-S compounds with Fe acting as a natural buffer, preventing toxic effects of free sulfide in soils flooded with seawater. Organic carbon degradation decreased significantly after 6 months, indicating that most of the soil organic carbon was refractory towards microbial degradation under the anoxic conditions created in the soil after flooding. During the experiment only 6-7 % of the initial soil organic carbon pools were degraded. On this basis we suggest that most of the organic carbon present in coastal soils exposed to flooding through sea-level rise or managed coastal realignment will be permanently preserved.

The Installation Funding Dilemma

DTIC Science & Technology

2008-04-04

role in supporting the Army’s plans for supporting base realignment and closure (BRAC) requirements, global defense posture realignment ( GDPR ...relation to their affect on installation management funding. First, the initiative known as the GDPR will return many units to the United States from...three initiatives ( GDPR , BRAC and Modularity) and certain other restationing moves, the Army expects a net gain of about 154,000 personnel at its domestic

Prostatomembranous urethral disruptions: management by suprapubic cystostomy and delayed urethroplasty.

PubMed

Husmann, D A; Wilson, W T; Boone, T B; Allen, T D

1990-07-01

Management of prostatomembranous urethral disruptions associated with pelvic fractures remains a major controversy in urology. A group of 64 patients who suffered a prostatomembranous urethral disruption in association with a pelvic fracture and who were managed initially by suprapubic cystostomy with delayed urethroplasty was compared to 17 patients managed initially by primary realignment. No statistically significant difference in the incidence of impotence or urinary incontinence was found between the 2 groups (p greater than 0.5) Secondary reconstructions for impassable strictures developed in 95% of the patients treated by a suprapubic tube alone compared to 53% of those treated by primary realignment. Indeed, only 1 patient in the latter group achieved urethral continuity that did not require further intervention. We conclude that while primary realignment is associated with no increase in the instance of impotence and urinary incontinence, it subjects the patient to a major operation at a critical time and provides little in the way of long-term positive gains for the effort expended. In the final analysis the outcome is more dependent upon the nature of the injury and the quality of the repair than upon the order in which the repair is effected.

2005 Defense Base Closure and Realignment Commission Report. Volume 1

DTIC Science & Technology

2005-01-01

and Beale, and 15 A-10 aircraft realigned by the recommended closures of W.K. Kellogg Airport Air Guard Station, MI, and NAS Willow Grove, PA...functions of the Missile Defense Agency, except the Command and Control Battle Management and Communications Directorate, to Redstone Arsenal, AL... of other ships in the battle group. Systems are functionally integrated and not 287 separable as independent components. Furthermore, based on BRAC

Marshall Application Realignment System (MARS) Architecture

NASA Technical Reports Server (NTRS)

Belshe, Andrea; Sutton, Mandy

2010-01-01

The Marshall Application Realignment System (MARS) Architecture project was established to meet the certification requirements of the Department of Defense Architecture Framework (DoDAF) V2.0 Federal Enterprise Architecture Certification (FEAC) Institute program and to provide added value to the Marshall Space Flight Center (MSFC) Application Portfolio Management process. The MARS Architecture aims to: (1) address the NASA MSFC Chief Information Officer (CIO) strategic initiative to improve Application Portfolio Management (APM) by optimizing investments and improving portfolio performance, and (2) develop a decision-aiding capability by which applications registered within the MSFC application portfolio can be analyzed and considered for retirement or decommission. The MARS Architecture describes a to-be target capability that supports application portfolio analysis against scoring measures (based on value) and overall portfolio performance objectives (based on enterprise needs and policies). This scoring and decision-aiding capability supports the process by which MSFC application investments are realigned or retired from the application portfolio. The MARS Architecture is a multi-phase effort to: (1) conduct strategic architecture planning and knowledge development based on the DoDAF V2.0 six-step methodology, (2) describe one architecture through multiple viewpoints, (3) conduct portfolio analyses based on a defined operational concept, and (4) enable a new capability to support the MSFC enterprise IT management mission, vision, and goals. This report documents Phase 1 (Strategy and Design), which includes discovery, planning, and development of initial architecture viewpoints. Phase 2 will move forward the process of building the architecture, widening the scope to include application realignment (in addition to application retirement), and validating the underlying architecture logic before moving into Phase 3. The MARS Architecture key stakeholders are most interested in Phase 3 because this is where the data analysis, scoring, and recommendation capability is realized. Stakeholders want to see the benefits derived from reducing the steady-state application base and identify opportunities for portfolio performance improvement and application realignment.

Military Base Realignments and Closures: More Guidance and Information Needed to Take Advantage of Opportunities to Consolidate Training

DTIC Science & Technology

2016-02-01

Management Training, (2) Joint Center of Excellence for Culinary Training, (3) Joint Center of Excellence for Religious Training and Education, (4...of Excellence for Culinary Training (#123) Realign Lackland Air Force Base, Texas by relocating Culinary Training to Fort Lee, Virginia...establishing it as a Joint Center of Excellence for Culinary Training. Fort Lee, Virginia Army, Air Force, Navy, Marine Corps Joint Center of Excellence

Pelvic fracture-associated urethral injuries in girls: experience with primary repair.

PubMed

Dorairajan, Lalgudi N; Gupta, Harendra; Kumar, Santosh

2004-07-01

To present our experience with four urethral injuries in females accompanying a pelvic fracture, managed with primary repair or realignment of the urethra. There were three teenage girls and one adult (22 years old). All the patients had complete urethral injuries associated with a pelvic fracture from accidents. They were managed by immediate suprapubic cystostomy followed by repair or realignment of the urethra over a catheter on the same day. The catheter was removed after 3 weeks and a voiding cysto-urethrogram taken. Thereafter they were followed with regular urethral calibration. All patients voided satisfactorily with a good stream; three were fully continent and the fourth had transient stress urinary incontinence. One patient needed dilatation at 2 months and another visual internal urethrotomy at 5 months. At a mean (range) follow-up of 33 (9-60) months all the patients had a normal voiding pattern and were continent; none developed vaginal stenosis. Primary repair of the urethra, and if that is impossible, simple urethral realignment over a catheter, is the procedure of choice for managing female urethral injury associated with a pelvic fracture. The procedure has the additional advantage of reducing the risk of vaginal stenosis.

Early endoscopic realignment of post-traumatic posterior urethral disruption.

PubMed

Moudouni, S M; Patard, J J; Manunta, A; Guiraud, P; Lobel, B; Guillé, F

2001-04-01

The management of complete or partial urethral disruption is controversial, and much debate continues regarding immediate versus delayed definitive therapy. We further analyze our experience and long-term results using early endoscopic realignment. Between April 1987 and January 1999, 29 men with posterior urethral disruption (23 complete and 6 partial) underwent primary urethral realignment 0 to 8 days after injury. Pelvic fractures were present in 23 patients. In all patients, the actual operating time for realignment was 75 minutes or less. All patients were evaluated postoperatively for incontinence, impotence, and strictures. After a mean follow-up of 68 months (range 18 to 155), all patients were continent. Four patients (13.7%) required conversion to an open perineal urethroplasty. At the last follow-up visit, 25 (86%) of the 29 patients were potent and 4 achieved adequate erections for intercourse using intracorporeal injections (prostaglandin E(1)). Twelve patients (41%) developed short secondary strictures and were successfully treated with internal urethrotomy. The mean follow-up of these 12 patients was 83 months (range 34 to 120). Urinary flow rate measurement at the last follow-up visit revealed satisfactory voiding parameters in all patients. Primary endoscopic realignment offers an effective method for treating traumatic urethral injuries. Our long-term follow-up provides additional support for the use of this technique by demonstrating that urethral continuity can be established without an increased incidence of impotence, stricture formation, or incontinence. In case of failure, endoscopic realignment does not compromise the result of secondary urethroplasty.

Final Base Realignment and Closure (BRAC) Environmental Assessment for Realignment of Nellis Air Force Base

DTIC Science & Technology

2007-03-01

Traffic Control Assigned Airspace ATG Adversary Tactics Group AWACS Airborne Warning and Control System BAQ Bureau of Air Quality BLM Bureau of Land...Department of Interior Actions BLM The BLM manages millions of acres of public lands in southern Nevada which include portions of NTTR and...within NTTR and would not affect BLM lands adjacent to the base. Therefore, there are no cumulative impacts. USFWS Aircraft operate within the

A practical review of 'containment' during the influenza A (H1N1): an audit of the flu response centre in Yorkshire and the Humber.

PubMed

Padfield, S; Kemp, M; Saravanan, A; Wensley, A

2012-06-01

During the 'containment' phase of the influenza A (H1N1) pandemic 2009, antivirals were used for treatment and prophylaxis. This audit aimed to review the speed of the process involved in delivering antivirals and to assess whether this was likely to have occurred fast enough to be in keeping with the aims of reducing transmission. Flu Response Centres in each region were tasked with co-ordinating local delivery and all case data were entered into Fluzone (an electronic case management system). All data between 1 June and 2 July in the Yorkshire and Humber region were reviewed. Forty-eight hours from the onset of illness to treatment and prophylaxis were used as reference standards. The median estimate for the earliest point cases could have received treatment was 2 days (95% CI 2-3 days) and the earliest point contacts of cases could have received prophylaxis was 4 days (95% CI 4-5 days). The logistical difficulties of delivering 'containment' according to the national algorithms meant there were significant time delays involved and that this was likely to have reduced the effectiveness of the strategy. This would be important to consider if a 'containment' strategy was to be employed in any future emergency.

An evaluation of paediatric dental general anaesthesia in Yorkshire and the Humber.

PubMed

Ní Chaollaí, A; Robertson, S; Dyer, T A; Balmer, R C; Fayle, S A

2010-12-18

Following major change in UK policy regarding dental general anaesthesia (DGA) in 2001, there appears to be little information available about paediatric DGA services, their organisation, availability and utilisation. To establish the location, organisation and monitoring systems of paediatric DGA services in Yorkshire and the Humber Strategic Health Authority and to audit these services against existing standards of best practice. A postal survey of all potential paediatric DGA providers in Yorkshire and the Humber. Thirty-one possible DGA service providers were identified, 24 of which provided paediatric DGAs. Of 84 DGA lists identified, 75 regularly treated children, and nine were run on an ad hoc basis. The lists were held in 20 centres. The number of patients treated per list varied depending on treatment provided, ranging from 3.9 to 7.5 patients per list. Maximum waiting times varied from three to 84 weeks. Outcome data recording methods varied. Just over half of respondents used the Hospital Episode Statistics system; the remainder used other systems, or none. There was much variation in how DGA lists were organised. Most lists met some of the accepted standards, but very few met all. Waiting times were largely in accordance with national targets.

A Parametric Regression of the Cost of Base Realignment Action (COBRA) Model

DTIC Science & Technology

1993-09-20

Douglas D. Hardman , Captain, USAF Michael S. Nelson, Captain, USAF AFIT/GEE/ENS/93S-03 93 P’ 8 143 Approved for public release, distribution unlimited 93... Hardman CLASS: GEE 93S Captain Michael Nelson TITLE: A Parametric Regression of the Cost of Base Realignment Action (COBRA) Model DEFENSE DATE: 20...Science in Engineering and Environmental Management Douglas D. Hardman , B.S.E.E. Michael S. Nelson, B.S.C.E Captain, USAF Captain, USAF September 1993

Quick-Reaction Report on the Audit of Defense Base Realignment and Closure Budget Data for Naval Station Treasure Island, California

DTIC Science & Technology

1994-05-19

the audit of two projects: P-608T, Building Modifications, valued at...Island, California, to the Naval Training Center Great Lakes, Illinois. The audit also evaluated the implementation of the DoD Internal Management...related to the two projects in this report and is discussed in Report No. 94-109, Quick-Reaction Report on the Audit of Defense Base Realignment and Closure Budget Data for the Naval Training Center Great Lakes, Illinois, May 19,

Tier One: Draft Environmental Impact Statement. Volume 2. Realignment of Mountain Home Air Force Base and Proposed Expanded Range Capability

DTIC Science & Technology

1990-02-01

in section S3.1, Airspace Management. oue ORNL 1988 data. S3.10-2 S3.10.4 Community Services Community services provided at the county level include...Under the Base Realignment Project. Mountain Home City Clerk’s Office. 1989. Proposed Fiscal 1990 Budget. Oak Ridge National Laboratory ( ORNL ). 1988. Low...Altitude Airspace Database. Submitted to the U.S. Air Force. ORNL and Consultants. 1988. Reviews of Scientific Literatures on the Environmental

Early Realignment Versus Delayed Urethroplasty in Management of Pelvic Fracture Urethral Injury: A Meta-analysis.

PubMed

Firmanto, Rama; Irdam, Gampo A; Wahyudi, Irfan

2016-04-01

this meta-analysis study will evaluate the incidence of urethral stricture as a successfull parameter in the management of PFUI through early realignment, compared with delayed urethroplasty. Long-term complications such as erectile dysfunction and incontinence on both methods will also be evaluated. online literature was sourced from Pubmed, Embase, Cochrane, and Google Scholar. The incidence of stricture was evaluated from the entire study group of ER and DU. Stricture of the urethra is diagnosed by the symptoms such as the obstruction that felt by the patient, uroflowmetry examination, and urine residual post micturition that supported by urethrography examination at regular interval. In some cases the incidence of stricture also diagnosed by urethroscopy. The patient is assessed as not having stricture when it is no longer needed to do urethral dilatation or advanced urethrotomy. The rate of incontinence was assessed subjectively from the patient's complaints. The erectile function assessed subjectively; decreased of tumesen's degree, reduced the duration of erection, and penetration failure diagnosed as erection dysfunction. The data were processed as dichotomy data to calculate the risk ratio using Review Manager 5.1. five relevant literatures reviewed in this study. The incidence of urethral strictures are statistically significant lower in early realignment group (RR=0.70, 95% CI 0.50-0.99, P<0.05). There were no statistically significant differences between both treatment groups on the incidence of erectile dysfunction (RR=0.72, 95% CI 0.39-1.34) nor the incidence of incontinence (RR=0.74, 95% CI 0.36-1.51). early realignment decrease the occurrence of stricture on PFUI treatment compared to delayed urethroplasty method. Between the two methos, the complications such as erectile dysfunction and incontinence; however, there was no significant difference.

Summary Report on the Audit of Defense Base Realignment and Closure Budget Data

DTIC Science & Technology

1996-04-03

management control program as it applied to the audit objectives. This report summarizes the results of the specific objectives in Finding A and discusses the management control objective in Finding B.

The morphological development of newly inundated intertidal areas: the mechanisms driving the early evolution of an estuarine environment designed and constructed by humans

NASA Astrophysics Data System (ADS)

Dale, Jonathan; Burgess, Heidi; Cundy, Andrew

2017-04-01

Intertidal saltmarsh and mudflat habitats are of global importance due to the ecosystem, economic and cultural services they provide. These services include wildlife habitat provision and species diversity, immobilisation of pollutants and protection from coastal flooding. Saltmarsh and mudflat environments are, however, being lost and degraded due to erosion caused by rising sea levels and increased storminess. These losses are exacerbated by anthropogenic influences including land reclamation, increased coastal development and the construction of coastal flood defences which prevent the landwards migration of saltmarsh and mudflat environments, resulting in coastal squeeze. To compensate for saltmarsh and mudflat losses areas of the coastal hinterland are being inundated by breaching defences and constructing new defences inland, thus extending or constructing new estuarine environments; a processes known as de-embankment or managed realignment. Morphological engineering and landscaping within managed realignment sites prior to site inundation varies depending on the aims of the scheme. However, there is a shortage of data on the morphological evolution within these sites post site inundation impeding the ability of coastal engineers to effectively design and construct future sites. To date there has been a focus on the colonisation of marine macro fauna and flora within newly inundated managed realignment sites, which can be relatively rapid and easily quantified. Little is known of the morphological evolution in response to altered sedimentary processes, its driving mechanisms and therefore the success and ecological sustainability of these sites. This study evaluates the post-inundation morphological development of the largest open coast managed realignment site in Europe, at Medmerry on the south coast of the United Kingdom. Inundated in September 2013, the Medmerry Managed Realignment Site consists of a mosaic of former agricultural land and areas of lower elevation excavated during site construction, drained by a series of natural and engineered channels. Results indicate different rates and patterns of sedimentation and resulting morphology across the site. Near the breach continuous sedimentation of > 15cm over a 1 year period was measured, compared to rhythmic periods of accretion and erosion inland. These variations have been related to site design, former land-use and different sediment sources. The evolution of developing creek networks, formed by pluvial action and sediment "piping", are controlled by unconformities found in the sub-surface sediment related to Holocene site evolution. Analysis of the sedimentary processes and subsequent morphological development of these areas provides a new insight into coastal and estuarine evolution in an anthropogenically designed and constructed estuarine environment.

78 FR 32404 - Statement of Organization, Functions and Delegations of Authority

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-30

... following: Office of Management (RB4) Provides HRSA-wide leadership, program direction, and coordination of... of HRSA, and the governance and management needs of HRSA leadership; and (10) evaluates employee... Resources and Services Administration (HRSA). Specifically, the Office of Management (RB4) will realign the...

Management of Sub-axial Cervical Spine Injuries

PubMed Central

Zaveri, Gautam; Das, Gurdip

2017-01-01

Sub-axial cervical spine injuries are commonly seen in patients with blunt trauma. They may be associated with spinal cord injury resulting in tetraplegia and severe permanent disability. Immobilization of the neck, maintenance of blood pressure and oxygenation, rapid clinical and radiological assessment of all injuries, and realignment of the spinal column are the key steps in the emergency management of these injuries. The role of intravenous methylprednisolone administration in acute spinal cord injuries remains controversial. The definitive management of these injuries is based upon recognition of the fracture pattern, assessment of the degree of instability, the presence or absence of neurologic deficit, and other patient related factors that may influence the outcome. Nonoperative treatment comprises of some form of external immobilization for 8 to 12 weeks, followed by imaging to assess fracture healing, and to rule out instability. The goals of surgery are realignment of the vertebral column, decompression of the neural elements and instrumented stabilization. PMID:29200479

A Comparative History of Department of Defense Management Reform from 1947 to 2005

DTIC Science & Technology

2006-12-01

type of management reform agenda to improve the Department of Defense business processes and incorporate recent management ideas from the business ...introduce some type of management reform agenda to improve the Department of Defense business processes and incorporate recent management ideas...Steering Group BMMP Business Management Modernization Plan BRAC Base Realignment and Closure C3I Command, Control, Communications, and Intelligence

Federal Agency Program Realignment and Closure Act

THOMAS, 111th Congress

Rep. Sullivan, John [R-OK-1

2009-02-12

House - 05/04/2009 Referred to the Subcommittee on Government Management, Organization, and Procurement. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Effect of early realignment on length and delayed repair of postpelvic fracture urethral injury.

PubMed

Koraitim, Mamdouh M

2012-04-01

To determine the effect of early realignment of posterior urethral injury on the length and delayed repair of ensuing urethral defect. We reviewed the medical records of 120 patients with a pelvic fracture urethral defect who were referred for delayed repair from elsewhere from 1995 to 2009. The review was focused on 5 variables: initial management of urethral injury, length of urethral defect, type of delayed repair, continence, and erectile function. Of the patients, 26 were excluded from the study and 94 were categorized as having been initially treated by realignment (42 patients, group 1) or suprapubic cystostomy (52 patients, group 2). Urethral defects ≤ 2 cm in length were found in 28 patients (67%) in group 1 versus 22 (42%) in group 2. Defects >2 cm were found in 14 patients (33%) in group 1 versus 30 (58%) in group 2. The repair was accomplished by a simple perineal operation in 32 (76%) and 30 (58%) patients in groups 1 and 2, respectively. An elaborated perineal or perineo-abdominal procedure was required in 10 (24%) and 22 (42%) patients in groups 1 and 2, respectively (all P < .05). Incontinence occurred in 1 patient in group 1. Impotence developed in 10 (28%) of 36 realigned adults and in 2 (5%) of 38 adults with suprapubic cystostomy. Early realignment of posterior urethral injury decreases the length of the ensuing urethral defect and facilitates its delayed repair. Incontinence and impotence appear to result from the injury itself and not the treatment. Copyright © 2012 Elsevier Inc. All rights reserved.

Early effectiveness of endoscopic posterior urethra primary alignment.

PubMed

Kim, Fernando J; Pompeo, Alexandre; Sehrt, David; Molina, Wilson R; Mariano da Costa, Renato M; Juliano, Cesar; Moore, Ernest E; Stahel, Philip F

2013-08-01

Posterior urethra primary realignment (PUPR) after complete transection may decrease the gap between the ends of the transected urethra, tamponade the retropubic bleeding, and optimize urinary drainage without the need of suprapubic catheter facilitating concurrent pelvic orthopedic and trauma procedures. Historically, the distorted anatomy after pelvic trauma has been a major surgical challenge. The purpose of the study was to assess the relationship of the severity of the pelvic fracture to the success of endoscopic and immediate PUPR following complete posterior urethral disruption using the Young-Burgess classification system. A review of our Level I trauma center database for patients diagnosed with pelvic fracture and complete posterior urethral disruption from January 2005 to April 2012 was performed. Pelvic fracture severity was categorized according to the Young-Burgees classification system. Management consisted of suprapubic catheter insertion at diagnosis followed by early urethral realignment when the patient was clinically stable. Failure of realignment was defined as inability to achieve urethral continuity with Foley catheterization. Clinical follow-up consisted of radiologic, pressure studies and cystoscopic evaluation. A total of 481 patients with pelvic trauma from our trauma registry were screened initially, and 18 (3.7%) were diagnosed with a complete posterior urethral disruption. A total of 15 primary realignments (83.3%) were performed all within 5 days of trauma. The success rate of early realignment was 100%. There was no correlation between the type of pelvic ring fracture and the success of PUPR. Postoperatively, 8 patients (53.3%) developed urethral strictures, 3 patients (20.0%) developed incontinence, and 7 patients (46.7%) reported erectile dysfunction after the trauma. The mean follow-up of these patients was 31.8 months. Endoscopic PUPR may be an effective option for the treatment of complete posterior urethral disruption and enables urinary drainage to best suit the multispecialty surgical team. The success rate of achieving primary realignment did not appear to be related to the complexity and type of pelvic ring fracture.

Pelvic fracture urethral injuries: evaluation of various methods of management.

PubMed

Koraitim, M M

1996-10-01

The results of various immediate treatments of urethral injuries complicating a fractured pelvis were evaluated. The records of 100 male patients with pelvic fracture urethral injury were reviewed, 73 of whom were treated by suprapubic cystostomy and delayed repair, 23 by primary realignment and 4 by primary suturing. Also, the findings of 771 patients reported in the literature were reviewed. Urethral stricture was an almost inevitable consequence (97% of the cases) after suprapubic cystostomy. Primary realignment decreased the incidence of stricture to 53% but produced a 36% impotence rate. Primary suturing also decreased the incidence of stricture to 49% but produced the greatest complication rates for impotence (56%) and incontinence (21%). Suprapubic cystostomy alone is indicated for incomplete urethral rupture, slight urethral distraction and critically unstable patients, and when there are inadequate facilities or inexperienced surgeons. Primary realignment is advised if there is wide separation of the urethral ends, or associated injury of the bladder neck or rectum. Primary suturing is not recommended for any condition.

"I didn't feel like I was a person anymore": realigning full adult personhood after ostomy surgery.

PubMed

Ramirez, Michelle; Altschuler, Andrea; McMullen, Carmit; Grant, Marcia; Hornbrook, Mark; Krouse, Robert

2014-06-01

Colorectal cancer (CRC) is the third most common cancer in the United States. For some CRC patients, cancer treatment involves creating a permanent or temporary intestinal ostomy. Having an ostomy often results in complex social and physical concerns-including unpredictable and at times publicly noticeable bowel output. In this article, we discuss findings from 30 in-depth interviews with female CRC survivors with ostomies in the western United States. We highlight how having an ostomy disrupts culturally sanctioned practices of continence that mark the attainment of full-adult personhood. We discuss how survivors reclaim a sense of full personhood after ostomy surgery through a process of realignment that entails both learning how to manage ostomy equipment to conceal bowel activity and reappraising their illness and suffering. We suggest that the anthropological categories of personhood and personhood realignment be incorporated into research and interventions aimed at increasing support among cancer survivors living with bodily impairments. © 2014 by the American Anthropological Association.

“I Didn’t Feel Like I Was a Person Anymore”: Realigning Full Adult Personhood after Ostomy Surgery

PubMed Central

Ramirez, Michelle; Altschuler, Andrea; McMullen, Carmit; Grant, Marcia; Hornbrook, Mark; Krouse, Robert

2016-01-01

Colorectal cancer (CRC) is the third most common cancer in the United States. For some CRC patients, cancer treatment involves creating a permanent or temporary intestinal ostomy. Having an ostomy often results in complex social and physical concerns—including unpredictable and at times publicly noticeable bowel output. In this article, we discuss findings from 30 in-depth interviews with female CRC survivors with ostomies in the western United States. We highlight how having an ostomy disrupts culturally sanctioned practices of continence that mark the attainment of full-adult personhood. We discuss how survivors reclaim a sense of full personhood after ostomy surgery through a process of realignment that entails both learning how to manage ostomy equipment to conceal bowel activity and reappraising their illness and suffering. We suggest that the anthropological categories of personhood and personhood realignment be incorporated into research and interventions aimed at increasing support among cancer survivors living with bodily impairments. PMID:24782269

Department of Defense Base Closure and Realignment Report

DTIC Science & Technology

1993-03-01

European NATO allies wili continue to grapple with shaping 3n evolving regional security framework capable of crisis management and conflict prevention, as...Personnel, Arlington, Virginia (including the Office of Military Manpower Management . Arlington, Virg;uda) Naval Air Systems Command, Arlington, Virginia...Hawaii Enlisted Personnel Management Center, New Orleans, Louisiana Naval Computer & Telecommunications Station, New Orleans, Louisiana Naval Air Station

Modelling the morphodynamics and co-evolution of coast and estuarine environments

NASA Astrophysics Data System (ADS)

Morris, Chloe; Coulthard, Tom; Parsons, Daniel R.; Manson, Susan; Barkwith, Andrew

2017-04-01

The morphodynamics of coast and estuarine environments are known to be sensitive to environmental change and sea-level rise. However, whilst these systems have received considerable individual research attention, how they interact and co-evolve is relatively understudied. These systems are intrinsically linked and it is therefore advantageous to study them holistically in order to build a more comprehensive understanding of their behaviour and to inform sustainable management over the long term. Complex environments such as these are often studied using numerical modelling techniques. Inherent from the limited research in this area, existing models are currently not capable of simulating dynamic coast-estuarine interactions. A new model is being developed through coupling the one-line Coastline Evolution Model (CEM) with CAESAR-Lisflood (C-L), a hydrodynamic Landscape Evolution Model. It is intended that the eventual model be used to advance the understanding of these systems and how they may evolve over the mid to long term in response to climate change. In the UK, the Holderness Coast, Humber Estuary and Spurn Point system offers a diverse and complex case study for this research. Holderness is one of the fastest eroding coastlines in Europe and research suggests that the large volumes of material removed from its cliffs are responsible for the formation of the Spurn Point feature and for the Holocene infilling of the Humber Estuary. Marine, fluvial and coastal processes are continually reshaping this system and over the next century, it is predicted that climate change could lead to increased erosion along the coast and supply of material to the Humber Estuary and Spurn Point. How this manifests will be hugely influential to the future morphology of these systems and the existence of Spurn Point. Progress to date includes a new version of the CEM that has been prepared for integration into C-L and includes an improved graphical user interface and more complex geomorphological processes. Preliminary results from simulations of the Holderness Coast and Spurn Point support findings of other authors, who suggest that changes to the wave climate influences sediment transport patterns in the nearshore zone. The angle of wave approach to the Holderness shows particular significance compared to the height of waves, with an optimum volume of material transported at 42 degrees. Further applications and results of this new model will be presented and discussed.

Valley Forge alternative transportation feasibility study

DOT National Transportation Integrated Search

2004-06-01

NPS, as part of their General Management Plan (GMP) realignment, worked with Volpe to develop a series of alternative transportation methods in Valley Forge National Historical Park. Automobiles are the predominant means of transportation in the park...

Realigning the Values of Academic Health Centers: The Role of Innovative Faculty Management.

ERIC Educational Resources Information Center

Arana, George W.; McCurdy, Layton

1995-01-01

The current approach to research, teaching, clinical service, and administration at academic health centers is reviewed, and the traditional values underpinning this approach are challenged. A new form of faculty management that matches the individual faculty member's priorities and skills with the health center mission and which focuses on the…

Comments on historical variation & desired condition as tools for terrestrial landscape analysis

Treesearch

Constance I. Millar

1997-01-01

Historic (natural or reference) variability and desired condition are key ecosystem-management concepts advocated in many approaches to terrestrial landscape analysis. Historical variation is considered to be a conservative indicator of sustainability. If current conditions are outside the range of historic values, management actions are described to realign the system...

A user's guide to coping with estuarine management bureaucracy: An Estuarine Planning Support System (EPSS) tool.

PubMed

Lonsdale, Jemma; Nicholson, Rose; Weston, Keith; Elliott, Michael; Birchenough, Andrew; Sühring, Roxana

2018-02-01

Estuaries are amongst the most socio-economically and ecologically important environments however, due to competing and conflicting demands, management is often challenging with a complex legislative framework managed by multiple agencies. To facilitate the understanding of this legislative framework, we have developed a GISbased Estuarine Planning Support System tool. The tool integrates the requirements of the relevant legislation and provides a basis for assessing the current environmental state of an estuary as well as informing and assessing new plans to ensure a healthy estuarine state. The tool ensures that the information is easily accessible for regulators, managers, developers and the public. The tool is intended to be adaptable, but is assessed using the Humber Estuary, United Kingdom as a case study area. The successful application of the tool for complex socio-economic and environmental systems demonstrates that the tool can efficiently guide users through the complex requirements needed to support sustainable development. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

32 CFR 989.25 - Base closure and realignment.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 32 National Defense 6 2013-07-01 2013-07-01 false Base closure and realignment. 989.25 Section 989... PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.25 Base closure and realignment. Base closure or realignment may entail special requirements for environmental analysis. The permanent base closure...

32 CFR 989.25 - Base closure and realignment.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 32 National Defense 6 2012-07-01 2012-07-01 false Base closure and realignment. 989.25 Section 989... PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.25 Base closure and realignment. Base closure or realignment may entail special requirements for environmental analysis. The permanent base closure...

Novel application of a balloon-anchoring technique for the realignment of a prolapsed pipeline embolization device: a technical report.

PubMed

Crowley, R Webster; Abla, Adib A; Ducruet, Andrew F; McDougall, Cameron G; Albuquerque, Felipe C

2014-07-01

Flow-diverting stents represent a substantial advancement in the treatment of cerebral aneurysms. They can, however, be associated with unique complications that may require management through adjunctive techniques. To present a technical report of a salvage technique used to realign a prolapsed Pipeline Embolization Device (PED) during the treatment of a giant internal carotid artery (ICA) aneurysm. A patient in his late 70s with an incidental giant supraclinoid ICA aneurysm presented for endovascular consideration. Treatment was planned using the PED. Following placement of the device there were two focal areas of incomplete expansion and balloon angioplasty was performed. This manipulation resulted in foreshortening of the distal aspect of the PED which caused the device to prolapse into the aneurysm. After multiple unsuccessful attempts to regain distal access, a salvage technique was attempted in which a balloon was inflated in the middle cerebral artery and, by applying traction, the PED was realigned with the parent artery. After the PED was realigned, direct distal catheter access was achieved and a second Pipeline device was deployed, successfully covering the aneurysm neck with resultant flow stasis. The patient had no postoperative issues and was discharged 2 days later without deficit. The balloon-anchoring technique was successfully used to realign a PED that had prolapsed into a giant ICA aneurysm. This maneuver prevented potentially disastrous complications and allowed the satisfactory completion of the aneurysm embolization. This represents a useful salvage technique that should be considered when encountering a prolapsed stent. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Phylogenetic lineages in Entomophthoromycota

USDA-ARS?s Scientific Manuscript database

Entomophthoromycota Humber is one of five major phylogenetic lineages among the former phylum Zygomycota. These early terrestrial fungi share evolutionarily ancestral characters such as coenocytic mycelium and gametangiogamy as a sexual process resulting in zygospore formation. Previous molecular st...

Process management using component thermal-hydraulic function classes

DOEpatents

Morman, James A.; Wei, Thomas Y. C.; Reifman, Jaques

1999-01-01

A process management expert system where following malfunctioning of a component, such as a pump, for determining system realignment procedures such as for by-passing the malfunctioning component with on-line speeds to maintain operation of the process at full or partial capacity or to provide safe shut down of the system while isolating the malfunctioning component. The expert system uses thermal-hydraulic function classes at the component level for analyzing unanticipated as well as anticipated component malfunctions to provide recommended sequences of operator actions. Each component is classified according to its thermal-hydraulic function, and the generic and component-specific characteristics for that function. Using the diagnosis of the malfunctioning component and its thermal hydraulic class, the expert system analysis is carried out using generic thermal-hydraulic first principles. One aspect of the invention employs a qualitative physics-based forward search directed primarily downstream from the malfunctioning component in combination with a subsequent backward search directed primarily upstream from the serviced component. Generic classes of components are defined in the knowledge base according to the three thermal-hydraulic functions of mass, momentum and energy transfer and are used to determine possible realignment of component configurations in response to thermal-hydraulic function imbalance caused by the malfunctioning component. Each realignment to a new configuration produces the accompanying sequence of recommended operator actions. All possible new configurations are examined and a prioritized list of acceptable solutions is produced.

Process management using component thermal-hydraulic function classes

DOEpatents

Morman, J.A.; Wei, T.Y.C.; Reifman, J.

1999-07-27

A process management expert system where following malfunctioning of a component, such as a pump, for determining system realignment procedures such as for by-passing the malfunctioning component with on-line speeds to maintain operation of the process at full or partial capacity or to provide safe shut down of the system while isolating the malfunctioning component. The expert system uses thermal-hydraulic function classes at the component level for analyzing unanticipated as well as anticipated component malfunctions to provide recommended sequences of operator actions. Each component is classified according to its thermal-hydraulic function, and the generic and component-specific characteristics for that function. Using the diagnosis of the malfunctioning component and its thermal hydraulic class, the expert system analysis is carried out using generic thermal-hydraulic first principles. One aspect of the invention employs a qualitative physics-based forward search directed primarily downstream from the malfunctioning component in combination with a subsequent backward search directed primarily upstream from the serviced component. Generic classes of components are defined in the knowledge base according to the three thermal-hydraulic functions of mass, momentum and energy transfer and are used to determine possible realignment of component configurations in response to thermal-hydraulic function imbalance caused by the malfunctioning component. Each realignment to a new configuration produces the accompanying sequence of recommended operator actions. All possible new configurations are examined and a prioritized list of acceptable solutions is produced. 5 figs.

76 FR 77008 - Notice of Administrative Boundary Change for Bureau of Land Management Offices in Montana To...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-09

... Lewis and Clark County AGENCY: Bureau of Land Management, Interior. ACTION: Notice. SUMMARY: The... realign Lewis and Clark County, currently a split county between the two offices, to the Western Montana... Broadwater, Deer Lodge, Gallatin, Jefferson, Lewis and Clark, Park, Silver Bow and the northern portion of...

LSU rDNA phylogeny for Entomophthoromycotina

USDA-ARS?s Scientific Manuscript database

The recently elevated subdivision Entomophthoromycotina Humber (D.S. Hibbett et al., 2007) includes zygomycetous parasites of many diverse arthropod hosts and saprotrophs. Species in this group are of special interest as agents of biological control for the populations of economically important inse...

Metachelins, mannosylated and N-oxidized coprogen-type siderophores from Metarhizium robertsii

USDA-ARS?s Scientific Manuscript database

Under iron-depleted culture conditions, the entomopathogenic fungus Metarhizium robertsii (Bischoff, Humber, and Rehner) (= M. anisopliae) produces a complex of extracellular siderophores including novel O-glycosylated and/or N-oxidized coprogen-type compounds as well as the known fungal siderophore...

Traumatic injuries to the urethra.

PubMed

McAninch, J W

1981-04-01

Major urethral injuries from external trauma are complex problems of diagnosis and treatment. Complications resulting from injury, failed diagnosis, and inappropriate therapy include stricture, impotent, and incontinence. Opinions differ as to whether immediate suprapubic cystostomy followed by later reconstruction is preferable to immediate direct urethral realignment. A review of 30 patients with urethral injuries is presented, 27 male and three female, 29 from blunt trauma and one gunshot. Initial suprapubic cystostomy alone was used in 26 male patients, 21 with prostatomembranous disruption and five with straddle injury. Prostatomembranous reconstruction in 14 complete urethral transections resulted in one residual stricture, two impotent patients, and no incontinence. Partial prostatomembranous disruption and straddle injuries had insignificant residual stricture, none requiring dilation or reconstruction. The results of this management approach appear superior to those of immediate urethral realignment. Advantages of immediate suprapubic cystostomy are: 1) simplified early approach in management, and 2) successful elective reconstruction of major prostatomembranous injuries with low incidence of stricture, impotence, and incontinence.

Influence of rheology on realignment of mantle convective structure with plate motion after a plate reorganization

NASA Astrophysics Data System (ADS)

van Hunen, J.; Zhong, S.

2006-08-01

Small-scale convection (SSC) rolls below the oceanic lithosphere have the tendency to align with the large-scale shearing direction and thus with the plate motion direction relative to the deep mantle. Understanding the timescales of and processes responsible for realignment would contribute significantly to our understanding of the unresolved phenomena in the Pacific such as gravity lineations, small-scale seismic velocity variations, and intraplate volcanism that cannot be explained by hot spots. In this study we examine the evolution of those convection rolls when this relative plate motion direction is suddenly changed, as suggested by the kink in the Hawaii-Emperor seamount chain. Using three-dimensional numerical flow models, we investigate the realignment of SSC rolls after a change in plate motion direction. From the nature of the SSC, it is expected that rheological parameters dominate the characteristics of this realignment. Our results show that this is indeed the case. We find that (1) using constraints from onset timing of SSC, realignment of rolls can occur as fast as within 20 Ma, but might also take much longer, dependent on the rheology; (2) the realignment period is strongly correlated to the sum of large-scale shear stress induced by plate motion and small-scale shear stress from the SSC itself; (3) in a mantle deforming by dislocation creep, realignment occurs faster than by diffusion creep, because dislocation creep SSC is more vigorous; and (4) activation energy has little influence on the realignment time. Possible evidence for the realignment period might come from precise age determination of intraplate volcanism or azimuthal seismic anisotropy.

Tectonic overprint on magnetic fabric of the Ordovician Thetford Mines Ophiolite (Canada)

NASA Astrophysics Data System (ADS)

Di Chiara, Anita; Morris, Antony; Anderson, Mark W.; Menegon, Luca

2017-04-01

Studies in modern oceanic settings suggest locally along low-spreading ridges both lower crust and upper mantle peridotites may be exhumed to the seafloor in features known as oceanic core complexes (OCC). Examples of OCC on geological record can be preserved in ophiolites, relict of oceanic crust obducted onto continental margins, as for example the Jurassic Mirdita Ophiolite (Albania), suggesting that this spreading mode was active in the past. In order to understand such dynamics further, we investigated the OCC preserved in the Thetford Mines Ophiolite (TMO). TMO is part of the Southern Quebec ophiolites in the Canadian Appalachians (Quebec region), divided into three lithotectonic assemblages: The Humber Zone, a remnant of the Laurentian continental margin; The Cambrian-Ordovician Dunnage Zone, a remnant of the Iapetus Ocean and including the TMO and other ophiolites; and Silurian-Devonian Gaspé Belt, the sedimentary cover sequence. These were subjected to polyphase deformation, experiencing two Paleozoic orogenies: The Ordovician Taconian Orogeny (the Humber and Dunnage zones were amalgamated) and the Devonian Acadian orogeny which deformed and metamorphosed both the Dunnage Zone and the overlying Gaspe Belt. Here we present results from 12 paleomagnetic sites sampled on Humber zone on pillow lavas, dykes, layered gabbros and serpentinized dunites. Our results from AMS experiments show that these rocks, formed by fundamentally different magmatic processes, share a common magnetic fabric, with a kmin axis NW-SE orientated and the kmax steeply plunging to the NE. Additional processing of acquired BSE images and chemical mapping analyses at the SEM show that the kmax of the magnetic fabric is parallel to the elongation of magnetic particles (Iron rich minerals). This remarkably consistent fabric has a tectonic origin and is consistent with shortening perpendicular to the regional trend of fold axes.

Base Realignment and Closure Environmental Evaluation (BRAC EE) Fort Devens, Massachusetts

DTIC Science & Technology

1995-09-01

Not Sampled ......... 6 2.3.2 Transformer Sites Sampled ........................ 7 2.4 Soil Sampling Protocol and Analytical Program ...Evaluation (AREE) 66. The study included evaluating the current PCB Transformer Management Program administered by the Fort Devens Environmental Management...Office (EMO), the Fort Devens Spill Contingency Plan, and the ongoing transformer inspection program . Personnel in both the Fort Devens EMO and the Fort

Generic Detection of Register Realignment

NASA Astrophysics Data System (ADS)

Ďurfina, Lukáš; Kolář, Dušan

2011-09-01

The register realignment is a method of binary obfuscation and it is used by malware writers. The paper introduces the method how register realignment can be recognized by analysis based on the scattered context grammars. Such an analysis includes exploration of bytes affected by realignment, finding new valid values for them, building the scattered context grammar and parse an obfuscated code by this grammar. The created grammar has LL property--an ability for parsing by this type of grammar.

Generic Detection of Register Realignment

NASA Astrophysics Data System (ADS)

Durfina, Lukáš; Kolář, Dušan

2011-09-01

The register realignment is a method of binary obfuscation and it is used by malware writers. The paper introduces the method how register realignment can be recognized by analysis based on the scattered context grammars. Such an analysis includes exploration of bytes affected by realignment, finding new valid values for them, building the scattered context grammar and parse an obfuscated code by this grammar. The created grammar has LL property—an ability for parsing by this type of grammar.

Defense Logistics Agency 1995 Defense Base Realignment and Closure Data Collection Process for the Evaluation Phase.

DTIC Science & Technology

1995-05-04

Commission. The specific objective for the audit was to determine whether the evaluation process that the DLA used to develop recommendations reported to the...1995 Commission was consistently applied and adequately supported. The audit also reviewed applicable management controls.

32 CFR 989.25 - Base closure and realignment.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.25 Base closure and realignment. Base closure or realignment may entail special requirements for environmental analysis. The permanent base closure... frequently contain provisions limiting the extent of environmental analysis required for actions taken under...

32 CFR 989.25 - Base closure and realignment.

Code of Federal Regulations, 2011 CFR

2011-07-01

... PROTECTION ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.25 Base closure and realignment. Base closure or realignment may entail special requirements for environmental analysis. The permanent base closure... frequently contain provisions limiting the extent of environmental analysis required for actions taken under...

Military Construction, Veterans Affairs, and Related Agencies: FY2009 Appropriations

DTIC Science & Technology

2008-07-07

Posture Realignment ( GDPR ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 “Growing the Force...Supplemental (P.L. 110-252) . . . . . . . . . . . . . . . . . . . . 5 Table 3. IGPBS/ GDPR One-Time Implementation Costs...this report. Base Realignment and Closure (BRAC)/Integrated Global Presence and Basing Strategy (IGPBS)/Global Defense Posture Realignment ( GDPR ). Cost

77 FR 23755 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Guam...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-20

... for OMB Review; Comment Request; Guam Military Base Realignment Contractors Recruitment Standards... Administration (ETA) sponsored information collection request (ICR) titled, ``Guam Military Base Realignment... U.S. and other eligible workers for employment on Guam military base realignment construction...

2005 Base Closure and Realignment Commission Report

EPA Pesticide Factsheets

The 2005 Defense Base Closure and Realignment Commission is proud to present its Final Report for your consideration. As required by law, the Commission thoroughly and objectively reviewed the domestic installation closure and realignment recommendations proposed by the Secretary of Defense on May 13, 2005.

Esthetic enhancement of a traumatized anterior tooth with a combination of forced eruption and tooth alignment: a case report

PubMed Central

Kang, So-Hee; Jin, Myoung-Uk; Kim, Sung-Kyo

2016-01-01

Exposing sound structure of a subgingivally fractured tooth using orthodontic extrusion is considered to be a conservative way to re-establish biologic width without sacrificing esthetics or jeopardizing periodontal support of neighboring teeth. When a misaligned tooth is traumatically involved, a more comprehensive approach combining tooth extrusion and re-alignment may be necessary for a successful restorative outcome. This case report describes a successful esthetic management of a patient with complicated crown-root fracture on the maxillary right central incisor and pre-existing malocclusion in the maxillary anterior region. Forced eruption along with re-alignment of teeth by orthodontic movement seems to allow re-positioning of the fracture line to a favorable position and correction of crowding, providing a better esthetic result. PMID:27508163

78 FR 22529 - Information on Surplus Land at a Military Installation Designated for Disposal: Naval Air Station...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-16

... Installation Designated for Disposal: Naval Air Station Alameda, Alameda, California AGENCY: Department of the... at Naval Air Station Alameda, Alameda, California. FOR FURTHER INFORMATION CONTACT: Ms. Laura Duchnak, Director, Naval Facilities Engineering Command, Base Realignment and Closure Program Management Office...

75 FR 55312 - Preparation of a Programmatic Environmental Impact Statement (PEIS) for the Growth, Realignment...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-10

... disturbance, as well as additional impacts to soils, biological resources, surface water, and vegetation... management. The PEIS will evaluate the environmental impacts associated with the proposed action, which... order to maintain training proficiency and support integrated training with ground units. Land...

78 FR 21919 - Finding of No Significant Impact and Final Programmatic Environmental Assessment for Army 2020...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-12

... Programmatic Environmental Assessment for Army 2020 Force Structure Realignment AGENCY: Department of the Army... of the Finding of No Significant Impact (FNSI) for implementation of force structure realignment to... Structure Realignment (PEA), supporting studies, and comments received during the public review period, the...

Build the Big Society on What We Know Works

ERIC Educational Resources Information Center

Miskin, Jol

2010-01-01

In 2007, the Workers' Educational Association's (WEA) Yorkshire and Humber region was funded by the Academy for Community Leadership to deliver a programme of active citizenship learning in South Yorkshire. The programme was expected to: equip potential and existing community leaders with the skills, knowledge and experience necessary to address…

Professionalism: Doing a Good Job!

ERIC Educational Resources Information Center

Feather, Denis

2014-01-01

This paper considers the concept of professionalism via perceptions (real or imagined) of lecturers delivering higher education business programmes (HEBPs) in further education colleges in England. The study comprised 26 in-depth interviews conducted in the Yorkshire and Humber region in the UK. The study builds on Perkin's views of a professional…

A Voice for Apprentices

ERIC Educational Resources Information Center

Novitzky, Jan

2011-01-01

In March 2007, Dave Thompson, who was undertaking an advanced apprenticeship in customer service, set up the Humber Apprentice Panel (HAP), which, until recently, was the only forum exclusively for apprentices in the UK (the Young Apprentice Ambassador Network was launched last year). By creating this unique panel, Thompson and his fellow…

Engaging Places: Teacher Research. Final Report

ERIC Educational Resources Information Center

National Foundation for Educational Research, 2007

2007-01-01

The report was commissioned by the Department for Culture Media and Sport (DCMS) to provide quantitative and qualitative information on the perspectives of teachers, headteachers and governors, from the three pilot regions (London, the South East and Yorkshire and the Humber), towards using local buildings, places and spaces to support learning…

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

Guadarrama, D.S.

The final round of the Base Realignment and Closure Commission (BRAC) included Kelly AFB, Texas, one of the largest military industrial depots in the United States, to be realigned/closed. The successful realignment and closure of this depot relies heavily on meeting the environmental challenges faced by the Air Force and the Local Reuse Authority (LRA). From the onset, the Department of Defense (DoD) and the Air Force were aware this effort was not common to any prior BRAC recommended closures. Privatization-in-Place (PIP) was an option offered to Kelly AFB by the President to lessen the severity of economic loss tomore » the community. The President also directed the acceleration of environmental cleanup at BRAC bases where the Environmental Management (EM) Directorate at Kelly has aggressively met and continues to meet the mission requirements while also serving the LRA and the Air Force Base Conversion Agency (AFBCA) meet the BRAC directives at Air Force installations. The privatization momentum has also generated a myriad of requests for environmental information from companies interested in relocating to Kelly AFB. To achieve a successful transition, EM must maintain awareness on issues in and outside the environmental arena. The paper will offer information on Kelly`s pro-active approach maintained by the EM staff as they serve in the forefront of the closure/realignment mission. A discussion of the aggressive community outreach efforts to assist the local community understand the BRAC process and the impact on the restoration and compliance activities will be provided. They also orchestrated an Environmental Industry Day whereby hundreds of environmental representatives observed the industrial processes at Kelly and successful programs while achieving compliance with environmental regulations.« less

Defense Base Realignment and Closure Military Construction Budget Data for Sheppard Air Force Base, Wichita Falls, Texas

DTIC Science & Technology

1995-06-23

provides the results of the audit of one project, valued at $1.8 million, for the repair of roads on Sheppard Air Force Base, Wichita Falls, Texas. The ... audit also assessed the adequacy of the management control program as it applied to the audit objectives.

32 CFR 174.7 - Retention for DoD Component use and transfer to other Federal agencies.

Code of Federal Regulations, 2014 CFR

2014-07-01

... agencies. (a) To speed the economic recovery of communities affected by closures and realignments, the... Secretary concerned, the Transition Coordinator, and the DoD Office of Economic Adjustment Project Manager... requested property would provide greater long-term economic benefits for the program than acquisition of a...

32 CFR 174.7 - Retention for DoD Component use and transfer to other Federal agencies.

Code of Federal Regulations, 2013 CFR

2013-07-01

... agencies. (a) To speed the economic recovery of communities affected by closures and realignments, the... Secretary concerned, the Transition Coordinator, and the DoD Office of Economic Adjustment Project Manager... requested property would provide greater long-term economic benefits for the program than acquisition of a...

32 CFR 174.7 - Retention for DoD Component use and transfer to other Federal agencies.

Code of Federal Regulations, 2010 CFR

2010-07-01

... agencies. (a) To speed the economic recovery of communities affected by closures and realignments, the... Secretary concerned, the Transition Coordinator, and the DoD Office of Economic Adjustment Project Manager... requested property would provide greater long-term economic benefits for the program than acquisition of a...

32 CFR 174.7 - Retention for DoD Component use and transfer to other Federal agencies.

Code of Federal Regulations, 2011 CFR

2011-07-01

... agencies. (a) To speed the economic recovery of communities affected by closures and realignments, the... Secretary concerned, the Transition Coordinator, and the DoD Office of Economic Adjustment Project Manager... requested property would provide greater long-term economic benefits for the program than acquisition of a...

32 CFR 174.7 - Retention for DoD Component use and transfer to other Federal agencies.

Code of Federal Regulations, 2012 CFR

2012-07-01

... agencies. (a) To speed the economic recovery of communities affected by closures and realignments, the... Secretary concerned, the Transition Coordinator, and the DoD Office of Economic Adjustment Project Manager... requested property would provide greater long-term economic benefits for the program than acquisition of a...

The value of long-term silvicultural research studies

Treesearch

Wayne D. Shepperd; Carleton B. Edminster

1997-01-01

Reductions in research operating budgets and recent trends in research management philosophy have in many instances forced Forest Service scientists to realign their research programs to compete for short-term grants and other sources of funding. This approach may prove detrimental in silviculture, a discipline where long-term research is critical for: (1) research in...

76 FR 6455 - Final Programmatic Environmental Impact Statement (PEIS) for the Growth, Realignment, and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-04

... significant but mitigable impacts to water resources at YTC. At PCMS, cumulative impacts to soils are... training and force management. The Final PEIS evaluates the environmental impacts associated with the... integrated training with ground units. Land acquisition is not being considered as part of this action...

Strategic Engagement: New Models of Relationship Management for Academic Librarians

ERIC Educational Resources Information Center

Eldridge, Jeanette; Fraser, Katie; Simmonds, Tony; Smyth, Neil

2016-01-01

How do we best bridge the gap between the Library and the diverse academic communities it serves? Librarians need new strategies for engagement. Traditional models of liaison, aligning solutions to disciplines, are yielding to functional specialisms, including a focus on building partnerships. This paper offers a snapshot of realignment across the…

Urethral injury in the multiple-injured patient.

PubMed

Cass, A S

1984-10-01

A total of 74 patients with urethral injury due to external trauma consisted of 48 posterior urethral injuries (25 complete rupture, 23 partial rupture) and 26 anterior urethral injuries (two complete rupture, 16 partial rupture, and eight contusion). The diagnosis was made by retrograde urethrography. All 48 patients with posterior urethral injury had associated injuries, including a fractured pelvis in 46, and a mortality rate of 33%. Only seven of the 26 patients with anterior urethral injury had associated injuries and a mortality rate of 14%. The management of posterior urethral injury is changing from primary realignment of the ruptured urethra to suprapubic cystostomy alone and followed later by urethral surgery for the resulting stricture. The impotence rate is significantly lower with management with suprapubic cystostomy alone. However, the type of pelvic fracture, the urethral injury itself disrupting neurovascular structures, and the surgical dissection (initial primary realignment or delayed urethroplasty) must be investigated before it can be determined whether the impotence associated with pelvic trauma is caused by the injury itself or by the surgical dissection undertaken to reconstruct the urethra.

A planning and marketing prototype for changing health care organizations.

PubMed

Boshard, N

1986-11-01

The U.S. health care industry is undergoing a radical transformation. The consolidation of excess hospital capacity, fierce competition within a shrinking medical marketplace and a growing number of competitive health plans (PPOs and HMOs) are causing a major structural realignment within most health care organizations (HCOs). This realignment has resulted in a much greater reliance upon strategic planning and marketing by HCOs to cope with market-driven competitive challenges. Health care organizations must identify a new cadre of health professionals to support strategic planning, market promotion, market research, market sales and product line management. This new cadre must hold the value that customers (physicians, patients, and employers) are the most valuable asset of the health care organizations. The planning and marketing prototype depicted herein is designed to help HCOs find, differentiate and keep customers.

What Is Teaching Effectiveness? A Survey of Student and Teacher Perceptions of Teacher Effectiveness.

ERIC Educational Resources Information Center

Money, Sheila M.

A study was conducted at Humber College of Applied Arts and Technology, in Ontario, Canada, to determine student and faculty perceptions of teacher effectiveness. Discussions with 10 nursing students identified 7 factors contributing to teacher effectiveness. A questionnaire, asking respondents to rank these seven characteristics, was distributed…

Cover art complementing article: "secondary metabolites from entomopathogenic Hypocrealean fungi" by Istvan Molnar

USDA-ARS?s Scientific Manuscript database

This contribution is a set of three images of entomopathogenic fungi that were taken and composited by RA Humber from individual specimens. Each of these images is a montage of many individual planes of focus integrated by software and then adjusted for realistic color, to further sharpen the images...

Hidden plastics of Lake Ontario, Canada and their potential preservation in the sediment record.

PubMed

Corcoran, Patricia L; Norris, Todd; Ceccanese, Trevor; Walzak, Mary Jane; Helm, Paul A; Marvin, Chris H

2015-09-01

Microplastics are a source of environmental pollution resulting from degradation of plastic products and spillage of resin pellets. We report the amounts of microplastics from various sites of Lake Ontario and evaluate their potential for preservation in the sediment record. A total of 4635 pellets were sampled from the Humber Bay shoreline on three sampling dates. Pellet colours were similar to those from the Humber River bank, suggesting that the river is a pathway for plastics transport into Lake Ontario. Once in the lake, high density microplastics, including mineral-polyethylene and mineral-polypropylene mixtures, sink to the bottom. The minerals may be fillers that were combined with plastics during production, or may have adsorbed to the surfaces of the polymers in the water column or on the lake bottom. Based on sediment depths and accumulation rates, microplastics have accumulated in the offshore region for less than 38 years. Their burial increases the chance of microplastics preservation. Shoreline pellets may not be preserved because they are mingled with organic debris that is reworked during storm events. Copyright © 2015 Elsevier Ltd. All rights reserved.

75 FR 60740 - Record of Decision for the Base Closure and Realignment Beddown and Flight Operations of Remotely...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-01

... DEPARTMENT OF DEFENSE Department of the Air Force Record of Decision for the Base Closure and Realignment Beddown and Flight Operations of Remotely Piloted Aircraft at Grand Forks Air Force Base (AFB), ND... United States Air Force signed the ROD for the 2005 Base Closure and Realignment (BRAC 2005) directed...

75 FR 65463 - Record of Decision (ROD) for the Implementation of the Base Closure and Realignment (BRAC) 2005...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-25

... DEPARTMENT OF DEFENSE Department of the Army Record of Decision (ROD) for the Implementation of the Base Closure and Realignment (BRAC) 2005 Actions at Fort Monroe, VA AGENCY: Department of the Army... Defense Base Closure and Realignment Act of 1990 (the Base Closure Act), Public Law 101-510, as amended...

The treatment of posterior urethral disruption associated with pelvic fractures: comparative experience of early realignment versus delayed urethroplasty.

PubMed

Mouraviev, Vladimir B; Coburn, Michael; Santucci, Richard A

2005-03-01

Urological treatment of the patient with severe mechanical trauma and urethral disruption remains controversial. Debate continues regarding the advisability of early realignment vs delayed open urethroplasty. We analyzed our experience with 96 patients to determine the long-term results of the 2 approaches. We retrospectively reviewed the records of 191 men with posterior urethral disruption after severe blunt pelvic injury between 1984 and 2001, of whom 96 survived. Data on 57 patients who underwent early realignment were compared to those on 39 treated with delayed urethroplasty with an average 8.8-year followup (range 1 to 22). All patients were evaluated postoperatively for incontinence, impotence and urethral strictures. The majority of patients had severe concomitant organ injuries (78%) and severe pelvic fractures (76%). The overall mortality rate was 51%. Diagnosis of urethral rupture was based on clinical findings and retrograde urethrography. Strictures developed in 49% of the early realignment group and in 100% of the suprapubic tube group. Impotence (33.6%) and incontinence (17.7%) were less frequent in the early realignment group than in the delayed reconstruction group (42.1% and 24.9%, respectively). Patients with delayed reconstruction underwent an average of 3.1 procedures compared with an average of 1.6 in the early realignment group. Early realignment may provide better outcomes than delayed open urethroplasty after posterior urethral disruption. Increased complications are not seen and, although it can be inconvenient in the massively injured patient, it appears to be a worthwhile maneuver.

Modified Primary Urethral Realignment Under Flexible Urethroscope.

PubMed

Huang, Guanglin; Man, Libo; Li, Guizhong; Wang, Hai; Liu, Ning

2017-02-01

To assess the clinical significance of flexible endoscopic realignment in the treatment of posterior urethral disruption in comparison to the traditional open realignment method. A total of 58 patients suffering posterior urethral disruption were enrolled into the current study from January 2003 to May 2009. Of them, 23 patients (Group A) were treated with modified technique of urethral realignment under flexible urethroscopy and 35 patients (Group B) received conventional open realignment. Either procedure was successfully performed in both groups. However, the operation time was significantly shorter in Group A (29.1 ± 9.5 min) than that in Group B (58.1 ± 11.2 min, p < 0.001). Also, patients in Group A had a significantly decreased incidence of stricture (4 of 23 cases in Group A versus 15 of 35 cases in Group B, p = 0.043) and formation of false urethra (0 of 23 cases in Group A versus 7 of 35 cases in Group B, p = 0.035). Prevalence of secondary urethroplasty was less in Group A (1/23) compared to Group B (8/35), but there was no statistical difference (p = 0.057). In addition, there was no significant difference in morbidity of urinary infection, incidence of incontinence, and impotence between the two groups (p > 0.05). Compared to the traditional open realignment, the new technique of urethral realignment under flexible endoscope has the advantage of short operation time, minimally invasive and less complications.

Reoxidation of estuarine sediments during simulated resuspension events: Effects on nutrient and trace metal mobilisation

NASA Astrophysics Data System (ADS)

Vidal-Durà, Andrea; Burke, Ian T.; Stewart, Douglas I.; Mortimer, Robert J. G.

2018-07-01

Estuarine environments are considered to be nutrient buffer systems as they regulate the delivery of nutrients from rivers to the ocean. In the Humber Estuary (UK) seawater and freshwater mixing during tidal cycles leads to the mobilisation of oxic surface sediments (0-1 cm). However, less frequent seasonal events can also mobilise anoxic subsurface (5-10 cm) sediments, which may have further implications for the estuarine geochemistry. A series of batch experiments were carried out on surface and subsurface sediments taken from along the salinity gradient of the Humber Estuary. The aim was to investigate the geochemical processes driving major element (N, Fe, S, and Mn) redox cycling and trace metal behaviour during simulated resuspension events. The magnitude of major nutrient and metal release was significantly greater during the resuspension of outer estuarine sediments rather than from inner estuarine sediments. When comparing resuspension of surface versus subsurface sediment, only the outer estuary experiments showed significant differences in major nutrient behaviour with sediment depth. In general, any ammonium, manganese and trace metals (Cu and Zn) released during the resuspension experiments were rapidly removed from solution as new sorption sites (i.e. Fe/Mn oxyhydroxides) formed. Therefore Humber estuary sediments showed a scavenging capacity for these dissolved species and hence may act as an ultimate sink for these elements. Due to the larger aerial extent of the outer estuary intertidal mudflats in comparison with the inner estuary area, the mobilisation of the outer estuary sediments (more reducing and richer in sulphides and iron) may have a greater impact on the transport and cycling of nutrients and trace metals. Climate change-associated sea level rise combined with an increasing frequency of major storm events in temperate zones, which are more likely to mobilise deeper sediment regions, will impact the nutrient and metal inputs to the coastal waters, and therefore enhance the likelihood of eutrophication in this environment.

Maximising Leadership Capacity and School Improvement through Re-Alignment of Children's Services

ERIC Educational Resources Information Center

Tarpey, Christine; Poultney, Val

2015-01-01

This article emerges from work undertaken with leaders from a local authority who took part in a programme entitled "Advanced Leadership in Integrated Children's Services Environment" or ALICSE programme. The aim of this course was to engage leaders and managers in thinking differently about their roles and to consider how they could…

Adolescent Secretive Behavior: African American and Hmong Adolescents' Strategies and Justifications for Managing Parents' Knowledge about Peers

ERIC Educational Resources Information Center

Bakken, Jeremy P.; Brown, B. Bradford

2010-01-01

Drawing upon the expectancy violation-realignment theory of autonomy development, this qualitative study examined African American and Hmong adolescent autonomy-seeking behaviors and parent-child communication about activities and relationships with peers. Twenty-two African American and 11 Hmong adolescents in grades 6-12 and 14 African American…

SPAWAR Strategic Plan Execution Year 2017

DTIC Science & Technology

2017-01-11

the PEO C4I domain. Completed C4I Baseline implementation activities including product roadmap system reviews, realignment of product fielding within...preloading applications in the CANES production facility to reduce installation timelines • Implemented Installation Management Office alignment and...software update process • For candidate technologies (endeavors) in the innovation pipeline, identified key attributes and acceleration factors that

Upward Mobility Through Job Restructuring. Personnel Management Series No. 26.

ERIC Educational Resources Information Center

Civil Service Commission, Washington, DC.

The May, 1974, bulletin issued by the Civil Service Commission deals with job restructuring, the process of realigning job duties to develop technician-type or "bridge" jobs in Federal agencies, as a means to provide upward mobility for employees. Besides being highly beneficial to employees in dead end jobs at low grade levels, job restructuring…

Under Secretary of Defense (Comptroller) > Budget

Science.gov Websites

(Comptroller) Under Secretary of Defense (Comptroller) Home About OUSD(C) OUSD(C) Top Leaders OUSD(C) Org Chart functionalStatements OUSD(C) History FMR Budget Materials Budget Execution Financial Management Improving Financial Military Construction, Family Housing, and Base Realignment and Closure Program (C-1) PDF icon Excel icon

Adaptive Local Realignment of Protein Sequences.

PubMed

DeBlasio, Dan; Kececioglu, John

2018-06-11

While mutation rates can vary markedly over the residues of a protein, multiple sequence alignment tools typically use the same values for their scoring-function parameters across a protein's entire length. We present a new approach, called adaptive local realignment, that in contrast automatically adapts to the diversity of mutation rates along protein sequences. This builds upon a recent technique known as parameter advising, which finds global parameter settings for an aligner, to now adaptively find local settings. Our approach in essence identifies local regions with low estimated accuracy, constructs a set of candidate realignments using a carefully-chosen collection of parameter settings, and replaces the region if a realignment has higher estimated accuracy. This new method of local parameter advising, when combined with prior methods for global advising, boosts alignment accuracy as much as 26% over the best default setting on hard-to-align protein benchmarks, and by 6.4% over global advising alone. Adaptive local realignment has been implemented within the Opal aligner using the Facet accuracy estimator.

Susceptibility of larvae of nun moth, Lymantria monacha (Linnaeus 1758) (Lepidoptera), to the entomopathogenic fungus, Entomophaga maimaiga Humber, Shimazu and Soper (Entomophthorales) under laboratory and field conditions

Treesearch

Daniela Pilarska; Ann E. Hajek; Melody Keena; Andreas Linde; Manana Kereselidze; Georgi Georgiev; Margarita Georgieva; Plamen Mirchev; Danail Takov; Slavimira Draganova

2016-01-01

Susceptibility of Lymantria monacha larvae to Entomophaga maimaiga was investigated under laboratory and field conditions, using larvae of the natural host, Lymantria dispar, as positive controls. In laboratory bioassays, L. monacha and L. dispar were injected with...

Introduction and establishment of Entomophaga maimaiga, a fungal pathogen of gypsy moth (Lepidoptera: Lymantriidae) in Michigan

Treesearch

D. R. Smitley; L. S. Bauer; A. E. Hajek; F. J. Sapio; R. A. Humber

1995-01-01

In 1991, late instars of gypsy moth, Lymantria dispar (L.), were sampled and diagnosed for infections of the pathogenic fungus Entomophaga maimaiga Humber, Shimazu & Soper and for gypsy moth nuclear polyhedrosis virus (NPV) at 50 sites in Michigan. Approximately 1,500 larvae were collected and reared from these sites, and no...

Impact of Entomophaga maimaiga (Entomophthorales: Entomophthoraceae) on outbreak gypsy moth populations (Lepidoptera: Erebidae): the role of weather

Treesearch

James R. ​Reilly; Ann E. Hajek; Andrew M. Liebhold; Ruth Plymale

2014-01-01

The fungal pathogen Entomophaga maimaiga Humber, Shimazu, and Soper is prevalent in gypsy moth [Lymantria dispar (L.)] populations throughout North America. To understand how weather-related variables influence gypsy moth–E. maimaiga interactions in the field, we measured fungal infection rates at 12 sites...

77 FR 34974 - Solicitation for Comments on the Proposed Realignment of the Division of Workforce Development...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-12

...The Office of the Assistant Secretary--Indian Affairs (AS-IA) is considering realigning the Division of Workforce Development (DWD), now located in the Office of Indian Energy and Economic Development (IEED) within AS-IA, to the Bureau of Indian Affairs, under the Office of the Deputy Director--Indian Services. This notice seeks comments on this proposed realignment from federally recognized American Indian Tribes and Alaska Native entities.

Peri-talar re-alignment osteotomy for joint preservation in asymmetrical ankle osteoarthritis

PubMed Central

Yi, Young; Lee, Woochun

2017-01-01

Various types of re-alignment surgery are used to preserve the ankle joint in cases of intermediate ankle arthritis with partial joint space narrowing. The short-term and mid-term results after re-alignment surgery are promising, with substantial post-operative pain relief and functional improvement that is reflected by high rates of patient satisfaction. In this context, re-alignment surgery can preserve the joint and reduce the pathological load that acts on the affected area. Good clinical and radiological outcomes can be achieved in asymmetrical ankle osteoarthritis by understanding the specific deformities and appropriate indications for different surgical techniques. Cite this article: EFORT Open Rev 2017;2:324-331. DOI: 10.1302/2058-5241.2.160021 PMID:28828181

A visual resource management study of alternative dams, reservoirs and highway and transmission line corridors near Copper Creek, Washington

Treesearch

John Ady; Brian A. Gray; Grant R. Jones

1979-01-01

Three alternative dams have been considered by Seattle City Light for the Skagit River Narrows in the North Cascades National Recreation Area, Washington. The authors assessed the area's existing visual resources, identified three alternative highway and transmission line realignments, evaluated changes in visual character and quality for 13 different combinations...

The use of resorbable hardware for fixation of pediatric mandible fracture. Case report.

PubMed

Poore, Matthew C; Penna, Kevin J

2008-01-01

The diagnosis and management of mandible fractures in the pediatric patient population can pose multiple challenges to the oral and maxillofacial surgeon. Resorbable plates and screws for fixation in this population are both well tolerated and effective. They enable realignment and stable positioning of rapidly healing fracture segments, while obviating any potential impediments to long-term metal retention.

Effect of Age and Proteoglycan Deficiency on Collagen Fiber Re-Alignment and Mechanical Properties in Mouse Supraspinatus Tendon

PubMed Central

Connizzo, Brianne K.; Sarver, Joseph J.; Iozzo, Renato V.; Birk, David E.; Soslowsky, Louis J.

2013-01-01

Collagen fiber realignment is one mechanism by which tendon responds to load. Re-alignment is altered when the structure of tendon is altered, such as in the natural process of aging or with alterations of matrix proteins, such as proteoglycan expression. While changes in re-alignment and mechanical properties have been investigated recently during development, they have not been studied in (1) aged tendons, or (2) in the absence of key proteoglycans. Collagen fiber re-alignment and the corresponding mechanical properties are quantified throughout tensile mechanical testing in both the insertion site and the midsubstance of mouse supraspinatus tendons in wild type (WT), decorin-null (Dcn-/-), and biglycan-null (Bgn-/-) mice at three different ages (90 days, 300 days, and 570 days). Percent relaxation was significantly decreased with age in the WT and Dcn-/- tendons, but not in the Bgn-/- tendons. Changes with age were found in the linear modulus at the insertion site where the 300 day group was greater than the 90 day and 570 day group in the Bgn-/- tendons and the 90 day group was smaller than the 300 day and 570 day groups in the Dcn-/- tendons. However, no changes in modulus were found across age in WT tendons were found. The midsubstance fibers of the WT and Bgn-/- tendons were initially less aligned with increasing age. The re-alignment was significantly altered with age in the WT tendons, with older groups responding to load later in the mechanical test. This was also seen in the Dcn-/- midsubstance and the Bgn-/- insertion, but not in the other locations. Although some studies have found changes in the WT mechanical properties with age, this study did not support those findings. However, it did show fiber re-alignment changes at both locations with age, suggesting a breakdown of tendon′s ability to respond to load in later ages. In the proteoglycan-null tendons however, there were changes in the mechanical properties, accompanied only by location-dependent re-alignment changes, suggesting a site-specific role for these molecules in loading. Finally, changes in the mechanical properties did not occur in concert with changes in re-alignment, suggesting that typical mechanical property measurements alone are insufficient to describe how structural alterations affect tendon′s response to load. PMID:23445064

Summary Report on the Audit of Defense Logistics Agency 1995 Defense Base Realignment and Closure Data Collection Process.

DTIC Science & Technology

1995-06-19

VXW-ÄVAVKVX’AWXW/XVXV:*: OFFICE OF THE INSPECTOR GENERAL SUMMARY REPORT ON THE AUDIT OF DEFENSE LOGISTICS AGENCY 1995 DEFENSE BASE REALIGNMENT...FOR DIRECTOR, DEFENSE LOGISTICS AGENCY SUBJECT: Summary Report on the Audit of Defense Logistics Agency 1995 Defense Base Realignment and Closure...the data that DLA provides to support recommendations for the 1995 Commission. The specific objective for the audits was to determine whether the

Programmatic Environmental Assessment for Army 2020 Force Structure Realignment

DTIC Science & Technology

2013-01-01

41 Realignment ( GDPR ) that evaluates U.S. force levels and requirements outside of the U.S. 42 Each of these initiatives is discussed in greater...configuration for the BCT. 9 1.3.3 Global Defense Posture Realignment 10 GDPR is another transformation process that will continue as the Army reduces its...while reducing funding requirements. The 19 decisions of GDPR will affect some of the future basing decisions made as part of Army 2020 20

Realigning thunder and lightning: temporal adaptation to spatiotemporally distant events.

PubMed

Navarra, Jordi; Fernández-Prieto, Irune; Garcia-Morera, Joel

2013-01-01

The brain is able to realign asynchronous signals that approximately coincide in both space and time. Given that many experience-based links between visual and auditory stimuli are established in the absence of spatiotemporal proximity, we investigated whether or not temporal realignment arises in these conditions. Participants received a 3-min exposure to visual and auditory stimuli that were separated by 706 ms and appeared either from the same (Experiment 1) or from different spatial positions (Experiment 2). A simultaneity judgment task (SJ) was administered right afterwards. Temporal realignment between vision and audition was observed, in both Experiment 1 and 2, when comparing the participants' SJs after this exposure phase with those obtained after a baseline exposure to audiovisual synchrony. However, this effect was present only when the visual stimuli preceded the auditory stimuli during the exposure to asynchrony. A similar pattern of results (temporal realignment after exposure to visual-leading asynchrony but not after exposure to auditory-leading asynchrony) was obtained using temporal order judgments (TOJs) instead of SJs (Experiment 3). Taken together, these results suggest that temporal recalibration still occurs for visual and auditory stimuli that fall clearly outside the so-called temporal window for multisensory integration and appear from different spatial positions. This temporal realignment may be modulated by long-term experience with the kind of asynchrony (vision-leading) that we most frequently encounter in the outside world (e.g., while perceiving distant events).

Dynamic photoinduced realignment processes in photoresponsive block copolymer films: effects of the chain length and block copolymer architecture.

PubMed

Sano, Masami; Shan, Feng; Hara, Mitsuo; Nagano, Shusaku; Shinohara, Yuya; Amemiya, Yoshiyuki; Seki, Takahiro

2015-08-07

A series of block copolymers composed of an amorphous poly(butyl methacrylate) (PBMA) block connected with an azobenzene (Az)-containing liquid crystalline (PAz) block were synthesized by changing the chain length and polymer architecture. With these block copolymer films, the dynamic realignment process of microphase separated (MPS) cylinder arrays of PBMA in the PAz matrix induced by irradiation with linearly polarized light was studied by UV-visible absorption spectroscopy, and time-resolved grazing incidence small angle X-ray scattering (GI-SAXS) measurements using a synchrotron beam. Unexpectedly, the change in the chain length hardly affected the realignment rate. In contrast, the architecture of the AB-type diblock or the ABA-type triblock essentially altered the realignment feature. The strongly cooperative motion with an induction period before realignment was characteristic only for the diblock copolymer series, and the LPL-induced alignment change immediately started for triblock copolymers and the PAz homopolymer. Additionally, a marked acceleration in the photoinduced dynamic motions was unveiled in comparison with a thermal randomization process.

Pandora formicae, a specialist ant pathogenic fungus: New insights into biology and taxonomy.

PubMed

Małagocka, Joanna; Jensen, Annette Bruun; Eilenberg, Jørgen

2017-02-01

Among fungi from the order Entomophthorales (Entomophthoromycota), there are many specialized, obligatory insect-killing pathogens. Pandora formicae (Humber & Bałazy) Humber is a rare example of an entomophthoralean fungus adapted to exclusively infect social insects: wood ants from the genus Formica. There is limited information available on P. formicae; many important aspects of this host-pathogen system remain hitherto unknown, and the taxonomical status of the fungus is unclear. Our study fills out some main gaps in the life history of P. formicae, such as seasonal prevalence and overwintering strategy. Field studies of infection prevalence show a disease peak in late summer and early autumn. Typical thick-walled entomophthoralean resting spores of P. formicae are documented and described for the first time. The proportion of cadavers with resting spores increased from late summer throughout autumn, suggesting that these spores are the main overwintering fungal structures. In addition, the phylogenetic status of Pandora formicae is outlined. Finally, we review the available taxonomical literature and conclude that the name P. formicae should be used rather than the name P. myrmecophaga for ant-infecting fungi displaying described morphological features. Copyright © 2016 Elsevier Inc. All rights reserved.

Use of a Multivector Mandibular Distractor for Treatment of Pediatric Proximal Interphalangeal Joint Pilon Fractures: A Case-Based Review.

PubMed

Pedreira, Rachel; Cho, Brian H; Geer, Angela; DeJesus, Ramon A

2018-04-01

The difficulties in surgical treatment of pilon fractures of the finger include fragment reconstitution and posthealing stiffness. In adults, external fixation with traction and early active range of motion (AROM)/passive range of motion (PROM) during healing is considered necessary for avoiding joint stiffness and attaining realignment. The authors present a unique approach to pediatric pilon fractures that uses open reduction and multivector external fixation with delayed AROM/PROM. Initial immobilization and significant traction allowed for joint realignment and prevented noncompliance with staged distraction. The authors believe this immobilization leads to a superior outcome because, unlike adults, children tend to avoid stiffness and a larger distraction force allowed for sufficient joint realignment to regain range of motion (ROM). A right-handed 13-year-old boy sustained a right ring finger fracture and presented 12 days later. Radiographs revealed a comminuted Salter-Harris 4 fracture of the middle phalanx. The patient underwent open reduction and placement of multivector external fixation using a pediatric mandibular distractor/fixator. Significant traction was applied to distract the finger to length. Hardware was removed 6 weeks postoperatively and AROM was initiated after splinting. The patient started PROM 8 weeks postoperatively. Strengthening was initiated 2 weeks later. ROM improved and rehabilitation was continued. The patient exhibited nearly equal grip strength 12 weeks postoperatively. At 14 months follow-up, radiographs showed complete healing and joint realignment. There was no deformity or pain and finger length was restored. Management of pediatric pilon fractures is rarely described and presents unique considerations. Early-stage traction and immobilization using a multivector mandibular fixator/distractor is suitable in a child because noncompliance is avoided and there is a decreased risk for stiffness. Combining early immobilization with subsequent-staged AROM, PROM, and strengthening resulted in no loss of ROM and maintained articular symmetry.

Summary Report on the Audit of Defense Base Closure and Realignment Budget Data for Fiscal Year 1992 and 1993

DTIC Science & Technology

1993-05-25

OFFICE OF THE INSPECTOR GENERAL SUMMARY REPORT ON THE AUDIT OF DEFENSE BASE CLOSURE AND REALIGNMENT BUDGET DATA FOR FISCAL YEARS 1992 AND 1993...ASSISTANT SECRETARY OF DEFENSE (INSTALLATIONS) SUBJECT: Summary Report on the Audit of Defense Base Closure and Realignment Budget Data for Fiscal Years...1992 and 1993 (Report No. 93-100) We are providing this final summary report for your information and use. The audit was required by Public Law

Summary Report on the Audit of Defense Base Closure and Realignment Budget Data for FYS 1993 and 1994

DTIC Science & Technology

1994-02-14

Jl%«~~ /&■ OFFICE OF THE INSPECTOR GENERAL SUMMARY REPORT ON THE AUDIT OF DEFENSE BASE CLOSURE AND REALIGNMENT BUDGET DATA FOR FYS 1993 AND...COMPTROLLER) AUDITOR GENERAL, DEPARTMENT OF THE ARMY SUBJECT: Summary Report on the Audit of Defense Base Closure and Realignment Budget Data for FYs...Therefore, we are publishing this report in final form. We appreciate the courtesies and cooperation extended to the audit staff. If you have any

Internal Realignment of TAC (Tactical Air Command) Services Squadrons.

DTIC Science & Technology

1985-04-01

shows where consolidated management is possible. The paper also shows that the current organizatinal configuration does not totally comply with Air...activities in one area in the squadron? Henry H. Albers, in his book, Organized Executive Action: Discussion Making, Communication, and Leadership discusses...Henry H. Organized Executive Action: Decision Making, Communication, and Leadership . New York: John Wiley and Sons, Inc., 1962. 2. Brinckloe, William D

Report on 2005 Defense Base Closure and Realignment Implementation

DTIC Science & Technology

2006-03-01

ARNG RC Terrell ..................................................................................................... 561 ARNG RC Texarkana ...594 Walts-Guillot USARC, Texarkana ............................................................................ 595 Utah... Texarkana Commission recommendation number(s): 44 Recommendation title(s): RC Transformation in Texas Closure or realignment actions taken

An 18-ps TDC using timing adjustment and bin realignment methods in a Cyclone-IV FPGA

NASA Astrophysics Data System (ADS)

Cao, Guiping; Xia, Haojie; Dong, Ning

2018-05-01

The method commonly used to produce a field-programmable gate array (FPGA)-based time-to-digital converter (TDC) creates a tapped delay line (TDL) for time interpolation to yield high time precision. We conduct timing adjustment and bin realignment to implement a TDC in the Altera Cyclone-IV FPGA. The former tunes the carry look-up table (LUT) cell delay by changing the LUT's function through low-level primitives according to timing analysis results, while the latter realigns bins according to the timing result obtained by timing adjustment so as to create a uniform TDL with bins of equivalent width. The differential nonlinearity and time resolution can be improved by realigning the bins. After calibration, the TDC has a 18 ps root-mean-square timing resolution and a 45 ps least-significant bit resolution.

Realigning Thunder and Lightning: Temporal Adaptation to Spatiotemporally Distant Events

PubMed Central

Navarra, Jordi; Fernández-Prieto, Irune; Garcia-Morera, Joel

2013-01-01

The brain is able to realign asynchronous signals that approximately coincide in both space and time. Given that many experience-based links between visual and auditory stimuli are established in the absence of spatiotemporal proximity, we investigated whether or not temporal realignment arises in these conditions. Participants received a 3-min exposure to visual and auditory stimuli that were separated by 706 ms and appeared either from the same (Experiment 1) or from different spatial positions (Experiment 2). A simultaneity judgment task (SJ) was administered right afterwards. Temporal realignment between vision and audition was observed, in both Experiment 1 and 2, when comparing the participants’ SJs after this exposure phase with those obtained after a baseline exposure to audiovisual synchrony. However, this effect was present only when the visual stimuli preceded the auditory stimuli during the exposure to asynchrony. A similar pattern of results (temporal realignment after exposure to visual-leading asynchrony but not after exposure to auditory-leading asynchrony) was obtained using temporal order judgments (TOJs) instead of SJs (Experiment 3). Taken together, these results suggest that temporal recalibration still occurs for visual and auditory stimuli that fall clearly outside the so-called temporal window for multisensory integration and appear from different spatial positions. This temporal realignment may be modulated by long-term experience with the kind of asynchrony (vision-leading) that we most frequently encounter in the outside world (e.g., while perceiving distant events). PMID:24391928

Evaluating the Prince's Trust's Young People's Business Start-Up Programme, 1994?1999: Reflections and Policy Implications

ERIC Educational Resources Information Center

Koutsoukos, Stratis; Shutt, John; Sutherland, John

2005-01-01

The authors were the principals in the evaluation of the Prince's Trust's Young People's Business Start-up Programme, 1994?1999, as it operated nationally in the UK and in the Yorkshire and the Humber region of England. In this paper they report the methodologies used in the evaluation and the key findings. They then use their reflections on both…

Operating room management and operating room productivity: the case of Germany.

PubMed

Berry, Maresi; Berry-Stölzle, Thomas; Schleppers, Alexander

2008-09-01

We examine operating room productivity on the example of hospitals in Germany with independent anesthesiology departments. Linked to anesthesiology group literature, we use the ln(Total Surgical Time/Total Anesthesiologists Salary) as a proxy for operating room productivity. We test the association between operating room productivity and different structural, organizational and management characteristics based on survey data from 87 hospitals. Our empirical analysis links improved operating room productivity to greater operating room capacity, appropriate scheduling behavior and management methods to realign interests. From this analysis, the enforcing jurisdiction and avoiding advance over-scheduling appear to be the implementable tools for improving operating room productivity.

Army Aviation Maintenance Career Management Field 67 Study

DTIC Science & Technology

1980-10-08

Occupational Specialties (MOS) Specifications 121 Current Inventory Impacts 121 MOS Substitutability 122 Elimination of MOS 67W 123 *ilization of Females in CMF...Operating Strength 67 3-6 Impact of New MACRIT on TOE 78 3-7 67 Series Authorizations Without Technical Supervision 81 3-8 68 Series Authorizations...restructuring and duty realignment necessitated the development of new MOS duty descriptions. (6) CURRENT INVENTORY IMPACT . A comparison of current and

Defense Management: More Reliable Cost Estimates and Further Planning Needed to Inform the Marine Corps Realignment Initiatives in the Pacific

DTIC Science & Technology

2013-06-01

8The Unified Command Plan establishes combatant commanders’ missions and geographic responsibilities. Combatant...military power through the combatant commands. 9The III Marine Expeditionary Force is a formation of multiple Marine units forward- deployed in Japan...Decision for Guam and Commonwealth of the Northern Mariana Islands Military Relocation (September 2010). dThe $9 billion and $12.1 billion figures

Long-term outcome of primary endoscopic realignment for bulbous urethral injuries: risk factors of urethral stricture.

PubMed

Seo, Ill Young; Lee, Jea Whan; Park, Seung Chol; Rim, Joung Sik

2012-12-01

Although endoscopic realignment has been accepted as a standard treatment for urethral injuries, the long-term follow-up data on this procedure are not sufficient. We report the long-term outcome of primary endoscopic realignment in bulbous urethral injuries. Patients with bulbous urethral injuries were treated by primary endoscopic realignment between 1991 and 2005. The operative procedure included suprapubic cystostomy and transurethral catheterization using a guide wire, within 72 hours of injury. The study population included 51 patients with a minimum follow-up duration of 5 years. The most common causes of the injuries were straddle injury from falling down (74.5%), and pelvic bone fracture (7.8%). Gross hematuria was the most common complaint (92.2%). Twenty-three patients (45.1%) had complete urethral injuries. The mean time to operation after the injury was 38.8±43.2 hours. The mean operation time and mean indwelling time of a urethral Foley catheter were 55.5±37.6 minutes and 22.0±11.9 days, respectively. Twenty out of 51 patients (39.2%) were diagnosed with urethral stricture in 89.1±36.6 months after surgery. A multivariate analysis revealed that young age and operation time were independent risk factors for strictures as a complication of urethral realignment (hazard ratio [HR], 6.554, P=0.032; HR, 6.206, P=0.035). Urethral stricture commonly developed as a postoperative complication of primary endoscopic urethral realignment for bulbous urethral injury, especially in young age and long operation time.

Pelvic fracture urethral injury in males—mechanisms of injury, management options and outcomes

PubMed Central

Barratt, Rachel C.; Bernard, Jason; Mundy, Anthony R.

2018-01-01

Pelvic fracture urethral injury (PFUI) management in male adults and children is controversial. The jury is still out on the best way to manage these injuries in the short and long-term to minimise complications and optimise outcomes. There is also little in the urological literature about pelvic fractures themselves, their causes, grading systems, associated injuries and the mechanism of PFUI. A review of pelvic fracture and male PFUI literature since 1757 was performed to determine pelvic fracture classification, associated injuries and, PFUI classification and management. The outcomes of; suprapubic catheter (SPC) insertion alone, primary open surgical repair (POSR), delayed primary open surgical repair (DPOSR), primary open realignment (POR), primary endoscopic realignment (PER), delayed endoscopic treatment (DET) and delayed urethroplasty (DU) in male adults and children in all major series have been reviewed and collated for rates of restricture (RS), erectile dysfunction (ED) and urinary incontinence (UI). For SPC, POSR, DPOSR, POR, PER, DET and DU; (I) mean RS rate was 97.9%, 53.9%, 18%, 58.3%, 62.0%, 80.2%, 14.4%; (II) mean ED rate was 25.6%, 22.5%, 71%, 37.2%, 23.6%, 31.9%, 12.7%; (III) mean UI rate was 6.7%, 13.6%, 0%, 14.5%, 4.1%, 4.1%, 6.8%; (IV) mean FU in months was 46.3, 29.4, 12, 61, 31.4, 31.8, 54.9. For males with PFUI restricture and new onset ED is lowest following DU whilst UI is lowest following DPOSR. On balance DU offers the best overall outcomes and should be the treatment of choice for PFUI. PMID:29644168

Pelvic fracture urethral injury in males-mechanisms of injury, management options and outcomes.

PubMed

Barratt, Rachel C; Bernard, Jason; Mundy, Anthony R; Greenwell, Tamsin J

2018-03-01

Pelvic fracture urethral injury (PFUI) management in male adults and children is controversial. The jury is still out on the best way to manage these injuries in the short and long-term to minimise complications and optimise outcomes. There is also little in the urological literature about pelvic fractures themselves, their causes, grading systems, associated injuries and the mechanism of PFUI. A review of pelvic fracture and male PFUI literature since 1757 was performed to determine pelvic fracture classification, associated injuries and, PFUI classification and management. The outcomes of; suprapubic catheter (SPC) insertion alone, primary open surgical repair (POSR), delayed primary open surgical repair (DPOSR), primary open realignment (POR), primary endoscopic realignment (PER), delayed endoscopic treatment (DET) and delayed urethroplasty (DU) in male adults and children in all major series have been reviewed and collated for rates of restricture (RS), erectile dysfunction (ED) and urinary incontinence (UI). For SPC, POSR, DPOSR, POR, PER, DET and DU; (I) mean RS rate was 97.9%, 53.9%, 18%, 58.3%, 62.0%, 80.2%, 14.4%; (II) mean ED rate was 25.6%, 22.5%, 71%, 37.2%, 23.6%, 31.9%, 12.7%; (III) mean UI rate was 6.7%, 13.6%, 0%, 14.5%, 4.1%, 4.1%, 6.8%; (IV) mean FU in months was 46.3, 29.4, 12, 61, 31.4, 31.8, 54.9. For males with PFUI restricture and new onset ED is lowest following DU whilst UI is lowest following DPOSR. On balance DU offers the best overall outcomes and should be the treatment of choice for PFUI.

Primary realignment vs suprapubic cystostomy for the management of pelvic fracture-associated urethral injuries: a systematic review and meta-analysis.

PubMed

Barrett, Keith; Braga, Luis H; Farrokhyar, Forough; Davies, Timothy O

2014-04-01

To compare primary urethral realignment (PR) with suprapubic cystostomy (SPC) for the management of pelvic fracture-associated posterior urethral injuries with regards to rates of stricture, erectile dysfunction, and urinary incontinence. Two electronic databases (MEDLINE and EMBASE) were searched with the assistance of a librarian. Title, abstract, and full text screening was carried out by 2 independent reviewers, with discrepancies resolved by consensus. Narrative reviews, surveys, and historical articles were excluded. Only studies reporting a direct comparison of PR vs SPC for the management of posterior urethral injuries associated with blunt trauma in adults were included. Quality assessment of the included articles was performed in duplicate. Stricture incidence was evaluated for all included studies, as were erectile dysfunction and incontinence rates when reported. All outcomes were treated as dichotomous data with calculation of odds ratio and were pooled using a random effects model with Review Manager 5.1. Our comprehensive search yielded 161 unique articles. Nine articles were included in the final meta-analysis. Stricture rate was significantly lower in the PR group (odds ratio [OR] = 0.12, 95% confidence interval [CI] 0.04-0.41, P <.001). There was no significant difference between the 2 interventions with regards to erectile dysfunction (OR = 1.19, 95% CI 0.73-1.92, P = .49) or incontinence (OR = 0.75, 95% CI 0.38-1.48, P = .41). PR appears to reduce the incidence of stricture formation after pelvic fracture-associated posterior urethral injuries as compared with SPC. Copyright © 2014 Elsevier Inc. All rights reserved.

Destabilization of Cohesive Intertidal Sediments by Infauna

NASA Astrophysics Data System (ADS)

de Deckere, E. M. G. T.; Tolhurst, T. J.; de Brouwer, J. F. C.

2001-11-01

Bioturbation activity was reduced in four plots on an intertidal mudflat in the Humber estuary (UK) during 4 days, by spraying the sediment with an insecticide, namely vydate. Macrofaunal, especially Nereis diversicolor and oligochaeta, and meiofaunal densities decreased, while the diatom biomass did not change. This resulted in a 300% increase in sediment stability, caused by a reduction in bioturbation and grazing pressure and a decrease in the water content.

Cyclic volatile methylsiloxane bioaccumulation in flounder and ragworm in the Humber Estuary.

PubMed

Kierkegaard, Amelie; van Egmond, Roger; McLachlan, Michael S

2011-07-15

Cyclic volatile methylsiloxanes are being subjected to regulatory scrutiny as possible PBT chemicals. The investigation of bioaccumulation has yielded apparently contradictory results, with high laboratory fish bioconcentration factors on the one hand and low field trophic magnification factors on the other. In this study, octamethylcyclotetrasiloxane (D4), decamethylcyclopentasiloxane (D5), and dodecamethylcyclohexasiloxane (D6) were studied along with polychlorinated biphenyls (PCBs) in sediments, ragworm, and flounder from six sites in the Humber Estuary. Bioaccumulation was evaluated using multimedia bioaccumulation factors (mmBAFs) which quantified the fraction of the contaminant present in the aquatic environment that is transferred to the biota. PCB 180, a known strongly bioaccumulative chemical, was used as a benchmark. The mean mmBAF of D5 was about twice that of PCB 180 in both polycheates and flounder, while for D4 it was 6 and 14 times higher, respectively. The mmBAF of D6 was a factor 5-10 lower than that of PCB180. The comparatively strong multimedia bioaccumulation of D4 and D5, even in the absence of biomagnification, was explained by both compounds having a >100 times stronger tendency to partition into lipid rather than into organic carbon, while PCB 180 partitions to a similar extent into both matrices.

Generalization of Prism Adaptation

ERIC Educational Resources Information Center

Redding, Gordon M.; Wallace, Benjamin

2006-01-01

Prism exposure produces 2 kinds of adaptive response. Recalibration is ordinary strategic remapping of spatially coded movement commands to rapidly reduce performance error. Realignment is the extraordinary process of transforming spatial maps to bring the origins of coordinate systems into correspondence. Realignment occurs when spatial…

In situ measurements of erosion shear stress and geotechnical shear strength of the intertidal sediments of the experimental managed realignment scheme at Tollesbury, Essex, UK

NASA Astrophysics Data System (ADS)

Watts, C. W.; Tolhurst, T. J.; Black, K. S.; Whitmore, A. P.

2003-11-01

Managed realignment is one of several 'soft' engineering options which may reduce the costs of coastal defence, provide a more 'natural' response to the problem of rising sea levels and at the same time deliver environmental, specifically nature conservation, benefits. The success of this technique depends on the ability of the soils and sediments within the site to resist the erosive action of waves and tidal currents and allow sediment accretion to occur, at least at a rate equal to mean sea-level rise. Once a critical shear stress, τ0 crt exerted by the moving fluids over the bed, is exceeded erosion will occur. A cohesive strength meter (CSM) and the fall-cone method were used to gather data, in situ on the strength and stability of sediments from an experimental managed realignment site and an adjacent, established saltmarsh in south-east England. Following six years of regular tidal cover, the underlying agricultural soil appeared both very strong (mean surface shear strength, τ f=228 kPa) and highly resistant to erosion ( τ 0 crt=6.23 N m -2). During this period much of the site had been covered by sediment, and saltmarsh plants ( Salicornia europaea) had become established above the mean high water neap tide (MHWN) level. Above MHWN level (tidal cover time <15%) sediments had greater bulk densities and lower water contents which resulted in a moderate shear strength (τ f=11.6 kPa) and resistance to erosion (τ 0 crt=2.45 N m -2) . Below MHWN, where sediment accretion rates were greatest, poor consolidation resulted in very high water contents and low bulk densities. These areas were at the highest potential risk of erosion (τ 0 crt=1.5 N m -2) and had very low shear strengths (τ f=0.33 kPa) . Where sediment exceeded 25 cm depth, gullies formed allowing their banks and adjacent margins to drain faster than the surrounding sediment. This led to a significant increase in bed strength (τ f=10.8 kPa) and stability (τ 0 crt=4.3 N m -2) . These gullies were probably the early stages of the complex creek patterns characteristic of the adjacent, established saltmarsh. The established saltmarsh was rich in plants and had a well-developed (aggregated) soil structure. These soils had a moderate to high resistance to erosion (τ 0 crt=2.45 N m -2) and shear strength (τ f=25.6 kPa) . Undrained sediment shear strength, τf, obtained with the fall-cone apparatus can also provide a useful indication of critical erosion shear stress, τ0 crt . Values of τ0 crt , measured across this site were all relatively large compared with computed bed stresses arising from locally generated waves. Thus this experimental managed realignment site was found to be primarily depositional and was thus successfully achieving the twin aims of protecting the coast from erosion and extending a rich ecosystem.

77 FR 3503 - Guam Military Base Realignment Contractor Recruitment Standards

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-24

... Contractor Recruitment Standards AGENCY: Employment and Training Administration, Labor. ACTION: Notice... issuing this notice to announce the recruitment standards that construction contractors are required to... contractors engaged in construction projects related to the realignment of U.S. military forces from Okinawa...

A Demographic and Epidemiological Study of Naval Hospital Charleston’s Catchment Area Population

DTIC Science & Technology

1993-08-01

Management Project examines the military beneficiary population in the Naval Hospital Charleston Catchment Area to determine what demographic attributes...are exhibited, and what medical demands the beneficiaries have placed on the Military Health Service System between 01 and 30 June 1992. Various data...closure or realignment of the military treatment facility. 14. SUBJECT TERMS 15. NUMBER OF PAGES 304Demographic and Epidemiological Study 16. PRICE CODE 17

The impact of realignment on utilization and cost of community-based mental health services in California.

PubMed

Scheffler, R; Zhang, A; Snowden, L

2001-11-01

Decentralization of California's public mental health system under program realignment has changed the utilization and cost of community-based mental health services. This study examined a sample of 75,951 users, representing 1.5 million adults who visited California's public mental health services during a 6-year period (FY 1988-1990 and FY 1992-1994). Regression analysis was performed to examine cost and utilization reduction over time, across regions, and across psychiatric diagnoses. Overall utilization and cost of community-based mental health services dropped significantly after the implementation of realignment. They were significantly lower for (a) 24-hour services in the urban industrialized Southern Region and (b) outpatient services in the agricultural Central Region of the state. Users diagnosed with mood disorders took a greater portion, but were associated with significantly less treatment and cost than other users in the post-realignment period. When local communities bear the financial risks and rewards, they find more efficient methods of delivering community-based mental health services.

Actin realignment and cofilin regulation are essential for barrier integrity during shear stress

PubMed Central

Slee, Joshua B.; Lowe-Krentz, Linda J.

2014-01-01

Vascular endothelial cells and their actin microfilaments align in the direction of fluid shear stress (FSS) in vitro and in vivo. To determine whether cofilin, an actin severing protein, is required in this process, the levels of phospho-cofilin (serine-3) were evaluated in cells exposed to FSS. Phospho-cofilin levels decreased in the cytoplasm and increased in the nucleus during FSS exposure. This was accompanied by increased nuclear staining for activated LIMK, a cofilin kinase. Blocking stress kinases JNK and p38, known to play roles in actin realignment during FSS, decreased cofilin phosphorylation under static conditions, and JNK inhibition also resulted in decreased phospho-cofilin during FSS exposure. Inhibition of dynamic changes in cofilin phosphorylation through cofilin mutants decreased correct actin realignment. The mutants also decreased barrier integrity as did inhibition of the stress kinases. These results identify the importance of cofilin in the process of actin alignment and the requirement for actin realignment in endothelial barrier integrity during FSS. PMID:23060131

Rethinking the State-Local Relationship: K-12 Education

ERIC Educational Resources Information Center

Weston, Margaret

2011-01-01

Governor Jerry Brown's January 2011 budget proposal suggests shifting responsibility and funding for many state programs from the state to the local level. Under this "realignment" of government authority, local governments--usually counties--would be given responsibility for providing the services in realigned programs, and the state…

Military Bases: Opportunities Exist to Improve Future Base Realignment and Closure Rounds

DTIC Science & Technology

2013-03-01

Operational Army—realigns Fort Bliss , TX; Fort Hood, TX; Fort Riley, KS; Fort Campbell, KY; and Fort Sill, OK to include rebasing of units from overseas to...Committee on Appropriations United States Senate The Honorable Tim Johnson Chairman The Honorable Mark Kirk Ranking Member Subcommittee on Military

75 FR 78946 - Revitalizing Base Closure Communities and Addressing Impacts of Realignment

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-17

... feasibility analysis describing the economic viability of the project, including an estimate of net proceeds.... SUMMARY: Economic Development Conveyances were created in amendments to the Base Closure and Realignment law in 1993, creating a new tool for communities experiencing economic dislocation from the closing of...

Military Construction, Veterans Affairs, and Related Agencies: FY2009 Appropriations

DTIC Science & Technology

2008-09-17

Defense Posture Realignment ( GDPR ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Repealing the BRAC Commission Mechanism... GDPR One-Time Implementation Costs . . . . . . . . . . . . . . . . . . 12 Table 4. Department of Veterans Affairs Appropriations, FY2002-FY2008...IGPBS) has been renamed the Global Defense Posture Realignment ( GDPR ). 17 Office of the Under Secretary of Defense (Comptroller), National Defense

America’s Army: The Strength of the Nation, Strategic Plan, 2009-2015

DTIC Science & Technology

2008-11-02

Realignment and Closure (BRAC) law of 2005 and several complex endeavors like the Grow-the-Army (GTA) and Global Defense Posture Realignment ( GDPR ...2.2.1 Oversee execution of MILCON to support Army stationing (AMF, BRAC, GDPR , and Army Growth) initiatives and timelines

Military Base Closures: Updated Status of Prior Base Realignments and Closures

EPA Pesticide Factsheets

As the Department of Defense (DOD) prepares for the 2005 base realignment and closure (BRAC) round, questions continue to be raised about the transfer and environmental cleanup of unneeded property arising from the prior four BRAC rounds and their impact on cost and savings and on local economies.

Office of Economic Adjustment | U.S. Department of Defense

Science.gov Websites

Reuse Compatible Use Defense Contractor Transitions Federal Assistance Coordination Mission Change contractor or manufacturer is making cuts or closing. Explore BRAC Icon Base Realignment and Closure A contact information. What We Do Base Closure Base Realignment Base Reuse Compatible Use Defense Contractor

To amend the Public Works and Economic Development Act of 1965 to eliminate cost-sharing requirements in connection with economic adjustment grants made to assist communities that have suffered economic injury as a result of military base closures and realignments, defense contractor reductions in force, and Department of Energy defense-related funding reductions.

THOMAS, 111th Congress

Rep. Arcuri, Michael A. [D-NY-24

2009-12-11

House - 12/12/2009 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Defense Management: Further Analysis Needed to Identify Guam’s Public Infrastructure Requirements and Costs for DOD’s Realignment Plan

DTIC Science & Technology

2013-12-01

Safe Drinking Water Act28 and the Clean Water Act.29 • Potable water : According to Waterworks officials, Guam’s potable water system currently is in...noncompliance with the Safe Drinking Water Act. The unreliable drinking water distribution system has historically resulted in bacterial...Protection Consolidated Grants program, provided Guam with almost $6.8 million in fiscal year 2012 to fund drinking water and wastewater system

Flood defence in the Blackwater Estuary, Essex, UK: the impact of sedimentological and geochemical changes on salt marsh development in the Tollesbury Managed Realignment site.

PubMed

Chang, Y H; Scrimshaw, M D; Macleod, C L; Lester, J N

2001-06-01

Recent changes in the UK's coastal defence strategy have resulted in the introduction of Managed Realignment (MR), a technique which attempts to establish salt marshes on low-lying coastal farmland. This work investigates the impact of MR, in particular on the interactions between sediment movement, changes in heavy metal concentrations and salt marsh development. Pre- and post-inundation samples were collected and analysed between 1995 and 1997. Sediment transport patterns (1996) demonstrated that sediment particles were distributed by tides around the site, resulting in a change in the spatial distribution of the metals which was related to the sediment particle size distribution. Despite the presence of some metal contaminants found within the MR site, vegetated salt marsh has developed since 1997. However, heavy metals such as Cu, Mn, Ni, Pb and Zn exhibited relative depletion in the sediment developing with salt marsh in 1997, which is in agreement with data indicating that concentrations of metals within sediments is related to frequency of tidal inundation. During initial development of the site, sediment transport was the main factor controlling metal distribution, however, subsequently the frequency of tidal inundation became the most significant factor. Further work may allow for prediction of how future MR sites will develop with respect to redistribution of sediments and subsequent transport of contaminants in the dissolved phase.

Location and stability analysis of the Michigamme Underground Mine for the US-41 re-alignment in Marquette County, Michigan.

DOT National Transportation Integrated Search

2008-08-01

A proposed realignment of US-41 near Michigamme, Michigan will be located over an abandoned underground iron ore : mine. The mine, known as the Michigamme Mine, was started in 1872 and closed in 1901. Initial mining operations : were started in seven...

Comprehensive Base Realignment/Closure and Fort Belvoir Development

DTIC Science & Technology

1991-06-01

Passerina cyanea rufous-sided towhee Pipilo erythrophthalmus American tree sparrow Spizella arborea chipping sparrow Spizella passerina field... sparrow Spizella pusilla vesper sparrow Pooecetes gramineus savanah sparrow Passerculus sandwichensis fox sparrow Passerella iliaca song sparrow Melospiza...and Realignment Commission the relocation of selected information Systems command elements from Fort Belvoir to Fort Ritchie or another

76 FR 70878 - Revitalizing Base Closure Communities and Addressing Impacts of Realignment

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-16

... base closure process to conform to the amendment to the Defense Base Closure and Realignment Act of... departments to expedite the EDC process. Closed military bases represent a potential engine of economic... purposes of establishing EDC terms and conditions. It also eliminates the need to establish a process by...

78 FR 11632 - Notice of Availability for the Draft Finding of No Significant Impact and Final Programmatic...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-19

... Significant Impact and Final Programmatic Environmental Assessment for Army 2020 Force Structure Realignment... Significant Impact (FNSI) and final Programmatic Environmental Assessment (PEA) for Army 2020 force structure realignments that may occur from Fiscal Years (FYs) 2013-2020. The Army published the Notice of Availability of...

Reconfiguring and Realigning the Assessment Feedback Processes for an Undergraduate Criminology Degree

ERIC Educational Resources Information Center

Case, Stephen

2007-01-01

A reconfigured and realigned system of assessment feedback was implemented with undergraduates taking criminology modules at Swansea University. The reformulated system integrated explicit engagement with assessment criteria in feedback given on an electronic template form with the use of a statement bank and the offer of follow-up, feedback…

Military Construction, Veterans Affairs, and Related Agencies: FY2009 Appropriations

DTIC Science & Technology

2008-10-09

Global Presence and Basing Strategy (IGPBS)/Global Defense Posture Realignment ( GDPR ) . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Repealing...Second FY2008 Supplemental (P.L. 110-252) . . . . . . . . . . . . . . . . . . . . 6 Table 3. IGPBS/ GDPR One-Time Implementation Costs...report. CRS-10 17 The DOD Integrated Global Presence and Basing Strategy (IGPBS) has been renamed the Global Defense Posture Realignment ( GDPR ). 18

High-speed polarized light microscopy for in situ, dynamic measurement of birefringence properties

NASA Astrophysics Data System (ADS)

Wu, Xianyu; Pankow, Mark; Shadow Huang, Hsiao-Ying; Peters, Kara

2018-01-01

A high-speed, quantitative polarized light microscopy (QPLM) instrument has been developed to monitor the optical slow axis spatial realignment during controlled medium to high strain rate experiments at acquisition rates up to 10 kHz. This high-speed QPLM instrument is implemented within a modified drop tower and demonstrated using polycarbonate specimens. By utilizing a rotating quarter wave plate and a high-speed camera, the minimum acquisition time to generate an alignment map of a birefringent specimen is 6.1 ms. A sequential analysis method allows the QPLM instrument to generate QPLM data at the high-speed camera imaging frequency 10 kHz. The obtained QPLM data is processed using a vector correlation technique to detect anomalous optical axis realignment and retardation changes throughout the loading event. The detected anomalous optical axis realignment is shown to be associated with crack initiation, propagation, and specimen failure in a dynamically loaded polycarbonate specimen. The work provides a foundation for detecting damage in biological tissues through local collagen fiber realignment and fracture during dynamic loading.

ON THE TIDAL ORIGIN OF HOT JUPITER STELLAR OBLIQUITY TRENDS

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

Dawson, Rebekah I., E-mail: rdawson@berkeley.edu

It is debated whether the two hot Jupiter populations—those on orbits misaligned from their host star's spin axis and those well-aligned—result from two migration channels or from two tidal realignment regimes. Here I demonstrate that equilibrium tides raised by a planet on its star can account for three observed spin-orbit alignment trends: the aligned orbits of hot Jupiters orbiting cool stars, the planetary mass cut-off for retrograde planets, and the stratification by planet mass of cool host stars' rotation frequencies. The first trend can be caused by strong versus weak magnetic braking (the Kraft break), rather than realignment of themore » star's convective envelope versus the entire star. The second trend can result from a small effective stellar moment of inertia participating in the tidal realignment in hot stars, enabling massive retrograde planets to partially realign to become prograde. The third trend is attributable to higher-mass planets more effectively counteracting braking to spin up their stars. Both hot and cool stars require a small effective stellar moment of inertia participating in the tidal realignment, e.g., an outer layer weakly coupled to the interior. I demonstrate via Monte Carlo that this model can match the observed trends and distributions of sky-projected misalignments and stellar rotation frequencies. I discuss implications for inferring hot Jupiter migration mechanisms from obliquities, emphasizing that even hot stars do not constitute a pristine sample.« less

Posterior Urethral Strictures

PubMed Central

Gelman, Joel; Wisenbaugh, Eric S.

2015-01-01

Pelvic fracture urethral injuries are typically partial and more often complete disruptions of the most proximal bulbar and distal membranous urethra. Emergency management includes suprapubic tube placement. Subsequent primary realignment to place a urethral catheter remains a controversial topic, but what is not controversial is that when there is the development of a stricture (which is usually obliterative with a distraction defect) after suprapubic tube placement or urethral catheter removal, the standard of care is delayed urethral reconstruction with excision and primary anastomosis. This paper reviews the management of patients who suffer pelvic fracture urethral injuries and the techniques of preoperative urethral imaging and subsequent posterior urethroplasty. PMID:26691883

Internal fixation in pelvic fractures and primary repairs of associated genitourinary disruptions: a team approach.

PubMed

Routt, M L; Simonian, P T; Defalco, A J; Miller, J; Clarke, T

1996-05-01

Associated urological and orthopedic injuries of the pelvic ring are complex with numerous potential complications. These patients are treated optimally using a team approach. The combined expertise is not only helpful initially when managing these difficult patients, but also later as problems develop. This study describes a treatment protocol and reports the early results of 23 patients with unstable pelvic fractures and associated bladder or urethral disruptions, or both, treated surgically with open reduction and internal fixation of the anterior pelvic ring injuries at the same anesthetic and using the same surgical exposure as the urethral realignments or bladder repairs or both. Early complications occurred in four patients (17%): one patient sustained a fifth lumbar nerve injury caused by the pelvic reduction procedure, and three patients had anterior pelvic internal fixation failures. Late complications occurred in eight patients (35%). There was one deep wound infection (4.3%) that presented 6 weeks after injury. Late urological complications occurred in seven patients (30%). Four of the nine male patients with urethral disruptions had urethral stricture after their primary urethral realignments (44%). Three of the 18 male patients admitted to impotence (16.7%). One of the three had a residual thoracic paraplegia caused by a burst fracture. One of the five female patients had urinary incontinence and required a bladder suspension operation to restore normal function (20%). A low infection rate can be expected despite the use of internal fixation. Early urethral "indirect" realignments avoid more difficult delayed open repairs; however, late urological complication rates are still high. Early "direct" bladder repairs are easily performed at the time of anterior pelvic open reduction and internal fixation. Suprapubic tubes are not necessary to adequately divert the urine when large diameter urethral catheters are used in these patients.

Congenital malalignment of the great toenails: case report and literature review.

PubMed

Cohen, P R

1991-03-01

A 10-year-old black boy had congenital malalignment of the great toenails (CMGTN). It is important to recognize this condition since several nail disorders can occur concurrently with and/or clinically mimic it. Treatment is dependent on the severity of the condition, and includes conservative management and subsequent examination to detect CMGTN-associated complications for patients with mild lateral deviation of the nail plate, or surgical realignment for individuals with either marked nail plate deviation or condition-related disabling sequelae.

Best practice in unbilled account management: one medical center's story.

PubMed

Menaker, Debra; Miller, Joshua

2016-02-01

After implementing its new electronic health record, a large metropolitan academic medical center (AMC) decided to optimize its supporting business systems, beginning with billing. By identifying problems and taking the following corrective actions immediately, the AMC significantly reduced the number and average age of its unbilled accounts: Realigning system automation to improve routing efficiency. Facilitating interdisciplinary collaboration to better identify and correct the root causes of issues. Ensuring transparent data reporting by setting up different ways of viewing the underlying information.

75 FR 34714 - Updated Record of Decision (ROD) for Revised Army Growth and Force; Structure Realignment Decisions

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-18

...-making process for decisions contained in the updated ROD (2010). The conversion of an HBCT to an SBCT at... DEPARTMENT OF DEFENSE Department of the Army Updated Record of Decision (ROD) for Revised Army Growth and Force; Structure Realignment Decisions AGENCY: Department of the Army, DoD. ACTION: Notice of...

The Sociolinguistic Realignment in the Chinese Community in Kuala Lumpur: Past, Present and Future

ERIC Educational Resources Information Center

Wang, Xiaomei

2010-01-01

The language situation in the Malaysian Chinese community has undergone great changes in the past century. This paper aims to account for such changes in the framework of sociolinguistic realignment, which is both descriptive and predictive. The triglossic situation in the colonial period (1859-1957) is described; with the support of a language…

JPRS Report China.

DTIC Science & Technology

1988-08-09

conditions conducive to price reform through realigning the industrial structure . What is meant by holding off is that, as long as the present...onus will be on the owners, and we will see a realigning of the capital structure , and varying increases or decreases in the property of capital...prices among farm products and preserve a rational structure for the agricultural industry. 12513 Enterprise, Corporate Ownership Discussed

The DHS Directorate of Science and Technology: Key Issues for Congress

DTIC Science & Technology

2009-06-22

recently under the authority of the Homeland Security Act. Environmental Measurements Laboratory The Environmental Measurements Laboratory ( EML ) in...Historically, the focus of EML was detection and monitoring of low-level radiation releases. The transfer of EML to the S&T Directorate required a realignment...debated whether EML is most appropriately positioned in 7 EML realignment and related

32 CFR 174.15 - Indemnification under Section 330 of the National Defense Authorization Act for Fiscal Year 1993.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 1 2010-07-01 2010-07-01 false Indemnification under Section 330 of the National Defense Authorization Act for Fiscal Year 1993. 174.15 Section 174.15 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT REVITALIZING BASE CLOSURE COMMUNITIES AND ADDRESSING IMPACTS OF REALIGNMENT...

32 CFR 174.15 - Indemnification under Section 330 of the National Defense Authorization Act for Fiscal Year 1993.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 32 National Defense 1 2013-07-01 2013-07-01 false Indemnification under Section 330 of the National Defense Authorization Act for Fiscal Year 1993. 174.15 Section 174.15 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT REVITALIZING BASE CLOSURE COMMUNITIES AND ADDRESSING IMPACTS OF REALIGNMENT...

32 CFR 174.15 - Indemnification under Section 330 of the National Defense Authorization Act for Fiscal Year 1993.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 1 2011-07-01 2011-07-01 false Indemnification under Section 330 of the National Defense Authorization Act for Fiscal Year 1993. 174.15 Section 174.15 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT REVITALIZING BASE CLOSURE COMMUNITIES AND ADDRESSING IMPACTS OF REALIGNMENT...

32 CFR 174.15 - Indemnification under Section 330 of the National Defense Authorization Act for Fiscal Year 1993.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 32 National Defense 1 2014-07-01 2014-07-01 false Indemnification under Section 330 of the National Defense Authorization Act for Fiscal Year 1993. 174.15 Section 174.15 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT REVITALIZING BASE CLOSURE COMMUNITIES AND ADDRESSING IMPACTS OF REALIGNMENT...

32 CFR 174.15 - Indemnification under Section 330 of the National Defense Authorization Act for Fiscal Year 1993.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 32 National Defense 1 2012-07-01 2012-07-01 false Indemnification under Section 330 of the National Defense Authorization Act for Fiscal Year 1993. 174.15 Section 174.15 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT REVITALIZING BASE CLOSURE COMMUNITIES AND ADDRESSING IMPACTS OF REALIGNMENT...

76 FR 20633 - Record of Decision (ROD) for the Base Closure and Realignment (BRAC) 2005 Actions at Fort...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-13

... DEPARTMENT OF DEFENSE Department of the Army Record of Decision (ROD) for the Base Closure and... decision on how to implement property disposal in accordance with the Defense Base Closure and Realignment Act of 1990 (the Base Closure Act), Public Law 101-510, as amended, following the closure of Fort...

The "Messy" Business of Academic Developers Leading Other Academic Developers: Critical Reflection on a Curriculum Realignment Exercise

ERIC Educational Resources Information Center

Thomas, Sharon; Cordiner, Moira

2014-01-01

Little has been written about academic developers (ADs) working in teams leading other ADs. This paper chronicles the experience of a group of ADs in one Australian university working on a curriculum realignment exercise. Unexpectedly the dominant theme in participants' reflections was group dynamics, not the process. We were confronted by…

Military Base Realignments and Closures: DOD has Improved Environmental Cleanup Reporting but Should Obtain and Share More Information

DTIC Science & Technology

2017-01-01

Defense (DOD) has captured and reported more comprehensive cost information in its environmental cost reporting for installations closed under the...Letter 1 Background 4 DOD’s Latest Report to Congress Captures More- Comprehensive Environmental Cleanup Cost Information, but Omits Emerging...22 Abbreviations BRAC Base Realignment and Closure CERCLA Comprehensive Environmental Response, Compensation, and

Competition, integration, and diversification: seven hospitals of Growthville, U.S.A.

PubMed

Starkweather, D B

1990-01-01

Summing up across the three phases of this case, the pattern of evolution was (1) emergence of a market orientation by hospitals as the industry moved away from regulation; (2) steady expansion of what the hospitals considered to be their business, to include nonacute hospital and medical services as well as insurance, with vertical integration and concentric diversification serving as the vehicles for accomplishing this expansion; (3) remarkable change with respect to who was competing with whom, stemming from restructuring of hospital relationships away from open competition among many toward domination by a few; (4) a shift in the market from one of consumer choices among physicians and hospitals toward one of competitive choice among health plans; and (5) the emergence of negotiated pricing within the context of the new oligopoly, stemming from the heightened and organized power of corporate purchasers. Finally, we return to a concept presented in the introduction to this case: strategic alignment. The case has described the substantial realignment of our study hospitals to their new and changing environment. And it has highlighted their managers' use of boundary scanning, competitor analysis, and strategy to achieve this realignment. James Thompson's word for this process is "co-alignment," referring to "the most critical managerial function, and the skill closest to creativity." This case has illustrated this management skill, defined as "the discernment of hitherto unnoticed relationships in the complex environment, calculating their cause-effect relationships, and translating them into appropriate programs of action". This is both a summary of the performances of our case study managers and a powerful prescription for those who might face similar circumstances and challenges.

Quick-Reaction Report on the Audit of Defense Base Realignment and Closure Budget Data for Naval Training Center Great Lakes, Illinois

DTIC Science & Technology

1994-05-19

the audit of project P-608T, Building Modifications, as they relate to project P-557S. Because...project P-608T was addressed in Report No. 94-108, Quick-Reaction Report on the Audit of Defense Base Realignment and Closure Budget Data for Naval Station Treasure Island, California, May 19,

Defense Base Closure and Realignment Commission

DTIC Science & Technology

1993-01-01

during, their training . DLI required Only 803 houising units oii thle Army students inl thle human intelligence field Annex, the post cýxchiaige arid...community also stressed the Navy did not proposes significantly reduccd closure costs by know the true cost of relocating or replicating taking...Warfare Center- Carderock, Annapolis Detachment, The Annapolis community stressed in 1991 theDefense Base Closure and Realignment Coin- Annapolis

Proceedings of a Meeting of an American Sub-Group of the Council of Edward A. /Bouchet-ICTP Institute Held in Atlanta, Georgia on 28-29 Mar 1992

DTIC Science & Technology

1992-03-29

Moreover, nuclear and coal-fired power plants could be built further away from high population areas. Magnetically levitated ( maglev ) trains may be the...Japanese bullet trains, going 120 miles/hour, must have their tracks realigned each night. The maglev trains would make this realignment unnecessary

Occurrence of entomopathogenic fungi in tejocote (Crataegus mexicana) orchard soils and their pathogenicity against Rhagoletis pomonella.

PubMed

Muñiz-Reyes, E; Guzmán-Franco, A W; Sánchez-Escudero, J; Nieto-Angel, R

2014-11-01

To determine the abundance and diversity of entomopathogenic fungi in tejocote orchard soils and evaluate their ability to infect Rhagoletis pomonella Walsh., the main pest of tejocote. Surveys were made in two locations in Mexico state and two in Puebla state. Soil from selected locations was baited for entomopathogenic fungi with Galleria mellonella (L.). All isolates were identified morphologically to genus level and to species level using Bloc and elongation factor 1-α gene sequence information, respectively; Beauveria bassiana ((Bals.-Criv.) Vuill.), B. pseudobassiana (S.A. Rehner & Humber) and Metarhizium robertsii (J.F. Bisch., Rehner & Humber) were found, with B. bassiana being the most abundant and widely distributed. Pathogenicity of five selected B. bassiana isolates and three M. robertsii isolates was evaluated against larvae and pupae of R. pomonella. All isolates infected larvae resulting in an average mortality of 35%. Pupae were not susceptible; however, adults emerging from inoculated pupae did die due to infection. At least three species of entomopathogenic fungi are present in the soil from tejocote orchards, with B. bassiana being the most abundant and widely distributed. Rhagoletis pomonella larvae were more susceptible to infection than pupae. Our study has produced new information about the distribution of entomopathogenic fungi in cultivated soils from this region of North America, contributing to a better understanding of their natural occurrence and underpinning the development of biological control approaches. © 2014 The Society for Applied Microbiology.

Community-based partnerships for improving chronic disease management.

PubMed

Plumb, James; Weinstein, Lara Carson; Brawer, Rickie; Scott, Kevin

2012-06-01

With the growing burden of chronic disease, the medical and public health communities are re-examining their roles and opportunities for more effective prevention and clinical interventions. The potential to significantly improve chronic disease prevention and have an impact on morbidity and mortality from chronic conditions is enhanced by adopting strategies that incorporate a social ecology perspective, realigning the patient-physician relationship, integrating population health perspectives into the Chronic Care Model, and effectively engaging communities using established principles of community engagement. Copyright © 2012 Elsevier Inc. All rights reserved.

Expanding Primary Care at William Beaumont Army Medical Center to Support an Increased Beneficiary Population Resulting from the 2005 Base Realignment and Closure Commission Report

DTIC Science & Technology

2006-07-01

the Army Health Facility Planning Agency (HFPA). F HFPA Bl s B CCSIMakhldr PA& E ecision MECOM anpowe Support GPRMS SuthWest egion - IM CTRI WEIST (DcI 4...providers or resources. Finally, is there potential for consolidation of staff support areas such as lounges , locker rooms or conference areas (DoD Medical...Organization and Equipment for the ist AD (see appendix I). Utilizing this identified structure, the Army Force Management Support Agency web portal

Diabetes Alters Mechanical Properties and Collagen Fiber Re-Alignment in Multiple Mouse Tendons

PubMed Central

Connizzo, Brianne K.; Bhatt, Pankti R.; Liechty, Kenneth W.; Soslowsky, Louis J.

2014-01-01

Tendons function to transfer load from muscle to bone through their complex composition and hierarchical structure, consisting mainly of type I collagen. Recent evidence suggests that type II diabetes may cause alterations in collagen structure, such as irregular fibril morphology and density, which could play a role in the mechanical function of tendons. Using the db/db mouse model of type II diabetes, the diabetic skin was found to have impaired biomechanical properties when compared to the non-diabetic group. The purpose of this study was to assess the effect of diabetes on biomechanics, collagen fiber re-alignment, and biochemistry in three functionally different tendons (Achilles, supraspinatus, patellar) using the db/db mouse model. Results showed that cross-sectional area and stiffness, but not modulus, were significantly reduced in all three tendons. However, the tendon response to load (transition strain, collagen fiber re-alignment) occurred earlier in the mechanical test, contrary to expectations. In addition, the patellar tendon had an altered response to diabetes when compared to the other two tendons, with no changes in fiber realignment and decreased collagen content at the midsubstance of the tendon. Overall, type II diabetes alters tendon mechanical properties and the dynamic response to load. PMID:24833253

Automated Long-Term Monitoring of Parallel Microfluidic Operations Applying a Machine Vision-Assisted Positioning Method

PubMed Central

Yip, Hon Ming; Li, John C. S.; Cui, Xin; Gao, Qiannan; Leung, Chi Chiu

2014-01-01

As microfluidics has been applied extensively in many cell and biochemical applications, monitoring the related processes is an important requirement. In this work, we design and fabricate a high-throughput microfluidic device which contains 32 microchambers to perform automated parallel microfluidic operations and monitoring on an automated stage of a microscope. Images are captured at multiple spots on the device during the operations for monitoring samples in microchambers in parallel; yet the device positions may vary at different time points throughout operations as the device moves back and forth on a motorized microscopic stage. Here, we report an image-based positioning strategy to realign the chamber position before every recording of microscopic image. We fabricate alignment marks at defined locations next to the chambers in the microfluidic device as reference positions. We also develop image processing algorithms to recognize the chamber positions in real-time, followed by realigning the chambers to their preset positions in the captured images. We perform experiments to validate and characterize the device functionality and the automated realignment operation. Together, this microfluidic realignment strategy can be a platform technology to achieve precise positioning of multiple chambers for general microfluidic applications requiring long-term parallel monitoring of cell and biochemical activities. PMID:25133248

Urological trauma in the Pacific Northwest: etiology, distribution, management and outcome.

PubMed

Krieger, J N; Algood, C B; Mason, J T; Copass, M K; Ansell, J S

1984-07-01

A computer-assisted review identified 184 patients with genitourinary tract injuries among 5,400 hospitalized for trauma. Particular attention was directed to the controversial groups of patients with blunt renal and posterior urethral injuries. Management of renal injuries was based on clinical criteria. Subsequent renal exploration was necessary in only 1 of 115 patients with renal contusions, or simple or deep lacerations who underwent initial expectant management. Followup was available in all patients with severe renal injuries and in 53 per cent with renal contusions or simple lacerations. Parenchymal loss was noted on an excretory urogram in only 1 patient and none suffered hypertension, hydronephrosis or other sequelae. A staged approach was preferable to immediate repair of posterior urethral injuries. Seven patients managed by initial cystostomy drainage followed by secondary urethral repairs did well. Primary realignment was complicated by stricture, incontinence or impotence in 3 of 6 patients.

Environmental Impact Statement. Preliminary Draft. Realignment of Cannon Air Force Base, Curry County, New Mexico

DTIC Science & Technology

1989-12-15

creation of the Mount Dora Military Operations Area are proposed actions associated with the realignment. Contact for Further Information: Captain...2.2.5 Establishment of the Mount Dora MOA ................. 2-1532.2.6 Pecos MOA Use ................................. 2-21 2.3 THE NO-ACTION...2-22 2.3.3 Establishment of the Mount Dora MOA ................. 2-22 2.3.4 Pecos MOA Use ................................. 2-2532.4

Environmental Assessment: Base Realignment and Closure (BRAC) 2005 Mission Realignments to Vandenberg AFB

DTIC Science & Technology

2007-02-01

Utilities (3.11), and Health and Safety (3.12). The following areas of environmental consequences evaluated in the EA were determined to have the... Safety requires a walk- through survey prior to construction. Prior to the commencement of construction activities on the electrical substation site...an unexploded ordnance survey shall be conducted by 30th Space Wing Safety . Should any unexploded ordnances be identified as a result of the survey

Effects on G Tolerance While Biting Down on a Mandibular Orthopedic Repositioning Appliance (MORA) Levels.

DTIC Science & Technology

1990-10-01

Repositioning Appliance (MORA) that properly aligns the temporo mandibular joint (TMJ) requires voluntary contraction of the masseter and temporal’s...growth, malocclusion, or bad oral posture may cause the Temporo Mandibular Joint (TMJ) to grad- ually become misaligned. The masseter and other muscles...books have been published on the use of a Mandibular Orthopedic Repositioning Appliance (MORA) to realign the joint (Figure 1). Realignment is claimed

Polar advisory committee focuses on NSF realignment

NASA Astrophysics Data System (ADS)

Showstack, Randy

2012-11-01

With the U.S. National Science Foundation's (NSF) realignment that moves the agency's Office of Polar Programs (OPP) back to the Directorate for Geosciences (GEO), "the emphasis on the importance of the polar program at NSF doesn't change," NSF director Subra Suresh reassured members of the federal Advisory Committee on Polar Programs during a committee meeting on 5 November. "The polar program in its entirety stays as the same entity. Nothing changes," he told committee members, regarding the realignment that began on 1 October (see Eos, 93(43), 427, doi:10.1029/2012EO430003). "Nothing changes in terms of our commitment to the polar program. Nothing changes in terms of infrastructure support. Nothing changes in terms of people in the polar program speaking for the polar program to the external world and internally. And nothing changes in terms of how individual scientists interact with the polar program."

Telemetry packetization for improved mission operations. [instrument packages for Space Shuttle mission operations data management

NASA Technical Reports Server (NTRS)

Greene, E. P.

1976-01-01

The requirements for mission-operations data management will accelerate sharply when the Space Transportation System (i.e., Space Shuttle) becomes the primary vehicle for research from space. These demands can be satisfied most effectively by providing a higher-level source encoding function within the spaceborne vehicle. An Instrument Telemetry Packet (ITP) concept is described which represents an alternative to the conventional multiplexed telemetry frame approach for acquiring spaceborne instrument data. By providing excellent data-integrity protection at the source and a variable instrument bandwidth capability, this ITP concept represents a significant improvement over present data acquisition procedures. Realignments in the ground telemetry processing functions are described which are intended to take advantage of the ITP concept and to make the data management system more responsive to the scientific investigators.

Building a vertical provider system.

PubMed

Barnett, A E

1993-01-01

There is probably no geographic area in the United States in which the health care environment is more turbulent than that of Southern California. Long before President Clinton's proposals began serious national debate on health care reform, a massive provider-driven realignment of the system was occurring in that region of the country. Multispecialty medical groups have generally led the way and have acquired ever larger managed care populations through merger and acquisition of other groups and practices. Hospitals, hampered by large fixed capital bases, have struggled to reinvent themselves as cost-effective and primary care-friendly environments in order to be attractive to managed care physicians. Almost ignored in this reconfiguration has been the university teaching hospital. This article discusses one attempt to reconcile contractually an integrated, capitated, and managed care-oriented health care system with an academic medical center in a strategic alliance.

Pelvic fracture and associated urologic injuries.

PubMed

Brandes, S; Borrelli, J

2001-12-01

Successful management of patients with major pelvic injuries requires a team approach including orthopedic, urologic, and trauma surgeons. Each unstable pelvic disruption must be treated aggressively to minimize complications and maximize long-term functional outcome. Commonly associated urologic injuries include injuries of the urethra, corpora cavernosa (penis), bladder, and bladder neck. Bladder injuries are usually extraperitoneal and result from shearing forces or direct laceration by a bone spicule. Posterior urethral injuries occur more commonly with vertically applied forces, which typically create Malgaigne-type fractures. Common complications of urethral disruption are urethral stricture, incontinence, and impotence. Acute urethral injury management is controversial, although it appears that early primary realignment has promise for minimizing the complications. Impotence after pelvic fracture is predominantly vascular in origin, not neurologic as once thought.

Experience with management of posterior urethral injury associated with pelvic fracture.

PubMed

Coffield, K S; Weems, W L

1977-06-01

Review of records from 205 patients with pelvic fracture and hematuria revealed that 121 underwent urologic and radiographic evaluation. Of these patients 20 had severe posterior urethral injuries documented by urethrography of voiding cystourethrography: 9 underwent primary repair and 11 had delayed scrotal-inlay urethroplasty after initial cystostomy alone. Patients who underwent primary repair had a 77 per cent incidence of stricture, a 22 per cent incidence of incontinence and a 33 per cent incidence of impotency. Patients who underwent delayed closure had no incidence of stricture, incontinence or impotence. Patients in both groups had urinary tract infections. Simple cystostomy followed by delayed scrotal-inlay urethroplasty appears superior to primary realignment in the management of patients with posterior urethral injuries.

Introducing an on-line adaptive procedure for prostate image guided intensity modulate proton therapy.

PubMed

Zhang, M; Westerly, D C; Mackie, T R

2011-08-07

With on-line image guidance (IG), prostate shifts relative to the bony anatomy can be corrected by realigning the patient with respect to the treatment fields. In image guided intensity modulated proton therapy (IG-IMPT), because the proton range is more sensitive to the material it travels through, the realignment may introduce large dose variations. This effect is studied in this work and an on-line adaptive procedure is proposed to restore the planned dose to the target. A 2D anthropomorphic phantom was constructed from a real prostate patient's CT image. Two-field laterally opposing spot 3D-modulation and 24-field full arc distal edge tracking (DET) plans were generated with a prescription of 70 Gy to the planning target volume. For the simulated delivery, we considered two types of procedures: the non-adaptive procedure and the on-line adaptive procedure. In the non-adaptive procedure, only patient realignment to match the prostate location in the planning CT was performed. In the on-line adaptive procedure, on top of the patient realignment, the kinetic energy for each individual proton pencil beam was re-determined from the on-line CT image acquired after the realignment and subsequently used for delivery. Dose distributions were re-calculated for individual fractions for different plans and different delivery procedures. The results show, without adaptive, that both the 3D-modulation and the DET plans experienced delivered dose degradation by having large cold or hot spots in the prostate. The DET plan had worse dose degradation than the 3D-modulation plan. The adaptive procedure effectively restored the planned dose distribution in the DET plan, with delivered prostate D(98%), D(50%) and D(2%) values less than 1% from the prescription. In the 3D-modulation plan, in certain cases the adaptive procedure was not effective to reduce the delivered dose degradation and yield similar results as the non-adaptive procedure. In conclusion, based on this 2D phantom study, by updating the proton pencil beam energy from the on-line image after realignment, this on-line adaptive procedure is necessary and effective for the DET-based IG-IMPT. Without dose re-calculation and re-optimization, it could be easily incorporated into the clinical workflow.

Introducing an on-line adaptive procedure for prostate image guided intensity modulate proton therapy

NASA Astrophysics Data System (ADS)

Zhang, M.; Westerly, D. C.; Mackie, T. R.

2011-08-01

With on-line image guidance (IG), prostate shifts relative to the bony anatomy can be corrected by realigning the patient with respect to the treatment fields. In image guided intensity modulated proton therapy (IG-IMPT), because the proton range is more sensitive to the material it travels through, the realignment may introduce large dose variations. This effect is studied in this work and an on-line adaptive procedure is proposed to restore the planned dose to the target. A 2D anthropomorphic phantom was constructed from a real prostate patient's CT image. Two-field laterally opposing spot 3D-modulation and 24-field full arc distal edge tracking (DET) plans were generated with a prescription of 70 Gy to the planning target volume. For the simulated delivery, we considered two types of procedures: the non-adaptive procedure and the on-line adaptive procedure. In the non-adaptive procedure, only patient realignment to match the prostate location in the planning CT was performed. In the on-line adaptive procedure, on top of the patient realignment, the kinetic energy for each individual proton pencil beam was re-determined from the on-line CT image acquired after the realignment and subsequently used for delivery. Dose distributions were re-calculated for individual fractions for different plans and different delivery procedures. The results show, without adaptive, that both the 3D-modulation and the DET plans experienced delivered dose degradation by having large cold or hot spots in the prostate. The DET plan had worse dose degradation than the 3D-modulation plan. The adaptive procedure effectively restored the planned dose distribution in the DET plan, with delivered prostate D98%, D50% and D2% values less than 1% from the prescription. In the 3D-modulation plan, in certain cases the adaptive procedure was not effective to reduce the delivered dose degradation and yield similar results as the non-adaptive procedure. In conclusion, based on this 2D phantom study, by updating the proton pencil beam energy from the on-line image after realignment, this on-line adaptive procedure is necessary and effective for the DET-based IG-IMPT. Without dose re-calculation and re-optimization, it could be easily incorporated into the clinical workflow.

MARINE CORPS ASIA PACIFIC REALIGNMENT: DOD Should Resolve Capability Deficiencies and Infrastructure Risks and Revise Cost Estimates

DTIC Science & Technology

2017-04-01

environmental mitigation and the costs associated with it. In April 2015, the Navy released a draft environmental impact statement to the public that...economic analysis for decision making indicates that, as part of assessing the costs and benefits of alternatives, an economic analysis should include...Page 48 GAO-17-415 Marine Corps Asia-Pacific Realignment comprehensive estimates of the expected costs and benefits that are incident to achieving

Neural mechanisms underlying spatial realignment during adaptation to optical wedge prisms.

PubMed

Chapman, Heidi L; Eramudugolla, Ranmalee; Gavrilescu, Maria; Strudwick, Mark W; Loftus, Andrea; Cunnington, Ross; Mattingley, Jason B

2010-07-01

Visuomotor adaptation to a shift in visual input produced by prismatic lenses is an example of dynamic sensory-motor plasticity within the brain. Prism adaptation is readily induced in healthy individuals, and is thought to reflect the brain's ability to compensate for drifts in spatial calibration between different sensory systems. The neural correlate of this form of functional plasticity is largely unknown, although current models predict the involvement of parieto-cerebellar circuits. Recent studies that have employed event-related functional magnetic resonance imaging (fMRI) to identify brain regions associated with prism adaptation have discovered patterns of parietal and cerebellar modulation as participants corrected their visuomotor errors during the early part of adaptation. However, the role of these regions in the later stage of adaptation, when 'spatial realignment' or true adaptation is predicted to occur, remains unclear. Here, we used fMRI to quantify the distinctive patterns of parieto-cerebellar activity as visuomotor adaptation develops. We directly contrasted activation patterns during the initial error correction phase of visuomotor adaptation with that during the later spatial realignment phase, and found significant recruitment of the parieto-cerebellar network--with activations in the right inferior parietal lobe and the right posterior cerebellum. These findings provide the first evidence of both cerebellar and parietal involvement during the spatial realignment phase of prism adaptation. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

Identifying positive deviants in healthcare quality and safety: a mixed methods study.

PubMed

O'Hara, Jane K; Grasic, Katja; Gutacker, Nils; Street, Andrew; Foy, Robbie; Thompson, Carl; Wright, John; Lawton, Rebecca

2018-01-01

Objective Solutions to quality and safety problems exist within healthcare organisations, but to maximise the learning from these positive deviants, we first need to identify them. This study explores using routinely collected, publicly available data in England to identify positively deviant services in one region of the country. Design A mixed methods study undertaken July 2014 to February 2015, employing expert discussion, consensus and statistical modelling to identify indicators of quality and safety, establish a set of criteria to inform decisions about which indicators were robust and useful measures, and whether these could be used to identify positive deviants. Setting Yorkshire and Humber, England. Participants None - analysis based on routinely collected, administrative English hospital data. Main outcome measures We identified 49 indicators of quality and safety from acute care settings across eight data sources. Twenty-six indicators did not allow comparison of quality at the sub-hospital level. Of the 23 remaining indicators, 12 met all criteria and were possible candidates for identifying positive deviants. Results Four indicators (readmission and patient reported outcomes for hip and knee surgery) offered indicators of the same service. These were selected by an expert group as the basis for statistical modelling, which supported identification of one service in Yorkshire and Humber showing a 50% positive deviation from the national average. Conclusion Relatively few indicators of quality and safety relate to a service level, making meaningful comparisons and local improvement based on the measures difficult. It was possible, however, to identify a set of indicators that provided robust measurement of the quality and safety of services providing hip and knee surgery.

Environmental Influences on the Fish Assemblage of the Humber Estuary, U.K.

NASA Astrophysics Data System (ADS)

Marshall, S.; Elliott, M.

1998-02-01

Salinity, temperature, turbidity and dissolved oxygen were measured in conjunction with a series of fish samples taken by a 2 m beam trawl from 14 sites throughout the Humber estuary, U.K., over the period April 1992 to November 1994. Sediment type was not measured as the literature indicates that the area is homogeneous. The influences of environmental factors and the characteristics of the fish assemblage were analysed using a range of multivariate techniques, including two-way indicator species analysis, canonical correspondence analysis, principal components analysis and Spearman rank correlation. The analyses indicate that salinity is the dominant factor influencing the distribution of the species, with temperature also having a major influence. Of the species examined, whiting (Merlangius merlangus), sole (Solea solea), flounder (Pleuronectes flesus), sprat (Sprattus sprattus) and herring (Clupea harengus) showed a correlation in distribution to temperature, sole, plaice (Pleuronectes platessa), pogge (Agonus cataphractus) and stickleback (Gasterosteus aculeatus) to salinity, and whiting, flounder, pogge and stickleback to dissolved oxygen. Only cod (Gadus morhua) showed a correlation with tidal state, while whiting, pogge and stickleback were correlated to depth. Unlike in some other estuaries, turbidity did not influence the composition of the fish assemblage. Temperature and salinity fluctuations appear to influence different aspects of the community, with temperature proving to be the best predictor of total abundance, while salinity influenced the species richness and total biomass. The analyses demonstrate the most important variables with regard to environmental-biotic interactions, although they also indicate that the variables measured do not account for all of the observed variation in fish biomass and abundance.

Kinematic markers dissociate error correction from sensorimotor realignment during prism adaptation.

PubMed

O'Shea, Jacinta; Gaveau, Valérie; Kandel, Matthieu; Koga, Kazuo; Susami, Kenji; Prablanc, Claude; Rossetti, Yves

2014-03-01

This study investigated the motor control mechanisms that enable healthy individuals to adapt their pointing movements during prism exposure to a rightward optical shift. In the prism adaptation literature, two processes are typically distinguished. Strategic motor adjustments are thought to drive the pattern of rapid endpoint error correction typically observed during the early stage of prism exposure. This is distinguished from so-called 'true sensorimotor realignment', normally measured with a different pointing task, at the end of prism exposure, which reveals a compensatory leftward 'prism after-effect'. Here, we tested whether each mode of motor compensation - strategic adjustments versus 'true sensorimotor realignment' - could be distinguished, by analyzing patterns of kinematic change during prism exposure. We hypothesized that fast feedforward versus slower feedback error corrective processes would map onto two distinct phases of the reach trajectory. Specifically, we predicted that feedforward adjustments would drive rapid compensation of the initial (acceleration) phase of the reach, resulting in the rapid reduction of endpoint errors typically observed early during prism exposure. By contrast, we expected visual-proprioceptive realignment to unfold more slowly and to reflect feedback influences during the terminal (deceleration) phase of the reach. The results confirmed these hypotheses. Rapid error reduction during the early stage of prism exposure was achieved by trial-by-trial adjustments of the motor plan, which were proportional to the endpoint error feedback from the previous trial. By contrast, compensation of the terminal reach phase unfolded slowly across the duration of prism exposure. Even after 100 trials of pointing through prisms, adaptation was incomplete, with participants continuing to exhibit a small rightward shift in both the reach endpoints and in the terminal phase of reach trajectories. Individual differences in the degree of adaptation of the terminal reach phase predicted the magnitude of prism after-effects. In summary, this study identifies distinct kinematic signatures of fast strategic versus slow sensorimotor realignment processes, which combine to adjust motor performance to compensate for a prismatic shift. © 2013 Elsevier Ltd. All rights reserved.

Defense Base Realignment and Closure Budget Data for Naval Air Technical Training Center, Naval Air Station Pensacola, Florida

DTIC Science & Technology

1994-06-07

023- S -94 Military Construction Projects Budgeted January 14, 1994 and Programmed for Bases Identified for Closure or Realignment 028-C-93...deferred to this analysis as the more accurate basis for design and construction costs, rather than the gross estimates in the 1391’ s submitted much...solutions( s ), it is imperative that design and construction costs, operation/maintenance costs, the specific health care needs of the population to

Report on 2005 Defense Base Closure and Realignment Implementation

DTIC Science & Technology

2007-04-01

Marcos 559 ARNG RC Seguin 560 ARNG RC Snyder 561 ARNG RC Taylor 562 ARNG RC Terrell 563 ARNG RC Texarkana 564 ARNG RC Tyler 565 Benavidez USARC, El...realignment actions: Sep 1 2011 563 ARNG RC Texarkana , TX Commission recommendation(s) affected by this installation: Number Title 44 Reserve Component...AL421382002700 State: Alabama Sites Sites RC Total 51 38 Phase Beg. End <=2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Temporal Clustering in the Multi-Target Tracking Environment

DTIC Science & Technology

1988-08-01

UNLASS IliED % ,, SECURITY CLASSIFICATION OF THIS PAGE (When Data Entered)_ REPORT DOCUMENTATION PAGE BF READ INSTRUCTIONS6. PEFORE COMPLETING FORM...1. REPORT NUMBER (. )OVT ACCESSION No. 3. RE-Ur-’SAFIT/CI/NR 88- 1 ? ,7 1 11 - _t tA Jr TITLE (and Subtitle) S. TYPE OF REPORT A PERIOD COVEREDTLMfP6...AL C405TEW .GI )K T 4 MULT)- F11M9THESI I, TiNtLqET TOLFNCK lUG 6.mVjllop,3MrJT TEI ~6. PERFORMING O-4O. REPORT hUMBER AU THOR(s) 8. CONTRACT OR

Comparison of Microbial and Chemical Source Tracking Markers To Identify Fecal Contamination Sources in the Humber River (Toronto, Ontario, Canada) and Associated Storm Water Outfalls.

PubMed

Staley, Zachery R; Grabuski, Josey; Sverko, Ed; Edge, Thomas A

2016-11-01

Storm water runoff is a major source of pollution, and understanding the components of storm water discharge is essential to remediation efforts and proper assessment of risks to human and ecosystem health. In this study, culturable Escherichia coli and ampicillin-resistant E. coli levels were quantified and microbial source tracking (MST) markers (including markers for general Bacteroidales spp., human, ruminant/cow, gull, and dog) were detected in storm water outfalls and sites along the Humber River in Toronto, Ontario, Canada, and enumerated via endpoint PCR and quantitative PCR (qPCR). Additionally, chemical source tracking (CST) markers specific for human wastewater (caffeine, carbamazepine, codeine, cotinine, acetaminophen, and acesulfame) were quantified. Human and gull fecal sources were detected at all sites, although concentrations of the human fecal marker were higher, particularly in outfalls (mean outfall concentrations of 4.22 log 10 copies, expressed as copy numbers [CN]/100 milliliters for human and 0.46 log 10 CN/100 milliliters for gull). Higher concentrations of caffeine, acetaminophen, acesulfame, E. coli, and the human fecal marker were indicative of greater raw sewage contamination at several sites (maximum concentrations of 34,800 ng/liter, 5,120 ng/liter, 9,720 ng/liter, 5.26 log 10 CFU/100 ml, and 7.65 log 10 CN/100 ml, respectively). These results indicate pervasive sewage contamination at storm water outfalls and throughout the Humber River, with multiple lines of evidence identifying Black Creek and two storm water outfalls with prominent sewage cross-connection problems requiring remediation. Limited data are available on specific sources of pollution in storm water, though our results indicate the value of using both MST and CST methodologies to more reliably assess sewage contamination in impacted watersheds. Storm water runoff is one of the most prominent non-point sources of biological and chemical contaminants which can potentially degrade water quality and pose risks to human and ecosystem health. Therefore, identifying fecal contamination in storm water runoff and outfalls is essential for remediation efforts to reduce risks to public health. This study employed multiple methods of identifying levels and sources of fecal contamination in both river and storm water outfall sites, evaluating the efficacy of using culture-based enumeration of E. coli, molecular methods of determining the source(s) of contamination, and CST markers as indicators of fecal contamination. The results identified pervasive human sewage contamination in storm water outfalls and throughout an urban watershed and highlight the utility of using both MST and CST to identify raw sewage contamination. © Crown copyright 2016.

Comparison of Microbial and Chemical Source Tracking Markers To Identify Fecal Contamination Sources in the Humber River (Toronto, Ontario, Canada) and Associated Storm Water Outfalls

PubMed Central

Grabuski, Josey; Sverko, Ed; Edge, Thomas A.

2016-01-01

ABSTRACT Storm water runoff is a major source of pollution, and understanding the components of storm water discharge is essential to remediation efforts and proper assessment of risks to human and ecosystem health. In this study, culturable Escherichia coli and ampicillin-resistant E. coli levels were quantified and microbial source tracking (MST) markers (including markers for general Bacteroidales spp., human, ruminant/cow, gull, and dog) were detected in storm water outfalls and sites along the Humber River in Toronto, Ontario, Canada, and enumerated via endpoint PCR and quantitative PCR (qPCR). Additionally, chemical source tracking (CST) markers specific for human wastewater (caffeine, carbamazepine, codeine, cotinine, acetaminophen, and acesulfame) were quantified. Human and gull fecal sources were detected at all sites, although concentrations of the human fecal marker were higher, particularly in outfalls (mean outfall concentrations of 4.22 log10 copies, expressed as copy numbers [CN]/100 milliliters for human and 0.46 log10 CN/100 milliliters for gull). Higher concentrations of caffeine, acetaminophen, acesulfame, E. coli, and the human fecal marker were indicative of greater raw sewage contamination at several sites (maximum concentrations of 34,800 ng/liter, 5,120 ng/liter, 9,720 ng/liter, 5.26 log10 CFU/100 ml, and 7.65 log10 CN/100 ml, respectively). These results indicate pervasive sewage contamination at storm water outfalls and throughout the Humber River, with multiple lines of evidence identifying Black Creek and two storm water outfalls with prominent sewage cross-connection problems requiring remediation. Limited data are available on specific sources of pollution in storm water, though our results indicate the value of using both MST and CST methodologies to more reliably assess sewage contamination in impacted watersheds. IMPORTANCE Storm water runoff is one of the most prominent non-point sources of biological and chemical contaminants which can potentially degrade water quality and pose risks to human and ecosystem health. Therefore, identifying fecal contamination in storm water runoff and outfalls is essential for remediation efforts to reduce risks to public health. This study employed multiple methods of identifying levels and sources of fecal contamination in both river and storm water outfall sites, evaluating the efficacy of using culture-based enumeration of E. coli, molecular methods of determining the source(s) of contamination, and CST markers as indicators of fecal contamination. The results identified pervasive human sewage contamination in storm water outfalls and throughout an urban watershed and highlight the utility of using both MST and CST to identify raw sewage contamination. PMID:27542934

Atlantoaxial manual realignment in a patient with traumatic atlantoaxial joint disruption.

PubMed

Goel, Atul; Figueiredo, Antonio; Maheshwari, Shradha; Shah, Abhidha

2010-05-01

We report a patient with complex traumatic translatory atlantoaxial dislocation, who we treated by joint exposure and reduction of the dislocation by facet manipulation and subsequent plate and screw atlantoaxial fixation. A 28-year-old male had fallen 7.6m (25 feet), and following the fall had severe neck pain but no neurological deficit. Investigations revealed a fracture at the base of the odontoid process and posterior displacement of the entire atlas over the axis, resulting in a translatory atlantoaxial dislocation. Head traction failed as he developed severe vertigo following its application. The patient was operated upon in a prone position. We opened the atlantoaxial joint and realigned the facets using distraction and manipulation techniques and secured the joint using a plate and screw interarticular method. The patient tolerated the treatment well and was symptom-free after 28 months. Postoperative images showed good craniovertebral alignment. Although technically challenging, direct manipulation of the facets of the atlas and axis can result in excellent craniovertebral realignment.

Reforming funding for chronic illness: Medicare-CDM.

PubMed

Swerissen, Hal; Taylor, Michael J

2008-02-01

Chronic diseases are a major challenge for the Australian health care system in terms of both the provision of quality care and expenditure, and these challenges will only increase in the future. Various programs have been instituted under the Medicare system to provide increased funding for chronic care, but essentially these programs still follow the traditional fee-for-service model. This paper proposes a realignment and extension of current Medicare chronic disease management programs into a framework that provides general practitioners and other health professionals with the necessary "tools" for high quality care planning and ongoing management, and incorporating international models of outcome-linked funding. The integration of social support services with the Medicare system is also a necessary step in providing high quality care for patients with complex needs requiring additional support.

Risk and uncertainty.

PubMed

Carter, Tony

2010-01-01

Volatile business conditions have led to drastic corporate downsizing, meaning organizations are expected to do more with less. Managers must be more knowledgeable and possess a more eclectic myriad of business skills, many of which have not even been seen until recently. Many internal and external changes have occurred to organizations that have dictated the need to do business differently. Changes such as technological advances; globalization; catastrophic business crises; a more frantic competitive climate; and more demanding, sophisticated customers are examples of some of the shifts in the external business environment. Internal changes to organizations have been in the form of reengineering, accompanied by structural realignments and downsizing; greater emphasis on quality levels in product and service output; faster communication channels; and a more educated, skilled employee base with higher expectations from management.

Audit Report. Quick-Reaction Report on the Review of Defense Base Closure and Realignment Budget Data for Carswell, Barksdale, Dyess, Minot, and Tinker Air Force Bases

DTIC Science & Technology

1992-11-27

for 10 construction pr~n’jcts for realigning Carswell AFB was not adeauately documented as required by Air Force Regulation (AFR) 86-1, " Programming ...Engineering Programming , Standard Facility Requirements." paragraph 24-70, allows for a total of 25,200 square feet of space for tne warehouse and...cantonment area, and replaced an existing capability. The fact that a replacement wash rack was previously programmed does not alter this requirement

Base Realignment and Closure: An Evolution for Harvesting Efficiencies

DTIC Science & Technology

2012-06-15

Master’s Thesis 3. DATES COVERED (From - To) 25-07-2011 to 15-06-2012 4. TITLE AND SUBTITLE Base Realignment and Closure: An Evolution for...made to c lo~e and rea l ign bases in a timely manner. ACKNOWLEDGEl\\IIENT Although one name appears on the cover of thi.s thesi ~. thi~ paper i the...wisdom to endure to the end. • M y fami ly ror your constcu1t encourugcment and support . • C’ A PT Joanne Fish. my thesi ~ advi!’>ur who provided the

Evaluation of a Gait Assessment Module Using 3D Motion Capture Technology

PubMed Central

Baskwill, Amanda J.; Belli, Patricia; Kelleher, Leila

2017-01-01

Background Gait analysis is the study of human locomotion. In massage therapy, this observation is part of an assessment process that informs treatment planning. Massage therapy students must apply the theory of gait assessment to simulated patients. At Humber College, the gait assessment module traditionally consists of a textbook reading and a three-hour, in-class session in which students perform gait assessment on each other. In 2015, Humber College acquired a three-dimensional motion capture system. Purpose The purpose was to evaluate the use of 3D motion capture in a gait assessment module compared to the traditional gait assessment module. Participants Semester 2 massage therapy students who were enrolled in Massage Theory 2 (n = 38). Research Design Quasi-experimental, wait-list comparison study. Intervention The intervention group participated in an in-class session with a Qualisys motion capture system. Main Outcome Measure(s) The outcomes included knowledge and application of gait assessment theory as measured by quizzes, and students’ satisfaction as measured through a questionnaire. Results There were no statistically significant differences in baseline and post-module knowledge between both groups (pre-module: p = .46; post-module: p = .63). There was also no difference between groups on the final application question (p = .13). The intervention group enjoyed the in-class session because they could visualize the content, whereas the comparison group enjoyed the interactivity of the session. The intervention group recommended adding the assessment of gait on their classmates to their experience. Both groups noted more time was needed for the gait assessment module. Conclusions Based on the results of this study, it is recommended that the gait assessment module combine both the traditional in-class session and the 3D motion capture system. PMID:28293329

Leadership skills teaching in Yorkshire & the Humber - a survey: uncovering, sharing, developing, embedding.

PubMed

Fowler, Iolanthe; Gill, Andy

2015-09-01

Medical leadership is a hot topic, but it is not known yet how to teach this most effectively. A working party of educators in Yorkshire and the Humber (Y&H) studied the leadership domains, as set out in the Medical Leadership Competency Framework and from this distilled a set of 'trainable' leadership skills, which were felt to be important to teach during general practitioner (GP) training. A questionnaire was sent out to a large GP educational community (educators and trainees) within Y&H to establish the following: (i) whether the distilled skills were thought to have face validity when applied to the concept of leadership, (ii) what was the relative importance of these skills in relation to each other and (iii) the degree to which these skills were already being taught in practice placements and at General Practice Specialty Training Programme (GPSTP) teaching sessions.Educators reported more teaching and training occurring than trainees reported receiving, and the relative importance of the skills sets were different between educators and trainees. It was evident that leadership skills are currently being taught, but that making training explicitly 'leadership', and raising the importance of leadership skills in GP, may address some of these imbalances. Educators requested guidance on how to teach these skills effectively and commented that many existing opportunities for leadership teaching and training are not well recognised or used. Routinely and regularly offering the chance for trainees at all levels to be exposed to leadership skills by role modelling, making use of everyday opportunities in practice to teach and encouraging trainee involvement in projects and opportunities to practice new skills can facilitate the acquisition and celebration of mastery of generic leadership skills.

Aligning USGS senior leadership structure with the USGS science strategy

USGS Publications Warehouse

,

2010-01-01

The U.S. Geological Survey (USGS) is realigning its management and budget structure to further enhance the work of its science programs and their interdisciplinary focus areas related to the USGS Science Strategy as outlined in 'Facing Tomorrow's Challenges-U.S. Geological Survey Science in the Decade 2007-2017' (U.S. Geological Survey, 2007). In 2007, the USGS developed this science strategy outlining major natural-science issues facing the Nation and focusing on areas where natural science can make a substantial contribution to the well being of the Nation and the world. These areas include global climate change, water resources, natural hazards, energy and minerals, ecosystems, and data integration.

Fossil Energy organization restructured

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

Not Available

The Department of Energy has restructured its fossil energy organization to accommodate increases in activity and visibility of the President's $2.5 billion clean coal technology initiative. The realignment also includes changes in the coal research and development program and in supporting staff functions. In the coal program, changes in the organization include the establishment of two associate deputy assistant secretaries, both reporting to the deputy Assistant Secretary for Coal Technology. One associate deputy assistant secretary will oversee the Clean Coal Technology Program. A second associate deputy assistant secretary will manage the coal research and development program. An organizational chart illustratesmore » the new fossil energy headquarters organization.« less

The Influence of Preprocessing Steps on Graph Theory Measures Derived from Resting State fMRI

PubMed Central

Gargouri, Fatma; Kallel, Fathi; Delphine, Sebastien; Ben Hamida, Ahmed; Lehéricy, Stéphane; Valabregue, Romain

2018-01-01

Resting state functional MRI (rs-fMRI) is an imaging technique that allows the spontaneous activity of the brain to be measured. Measures of functional connectivity highly depend on the quality of the BOLD signal data processing. In this study, our aim was to study the influence of preprocessing steps and their order of application on small-world topology and their efficiency in resting state fMRI data analysis using graph theory. We applied the most standard preprocessing steps: slice-timing, realign, smoothing, filtering, and the tCompCor method. In particular, we were interested in how preprocessing can retain the small-world economic properties and how to maximize the local and global efficiency of a network while minimizing the cost. Tests that we conducted in 54 healthy subjects showed that the choice and ordering of preprocessing steps impacted the graph measures. We found that the csr (where we applied realignment, smoothing, and tCompCor as a final step) and the scr (where we applied realignment, tCompCor and smoothing as a final step) strategies had the highest mean values of global efficiency (eg). Furthermore, we found that the fscr strategy (where we applied realignment, tCompCor, smoothing, and filtering as a final step), had the highest mean local efficiency (el) values. These results confirm that the graph theory measures of functional connectivity depend on the ordering of the processing steps, with the best results being obtained using smoothing and tCompCor as the final steps for global efficiency with additional filtering for local efficiency. PMID:29497372

Preoperative planning and intraoperative technique for accurate realignment of the Dwyer calcaneal osteotomy.

PubMed

Lamm, Bradley M; Gesheff, Martin G; Salton, Heather L; Dupuis, Travis W; Zeni, Ferras

2012-01-01

The Dwyer calcaneal osteotomy is an effective procedure for the correction of calcaneal varus deformity. However, no intraoperative method has been described to determine the amount of bone resection. We describe a simple intraoperative method for assuring accurate bone resection and measure the realignment effects of the Dwyer calcaneal osteotomy. We also review radiographic outcomes associated with 20 Dwyer calcaneal osteotomies (in 17 patients) using the intraoperative realignment technique described in this report. Preoperative and postoperative radiographs at a mean of 2.5 (range 1.5 to 5) years taken after Dwyer osteotomy were measured and compared, which revealed a mean reduction in calcaneal varus of 18° (range 2° to 36°) (p < .001), a mean decrease in the calcaneal inclination angle of 5° (range -40° to 7°) (p < .05), a mean decrease in medial calcaneal translation of 10 (range 0 to 18) mm (p < .001) relative to the tibia, and a mean dorsal translation of 2 (range 0 to 7) mm (p = .002). In an effort to attempt to structurally realign the calcaneus to a more rectus alignment, by means of Dwyer osteotomy, we recommend the use of the intraoperative bone wedge resection technique described in this report. Our experience with the patients described in this report demonstrates the usefulness of the intraoperative method that we describe in order to accurately restore the axial tibial and calcaneal relationship. Copyright © 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

The Influence of Preprocessing Steps on Graph Theory Measures Derived from Resting State fMRI.

PubMed

Gargouri, Fatma; Kallel, Fathi; Delphine, Sebastien; Ben Hamida, Ahmed; Lehéricy, Stéphane; Valabregue, Romain

2018-01-01

Resting state functional MRI (rs-fMRI) is an imaging technique that allows the spontaneous activity of the brain to be measured. Measures of functional connectivity highly depend on the quality of the BOLD signal data processing. In this study, our aim was to study the influence of preprocessing steps and their order of application on small-world topology and their efficiency in resting state fMRI data analysis using graph theory. We applied the most standard preprocessing steps: slice-timing, realign, smoothing, filtering, and the tCompCor method. In particular, we were interested in how preprocessing can retain the small-world economic properties and how to maximize the local and global efficiency of a network while minimizing the cost. Tests that we conducted in 54 healthy subjects showed that the choice and ordering of preprocessing steps impacted the graph measures. We found that the csr (where we applied realignment, smoothing, and tCompCor as a final step) and the scr (where we applied realignment, tCompCor and smoothing as a final step) strategies had the highest mean values of global efficiency (eg) . Furthermore, we found that the fscr strategy (where we applied realignment, tCompCor, smoothing, and filtering as a final step), had the highest mean local efficiency (el) values. These results confirm that the graph theory measures of functional connectivity depend on the ordering of the processing steps, with the best results being obtained using smoothing and tCompCor as the final steps for global efficiency with additional filtering for local efficiency.

Current management of male-to-female gender identity disorder in the UK.

PubMed

Tugnet, Nicola; Goddard, Jonathan Charles; Vickery, Richard M; Khoosal, Deenesh; Terry, Tim R

2007-10-01

Gender identity disorder (GID), or transsexualism as it is more commonly known, is a highly complex clinical entity. Although the exact aetiology of GID is unknown, several environmental, genetic and anatomical theories have been described. The diagnosis of GID can be a difficult process but is established currently using standards of care as defined by the Harry Benjamin International Gender Dysphoria Association. Patients go through extensive psychiatric assessment, including the Real Life Experience, which entails living in the desired gender role 24 h a day for a minimum period of 12 months. The majority of GID patients will eventually go on to have gender realignment surgery, which includes feminising genitoplasty. The clinical features, diagnostic approach and management of male-to-female GID in the UK are reviewed, including the behavioural, psychological and surgical aspects.

Current management of male‐to‐female gender identity disorder in the UK

PubMed Central

Tugnet, Nicola; Goddard, Jonathan Charles; Vickery, Richard M; Khoosal, Deenesh; Terry, Tim R

2007-01-01

Gender identity disorder (GID), or transsexualism as it is more commonly known, is a highly complex clinical entity. Although the exact aetiology of GID is unknown, several environmental, genetic and anatomical theories have been described. The diagnosis of GID can be a difficult process but is established currently using standards of care as defined by the Harry Benjamin International Gender Dysphoria Association. Patients go through extensive psychiatric assessment, including the Real Life Experience, which entails living in the desired gender role 24 h a day for a minimum period of 12 months. The majority of GID patients will eventually go on to have gender realignment surgery, which includes feminising genitoplasty. The clinical features, diagnostic approach and management of male‐to‐female GID in the UK are reviewed, including the behavioural, psychological and surgical aspects. PMID:17916872

The long view: how the financial downturn will change health care.

PubMed

Moore, Keith; Coddington, Dean; Byrne, Deirdre

2009-01-01

There are five reasons that today's economic downturn will have a much broader impact on U.S. health care than did past recessions: This downturn is likely to be more severe and last longer. Healthcare organizations are experiencing problems from several directions simultaneously. Healthcare organizations entered this downturn more heavily leveraged and more vulnerable. This downturn is notjust a recession, but a major realignment for financing practices. As the realignment occurs and the new financing order sorts itself out, healthcare organizations are not likely to receive the favorable treatment they had in the past.

Unsuccessful outcomes after posterior urethroplasty.

PubMed

Engel, Oliver; Fisch, Margit

2015-03-01

Posterior urethroplasty is the most common strategy for the treatment of post-traumatic urethral injuries. Especially in younger patients, post-traumatic injuries are a common reason for urethral strictures caused by road traffic accidents, with pelvic fracture or direct trauma to the perineum. In many cases early endoscopic realignment is the first attempt to restore the junction between proximal and distal urethra, but in some cases primary realignment is not possible or not enough to treat the urethral injury. In these cases suprapubic cystostomy alone and delayed repair by stricture excision and posterior urethroplasty is an alternative procedure to minimise the risk of stricture recurrence.

Community Environmental Response Facilitation Act (CERFA) report, Fort Holabird Crime Records Center, Baltimore, Maryland

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

Not Available

Public Laws designated more than 100 Department of Army facilities for closure and realignment. As a result, it became necessary to expedite the environmental investigation and cleanup process, as necessary, prior to the release and reuse of Army Base Realignment and Closure (BRAC) property. The BRAC environmental restoration program was established in 1989 with the first round (BRAC 88) of base closures and continued with subsequent rounds (BRAC 91, BRAC 93, etc.). As a result of the BRAC program, Fort Holabird Crime Records Center has been investigated to determine its environmental condition.

Defense Base Realignment and Closure Budget Data for Closing Naval Station Charleston, South Carolina, and Realigning Projects at Various Sites

DTIC Science & Technology

1995-03-15

Charleston, SC Naval Submarine Base Kings Bay, GA Naval Weapons Station Charleston, SC Naval Reserve Force, New Orleans, LA Naval Reserve Readiness...2.0X3.2 2.0X3.0 Chut cabin« 2 2.0X5.0 2.0X5.0 Chair 2 2.6X2.8 2.6X3.0 CoSae -IaM« 1 2.2X4.0...working space for the Administrative Diviiion Officer. Correspondence Supervisor. Correspondence desk, Word Processin» de *. TAD/ Security Clerk, and

Internal Versus External Fixation of Charcot Midfoot Deformity Realignment.

PubMed

Lee, Daniel J; Schaffer, Joseph; Chen, Tien; Oh, Irvin

2016-07-01

Internal and external fixation techniques have been described for realignment and arthrodesis of Charcot midfoot deformity. There currently is no consensus on the optimal method of surgical reconstruction. This systematic review compared the clinical results of surgical realignment with internal and external fixation, specifically in regard to return to functional ambulation, ulcer occurrence, nonunion, extremity amputation, unplanned further surgery, deep infection, wound healing problems, peri- or intraoperative fractures, and total cases with any complication. A search of multiple databases for all relevant articles published from January 1, 1990, to March 22, 2014, was performed. A logistic regression model evaluated each of the outcomes and its association with the type of fixation method. The odds of returning to functional ambulation were 25% higher for internal fixation (odds ratio [OR], 1.259). Internal fixation had a 42% reduced rate of ulcer occurrence (OR, 0.578). External fixation was 8 times more likely to develop radiographic nonunion than internal fixation (OR, 8.2). Internal fixation resulted in a 1.5-fold increase in extremity amputation (OR, 1.488), a 2-fold increase in deep infection (OR, 2.068), a 3.4-fold increase in wound healing complications (OR, 3.405), and a 1.5-fold increase in the total number of cases experiencing any complication (OR, 1.525). This was associated with a 20% increase in the need for unplanned further surgery with internal fixation (OR, 1.221). Although internal fixation may decrease the risk of nonunion and increase return to functional ambulation, it had a higher rate of overall complications than external fixation for realignment and arthrodesis of Charcot midfoot deformity. [Orthopedics. 2016; 39(4):e595-e601.]. Copyright 2016, SLACK Incorporated.

[Endoscopic realignment with drainage via a peel-away sheath for the treatment of urethral rupture: A report of 21 cases].

PubMed

Han, Cong-Xiang; Xu, Wei-Jie; Li, Wei; Yu, Zhong-Ying; Li, Jin-Yu; Lin, Xia-Cong; Zhao, Li

2016-07-01

To study the clinical effect endoscopic realignment with drainage via a peel-away sheath in the treatment of urethral rupture. We treated 21 urethral rupture patients by endoscopic realignment with drainage via a peel-away sheath using normal saline for irrigation under the normal nephroscope or Li Xun nephroscope, followed by analysis of the clinical results. The operation was successfully accomplished in 20 cases but failed in 1 and none experienced urinary extravasation. In the 14 cases of bulbar urethral rupture, the mean operation time was (5.1±1.6) min and the mean Foley catheter indwelling time was (26.0±5.1) d. Urethral stricture developed in 57.1% (8/14) of the cases after catheter removal, of which 1 was cured by internal urethrotomy and the other 7 by urethral sound dilation, with an average maximum urinary flow rate of (18.8±1.8) ml/s at 12 months after operation. In the 6 cases of posterior urethral rupture, the mean operation time was (15.8±7.5) min and the mean Foley catheter indwelling time was 8 weeks. Urethral stricture developed in all the 6 cases after catheter removal, of which 3 cases were cured by urethral dilation, 1 by internal urethrotomy, and 2 by open urethroplasty. The average maxium urinary flow rate of the 4 cases exempt from open surgery was (17.9±1.9) ml/s at 12 months after operation. Endoscopic realignment with drainage via a peel-away sheath can keep the operative field clear, avoid intraoperative rinse extravasation, shorten the operation time, improve the operation success rate, and achieve satisfactory early clinical outcomes in the treatment of either bulbar or posterior urethral rupture.

[Early operative treatment of pelvic fractures associated with urethral disruption].

PubMed

Jia, Jian; Guo, Lu-Zeng; Wu, Chang-Lin; Chen, Jia-Geng; Zhang, Tie-Liang; Pei, Fu-Xing

2007-02-15

To evaluate the early operative treatment and clinical results of pelvic fractures associated with urethra disruption. From January 1995 to January 2005, 25 patients suffered from pelvic fractures combined urethra disruption treated by operation were retrospectively analyzed. According to Tile's classification, 1 case was stable pelvic fracture, 17 rotational unstable fractures, and 7 rotational combined vertical unstable fractures. The complete urethra rupture were in 23 cases and incomplete in 2 cases. The operative methods included: (1) emergency open reduction and internal fixation of the pelvis combined primary urethra suturing in 2 cases, partial suturing after realignment in 4 cases, realignment in 2 cases, and urethrovaginal penetrating wound repairing in 1 case; (2) primary urethra realignment only and delayed (range, 7 to 21 days) pelvic internal fixation in 10 cases; (3) early cystostomy and delayed (range, 3 to 21 days) urethra realignment and pelvic internal fixation in 6 cases. The mean follow-up time of all patients was 34 months (range from 6 to 120 months). According to Majeed's evaluation, 17 cases of pelvic injury showed excellent results, 5 good, and 3 fare. After urinary catheter removed, the mean maximal urine flow rate of 19 (76%) patients was 18.6 ml/s and the mean scar length between both disrupted ends on the film of excretion urethrography was 0.51 cm. Five (20%) cases suffered in dysuria needed urethral dilatation or further surgery. One (4%) female could not control urination who need a second-look operation. The primary suprapubic soft tissue avulsion wound infection secondary to retropubic abscess was found in 1 case, posterior urethra-stenosis in 5 cases, sexual impotence in 3 cases, and incontinence in 1 case. The satisfactory reduction and effective fixation of the pelvic fractures is an anatomical basis for receiving "tension-free urethral anastomosis".

Operational approaches to managing forests of the future in Mediterranean regions within a context of changing climates

NASA Astrophysics Data System (ADS)

Stephens, Scott L.; Millar, Constance I.; Collins, Brandon M.

2010-04-01

Many US forest managers have used historical ecology information to assist in the development of desired conditions. While there are many important lessons to learn from the past, we believe that we cannot rely on past forest conditions to provide us with blueprints for future management. To respond to this uncertainty, managers will be challenged to integrate adaptation strategies into plans in response to changing climates. Adaptive strategies include resistance options, resilience options, response options, and realignment options. Our objectives are to present ideas that could be useful in developing plans under changing climates that could be applicable to forests with Mediterranean climates. We believe that managing for species persistence at the broad ecoregion scale is the most appropriate goal when considering the effects of changing climates. Such a goal relaxes expectations that current species ranges will remain constant, or that population abundances, distribution, species compositions and dominances should remain stable. Allowing fundamental ecosystem processes to operate within forested landscapes will be critical. Management and political institutions will have to acknowledge and embrace uncertainty in the future since we are moving into a time period with few analogs and inevitably, there will be surprises.

Priority setting for invasive species management: risk assessment of Ponto-Caspian invasive species into Great Britain.

PubMed

Gallardo, Belinda; Aldridge, David C

2013-03-01

Invasive species drive important ecological and economic losses across wide geographies, with some regions supporting especially large numbers of nonnative species and consequently suffering relatively high impacts. For this reason, integrated risk assessments able to screen a suite of multiple invaders over large geographic areas are needed for prioritizing the allocation of limited resources. A total of 16 Ponto-Caspian aquatic species (10 gammarids, one isopod, two mysids, and three fishes) have been short-listed as recent or potential future invaders of British waters, whose introduction and spread is of high concern. In this study, we use multiple modeling techniques to assess their risk of establishment and spread into Great Britain. Climate suitability maps for these 16 species differed depending on the eastern and western distribution of species in continental Europe, which was related to their respective migration corridor: southern (Danube-Rhine rivers), and northern (Don and Volga rivers and Baltic lakes). Species whose suitability was high across large parts of Great Britain included four gammarids (Cheliorophium robustum, Dikerogammarus bispinosus, D. villosus, and Echinogammarus trichiatus) and a mysid (Hemimysis anomala). A climatic "heat map" combining the results of all 16 species together pointed to the southeast of England as the area most vulnerable to multiple invasions, particularly the Thames, Anglian, Severn, and Humber river basin districts. Regression models further suggested that alkalinity concentration > 120 mg/L in southeast England may favor the establishment of Ponto-Caspian invaders. The production of integrated risk maps for future invaders provides a means for the scientifically informed prioritization of resources toward particular species and geographic regions. Such tools have great utility in helping environmental managers focus efforts on the most effective prevention, management, and monitoring programs.

Management of acute unstable acromioclavicular joint injuries.

PubMed

Cisneros, Luis Natera; Reiriz, Juan Sarasquete

2016-12-01

Surgical management of acute unstable acromioclavicular joint injuries should be focused on realigning the torn ends of the ligaments to allow for healing potential. The most widely utilized treatment methods incorporate the use of metal hardware, which can alter the biomechanics of the acromioclavicular joint. This leads to a second surgical procedure for hardware removal once the ligaments have healed. Patients with unstable acromioclavicular joint injuries managed with arthroscopy-assisted procedures have shown good and excellent clinical outcomes, without the need for a second operation. These procedures incorporate a coracoclavicular suspension device aimed to function as an internal brace, narrowing the coracoclavicular space thus allowing for healing of the torn coracoclavicular ligaments. The lesser morbidity of a minimally invasive approach and the possibility to diagnose and treat concomitant intraarticular injuries; no obligatory implant removal, and the possibility of having a straight visualization of the inferior aspect of the base of the coracoid (convenient when placing coracoclavicular fixation systems) are the main advantages of the arthroscopic approach over classic open procedures. This article consists on a narrative review of the literature in regard to the management of acute acromioclavicular joint instability.

Influence of Visual Prism Adaptation on Auditory Space Representation.

PubMed

Pochopien, Klaudia; Fahle, Manfred

2017-01-01

Prisms shifting the visual input sideways produce a mismatch between the visual versus felt position of one's hand. Prism adaptation eliminates this mismatch, realigning hand proprioception with visual input. Whether this realignment concerns exclusively the visuo-(hand)motor system or it generalizes to acoustic inputs is controversial. We here show that there is indeed a slight influence of visual adaptation on the perceived direction of acoustic sources. However, this shift in perceived auditory direction can be fully explained by a subconscious head rotation during prism exposure and by changes in arm proprioception. Hence, prism adaptation does only indirectly generalize to auditory space perception.

Prism adaptation in alternately exposed hands.

PubMed

Redding, Gordon M; Wallace, Benjamin

2013-08-01

We assessed intermanual transfer of the proprioceptive realignment aftereffects of prism adaptation in right-handers by examining alternate target pointing with the two hands for 40 successive trials, 20 with each hand. Adaptation for the right hand was not different as a function of exposure sequence order or postexposure test order, in contrast with adaptation for the left hand. Adaptation was greater for the left hand when the right hand started the alternate pointing than when the sequence of target-pointing movements started with the left hand. Also, the largest left-hand adaptation appeared when that hand was tested first after exposure. Terminal error during exposure varied in cycles for the two hands, converging on zero when the right hand led, but no difference appeared between the two hands when the left hand led. These results suggest that transfer of proprioceptive realignment occurs from the right to the left hand during both exposure and postexposure testing. Such transfer reflects the process of maintaining spatial alignment between the two hands. Normally, the left hand appears to be calibrated with the right-hand spatial map, and when the two hands are misaligned, the left-hand spatial map is realigned with the right-hand spatial map.

Study on advanced information processing system

NASA Technical Reports Server (NTRS)

Shin, Kang G.; Liu, Jyh-Charn

1992-01-01

Issues related to the reliability of a redundant system with large main memory are addressed. In particular, the Fault-Tolerant Processor (FTP) for Advanced Launch System (ALS) is used as a basis for our presentation. When the system is free of latent faults, the probability of system crash due to nearly-coincident channel faults is shown to be insignificant even when the outputs of computing channels are infrequently voted on. In particular, using channel error maskers (CEMs) is shown to improve reliability more effectively than increasing the number of channels for applications with long mission times. Even without using a voter, most memory errors can be immediately corrected by CEMs implemented with conventional coding techniques. In addition to their ability to enhance system reliability, CEMs--with a low hardware overhead--can be used to reduce not only the need of memory realignment, but also the time required to realign channel memories in case, albeit rare, such a need arises. Using CEMs, we have developed two schemes, called Scheme 1 and Scheme 2, to solve the memory realignment problem. In both schemes, most errors are corrected by CEMs, and the remaining errors are masked by a voter.

Study on fault-tolerant processors for advanced launch system

NASA Technical Reports Server (NTRS)

Shin, Kang G.; Liu, Jyh-Charn

1990-01-01

Issues related to the reliability of a redundant system with large main memory are addressed. The Fault-Tolerant Processor (FTP) for the Advanced Launch System (ALS) is used as a basis for the presentation. When the system is free of latent faults, the probability of system crash due to multiple channel faults is shown to be insignificant even when voting on the outputs of computing channels is infrequent. Using channel error maskers (CEMs) is shown to improve reliability more effectively than increasing redundancy or the number of channels for applications with long mission times. Even without using a voter, most memory errors can be immediately corrected by those CEMs implemented with conventional coding techniques. In addition to their ability to enhance system reliability, CEMs (with a very low hardware overhead) can be used to dramatically reduce not only the need of memory realignment, but also the time required to realign channel memories in case, albeit rare, such a need arises. Using CEMs, two different schemes were developed to solve the memory realignment problem. In both schemes, most errors are corrected by CEMs, and the remaining errors are masked by a voter.

Effects of surgical intervention on trochlear remodeling in pediatric patients with recurrent patella dislocation cases.

PubMed

Sugimoto, Dai; Christino, Melissa A; Micheli, Lyle J

2016-07-01

Patella instability is often encountered among physically active pediatric athletes, and surgical intervention is useful in cases with recurrent patella dislocations, chronic instability, and abnormal alignment. Several surgical procedures have been used for patella-realignment and stabilization, but the effects of surgical intervention on bony trochlear remodeling in skeletally immature patients have not been well studied. We thus present two cases of pediatric recurrent patella dislocations that showed trochlear remodeling following patella-realignment surgery. The first case describes an 11-year-old female treated with a Roux-Golthwait procedure and the second case highlights a 12-year-old male treated with lateral release and medial capsular reefing. The Merchant technique, a radiographic criterion that was designed to evaluate patella alignment in relation to the femoral trochlea groove, including sulcus and congruence angles was used to measure postoperative bony development. Both pediatric patients showed successful outcomes following surgical interventions for chronic patella instability. Using the Merchant technique, both patients showed improved congruence and sulcus angles postoperatively. Patella realignment in skeletally immature patients may be beneficial for promoting trochlear remodeling and deepening of the trochlear groove, which may help protect against future dislocation or subluxation events. Level IV, case report.

Cleanups In My Community (CIMC) - RCRA and Base Realignment and Closure (BRAC) Federal Facilities, National Layer

EPA Pesticide Factsheets

This data layer provides access to Resource Conservation and Recovery Act (RCRA) Base Realignment and Closure (BRAC) sites as part of the CIMC web service. The Resource Conservation and Recovery Act, among other things, helps ensure that wastes are managed in an environmentally sound manner so as to protect human health and the environment from the potential hazards of waste disposal.In particular RCRA tightly regulates all hazardous waste from cradle to grave. In general, all generators, transporters, treaters, storers, and disposers of hazardous waste are required to provide information about their activities to state environmental agencies. These agencies, in turn pass on the information to regional and national EPA offices. Accidents or other activities at facilities that treat, store or dispose of hazardous wastes have sometimes led to the release of hazardous waste or hazardous constituents into soil, ground water, surface water, or air. When that happens, the RCRA Corrective Action program is one program that may be used to accomplish the necessary cleanup.This data layer shows those RCRA sites that are located at BRAC Federal Facilities. Additional RCRA sites and other BRAC sites (those that are not RCRA sites) are included in other data layers as part of this web service.Note: RCRA facilities which are not undergoing corrective action are not considered ??Cleanups?? in Cleanups in My Community. The complete set of RCRA facilities can be accessed via

Participatory Development and Analysis of a Fuzzy Cognitive Map of the Establishment of a Bio-Based Economy in the Humber Region

PubMed Central

Penn, Alexandra S.; Knight, Christopher J. K.; Lloyd, David J. B.; Avitabile, Daniele; Kok, Kasper; Schiller, Frank; Woodward, Amy; Druckman, Angela; Basson, Lauren

2013-01-01

Fuzzy Cognitive Mapping (FCM) is a widely used participatory modelling methodology in which stakeholders collaboratively develop a ‘cognitive map’ (a weighted, directed graph), representing the perceived causal structure of their system. This can be directly transformed by a workshop facilitator into simple mathematical models to be interrogated by participants by the end of the session. Such simple models provide thinking tools which can be used for discussion and exploration of complex issues, as well as sense checking the implications of suggested causal links. They increase stakeholder motivation and understanding of whole systems approaches, but cannot be separated from an intersubjective participatory context. Standard FCM methodologies make simplifying assumptions, which may strongly influence results, presenting particular challenges and opportunities. We report on a participatory process, involving local companies and organisations, focussing on the development of a bio-based economy in the Humber region. The initial cognitive map generated consisted of factors considered key for the development of the regional bio-based economy and their directional, weighted, causal interconnections. A verification and scenario generation procedure, to check the structure of the map and suggest modifications, was carried out with a second session. Participants agreed on updates to the original map and described two alternate potential causal structures. In a novel analysis all map structures were tested using two standard methodologies usually used independently: linear and sigmoidal FCMs, demonstrating some significantly different results alongside some broad similarities. We suggest a development of FCM methodology involving a sensitivity analysis with different mappings and discuss the use of this technique in the context of our case study. Using the results and analysis of our process, we discuss the limitations and benefits of the FCM methodology in this case and in general. We conclude by proposing an extended FCM methodology, including multiple functional mappings within one participant-constructed graph. PMID:24244303

Infection of sea lamprey with an unusual strain of Aeromonas salmonicida

USGS Publications Warehouse

Diamanka, Arfang; Loch, Thomas P.; Cipriano, Rocco C.; Winters, Andrew D.; Faisal, Mohamed

2014-01-01

The invasion of the Laurentian Great Lakes by the fish-parasitic sea lamprey has led to catastrophic consequences, including the potential introduction of fish pathogens. Aeromonas salmonicida is a bacterial fish pathogen that causes devastating losses worldwide. Currently, there are five accepted subspecies of Aeromonas salmonicida: A. salmonicida subsp. salmonicida, masoucida, smithia, achromogenes, and pectinolytica. We discuss the discovery of an isolate of A. salmonicida that is pathogenic to rainbow trout (Oncorhynchus mykiss) and exhibits unique phenotypic and molecular characteristics. We examined 181 adult sea lamprey (Petromyzon marinus) from the Humber River (Lake Ontario watershed) and 162 adult sea lamprey from Duffins Creek (Lake Ontario watershed) during the spring seasons of 2005–11. Among those, 4/343 (1.2%) sea lamprey were culture positive for A. salmonicida, whereby biochemical and molecular studies identified three of the isolates as A. salmonicida subsp. salmonicida. The remaining isolate (As-SL1) recovered from Humber River sea lamprey was phenotypically more similar to A. salmonicida subsp. salmonicida than to the four other A. salmonicida subspecies. However, unlike A. salmonicida subsp. salmonicida, As-SL1 was sucrose positive, produced an acid-over-acid reaction on triple-sugar iron medium and did not amplify with A. salmonicida subsp. salmonicida specific primers. Phylogenetic analysis based on partial stretches of the 16S rRNA and DNA gyrase subunit B genes further confirmed that the As-SL1 isolate was not A. salmonicida subsp. masoucida, smithia, achromogenes, or pectinolytica. Based on our analyses, the As-SL1 isolate is either an unusual strain of A. salmonicida subsp. salmonicida or a novel A. salmonicida subspecies. The four A. salmonicida isolates that were recovered from sea lamprey were pathogenic to rainbow trout in experimental challenge studies. Our study also underscores the potential role of sea lamprey in the ecology of infectious fish diseases.

Infection of sea lamprey with an unusual strain of Aeromonas salmonicida.

PubMed

Diamanka, Arfang; Loch, Thomas P; Cipriano, Rocco C; Winters, Andrew D; Faisal, Mohamed

2014-04-01

The invasion of the Laurentian Great Lakes by the fish-parasitic sea lamprey has led to catastrophic consequences, including the potential introduction of fish pathogens. Aeromonas salmonicida is a bacterial fish pathogen that causes devastating losses worldwide. Currently, there are five accepted subspecies of Aeromonas salmonicida: A. salmonicida subsp. salmonicida, masoucida, smithia, achromogenes, and pectinolytica. We discuss the discovery of an isolate of A. salmonicida that is pathogenic to rainbow trout (Oncorhynchus mykiss) and exhibits unique phenotypic and molecular characteristics. We examined 181 adult sea lamprey (Petromyzon marinus) from the Humber River (Lake Ontario watershed) and 162 adult sea lamprey from Duffins Creek (Lake Ontario watershed) during the spring seasons of 2005-11. Among those, 4/343 (1.2%) sea lamprey were culture positive for A. salmonicida, whereby biochemical and molecular studies identified three of the isolates as A. salmonicida subsp. salmonicida. The remaining isolate (As-SL1) recovered from Humber River sea lamprey was phenotypically more similar to A. salmonicida subsp. salmonicida than to the four other A. salmonicida subspecies. However, unlike A. salmonicida subsp. salmonicida, As-SL1 was sucrose positive, produced an acid-over-acid reaction on triple-sugar iron medium and did not amplify with A. salmonicida subsp. salmonicida specific primers. Phylogenetic analysis based on partial stretches of the 16S rRNA and DNA gyrase subunit B genes further confirmed that the As-SL1 isolate was not A. salmonicida subsp. masoucida, smithia, achromogenes, or pectinolytica. Based on our analyses, the As-SL1 isolate is either an unusual strain of A. salmonicida subsp. salmonicida or a novel A. salmonicida subspecies. The four A. salmonicida isolates that were recovered from sea lamprey were pathogenic to rainbow trout in experimental challenge studies. Our study also underscores the potential role of sea lamprey in the ecology of infectious fish diseases.

Diseases in North Sea fishes

NASA Astrophysics Data System (ADS)

Dethlefsen, V.

1984-03-01

Prior to the studies reviewed here, only lymphocystis and skeletal deformities of a variety of fish species and certain diseases of eel were known to occur in the German Bight (North Sea). From 1977 until now, 9 externally visible lesions on North Sea fishes were observed; in addition to those mentioned before, they comprise: fin rot, ulcerations, epidermal papilloma, hyperplasia, pseudobranchial tumour, eye diseases and gill swellings. With the exception of information on changes in frequencies of vertebral deformities of herring from the 1950's to the 1970's, there are no long-term data characterizing changes in frequencies of the diseases under study. For pseudobranchial tumours of cod and epidermal papilloma of dab, information is provided on occurrence and abundance. The distribution pattern of cod afflicted with pseudobranchial tumours is strongly influenced by the migratory behaviour of the fish. Epidermal papillomas of dab were more frequently found at stations within the inner German Bight than in neighbouring areas. The Bight is used for dumping of wastes from titaniumdioxide production. Further disease hot spots are areas off the Humber estuary and the British coast. Analysis of chromium in dab from the German Bight revealed elevated concentrations in epidermal tissues of specimens from the dumping area compared with that found in dab from neighbouring localities. Particulate iron was demonstrated to occur in mucous cells of dab from the dumping area. From increased levels of heavy metals with cancerogenic potential in sensitive target tissues and from increased prevalences of diseased fish in the dumping area it is concluded that these phenomena are possibly causally linked. In the vicinity of the Humber estuary high disease rates were encountered and areas with high prevalences of dab afflicted with epidermal papilloma extended over regions shown to be transport routes for persistent pollutants such as radioactive materials. It is therefore suggested that the long-range distribution of fish diseases in the southern North Sea might reflect the long-range transport of persistent pollutants.

Effect of fiber distribution and realignment on the nonlinear and inhomogeneous mechanical properties of human supraspinatus tendon under longitudinal tensile loading.

PubMed

Lake, Spencer P; Miller, Kristin S; Elliott, Dawn M; Soslowsky, Louis J

2009-12-01

Tendon exhibits nonlinear stress-strain behavior that may be partly due to movement of collagen fibers through the extracellular matrix. While a few techniques have been developed to evaluate the fiber architecture of other soft tissues, the organizational behavior of tendon under load has not been determined. The supraspinatus tendon (SST) of the rotator cuff is of particular interest for investigation due to its complex mechanical environment and corresponding inhomogeneity. In addition, SST injury occurs frequently with limited success in treatment strategies, illustrating the need for a better understanding of SST properties. Therefore, the objective of this study was to quantitatively evaluate the inhomogeneous tensile mechanical properties, fiber organization, and fiber realignment under load of human SST utilizing a novel polarized light technique. Fiber distributions were found to become more aligned under load, particularly during the low stiffness toe-region, suggesting that fiber realignment may be partly responsible for observed nonlinear behavior. Fiber alignment was found to correlate significantly with mechanical parameters, providing evidence for strong structure-function relationships in tendon. Human SST exhibits complex, inhomogeneous mechanical properties and fiber distributions, perhaps due to its complex loading environment. Surprisingly, histological grade of degeneration did not correlate with mechanical properties.

Tissue Strain Reorganizes Collagen With a Switchlike Response That Regulates Neuronal Extracellular Signal-Regulated Kinase Phosphorylation In Vitro: Implications for Ligamentous Injury and Mechanotransduction

PubMed Central

Zhang, Sijia; Cao, Xuan; Stablow, Alec M.; Shenoy, Vivek B.; Winkelstein, Beth A.

2016-01-01

Excessive loading of ligaments can activate the neural afferents that innervate the collagenous tissue, leading to a host of pathologies including pain. An integrated experimental and modeling approach was used to define the responses of neurons and the surrounding collagen fibers to the ligamentous matrix loading and to begin to understand how macroscopic deformation is translated to neuronal loading and signaling. A neuron-collagen construct (NCC) developed to mimic innervation of collagenous tissue underwent tension to strains simulating nonpainful (8%) or painful ligament loading (16%). Both neuronal phosphorylation of extracellular signal-regulated kinase (ERK), which is related to neuroplasticity (R2 ≥ 0.041; p ≤ 0.0171) and neuronal aspect ratio (AR) (R2 ≥ 0.250; p < 0.0001), were significantly correlated with tissue-level strains. As NCC strains increased during a slowly applied loading (1%/s), a “switchlike” fiber realignment response was detected with collagen reorganization occurring only above a transition point of 11.3% strain. A finite-element based discrete fiber network (DFN) model predicted that at bulk strains above the transition point, heterogeneous fiber strains were both tensile and compressive and increased, with strains in some fibers along the loading direction exceeding the applied bulk strain. The transition point identified for changes in collagen fiber realignment was consistent with the measured strain threshold (11.7% with a 95% confidence interval of 10.2–13.4%) for elevating ERK phosphorylation after loading. As with collagen fiber realignment, the greatest degree of neuronal reorientation toward the loading direction was observed at the NCC distraction corresponding to painful loading. Because activation of neuronal ERK occurred only at strains that produced evident collagen fiber realignment, findings suggest that tissue strain-induced changes in the micromechanical environment, especially altered local collagen fiber kinematics, may be associated with mechanotransduction signaling in neurons. PMID:26549105

Pelvic fracture urethral injuries: the unresolved controversy.

PubMed

Koraitim, M M

1999-05-01

The unresolved controversies about pelvic fracture urethral injuries and whether any conclusions can be reached to develop a treatment plan for this lesion are determined. All data on pelvic fracture urethral injuries in the English literature for the last 50 years were critically analyzed. Studies were eligible only if data were complete and conclusive. The risk of urethral injury is influenced by the number of broken pubic rami as well as involvement of the sacroiliac joint. Depending on the magnitude of trauma, the membranous urethra is first stretched and then partially or completely ruptured at the bulbomembranous junction. Injuries to the prostatic urethra and bladder neck occur only in children. Injury to the female urethra usually is a partial tear of the anterior wall and rarely complete disruption of the proximal or distal urethra. Diagnosis depends on urethrography in men and on a high index of suspicion and urethroscopy in women. Of the 3 conventional treatment methods primary suturing of the disrupted urethral ends has the greatest complication rates of incontinence and impotence (21 and 56%, respectively). Primary realignment has double the incidence of impotence and half that of stricture compared to suprapubic cystostomy and delayed repair (36 versus 19 and 53 versus 97%, respectively, p <0.0001). In men surgical and endoscopic procedures do not compete but rather complement each other for treatment of different injuries under different circumstances, including indwelling catheter for urethral stretch injury, endoscopic stenting or suprapubic cystostomy for partial rupture, endoscopic realignment or suprapubic cystostomy for complete rupture with a minimal distraction defect and surgical realignment if the distraction defect is wide. Associated injury to the bladder, bladder neck or rectum dictates immediate exploration for repair but does not necessarily indicate exploration of the urethral injury site. In women treatment modalities are dictated by the level of urethral injury, including immediate retropubic realignment or suturing for proximal and transvaginal urethral advancement for distal injury.

Combined Orthodontic and Surgical Approach in the Correction of a Class III Skeletal Malocclusion with Mandibular Prognathism and Vertical Maxillary Excess Using Bimaxillary Osteotomy.

PubMed

Jose Cherackal, George; Thomas, Eapen; Prathap, Akhilesh

2013-01-01

For patients whose orthodontic problems are so severe that neither growth modification nor camouflage offers a solution, surgery to realign the jaws or reposition dentoalveolar segments is the only possible treatment. Surgery is not a substitute for orthodontics in these patients. Instead, it must be properly coordinated with orthodontics and other dental treatments to achieve good overall results. Dramatic progress in recent years has made it possible for combined surgical orthodontic treatment to be carried out successfully for patients with a severe dentofacial problem of any type. This case report provides an overview of the current treatment methodology in managing a combination of asymmetrical mandibular prognathism and vertical maxillary excess.

Community Environmental Response Facilitation Act (CERFA) report, Fort George G. Mead, Maryland. Final report

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

Schultheisz, D.; Ward, L.

1994-04-01

This report presents the results of the Community Environmental Response Facilitation Act (CERFA) investigation conducted by Environmental Resources Management (ERM) at Fort George G. Meade (FGGM), a U.S. Government property selected for closure by the Base Realignment and Closure (BRAC) Commission. Under CERFA, Federal agencies are required to expeditiously identify real property that can be immediately reused and redeveloped. Satisfying this objective requires the identification of real property where no hazardous substances or petroleum products, regulated by the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), were stored for one year or more, known to have been released, or disposed.more » Fort George G. Meade, CERFA, Base closure, BRAC.« less

The Impact of Osseous Malalignment and Realignment Procedures in Knee Ligament Surgery: A Systematic Review of the Clinical Evidence.

PubMed

Tischer, Thomas; Paul, Jochen; Pape, Dietrich; Hirschmann, Michael T; Imhoff, Andreas B; Hinterwimmer, Stefan; Feucht, Matthias J

2017-03-01

Failure rates of knee ligament surgery may be high, and the impact of osseous alignment on surgical outcome remains controversial. Basic science studies have demonstrated that osseous malalignment can negatively affect ligament strain and that realignment procedures may improve knee joint stability. The purpose of this review was to summarize the clinical evidence concerning the impact of osseous malalignment and realignment procedures in knee ligament surgery. The hypotheses were that lower extremity malalignment would be an important contributor to knee ligament surgery failure and that realignment surgery would contribute to increased knee stability and improved outcome in select cases. Systematic review; Level of evidence, 4. According to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic electronic search of the PubMed database was performed in November 2015 to identify clinical studies investigating (A) the influence of osseous alignment on postoperative stability and/or failure rates after knee ligament surgery and (B) the impact of osseous realignment procedures in unstable knees with or without additional knee ligament surgery on postoperative knee function and stability. Methodological quality of the studies was assessed using the Oxford Centre for Evidence-Based Medicine Levels of Evidence and the Coleman Methodological Score (CMS). Of the 1466 potentially relevant articles, 28 studies fulfilled the inclusion and exclusion criteria. Average study quality was poor (CMS, 40). For part A, studies showed increased rerupture rate after anterior cruciate ligament (ACL) replacement in patients with increased tibial slope. Concerning the posterior cruciate ligament (PCL)/posterolateral corner (PLC)/lateral collateral ligament (LCL), varus malalignment was considered a significant risk factor for failure. For part B, studies showed decreased anterior tibial translation after slope-decreasing high tibial osteotomy in ACL-deficient knees. Correcting varus malalignment in PCL/PLC/LCL instability also showed increased stability and better outcomes. In cases of complex knee instability, the 3-dimensional osseous alignment of the knee should be considered (eg, mechanical weightbearing line and tibial slope). In cases of failed ACL reconstruction, the tibial slope should be considered, and slope-reducing osteotomies are often helpful in the patient revised multiple times. In cases of chronic PCL and/or PLC instability, osseous correction of the varus alignment may reduce the failure rate and is often the first step in treatment. Changes in the mechanical axis should be considered in all cases of instability accompanied by early unicompartmental osteoarthritis.

The Impact of Osseous Malalignment and Realignment Procedures in Knee Ligament Surgery: A Systematic Review of the Clinical Evidence

PubMed Central

Tischer, Thomas; Paul, Jochen; Pape, Dietrich; Hirschmann, Michael T.; Imhoff, Andreas B.; Hinterwimmer, Stefan; Feucht, Matthias J.

2017-01-01

Background: Failure rates of knee ligament surgery may be high, and the impact of osseous alignment on surgical outcome remains controversial. Basic science studies have demonstrated that osseous malalignment can negatively affect ligament strain and that realignment procedures may improve knee joint stability. Hypothesis/Purpose: The purpose of this review was to summarize the clinical evidence concerning the impact of osseous malalignment and realignment procedures in knee ligament surgery. The hypotheses were that lower extremity malalignment would be an important contributor to knee ligament surgery failure and that realignment surgery would contribute to increased knee stability and improved outcome in select cases. Study Design: Systematic review; Level of evidence, 4. Methods: According to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic electronic search of the PubMed database was performed in November 2015 to identify clinical studies investigating (A) the influence of osseous alignment on postoperative stability and/or failure rates after knee ligament surgery and (B) the impact of osseous realignment procedures in unstable knees with or without additional knee ligament surgery on postoperative knee function and stability. Methodological quality of the studies was assessed using the Oxford Centre for Evidence-Based Medicine Levels of Evidence and the Coleman Methodological Score (CMS). Results: Of the 1466 potentially relevant articles, 28 studies fulfilled the inclusion and exclusion criteria. Average study quality was poor (CMS, 40). For part A, studies showed increased rerupture rate after anterior cruciate ligament (ACL) replacement in patients with increased tibial slope. Concerning the posterior cruciate ligament (PCL)/posterolateral corner (PLC)/lateral collateral ligament (LCL), varus malalignment was considered a significant risk factor for failure. For part B, studies showed decreased anterior tibial translation after slope-decreasing high tibial osteotomy in ACL-deficient knees. Correcting varus malalignment in PCL/PLC/LCL instability also showed increased stability and better outcomes. Conclusion: In cases of complex knee instability, the 3-dimensional osseous alignment of the knee should be considered (eg, mechanical weightbearing line and tibial slope). In cases of failed ACL reconstruction, the tibial slope should be considered, and slope-reducing osteotomies are often helpful in the patient revised multiple times. In cases of chronic PCL and/or PLC instability, osseous correction of the varus alignment may reduce the failure rate and is often the first step in treatment. Changes in the mechanical axis should be considered in all cases of instability accompanied by early unicompartmental osteoarthritis. PMID:28451605

Primary Realignment for Pelvic Fracture Urethral Injury Is Associated With Prolonged Time to Urethroplasty and Increased Stenosis Complexity.

PubMed

Horiguchi, Akio; Shinchi, Masayuki; Masunaga, Ayako; Okubo, Kazuki; Kawamura, Kazuki; Ojima, Kenichiro; Ito, Keiichi; Asano, Tomohiko; Azuma, Ryuichi

2017-10-01

To compare the clinical courses of patients with pelvic fracture urethral injury (PFUI) according to initial management strategy. We reviewed the clinical courses of 63 patients with PFUI who were initially treated elsewhere and underwent delayed anastomotic urethroplasty by a single surgeon between 2008 and 2015. Patients were grouped according to their initial treatment: by suprapubic tube placement alone (49 patients, SPT group) or primary realignment (14 patients, PR group). Time to urethroplasty was defined as the period between injury and delayed urethroplasty. Clinical data regarding the status of urethral stenosis, urethroplasty procedure, and treatment outcome were analyzed. The mean time to urethroplasty in the PR group was about 3 times than that in the SPT group (133 months vs 47 months, P = .035). Fifty percent of the PR group (7 of 14) had a history of repeated urethrotomy or dilation before referral, a percentage significantly higher than that of the SPT group (20.4%, 10 of 49, P = .027). The percentage of patients having a false passage and iatrogenic scar was significantly higher in the PR group (42.9% vs 16.3%, P = .035), but there was no significant between-group difference in urethral stenosis length, operative time, operative blood loss, or the percentage of patients requiring inferior pubectomy or urethral rerouting. PR does not facilitate delayed urethroplasty, and patients who undergo PR are at high risk of having a more complicated stenosis and longer time to urethroplasty, presumably because of repeated transurethral procedures. Copyright © 2017 Elsevier Inc. All rights reserved.

Facilitating Case Studies in Massage Therapy Clinical Education

PubMed Central

Baskwill, Amanda

2013-01-01

The integration of evidence into reflective health care practice has been on the rise in recent years and is a phenomenon that has affected all health care professions, including massage therapy. Clinical case studies are a research design that follows one patient or subject, making the studies ideal for use in clinical practice. They are valuable for communicating information from clinical practice to the broader community. Case studies have face validity that may be more valuable to individual practitioners than homogeneous randomized controlled trials, as the practitioner may recognize a complex patient in the case report. At Humber College, Student Massage Therapists (SMTs) create, conduct, and communicate results of a clinical case study prior to graduation. This article describes the process and experience. PMID:23730397

Pelvic-fracture urethral injury in children

PubMed Central

Hagedorn, Judith C.; Voelzke, Bryan B.

2015-01-01

Objective To review paediatric posterior urethral injuries and the current potential management options; because urethral injury due to pelvic fracture in children is rare and has a low incidence, the management of this type of trauma and its complications remains controversial. Methods We reviewed previous reports identified by searching the PubMed Medline electronic database for clinically relevant articles published in the past 25 years. The search was limited to the keywords ‘pediatric’, ‘pelvic fracture’, ‘urethral injury’, ‘stricture’, ‘trauma’ and ‘reconstruction’. Results Most paediatric urethral injuries are a result of pelvic fractures after high-impact blunt trauma. After the diagnosis, immediate bladder drainage via a suprapubic cystotomy, or urethral realignment, are the initial management options, except for a possible immediate primary repair in girls. The common complications of pelvic fracture-associated urethral injury include urethral stricture formation, incontinence and erectile dysfunction. Excellent results can be achieved with delayed urethroplasty for pelvic fracture-associated urethral injuries. Conclusion Traumatic injury to the paediatric urethra is rare and calls for an immediate diagnosis and management. These devastating injuries have a high complication rate and therefore a close follow-up is warranted to assure adequate delayed repair by a reconstructive urologist. PMID:26019977

Redefining and expanding quality assurance.

PubMed

Robins, J L

1992-12-01

To meet the current standards of excellence necessary for blood establishments, we have learned from industry that a movement toward organization-wide quality assurance/total quality management must be made. Everyone in the organization must accept responsibility for participating in providing the highest quality products and services. Quality must be built into processes and design systems to support these quality processes. Quality assurance has been redefined to include a quality planning function described as the most effective way of designing quality into processes. A formalized quality planning process must be part of quality assurance. Continuous quality improvement has been identified as the strategy every blood establishment must support while striving for error-free processing as the long-term objective. The auditing process has been realigned to support and facilitate this same objective. Implementing organization-wide quality assurance/total quality management is one proven plan for guaranteeing the quality of the 20 million products that are transfused into 4 million patients each year and for moving toward the new order.

7 CFR 1210.501 - Realignment of districts.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Florida counties of Alachua, Baker, Bay, Bradford, Calhoun, Clay, Columbia, Dixie, Duval, Escambia... California; San Bernardino, Riverside, San Diego, and Imperial. [71 FR 34234, June 14, 2006] ...

7 CFR 1210.501 - Realignment of districts.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Florida counties of Alachua, Baker, Bay, Bradford, Calhoun, Clay, Columbia, Dixie, Duval, Escambia... California; San Bernardino, Riverside, San Diego, and Imperial. [71 FR 34234, June 14, 2006] ...

Sequencing the cap-snatching repertoire of H1N1 influenza provides insight into the mechanism of viral transcription initiation

PubMed Central

Koppstein, David; Ashour, Joseph; Bartel, David P.

2015-01-01

The influenza polymerase cleaves host RNAs ∼10–13 nucleotides downstream of their 5′ ends and uses this capped fragment to prime viral mRNA synthesis. To better understand this process of cap snatching, we used high-throughput sequencing to determine the 5′ ends of A/WSN/33 (H1N1) influenza mRNAs. The sequences provided clear evidence for nascent-chain realignment during transcription initiation and revealed a strong influence of the viral template on the frequency of realignment. After accounting for the extra nucleotides inserted through realignment, analysis of the capped fragments indicated that the different viral mRNAs were each prepended with a common set of sequences and that the polymerase often cleaved host RNAs after a purine and often primed transcription on a single base pair to either the terminal or penultimate residue of the viral template. We also developed a bioinformatic approach to identify the targeted host transcripts despite limited information content within snatched fragments and found that small nuclear RNAs and small nucleolar RNAs contributed the most abundant capped leaders. These results provide insight into the mechanism of viral transcription initiation and reveal the diversity of the cap-snatched repertoire, showing that noncoding transcripts as well as mRNAs are used to make influenza mRNAs. PMID:25901029

75 FR 27981 - Southwest Montana Resource Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-19

... and Grade Realignments, Yellow Star Thistle and Knapweed, Invasive Species Education and Awareness... Creek Weed Treatment, Maud-S Canyon Trail Reconstruction, Maverick Mountain Hazard Tree Removal, and...

7 CFR 1210.501 - Realignment of districts.

Code of Federal Regulations, 2012 CFR

2012-01-01

..., Gulf, Hamilton, Hernando, Holmes, Jackson, Jefferson, Lafayette, Leon, Levy, Liberty, Madison, Marion..., Virginia, Vermont, Wisconsin, West Virginia, and Washington, DC. (e) District 5—The State of California. (f...

7 CFR 1210.501 - Realignment of districts.

Code of Federal Regulations, 2014 CFR

2014-01-01

..., Gulf, Hamilton, Hernando, Holmes, Jackson, Jefferson, Lafayette, Leon, Levy, Liberty, Madison, Marion..., Virginia, Vermont, Wisconsin, West Virginia, and Washington, DC. (e) District 5—The State of California. (f...

7 CFR 1210.501 - Realignment of districts.

Code of Federal Regulations, 2013 CFR

2013-01-01

..., Gulf, Hamilton, Hernando, Holmes, Jackson, Jefferson, Lafayette, Leon, Levy, Liberty, Madison, Marion..., Virginia, Vermont, Wisconsin, West Virginia, and Washington, DC. (e) District 5—The State of California. (f...

Combined Orthodontic and Surgical Approach in the Correction of a Class III Skeletal Malocclusion with Mandibular Prognathism and Vertical Maxillary Excess Using Bimaxillary Osteotomy

PubMed Central

Jose Cherackal, George; Thomas, Eapen; Prathap, Akhilesh

2013-01-01

For patients whose orthodontic problems are so severe that neither growth modification nor camouflage offers a solution, surgery to realign the jaws or reposition dentoalveolar segments is the only possible treatment. Surgery is not a substitute for orthodontics in these patients. Instead, it must be properly coordinated with orthodontics and other dental treatments to achieve good overall results. Dramatic progress in recent years has made it possible for combined surgical orthodontic treatment to be carried out successfully for patients with a severe dentofacial problem of any type. This case report provides an overview of the current treatment methodology in managing a combination of asymmetrical mandibular prognathism and vertical maxillary excess. PMID:24455321

32 CFR 174.18 - Historic preservation.

Code of Federal Regulations, 2010 CFR

2010-07-01

... REVITALIZING BASE CLOSURE COMMUNITIES AND ADDRESSING IMPACTS OF REALIGNMENT Environmental Matters § 174.18... planning and zoning actions undertaken by units of State or local government; if so, working with such...

32 CFR 174.18 - Historic preservation.

Code of Federal Regulations, 2011 CFR

2011-07-01

... REVITALIZING BASE CLOSURE COMMUNITIES AND ADDRESSING IMPACTS OF REALIGNMENT Environmental Matters § 174.18... planning and zoning actions undertaken by units of State or local government; if so, working with such...

Immediate and late management of iatrogenic ureteric injuries: 28 years of experience.

PubMed

El Abd, Ahmed S; El-Abd, Shawky A; El-Enen, Mohamed Abo; Tawfik, Ahmed M; Soliman, Mohamed G; Abo-Farha, Mohamed; Gamasy, Abd-El Naser El; El-Sharaby, Mahmoud; El-Gamal, Samir

2015-12-01

To evaluate the long-term results after managing intraoperative and late-diagnosed cases of iatrogenic ureteric injury (IUI), treated endoscopically or by open surgery. Patients immediately diagnosed with IUI were managed under the same anaesthetic, while those referred late had a radiological assessment of the site of injury, and endoscopic management. Open surgical procedures were used only for the failed cases with previous diversion. In all, 98 patients who were followed had IUI after gynaecological, abdominopelvic and ureteroscopic procedures in 60.2%, 14.3% and 25.5%, respectively. The 27 patients diagnosed during surgery were managed immediately, while in the late-referred 71 patients ureteroscopic ureteric realignment with stenting was successful in 26 (36.6%). Complex open reconstruction with re-implantation or ureteric substitution, using bladder-tube or intestinal-loop procedures, was used in 27 (60%), 16 (35.5%) and two (4.5%) patients of the late group, respectively. A long-term radiological follow-up with a mean (range) of 46.6 (24.5-144) months showed recurrent obstruction in 16 (16.3%) patients managed endoscopically and reflux in six (8.3%) patients. Three renal units only (3%) were lost in the late-presenting patients. Patients managed immediately had better long-term results. More than a third of the late-diagnosed patients were successfully managed endoscopically with minimal morbidity. Open reconstruction by an experienced urologist who can perform a complex substitutional procedure was mandatory to preserve renal units in the long-term.

Picking the right transition strategy.

PubMed

Watkins, Michael D

2009-01-01

Leaders in transition reflexively rely on the skills and strategies that worked for them in the past. That's a mistake, says Watkins, whose research shows that executives moving into new roles must gain a deep understanding of the situation at hand and adapt to it. To help them accurately assess their organizations and tailor their strategies and styles accordingly, he developed the STARS framework. "STARS" is an acronym for the five common situations leaders move into: start-up, turnaround, accelerated growth, realignment, and sustaining success. Thus, the model outlines the challenges of launching a venture or project; saving a business or initiative that's in serious trouble; dealing with rapid expansion; reenergizing a once-leading company that's now facing problems; and following in the footsteps of a highly regarded leader with a strong legacy of success. Executives can accelerate their immersion in new roles by following certain fundamental principles: Organize to learn about the business, establish A-item priorities, define strategic intent, quickly build the leadership team, secure early wins, and create supportive alliances across the company. But the way those principles should be applied depends very much on the business situation, which the STARS framework can help leaders analyze. Turnarounds and realignments present especially distinct leadership challenges that call for particular transition strategies. Regardless of the business situation, leaders must figure out which things need to happen--perhaps a jump in market share or an expansion into different markets--for their business to achieve its goals. And they must determine which leadership style best fits the new culture they're joining. Armed with such clarity, executives can design effective plans to manage their organizations and themselves.

Treatment of thoracolumbar burst fractures with variable screw placement or Isola instrumentation and arthrodesis: case series and literature review.

PubMed

Alvine, Gregory F; Swain, James M; Asher, Marc A; Burton, Douglas C

2004-08-01

The controversy of burst fracture surgical management is addressed in this retrospective case study and literature review. The series consisted of 40 consecutive patients, index included, with 41 fractures treated with stiff, limited segment transpedicular bone-anchored instrumentation and arthrodesis from 1987 through 1994. No major acute complications such as death, paralysis, or infection occurred. For the 30 fractures with pre- and postoperative computed tomography studies, spinal canal compromise was 61% and 32%, respectively. Neurologic function improved in 7 of 14 patients (50%) and did not worsen in any. The principal problem encountered was screw breakage, which occurred in 16 of the 41 (39%) instrumented fractures. As we have previously reported, transpedicular anterior bone graft augmentation significantly decreased variable screw placement (VSP) implant breakage. However, it did not prevent Isola implant breakage in two-motion segment constructs. Compared with VSP, Isola provided better sagittal plane realignment and constructs that have been found to be significantly stiffer. Unplanned reoperation was necessary in 9 of the 40 patients (23%). At 1- and 2-year follow-up, 95% and 79% of patients were available for study, and a satisfactory outcome was achieved in 84% and 79%, respectively. These satisfaction and reoperation rates are consistent with the literature of the time. Based on these observations and the loads to which implant constructs are exposed following posterior realignment and stabilization of burst fractures, we recommend that three- or four-motion segment constructs, rather than two motion, be used. To save valuable motion segments, planned construct shortening can be used. An alternative is sequential or staged anterior corpectomy and structural grafting.

Predicting translational deformity following opening-wedge osteotomy for lower limb realignment.

PubMed

Barksfield, Richard C; Monsell, Fergal P

2015-11-01

An opening-wedge osteotomy is well recognised for the management of limb deformity and requires an understanding of the principles of geometry. Translation at the osteotomy is needed when the osteotomy is performed away from the centre of rotation of angulation (CORA), but the amount of translation varies with the distance from the CORA. This translation enables proximal and distal axes on either side of the proposed osteotomy to realign. We have developed two experimental models to establish whether the amount of translation required (based on the translation deformity created) can be predicted based upon simple trigonometry. A predictive algorithm was derived where translational deformity was predicted as 2(tan α × d), where α represents 50 % of the desired angular correction, and d is the distance of the desired osteotomy site from the CORA. A simulated model was developed using TraumaCad online digital software suite (Brainlab AG, Germany). Osteotomies were simulated in the distal femur, proximal tibia and distal tibia for nine sets of lower limb scanograms at incremental distances from the CORA and the resulting translational deformity recorded. There was strong correlation between the distance of the osteotomy from the CORA and simulated translation deformity for distal femoral deformities (correlation coefficient 0.99, p < 0.0001), proximal tibial deformities (correlation coefficient 0.93-0.99, p < 0.0001) and distal tibial deformities (correlation coefficient 0.99, p < 0.0001). There was excellent agreement between the predictive algorithm and simulated translational deformity for all nine simulations (correlation coefficient 0.93-0.99, p < 0.0001). Translational deformity following corrective osteotomy for lower limb deformity can be anticipated and predicted based upon the angular correction and the distance between the planned osteotomy site and the CORA.

The shift from hold-the-line to management retreat and implications to coastal change: Farlington Marshes, a case of conflicts

NASA Astrophysics Data System (ADS)

Esteves, L. S.; Foord, J.; Draux, H.

2012-04-01

Although it can be argued that coastal erosion is primarily a natural process, in many developed coasts it has been triggered or intensified by human-induced activities affecting local sediment budget and pathways. For a long time, coastal engineering works have been used to reshape the world's coastlines to accommodate for social and economic needs. The realisation that such interference with natural processes would result in cascading environmental impacts at various temporal and spatial scales is relatively recent. As a result, a series of regulations have been implemented to mitigate further damage to coastal environments and compensatory measures are now required as part of licensing approval for certain coastal activities. For example, the construction and upgrade of coastal defences are now constrained due to potential detrimental impacts caused on adjacent designated European habitats or species. This study evaluates how a shift from socio-economic needs to a natural-conservancy focus is influencing coastal management approaches in England and the implications for coastal evolution. More specifically, Farlington Marshes (Portsmouth, southern England) will be used as a case study to assess how complex interactions between natural coastal processes, coastal defences and the need for environmental conservation are affecting shoreline changes, evolution of intertidal habitats and biodiversity. Farlington Marshes are designated grazing marshes of national and European importance and a valued recreational area used by local residents. Seawalls built in the 18th century protect the freshwater habitats from flooding but cause detrimental impact on intertidal habitats of Langstone Habour, which are also designated conservation areas (Ramsar, Special Areas of Conservation, Special Protection Areas, Sites of Special Scientific Interest). The presence of seawalls has caused erosion and coastal squeeze, which are the main causes of the rapid loss of saltmarshes observed in Langstone Harbour (more than 80% between 1946 and 2002, Cope et al. 2008). Coastal defences protecting Farlington Marshes are reaching the end of their life-time in the next decade. Upgrading of existing defences might be required in the future if flood risk in the developed areas inland of Farlington Marshes is to be kept at current levels. Constraints arise from the high costs to upgrade the defences and, principally, from the potential environmental impact on designated conservation zones. For these reasons, the North Solent Shoreline Management Plan (2010) suggests that, in the long-term (in 50 to 100 years), managed realignment might be a better option for Farlignton Marshes. This study assesses potential consequences of the implementation of managed realignment in Farlington Marshes, concerning: future changes in sediment budget and pathways, impacts on coastal erosion and flood risk, sustainability of habitats and implications to conservation objectives.

Federal Agency Hazardous Waste Compliance Docket

EPA Pesticide Factsheets

List of the Federal Agency Hazardous Waste Compliance Docket Facilities comprised of four lists: National Priorities List (NPL), Non-National Priorities List, Base Realignment and Closure Act (BRAC), and Resource Conservation and Recovery Act (RCRA).

78 FR 22215 - Airworthiness Directives; The Boeing Company Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-15

... necessary; a one-time eddy current inspection of certain fastener holes for cracking, and repair if... realignment if necessary; a one-time eddy current inspection of certain fastener holes for cracking, and...

ARE TIDAL EFFECTS RESPONSIBLE FOR EXOPLANETARY SPIN–ORBIT ALIGNMENT?

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

Li, Gongjie; Winn, Joshua N., E-mail: gli@cfa.harvard.edu

The obliquities of planet-hosting stars are clues about the formation of planetary systems. Previous observations led to the hypothesis that for close-in giant planets, spin–orbit alignment is enforced by tidal interactions. Here, we examine two problems with this hypothesis. First, Mazeh and coworkers recently used a new technique—based on the amplitude of starspot-induced photometric variability—to conclude that spin–orbit alignment is common even for relatively long-period planets, which would not be expected if tides were responsible. We re-examine the data and find a statistically significant correlation between photometric variability and planetary orbital period that is qualitatively consistent with tidal interactions. Howevermore » it is still difficult to explain quantitatively, as it would require tides to be effective for periods as long as tens of days. Second, Rogers and Lin argued against a particular theory for tidal re-alignment by showing that initially retrograde systems would fail to be re-aligned, in contradiction with the observed prevalence of prograde systems. We investigate a simple model that overcomes this problem by taking into account the dissipation of inertial waves and the equilibrium tide, as well as magnetic braking. We identify a region of parameter space where re-alignment can be achieved, but it only works for close-in giant planets, and requires some fine tuning. Thus, while we find both problems to be more nuanced than they first appeared, the tidal model still has serious shortcomings.« less

A 3.9 ps Time-Interval RMS Precision Time-to-Digital Converter Using a Dual-Sampling Method in an UltraScale FPGA

NASA Astrophysics Data System (ADS)

Wang, Yonggang; Liu, Chong

2016-10-01

Field programmable gate arrays (FPGAs) manufactured with more advanced processing technology have faster carry chains and smaller delay elements, which are favorable for the design of tapped delay line (TDL)-style time-to-digital converters (TDCs) in FPGA. However, new challenges are posed in using them to implement TDCs with a high time precision. In this paper, we propose a bin realignment method and a dual-sampling method for TDC implementation in a Xilinx UltraScale FPGA. The former realigns the disordered time delay taps so that the TDC precision can approach the limit of its delay granularity, while the latter doubles the number of taps in the delay line so that the TDC precision beyond the cell delay limitation can be expected. Two TDC channels were implemented in a Kintex UltraScale FPGA, and the effectiveness of the new methods was evaluated. For fixed time intervals in the range from 0 to 440 ns, the average RMS precision measured by the two TDC channels reaches 5.8 ps using the bin realignment, and it further improves to 3.9 ps by using the dual-sampling method. The time precision has a 5.6% variation in the measured temperature range. Every part of the TDC, including dual-sampling, encoding, and on-line calibration, could run at a 500 MHz clock frequency. The system measurement dead time is only 4 ns.

[Surgical selection and efficacy assessment for membranous urethral trauma caused by pelvic fracture].

PubMed

Zhu, Li-Zhen; Liu, Liang-Le; Cai, Chun-Yuan; Yang, Guo-Jing; Zhang, Li-Cheng; Zhu, Qi

2012-08-01

To explore selection and efficacy assessment for membranous urethral trauma caused by pelvic fracture. From June 2000 to August 2010, 72 patients with membranous urethral trauma caused by pelvic fracture were selected. There were 46 males and 26 females,ranging age from 26 to 62 years (averaged 35.2 years). The time from injury to hospitalization time was 1 to 3 hours. According to Tile pelvic fracture classification, there were 8 patients with type A, 45 patients with type B, 19 patients with type C. Thirty of the 35 patients with partial rupture of posterior urethral were treated by catheterization,5 patients treated by rupture anastomosis on the stage I combined with cystostomy; 25 of the 37 patients with complete rupture of posterior urethra were treated by early realignment, and 12 patients were treated by cystostomy. Urinary incontinence, impotence and urethrostenosis were evaluated. All patients were followed up for 5 to 10 years (mean 7.7 years). Incidence of urethrostenosis, impotence and urinary incontinence in patients treated by cystostomy were significantly higher than rupture anastomosis on the stage I and early realignment (P < 0.05); while incidence in patients treated by catheterization was significantly lower than other groups (P < 0.05). For patients with partial rupture of posterior urethral, catheterization and rupture anastomosis on the stage I are preferred methods; while patients with complete rupture of posterior urethra, early realignment is a preferred method with advantages of simple operation and less complications.

CARE CR-Cardiovascular and cardiorespiratory Adaptations to Routine Exercise-based Cardiac Rehabilitation: a study protocol for a community-based controlled study with criterion methods.

PubMed

Nichols, Simon; Nation, Fiona; Goodman, Toni; Clark, Andrew L; Carroll, Sean; Ingle, Lee

2018-01-27

Cardiac rehabilitation (CR) reduces all-cause and cardiovascular mortality in patients with coronary heart disease (CHD). Much of this improvement has been attributed to the beneficial effects of structured exercise training. However, UK-based studies have not confirmed this. Improvements in survival and cardiovascular health are associated with concurrent improvements in cardiorespiratory fitness (CRF). It is therefore concerning that estimated CRF improvements resulting from UK-based CR are approximately one-third of those reported in international literature. Modest improvements in CRF suggest that UK CR exercise training programmes may require optimisation if long-term survival is to be improved. However, contemporary UK studies lack control data or use estimates of CRF change. Cardiovascular and cardiorespiratory Adaptations to Routine Exercise-based CR is a longitudinal, observational, controlled study designed to assess the short-term and long-term effect of CR on CRF, as well cardiovascular and cardiometabolic health. Patients will be recruited following referral to their local CR programme and will either participate in a routine, low-to-moderate intensity, 8-week (16 sessions) exercise-based CR programme or freely abstain from supervised exercise. Initial assessment will be conducted prior to exercise training, or approximately 2 weeks after referral to CR if exercise training is declined. Reassessment will coincide with completion of exercise training or 10 weeks after initial assessment for control participants. Participants will receive a final follow-up 12 months after recruitment. The primary outcome will be peak oxygen consumption determined using maximal cardiopulmonary exercise testing. Secondary outcomes will include changes in subclinical atherosclerosis (carotid intima-media thickness and plaque characteristics), body composition (dual X-ray absorptiometry) and cardiometabolic biomarkers. Ethical approval for this non-randomised controlled study has been obtained from the Humber Bridge NHS Research Ethics Committee-Yorkshire and the Humber on the 27th September 2013, (12/YH/0278). Results will be presented at national conferences and published in peer-reviewed journals. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

The application of "integrated marketing communications" to social marketing and health communication: organizational challenges and implications.

PubMed

Nowak, G; Cole, G; Kirby, S; Freimuth, V; Caywood, C

1998-01-01

Influencing consumer behavior is a difficult and often resource-intensive undertaking, with success usually requiring identifying, describing, and understanding target audiences; solid product and/or service positioning relative to competitors; and significant media and communication resources. Integrated marketing communication (IMC) is a new way of organizing and managing persuasive communication tools and functions which involves realigning communications to consider the flow of information from an organization from the viewpoint of end consumers. Although the application of IMC to social marketing remains relatively unexplored, the IMC literature and recent efforts by the US Centers for Disease Prevention and Control suggest that integrated communication approaches have much to offer social marketing and health communication efforts. IMC, IMC and social marketing, and implications of IMC for public and private sector social marketing programs are discussed.

Prevalence of entomophthoralean fungi (Entomophthoromycota) of aphids in relation to developmental stages.

PubMed

Manfrino, Romina G; Gutierrez, Alejandra C; Rueda Páramo, Manuel E; Salto, César E; López Lastra, Claudia C

2016-08-01

Transmission of fungal pathogens of aphids may be affected by the host developmental stage. Brassica and Lactuca sativa L. crops were sampled in Santa Fe, Argentina, to determine the prevalence of fungal-diseased aphids and investigate the differences between developmental stages of aphids. The fungal pathogens identified were Zoophthora radicans (Bref.) A. Batko, Pandora neoaphidis (Remaud. & Hennebert) Humber and Entomophthora planchoniana Cornu. Their prevalence on each crop was calculated. The numbers of infected aphids were significantly different between the different developmental stages on all crops except B. oleracea var. botrytis L. The entomophthoralean fungi identified are important mortality factors of aphids on horticultural crops in Santa Fe. The numbers of infected nymphs and adults were significantly different, nymphs being the most affected developmental stage. © 2015 Society of Chemical Industry. © 2015 Society of Chemical Industry.

Environmental Suitability for Leasing Property

EPA Pesticide Factsheets

This is a Memorandum of Understanding between the U.S. Environmental Protection Agency and the U.S. Department of Defense, regarding the procedures to determine environmental suitability for leasing property available as a result of a base closure or realignment.

78 FR 24292 - Notice of Final Federal Agency Actions on Proposed Highway in California

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-24

... 199 corridor as part of the STAA network of truck routes. The project involves realigning curves... address provided above. The U.S. Fish and Wildlife Service consultation and Biological Opinion are...

75 FR 71420 - Department of the Navy

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-23

...) Brunswick, Maine. The DoN is required to close NAS Brunswick per Public Law 101-510, the Defense Base... with Public Law 101-510, the Defense Base closure and Realignment Act of 1990, as amended in 2005. NAS...

Veterans Employment Rights Realignment Act of 2009

THOMAS, 111th Congress

Rep. Herseth Sandlin, Stephanie [D-SD-At Large

2009-02-13

Senate - 05/20/2009 Received in the Senate and Read twice and referred to the Committee on Veterans' Affairs. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

Family learning research in museums: An emerging disciplinary matrix?

NASA Astrophysics Data System (ADS)

Ellenbogen, Kirsten M.; Luke, Jessica J.; Dierking, Lynn D.

2004-07-01

Thomas Kuhn's notion of a disciplinary matrix provides a useful framework for investigating the growth of research on family learning in and from museums over the last decade. To track the emergence of this disciplinary matrix we consider three issues. First are shifting theoretical perspectives that result in new shared language, beliefs, values, understandings, and assumptions about what counts as family learning. Second are realigning methodologies, driven by underlying disciplinary assumptions about how research in this arena is best conducted, what questions should be addressed, and criteria for valid and reliable evidence. Third is resituating the focus of our research to make the family central to what we study, reflecting a more holistic understanding of the family as an educational institution within larger learning infrastructure. We discuss research that exemplifies these three issues and demonstrates the ways in which shifting theoretical perspectives, realigning methodologies, and resituating research foci signal the existence of a nascent disciplinary matrix.

Realignment of Nanocrystal Aggregates into Single Crystals as a Result of Inherent Surface Stress

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

Liu, Zhaoming; Pan, Haihua; Zhu, Genxing

2016-07-19

Assembly of nanoparticles building blocks during single crystal growth is widely observed in both natural and synthetic environments. Although this form of non-classical crystallization is generally described by oriented attachment, random aggregation of building blocks leading to single crystal products is also observed, but the mechanism of crystallographic realignment is unknown. We herein reveal that random attachment during aggregation-based growth initially produces a non-oriented growth front. Subsequent evolution of the orientation is driven by the inherent surface stress applied by the disordered surface layer and results in single crystal formation via grain boundary migration. This mechanism is corroborated by measurementsmore » of orientation rate vs external stress, demonstrating a predictive relationship between the two. These findings advance our understanding of aggregation-based growth of natural minerals by nanocrystals, and suggest an approach to material synthesis that takes advantage of stress induced co-alignment.« less

Molecular reorientation of a nematic liquid crystal by thermal expansion

PubMed Central

Kim, Young-Ki; Senyuk, Bohdan; Lavrentovich, Oleg D.

2012-01-01

A unique feature of nematic liquid crystals is orientational order of molecules that can be controlled by electromagnetic fields, surface modifications and pressure gradients. Here we demonstrate a new effect in which the orientation of nematic liquid crystal molecules is altered by thermal expansion. Thermal expansion (or contraction) causes the nematic liquid crystal to flow; the flow imposes a realigning torque on the nematic liquid crystal molecules and the optic axis. The optical and mechanical responses activated by a simple temperature change can be used in sensing, photonics, microfluidic, optofluidic and lab-on-a-chip applications as they do not require externally imposed gradients of temperature, pressure, surface realignment, nor electromagnetic fields. The effect has important ramifications for the current search of the biaxial nematic phase as the optical features of thermally induced structural changes in the uniaxial nematic liquid crystal mimic the features expected of the biaxial nematic liquid crystal. PMID:23072803

Straightening the Eyes Doesn't Rebalance the Brain

PubMed Central

Zhou, Jiawei; Wang, Yonghua; Feng, Lixia; Wang, Jiafeng; Hess, Robert F.

2017-01-01

Surgery to align the two eyes is commonly used in treating strabismus. However, the role of strabismic surgery on patients' binocular visual processing is not yet fully understood. In this study, we asked two questions: (1) Does realigning the eyes by strabismic surgery produce an immediate benefit to patients' sensory eye balance? (2) If not, is there a subsequent period of “alignment adaptation” akin to refractive adaptation where sensory benefits to binocular function accrue? Seventeen patients with strabismus (mean age: 17.06 ± 5.16 years old) participated in our experiment. All participants had normal or corrected to normal visual acuity (LogMAR < 0.10) in the two eyes. We quantitatively measured their sensory eye balance before and after surgery using a binocular phase combination paradigm. For the seven patients whose sensory eye balance was measured before surgery, we found no significant change [t(6) = −0.92; p = 0.39] in the sensory eye balance measured 0.5–1 months after the surgery, indicating that the surgical re-alignment didn't by itself produce any immediate benefit for sensory eye balance. To answer the second question, we measured 16 patients' sensory eye balance at around 5–12 months after their eyes had been surgically re-aligned and compared this with our measurements 0.5–1 months after surgery. We found no significant change [t(15) = −0.89; p = 0.39] in sensory eye balance 5–12 months after the surgery. These results suggest that strabismic surgery while being necessary is not itself sufficient for re-establishing balanced sensory eye dominance. PMID:28955214

Productive mRNA stem loop-mediated transcriptional slippage: Crucial features in common with intrinsic terminators.

PubMed

Penno, Christophe; Sharma, Virag; Coakley, Arthur; O'Connell Motherway, Mary; van Sinderen, Douwe; Lubkowska, Lucyna; Kireeva, Maria L; Kashlev, Mikhail; Baranov, Pavel V; Atkins, John F

2015-04-21

Escherichia coli and yeast DNA-dependent RNA polymerases are shown to mediate efficient nascent transcript stem loop formation-dependent RNA-DNA hybrid realignment. The realignment was discovered on the heteropolymeric sequence T5C5 and yields transcripts lacking a C residue within a corresponding U5C4. The sequence studied is derived from a Roseiflexus insertion sequence (IS) element where the resulting transcriptional slippage is required for transposase synthesis. The stability of the RNA structure, the proximity of the stem loop to the slippage site, the length and composition of the slippage site motif, and the identity of its 3' adjacent nucleotides (nt) are crucial for transcripts lacking a single C. In many respects, the RNA structure requirements for this slippage resemble those for hairpin-dependent transcription termination. In a purified in vitro system, the slippage efficiency ranges from 5% to 75% depending on the concentration ratios of the nucleotides specified by the slippage sequence and the 3' nt context. The only previous proposal of stem loop mediated slippage, which was in Ebola virus expression, was based on incorrect data interpretation. We propose a mechanical slippage model involving the RNAP translocation state as the main motor in slippage directionality and efficiency. It is distinct from previously described models, including the one proposed for paramyxovirus, where following random movement efficiency is mainly dependent on the stability of the new realigned hybrid. In broadening the scope for utilization of transcription slippage for gene expression, the stimulatory structure provides parallels with programmed ribosomal frameshifting at the translation level.

Effectuation of adaptive stability and postural alignment strategies are decreased by alcohol intoxication.

PubMed

Hafström, A; Modig, F; Magnusson, M; Fransson, P A

2014-06-01

Human stability control is a complex process comprising contributions from several partly independent mechanisms such as coordination, feedback and feed-forward control, and adaptation. Acute alcohol intoxication impairs these functions and is recognized as a major contributor to fall traumas. The study aimed to investigate how alcohol intoxication at .06% and .10% blood alcohol concentration (BAC) affected the movement spans and control of posture alignment. The angular positions of the head, shoulder, hip and knees relative to the ankles were measured with a 3D motion analysis system in 25 healthy adults during standing with eyes open or closed and with or without vibratory balance perturbations. Alcohol intoxication significantly increased the movement spans of the head, shoulders, hip and knees in anteroposterior and lateral directions during quiet stance (p < or = .047 and p < or = .003) and balance perturbations (p<.001, both directions). Alcohol intoxication also decreased the ability to reduce the movement spans through adaptation in both anteroposterior (p < or = .011) and lateral (p < or = .004) directions. When sober and submitted to balance perturbations, the subjects aligned the head, shoulders, hip and knees more forward relative to the ankle joint (p < .001), hence adopting a more resilient posture increasing the safety margin for backward falls. Alcohol intoxication significantly delayed this forward realignment (p < or = .022). Alcohol intoxication did not cause any significant posture realignment in the lateral direction. Thus, initiation of adaptive posture realignments to alcohol or other disruptions might be context dependent and associated with reaching a certain level of stability threats. Copyright © 2014 Elsevier B.V. All rights reserved.

Hubbell Metropolitan Development Fund I, LLC

EPA Pesticide Factsheets

The EPA is providing notice of a proposed Administrative Penalty Assessment against Hubbell Metropolitan Development Fund I, LLC, for alleged violations at the SE Westown Parkway realignment, near the intersection of R22, and undertaken as part of the Glyn

76 FR 13508 - Ninth Coast Guard District Sector Realignment; Northern Lake Michigan and Lake Huron

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-14

... Station Alpena from Group Sault Ste. Marie to Sectors Lake Michigan and Detroit, respectively. That... boundary adjustment is that Stations Charlevoix and Alpena will be reassigned to Sector Sault Ste. Marie...

Community Options Model): Using Artificial Intelligence for Transportation Planning and Community Decision Making

DOT National Transportation Integrated Search

1997-01-01

This paper describes the Community Options Model for Transportation-Related Issues (COMTRI) designed to estimate the social and economic impacts of highway realignments on rural Michigan communities for the Michigan Department of Transportation (MDOT...

Shale embankment construction criteria : experimental feature interim report.

DOT National Transportation Integrated Search

1985-06-01

The research was conducted in the summer of 1983 during the realignment construction of the Mystic Creek - Camas Valley section on the Coos Bay - Roseburg Highway. Construction is still in progress. As outlined in the experimental features work plan ...

Realignment of the Army Government Purchase Card Program in Japan

DTIC Science & Technology

2014-06-01

REDUNDANCIES .........................................................................................28  1.  A/ OPC Bank Setup...28  2.  A/ OPC Training Records ..................................................................29...Air Force instructions AIM Authorization, Issuance, and Maintenance A/ OPC agency/organizational program coordinator AO approving official BO

Digging West Oakland : what archaeologists found under the Cypress Freeway.

DOT National Transportation Integrated Search

2005-01-01

In 1989, the Loma Prieta earthquake destroyed 1.25 miles of the double-deck Cypress Freeway in Oakland, California. In realigning and rebuilding the freeway, the California Department of Transportation (Caltrans) undertook to identify any important a...

Realignment Surgery for Malunited Ankle Fracture.

PubMed

Guo, Chang-Jun; Li, Xing-Cheng; Hu, Mu; Xu, Yang; Xu, Xiang-Yang

2017-02-01

To investigate the characteristics and the results of realignment surgery for the treatment of malunited ankle fracture. Thirty-three patients with malunited fractures of the ankle who underwent reconstructive surgery at our hospital from January 2010 to January 2014 were reviewed. The tibial anterior surface angle (TAS), the tibiotalar tilt angle (TTA), the malleolar angle (MA), and the tibial lateral surface angle (TLS) were measured. Clinical assessment was performed with use of the American Orthopaedic Foot and Ankle Society (AOFAS) scale and visual analogue scale (VAS) scores, and the osteoarthritis stage was determined radiographically with the modified Takakura classification system. The Wilcoxon matched-pairs test was used to analyze the difference between the preoperative and the postoperative data. The mean follow-up was 36 months (range, 20-60 months). The mean age at the time of realignment surgery was 37.1 years (range, 18-62 years). Compared with preoperation, the TAS at the last follow-up showed a significant increase (88.50° ± 4.47° vs. 90.80° ± 3.49°, P = 0.0035); similar results were observed in TTA (1.62° ± 1.66° vs. 0.83° ± 0.90°, P < 0.01) and MA (82.30° ± 8.03° vs. 78.70° ± 4.76°, P = 0.005). At the last follow-up, the mean AOFAS score was significantly increased compared with the score at preoperation (44.5 ± 13.7 vs. 78.0 ± 8.9, P < 0.01). Significant differences in VAS scores were found at the last follow-up (6.76 ± 1.03 vs. 2.03 ± 1.21, P < 0.01). There was no significant difference in the Takakura grade between the preoperation and the last follow-up. One patient had increased talar tilt postsurgery; the postoperative talar tilt angle of this patient was 20°. One patient had progressive ankle osteoarthritis, and was treated by ankle joint distraction. Realignment surgery for a malunited ankle fracture can reduce pain, improve function, and delay ankle arthrodesis or total ankle replacement. Postoperative large talar tilt and advanced stages of ankle arthritis are the risk factors for the surgery. © 2017 Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.

British-Pakistani women's perspectives of diabetes self-management: the role of identity.

PubMed

Majeed-Ariss, Rabiya; Jackson, Cath; Knapp, Peter; Cheater, Francine M

2015-09-01

To explore the effects of type 2 diabetes on British-Pakistani women's identity and its relationship with self-management. Type 2 diabetes is more prevalent and has worse outcomes among some ethnic minority groups. This may be due to poorer self-management and an inadequate match of health services to patient needs. The influence that type 2 diabetes has on British-Pakistani women's identity and subsequent self-management has received limited attention. An explorative qualitative study. Face-to-face semi-structured English and Urdu language interviews were conducted with a purposively selected heterogeneous sample of 15 British-Pakistani women with type 2 diabetes. Transcripts were analysed thematically. Four themes emerged: Perceived change in self emphasised how British-Pakistani women underwent a conscious adaptation of identity following diagnosis; Familiarity with ill health reflected women's adjustment to their changed identity over time; Diagnosis improves social support enabled women to accept changes within themselves and Supporting family is a barrier to self-management demonstrated how family roles were an aspect of women's identities that was resilient to change. The over-arching theme Role re-alignment enables successful self-management encapsulated how self-management was a continuous process where achievements needed to be sustained. Inter-generational differences were also noted: first generation women talked about challenges associated with ageing and co-morbidities; second generation women talked about familial and work roles competing with self-management. The complex nature of British-Pakistani women's self-identification requires consideration when planning and delivering healthcare. Culturally competent practice should recognise how generational status influences self-identity and diabetes self-management in ethnically diverse women. Health professionals should remain mindful of effective self-management occurring alongside, and being influenced by, other aspects of life. © 2015 John Wiley & Sons Ltd.

Historical evolution of medical quality assurance in the Department of Defense.

PubMed

Granger, Elder; Boyer, John; Weiss, Richard; Linton, Andrea; Williams, Thomas V

2010-08-01

The Department of Defense (DoD) Military Health System (MHS) embodies decades of health care practice that has evolved in scope and complexity to meet the demands for quality care to which its beneficiaries are entitled. War, Base Realignment and Closure (BRAC), and other dynamic forces require the ongoing review and revision of health care policy and practice in military hospitals as well as the expanded network of civilian providers who care for our nation's soldiers, sailors, airmen, and marines and their families. The result has been an incrementally constructed quality assurance (QA) program with emphasis on organizational structures, programs, and systems, and the use of robust data sources and standard measures to analyze and improve processes, manage disease, assess patient perceptions of care, and ensure that a uniform health care benefit and high quality health care is accessible to all MHS beneficiaries.

Alchemy or Science? Compromising Archaeology in the Deep Sea

NASA Astrophysics Data System (ADS)

Adams, Jonathan

2007-06-01

In the torrid debate between archaeology and treasure hunting, compromise is often suggested as the pragmatic solution, especially for archaeology carried out either in deep water or beyond the constraints that commonly regulate such activities in territorial seas. Both the wisdom and the need for such compromise have even been advocated by some archaeologists, particularly in forums such as the internet and conferences. This paper argues that such a compromise is impossible, not in order to fuel confrontation but simply because of the nature of any academic discipline. We can define what archaeology is in terms of its aims, theories, methods and ethics, so combining it with an activity founded on opposing principles must transform it into something else. The way forward for archaeology in the deep sea does not lie in a contradictory realignment of archaeology’s goals but in collaborative research designed to mesh with emerging national and regional research and management plans.

Schooling and Children's Mental Health: Realigning Resources to Reduce Disparities and Advance Public Health.

PubMed

Atkins, Marc S; Cappella, Elise; Shernoff, Elisa S; Mehta, Tara G; Gustafson, Erika L

2017-05-08

Schools have long been the primary setting for children's mental health services but have neither the resources nor the expertise to manage these services independently. The critical importance of school success for children's adjustment provides a strong rationale for schooling as an essential component of children's mental health services. In this article, we review evidence for how schooling and mental health coalesce, suggesting an alignment of school and community mental health resources that prioritizes successful schooling as a key mental health outcome. We describe collaborative principles and ecological practices that advance a public health focus on children's mental health while also reducing the burden on schools to maintain mental health services. We close with a model of mental health services illustrating these principles and practices in high-poverty urban schools and propose future directions for research and practice to promote positive mental health for all children and youth.

The Impact Of Medicare ACOs On Improving Integration And Coordination Of Physical And Behavioral Health Care.

PubMed

Fullerton, Catherine A; Henke, Rachel M; Crable, Erika L; Hohlbauch, Andriana; Cummings, Nicholas

2016-07-01

The accountable care organization (ACO) model holds the promise of reducing costs and improving the quality of care by realigning payment incentives to focus on health outcomes instead of service volume. One key to managing the total cost of care is improving care coordination for and treatment of people with behavioral health disorders. We examined qualitative data from ninety organizations participating in Medicare ACO demonstration programs from 2012 through 2015 to determine whether and how they focused on behavioral health care. These ACOs had mixed degrees of engagement in improving behavioral health care for their populations. The biggest challenges included a lack of behavioral health care providers, data availability, and sustainable financing models. Nonetheless, we found substantial interest in integrating behavioral health care into primary care across a majority of the ACOs. Project HOPE—The People-to-People Health Foundation, Inc.

Committed HSE management Vs TQM: Is there any difference?

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

Aitken, J.D.; McMath, C.R.; Lombardo, G.J.

1996-11-01

Safe performance of oilfield service operations at unfamiliar customer installations requires service personnel that are highly trained and motivated. When such operations are made in over sixty countries with an independent, multi-cultural work force, an additional level of difficulty in achieving an improved level of HSE (Health, Safety & Environment) performance is introduced. Recognizing these challenges, one company set out in 1989 to implement a comprehensive HSE management system suited to this environment. The system, described here, was launched with total commitment and participation of all levels of management and was designed to empower the work force rather than forcemore » them into compliance. This included a realignment of management priorities to give HSE a primary place along with other management responsibilities. One central theme of the system is a single standard applied to all HSE actions, throughout the world and at all levels of the Company. Thus, for example, all employees including all managers go through the same basic HSE training courses on a regular basis. After six years, a cultural change has taken place, along with a notable reduction in both accident frequency and severity, measured in terms of lost workdays. This reduction in lost workdays is an easily quantifiable cost saving which by far outweighs the total cost of the HSE system implementation. While the HSE management system was designed to specifically meet the needs of the company, the techniques used closely parallel those of Total Quality Management (TQM), which, in the last years, has gained momentum as a {open_quotes}new paradigm{close_quotes} in the HSE field. In this company`s experience, a common sense application of sound management to the HSE process has led to a TQM system.« less

What do we really know about UK paediatric dental general anaesthesia services?

PubMed

Robertson, S; Ní Chaollaí, A; Dyer, T A

2012-02-24

Dental general anaesthesia (DGA) is only permitted within a hospital setting where critical care facilities are available. Recently, concern has been expressed about the number of hospital admissions for the dental care of children following the publication of a high profile paper which highlighted an apparent increase in children being admitted for extractions due to caries under DGA. Coincidentally new best practice standards for paediatric DGA services have been published. An evaluation of DGA services in Yorkshire and the Humber suggested that existing monitoring was inadequate and is unlikely to represent true levels of activity and that any apparent increase may reflect the method of remuneration for services. In fact, recent changes in service structure and changes to improve quality have reduced DGA activity in some areas. In addition, the evaluation revealed that many services were not meeting standards of best practice.

75 FR 29322 - Base Closure and Realignment

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-25

...-6020. Local Redevelopment Authority (LRA) Arizona Installation Name: Air Force Research Laboratory. LRA... provides a corresponding listing of the Local Redevelopment Authorities (LRA) for the Air Force Research Laboratory, Arizona, and portions of the Newport Naval Complex, Rhode Island, recognized by the Secretary of...

Hubbell Metropolitan Development Fund I, LLC - Clean Water Act Public Notice

EPA Pesticide Factsheets

The EPA is providing notice of a proposed Administrative Penalty Assessment against Hubbell Metropolitan Development Fund I, LLC, for alleged violations at the SE Westown Parkway realignment, near the intersection of R22, and undertaken as part of the Glyn

Decolonizing Hispanic-Serving Institutions: A Framework for Organizing

ERIC Educational Resources Information Center

Garcia, Gina Ann

2018-01-01

Hispanic-serving institutions (HSIs) should realign their organizational approach in order to liberate themselves and their students. As colonized institutions enrolling colonized people, HSIs must recognize their history of colonialism before moving toward an organizational model grounded in decolonization. "The Organizational Framework for…

32 CFR 174.4 - Policy.

Code of Federal Regulations, 2014 CFR

2014-07-01

... property. Federal law provides the Department with an array of legal authorities, including public benefit... government, conservation conveyances, and public sales, by which to transfer property on closed or realigned... transfer property in a timely manner and provide a foundation for solid economic redevelopment. (e) Speak...

32 CFR 174.4 - Policy.

Code of Federal Regulations, 2013 CFR

2013-07-01

... property. Federal law provides the Department with an array of legal authorities, including public benefit... government, conservation conveyances, and public sales, by which to transfer property on closed or realigned... transfer property in a timely manner and provide a foundation for solid economic redevelopment. (e) Speak...

32 CFR 174.4 - Policy.

Code of Federal Regulations, 2012 CFR

2012-07-01

... property. Federal law provides the Department with an array of legal authorities, including public benefit... government, conservation conveyances, and public sales, by which to transfer property on closed or realigned... transfer property in a timely manner and provide a foundation for solid economic redevelopment. (e) Speak...

32 CFR 174.5 - Responsibilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... part. (e) The cost of recording deeds and other transfer documents is the responsibility of the... Under Secretary of Defense for Acquisition, Technology, and Logistics shall issue DoD Instructions as... and realignment, are hereby delegated to the Under Secretary of Defense for Acquisition, Technology...

Cost-Aware Design of a Discrimination Strategy for Unexploded Ordnance Cleanup

DTIC Science & Technology

2011-02-25

Acronyms ANN: Artificial Neural Network AUC: Area Under the Curve BRAC: Base Realignment And Closure DLRT: Distance Likelihood Ratio Test EER...Discriminative Aggregate Nonparametric [25] Artificial Neural Network ANN Discriminative Aggregate Parametric [33] 11 Results and Discussion Task #1

The Failure of Progressive Paradigm Reversal

ERIC Educational Resources Information Center

Guthrie, Gerard

2017-01-01

The student-centred, progressive paradigm has not had sustained success in changing teacher-centred, formalistic practices in "developing" country classrooms. Does "Gestalt-switch" and paradigm reversal demonstrate that progressive theory has realigned with formalistic reality, or has it remained axiomatic in the research and…

78 FR 77549 - Revise Notice of Intent for an Environmental Impact Statement: State Route (SR) 95 Realignment...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-23

...), intend to use a tiered process to facilitate project decision-making. This notice revises the NOI that... study. If the Record of Decision indicates that FHWA has selected one of the alternative corridors as...

4 CFR 28.3 - General definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... of the members to exercise the responsibilities of the administrative judge in the proceedings... furlough for more than 30 days when the cause of action is lack of work, shortage of funds, insufficient personnel ceiling, reorganization or realignment, an individual's exercise of reemployment or reinstatement...

Mission Realignment of Goodfellow Air Force Base, Texas

DTIC Science & Technology

1989-12-01

rat snake, and desert kingsnake . Lizards include the collared lizard, Texas horned lizard, eastern tree lizard, Great Plains skink, ground skink...oQt rcnrictor Bullsnake .iuophis melanoleuc Great plains rat snake Elaphe guflt Desert kingsnake Lampropeltis getulus Collared lizard .rQty.U• collaris

Lateral traction

MedlinePlus

... treat or reduce any joint dislocation or bone fracture by applying tension to the leg or arm with weights and pulleys to realign the bone. For example, it may be used to help line up a broken bone while it heals. Traction as a treatment involves the amount of ...

32 CFR 174.4 - Policy.

Code of Federal Regulations, 2010 CFR

2010-07-01

... property. Federal law provides the Department with an array of legal authorities, including public benefit... government, conservation conveyances, and public sales, by which to transfer property on closed or realigned... transfer property in a timely manner and provide a foundation for solid economic redevelopment. (e) Speak...

32 CFR 174.4 - Policy.

Code of Federal Regulations, 2011 CFR

2011-07-01

... property. Federal law provides the Department with an array of legal authorities, including public benefit... government, conservation conveyances, and public sales, by which to transfer property on closed or realigned... transfer property in a timely manner and provide a foundation for solid economic redevelopment. (e) Speak...

Developing scientific information to support decisions for sustainable reef ecosystem services

EPA Science Inventory

The U.S. Environmental Protection Agency (EPA) has recently realigned its research enterprise around the concept of sustainability, including improving understanding of benefits derived from ecosystems. We provide an example of how EPA is applying structured decision-making (SDM)...

78 FR 1256 - Guam Military Base Realignment Contractor Recruitment Standards

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-08

... Contractor Recruitment Standards AGENCY: Employment and Training Administration, Labor. ACTION: Final notice... issuing this notice to announce recruitment standards that construction contractors are required to follow... B) by adding a new subsection (6). This provision prohibits contractors engaged in construction...

47 CFR 52.19 - Area code relief.

Code of Federal Regulations, 2010 CFR

2010-10-01

... new area codes within their states. Such matters may include, but are not limited to: Directing... realignment; establishing new area code boundaries; establishing necessary dates for the implementation of... code relief planning encompasses all functions related to the implementation of new area codes that...

47 CFR 52.19 - Area code relief.

Code of Federal Regulations, 2011 CFR

2011-10-01

... new area codes within their states. Such matters may include, but are not limited to: Directing... realignment; establishing new area code boundaries; establishing necessary dates for the implementation of... code relief planning encompasses all functions related to the implementation of new area codes that...

Cyclic stretch-induced the cytoskeleton rearrangement and gene expression of cytoskeletal regulators in human periodontal ligament cells.

PubMed

Wu, Yaqin; Zhuang, Jiabao; Zhao, Dan; Zhang, Fuqiang; Ma, Jiayin; Xu, Chun

2017-10-01

This study aimed to explore the mechanism of the stretch-induced cell realignment and cytoskeletal rearrangement by identifying several mechanoresponsive genes related to cytoskeletal regulators in human PDL cells. After the cells were stretched by 1, 10 and 20% strains for 0.5, 1, 2, 4, 6, 12 or 24 h, the changes of the morphology and content of microfilaments were recorded and calculated. Meanwhile, the expression of 84 key genes encoding cytoskeletal regulators after 6 and 24 h stretches with 20% strain was detected by using real-time PCR array. Western blot was applied to identify the protein expression level of several cytoskeletal regulators encoded by these differentially expressed genes. The confocal fluorescent staining results confirmed that stretch-induced realignment of cells and rearrangement of microfilaments. Among the 84 genes screened, one gene was up-regulated while two genes were down-regulated after 6 h stretch. Meanwhile, three genes were up-regulated while two genes were down-regulated after 24 h stretch. These genes displaying differential expression included genes regulating polymerization/depolymerization of microfilaments (CDC42EP2, FNBP1L, NCK2, PIKFYVE, WASL), polymerization/depolymerization of microtubules (STMN1), interacting between microfilaments and microtubules (MACF1), as well as a phosphatase (PPP1R12B). Among the proteins encoded by these genes, the protein expression level of Cdc42 effector protein-2 (encoded by CDC42EP2) and Stathmin-1 (encoded by STMN1) was down-regulated, while the protein expression level of N-WASP (encoded by WASL) was up-regulated. The present study confirmed the cyclic stretch-induced cellular realignment and rearrangement of microfilaments in the human PDL cells and indicated several force-sensitive genes with regard to cytoskeletal regulators.

Cerebellar cathodal tDCS interferes with recalibration and spatial realignment during prism adaptation procedure in healthy subjects.

PubMed

Panico, Francesco; Sagliano, Laura; Grossi, Dario; Trojano, Luigi

2016-06-01

The aim of this study is to clarify the specific role of the cerebellum during prism adaptation procedure (PAP), considering its involvement in early prism exposure (i.e., in the recalibration process) and in post-exposure phase (i.e., in the after-effect, related to spatial realignment). For this purpose we interfered with cerebellar activity by means of cathodal transcranial direct current stimulation (tDCS), while young healthy individuals were asked to perform a pointing task on a touch screen before, during and after wearing base-left prism glasses. The distance from the target dot in each trial (in terms of pixels) on horizontal and vertical axes was recorded and served as an index of accuracy. Results on horizontal axis, that was shifted by prism glasses, revealed that participants who received cathodal stimulation showed increased rightward deviation from the actual position of the target while wearing prisms and a larger leftward deviation from the target after prisms removal. Results on vertical axis, in which no shift was induced, revealed a general trend in the two groups to improve accuracy through the different phases of the task, and a trend, more visible in cathodal stimulated participants, to worsen accuracy from the first to the last movements in each phase. Data on horizontal axis allow to confirm that the cerebellum is involved in all stages of PAP, contributing to early strategic recalibration process, as well as to spatial realignment. On vertical axis, the improving performance across the different stages of the task and the worsening accuracy within each task phase can be ascribed, respectively, to a learning process and to the task-related fatigue. Copyright © 2016 Elsevier Inc. All rights reserved.

Long-term clinical and radiographic outcome of patello-femoral realignment procedures: a minimum of 15-year follow-up.

PubMed

Vivod, Gregor; Verdonk, Peter; Drobnič, Matej

2014-11-01

A retrospective single-centre study was focused on the long-term outcome after different patello-femoral (PF) realignment procedures. Thirty-nine patients treated for recurrent PF instability were examined after a mean post-operative time of 22.5 years. Their 78 knees were divided into: non-operated knees (NON-OPERATED)-N = 24, isolated proximal procedures (PROXIMAL)-N = 22, isolated distal procedures (DISTAL)-N = 10, and combined procedures (COMBINED)-N = 22. PF-related medical history together with clinical, subjective (KOOS and Kujala scores), and radiographic (Caton-Deschamps PF height index, Kellgren-Lawrence scale for tibio-femoral OA, and Iwano classification for PF OA) evaluation was conducted. PF re-dislocation rate was comparable between PROXIMAL (36%), DISTAL (20%), and COMBINED (32%). Isolated proximal procedures revealed less central patella positions (PROXIMAL 64%; DISTAL 90%; COMBINED 95%) and more frequent PF apprehension test (PROXIMAL 82%; DISTAL 40%, COMBINED 50%). KOOS and Kujala scores were similar in all three surgical subgroups, but significantly lower than in NON-OPERATED. Patellas were positioned lower after DISTAL, 0.8 (0.5-1.0) or COMBINED, 0.9 (0.4-1.3). Kellgren-Lawrence scores ≥2 were found in 42% NON-OPERATED, 37% PROXIMAL, 70% DISTAL, and 59% COMBINED, whereas Iwano classification ≥2 was confirmed in 46% NON-OPERATED, 64% PROXIMAL, 80% DISTAL, and 86% COMBINED. High PF re-dislocation rates together with a very high incidence of PF OA indicate that PF realignment strategies used traditionally had failed to reach their long-term expectations. The transfer of tibial tuberosity resulted in more constrained PF joints than isolated proximal procedures which allowed for more residual PF instability. Distal procedures additionally increased the likelihood for tibio-femoral OA. III.

Impact of prior urethral manipulation on outcome of anastomotic urethroplasty for post-traumatic urethral stricture.

PubMed

Singh, Bhupendra P; Andankar, Mukund G; Swain, Sanjaya K; Das, Krishanu; Dassi, Vimal; Kaswan, Harish K; Agrawal, Vipul; Pathak, Hemant R

2010-01-01

To determine the impact of earlier urethral interventions on the outcomes of anastomotic urethroplasty in post-traumatic stricture urethra. From October 1995 to March 2008, a total of 58 patients with post-traumatic posterior urethral stricture underwent anastomotic urethroplasty. Eighteen patients had earlier undergone urethral intervention in the form of urethrotomy (3), endoscopic realignment (7), or open urethroplasty (8). Success was defined as no obstructive urinary symptoms, maximum urine flow rate > or = 15 mL/s, normal urethral imaging and/or urethroscopy, and no need of any intervention in the follow-up period. Patients who met the above objective criteria after needing 1 urethrotomy following urethroplasty were defined to have satisfactory outcome and were included in satisfactory result rate along with patients who had a successful outcome. Results were analyzed using unpaired t test, chi-square test, binary logistic regression, Kaplan-Meier curves, and log rank test. Previous interventions in the form of endoscopic realignment or urethroplasty have significant adverse effect on the success rate of subsequent anastomotic urethroplasty for post-traumatic posterior urethral strictures (P <.05). Previous intervention in the form of visual internal urethrotomies (up to 2 times) did not affect the outcome of subsequent anastomotic urethroplasty. Length of stricture and age of patient did not predict the outcome in traumatic posterior urethral strictures in logistic regression analysis. Previous failed railroading or urethroplasty significantly decrease the success of subsequent anastomotic urethroplasty. Hence, a primary realignment or urethroplasty should be avoided in suboptimal conditions and the cases of post-traumatic urethral stricture should be referred to centers with such expertise. 2010 Elsevier Inc. All rights reserved.

Internal initiation of influenza virus replication of viral RNA and complementary RNA in vitro.

PubMed

Zhang, Shijian; Wang, Jinlan; Wang, Qiang; Toyoda, Tetsuya

2010-12-24

Influenza virus transcription is a prototype of primer-dependent initiation. Its replication mechanism is thought to be primer-independent. The internal initiation and realignment model for influenza virus genome replication has been recently proposed (Deng, T., Vreede, F. T., and Brownlee, G. G. (2006) J. Virol. 80, 2337-2348). We obtained new results, which led us to propose a novel model for the initiation of viral RNA (vRNA) replication. In our study, we analyzed the initiation mechanisms of influenza virus vRNA and complementary RNA (cRNA) synthesis in vitro, using purified RNA polymerase (RdRp) and 84-nt model RNA templates. We found that, for vRNA → cRNA →, RdRp initiated replication from the second nucleotide of the 3'-end. Therefore, host RNA-specific ribonucleotidyltransferases are required to add one nucleotide (purine residues are preferred) to the 3'-end of vRNA to make the complete copy of vRNA. This hypothesis was experimentally proven using poly(A) polymerase. For cRNA → vRNA, the dinucleotide primer AG was synthesized from UC (fourth and fifth from the 3'-end) by RdRp pausing at the sixth U of UUU and realigning at the 3'-end of cRNA template; then RdRp was able to read through the entire template RNA. The RdRp initiation complex was not stable until it had read through the UUU of cRNA and the UUUU of vRNA at their respective 3'-ends. This was because primers overlapping with the first U of the clusters did not initiate transcription efficiently, and the initiation product of v84+G (the v84 template with an extra G at its 3'-end), AGC, realigned to the 3'-end.

23 CFR 777.9 - Mitigation of impacts.

Code of Federal Regulations, 2012 CFR

2012-04-01

... IMPACTS TO WETLANDS AND NATURAL HABITAT § 777.9 Mitigation of impacts. (a) Actions eligible for Federal... wetlands or natural habitats. The following actions qualify for Federal-aid highway funding: (1) Avoidance and minimization of impacts to wetlands or natural habitats through realignment and special design...

23 CFR 777.9 - Mitigation of impacts.

Code of Federal Regulations, 2013 CFR

2013-04-01

... IMPACTS TO WETLANDS AND NATURAL HABITAT § 777.9 Mitigation of impacts. (a) Actions eligible for Federal... wetlands or natural habitats. The following actions qualify for Federal-aid highway funding: (1) Avoidance and minimization of impacts to wetlands or natural habitats through realignment and special design...

23 CFR 777.9 - Mitigation of impacts.

Code of Federal Regulations, 2014 CFR

2014-04-01

... IMPACTS TO WETLANDS AND NATURAL HABITAT § 777.9 Mitigation of impacts. (a) Actions eligible for Federal... wetlands or natural habitats. The following actions qualify for Federal-aid highway funding: (1) Avoidance and minimization of impacts to wetlands or natural habitats through realignment and special design...

Blount Disease

MedlinePlus

... involve cutting the tibia, realigning it, and holding it in place with a plate and screws (this is called an osteotomy ); some involve removing the damaged growth plate; and some use a device called an external fixator to hold ... is necessary, it will be done under general anesthesia (you will ...

48 CFR 226.7102 - Policy.

Code of Federal Regulations, 2010 CFR

2010-10-01

... DEFENSE SOCIOECONOMIC PROGRAMS OTHER SOCIOECONOMIC PROGRAMS Preference for Local and Small Businesses 226.7102 Policy. Businesses located in the vicinity of a military installation that is being closed or realigned under a base closure law, including 10 U.S.C. 2687, and small and small disadvantaged businesses...

32 CFR 179.3 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 1 2011-07-01 2011-07-01 false Definitions. 179.3 Section 179.3 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS... means the Office of the Secretary of Defense, the Military Departments, the Defense Agencies, the...

Using Data to Realign Resources

ERIC Educational Resources Information Center

Barbour, Catherine

2012-01-01

Schools and districts across the country are being subjected to some of the fiercest budget cuts in recent history, even as principals are held increasingly accountable for significantly improving student achievement, particularly in schools labeled "persistently low-achieving." For the 5,000 lowest-performing schools, there is the…

2015 Uranium Mill Tailings Radiation Control Act (UMTRCA) Title ll Annual Report, L-Bar, New Mexico Disposal Site

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

Frazier, William; Johnson, Dick

The L-Bar, New Mexico, Uranium Mill Tailings Radiation Control Act (UMTRCA) Title II Disposal Site was inspected on August 18, 2015. The tailings impoundment was in excellent condition. Erosion and vegetation measurements to monitor the condition of the impoundment cover indicated that no erosion is occurring, and perennial vegetation foliar cover at the measurement plots increased substantially compared to previous years due to above-average precipitation for the year. A short segment of the perimeter fence near the site entrance was realigned in spring 2015 because a gully was undermining the fence corner. Loose fence strands at another location were repairedmore » during the inspection, and a section of fence needs to be realigned to avoid areas affected by deep gullies and sediment deposition. Inspectors identified no other maintenance needs or cause for a follow-up inspection. Groundwater monitoring is required every 3 years. The next monitoring event will be in 2016.« less

FFRRO Program Information

EPA Pesticide Factsheets

This asset includes information related to Cleanups at Federal Facilities. Information is provided about contaminated federal facility sites in specific communities, with access to technical fact sheets and tools and resources to help government agencies and their contractors fulfill cleanup obligations. EPA's federal facility information is easily accessible to ensure effective stakeholder involvement and accountability at federal facilities.Multiple federal statutes establish requirements for EPA and other federal agencies to protect health and the human environment through cleanups at Federal Facilities, including the Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) of 1980, which was amended by the Superfund Amendments and Reauthorization Act (SARA) in 1986; the Defense Authorization Amendments and Base Realignment and Closure Acts (BRAC) of 1998 and the Defense Base Closure and Realignment Act of 1990; and the Resource Conservation and Recovery Act (RCRA), as amended by the Hazardous and Solid Waste Amendments of 1984 (HS WA) including Subtitle C (hazardous waste), Subtitle D (solid waste), Subtitle I (underground storage tanks), and Subtitle J (Medical Waste Tracking Act of 1988).

Integrating Climate Change Scenarios and Co-developed Policy Scenarios to Inform Coastal Adaptation: Results from a Tillamook County, Oregon Knowledge to Action Network

NASA Astrophysics Data System (ADS)

Lipiec, E.; Ruggiero, P.; Serafin, K.; Bolte, J.; Mills, A.; Corcoran, P.; Stevenson, J.; Lach, D.

2014-12-01

Local decision-makers often lack both the information and tools to reduce their community's overall vulnerability to current and future climate change impacts. Managers are restricted in their actions by the scale of the problem, inherent scientific uncertainty, limits of information exchange, and the global nature of available data, rendering place-based strategies difficult to generate. Several U.S. Pacific Northwest coastal communities are already experiencing chronic erosion and flooding, hazards only to be exacerbated by sea level rise and changing patterns of storminess associated with climate change. To address these issues, a knowledge to action network (KTAN) consisting of local Tillamook County stakeholders and Oregon State University researchers, was formed to project future flooding and erosion impacts and determine possible adaptation policies to reduce vulnerability. Via an iterative scenario planning process, the KTAN has developed four distinct adaptation policy scenarios, including 'Status Quo', 'Hold The Line', 'ReAlign', and 'Laissez-Faire'. These policy scenarios are being integrated with a range of climate change scenarios within the modeling framework Envision, a multi-agent GIS-based tool, which allows for the combination of physical processes data, probabilistic climate change information, coastal flood and erosion models, and stakeholder driven adaptation strategies into distinct plausible future scenarios. Because exact physical and social responses to climate change are impossible to ascertain, information about the differences between possible future scenarios can provide valuable information to decision-makers and the community at large. For example, the fewest projected coastal flood and erosion impacts to buildings occur under the 'ReAlign' policy scenario (i.e., adaptation strategies that move dwellings away from the coast) under both low and high climate change scenarios, especially in comparison to the 'Status Quo' or 'Hold The Line' scenarios. Statistical analysis of the scenario-based variations in impacts to private and public resources can help guide future adaptation policy implementation and support Oregon's coastal communities for years to come.

Reduction and fixation of cranial cervical fracture/luxations using screws and polymethylmethacrylate (PMMA) cement: a distraction technique applied to the base of the skull in thirteen dogs.

PubMed

Pike, Fred S; Kumar, M S A; Boudrieau, Randy J

2012-02-01

To (1) describe a surgical distraction technique for C1-2 cervical fractures/luxations or atlantoaxial (AA) subluxations using the base of the skull (basion of the foramen magnum) and either C2-3 or C3-4 for the purchase points of intraoperative axial distraction and (2) report outcome in 13 dogs. Retrospective case series. Dogs (n = 13). Medical records (September 1995-December 2005) of dogs with fracture/luxation of the cervical spine, or AA subluxations, were reviewed. Only dogs that had intraoperative linear distraction using the base of the skull as a purchase point for a self-retaining retractor were included. Signalment, presenting neurologic deficits, fracture location, and concurrent injury were recorded. Both short-term in-hospital follow-up, including healing and any complications, and long-term telephone follow-up were obtained. Realignment of the spinal vertebrae, reestablishing the normal properties of the spinal canal, was achieved after distraction in all dogs. Screws and small pins incorporated into polymethylmethacrylate cement were used to span the fracture ventrally and achieve rigid internal fixation. Eight dogs had a complete neurologic recovery, 2 dogs had slight residual ataxia, 2 dogs died, and 1 dog was lost to follow-up. Healing was good (mean, 7.5 weeks) or excellent (mean, 5.1 months) based on in-hospital follow-up (mean, 5.1 months). On final telephone follow-up (mean, 7.7 years), no dogs were reported to have had any associated problems or additional surgery. This surgical distraction technique was a reliable, relatively simple method to obtain reduction of fracture/luxations of C1-2 to re-align the spinal canal. Mortality in this series appears lower than that previously reported and supports surgical management of these injuries. © Copyright 2011 by The American College of Veterinary Surgeons.

Healthier central England or North–South divide? Analysis of national survey data on smoking and high-risk drinking

PubMed Central

Beard, Emma; Brown, Jamie; West, Robert; Angus, Colin; Kaner, Eileen; Michie, Susan

2017-01-01

Objectives This paper compares patterns of smoking and high-risk alcohol use across regions in England, and assesses the impact on these of adjusting for sociodemographic characteristics. Design Population survey of 53 922 adults in England aged 16+ taking part in the Alcohol and Smoking Toolkit Studies. Measures Participants answered questions regarding their socioeconomic status (SES), gender, age, ethnicity, Government Office Region, smoking status and completed the Alcohol Use Disorders Identification Test (AUDIT). High-risk drinkers were defined as those with a score of 8 or more (7 or more for women) on the AUDIT. Results In unadjusted analyses, relative to the South West, those in the North of England were more likely to smoke, while those from the East of England, South East and London were less likely. After adjustment for sociodemographics, smoking prevalence was no higher in North East (RR 0.97, p>0.05), North West (RR 0.98, p>0.05) or Yorkshire and the Humber (RR 1.03, p>0.05) but was less common in the East and West Midlands (RR 0.86, p<0.001; RR 0.91, p<0.05), East of England (RR 0.86, p<0.001), South East (RR 0.92, p<0.05) and London (RR 0.85, p<0.001). High-risk drinking was more common in the North but was less common in the Midlands, London and East of England. Adjustment for sociodemographics had little effect. There was a higher prevalence in the North East (RR 1.67, p<0.001), North West (RR 1.42, p<0.001) and Yorkshire and the Humber (RR 1.35, p<0.001); lower prevalence in the East Midlands (RR 0.69, p<0.001), West Midlands (RR 0.77, p<0.001), East of England (RR 0.72, p<0.001) and London (RR 0.71, p<0.001); and a similar prevalence in the South East (RR 1.10, p>0.05) Conclusions In adjusted analyses, smoking and high-risk drinking appear less common in ‘central England’ than in the rest of the country. Regional differences in smoking, but not those in high-risk drinking, appear to be explained to some extent by sociodemographic disparities. PMID:28249851

75 FR 56094 - Delta-Mendota Canal Intertie Project

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-15

... and maintenance road along the canal would be used to set the transmission structures. Although span... access and maintenance road would be realigned where necessary to accommodate transmission line... DMC. The route also allowed use of the existing canal access and maintenance road to be used for...

Divided Wisconsin: Partisan Spatial Electoral Realignment

ERIC Educational Resources Information Center

Zaniewski, Kazimierz J.; Simmons, James R.

2016-01-01

When the Republican and Democratic presidential candidates head into the general election this fall, they will be courting votes from a statewide electorate that has dramatically shifted over time, mirroring the political polarization that is happening across the country. Over the last three decades, Wisconsin's political geography has evolved…

17. VIEW OF THE END OF THE PROPOSED CONSTRUCTION ON ...

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

17. VIEW OF THE END OF THE PROPOSED CONSTRUCTION ON THE GENOA PEAK ROAD. AT THIS JUNCTION WITH FOREST SERVICE ROAD 14N32B, THE ROAD WILL BE REALIGNED TO ACCOMMODATE LOGGING TRUCKS ENTERING PROJECT LIMITS. - Genoa Peak Road, Glenbrook, Douglas County, NV

Divisional Realignment Act of 2012

THOMAS, 112th Congress

Sen. McCaskill, Claire [D-MO

2012-06-14

Senate - 06/14/2012 Read twice and referred to the Committee on the Judiciary. (All Actions) Notes: For further action, see H.R.5512, which became Public Law 112-188 on 10/5/2012. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Division Realignment Act of 2013

THOMAS, 113th Congress

Rep. Thompson, Bennie G. [D-MS-2

2013-07-31

House - 09/13/2013 Referred to the Subcommittee on Courts, Intellectual Property, and the Internet. (All Actions) Notes: For further action, see H.R.2871, which became Public Law 113-61 on 12/20/2013. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

75 FR 70916 - Surplus Properties; Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-19

... DEPARTMENT OF DEFENSE Department of the Army Surplus Properties; Notice AGENCY: Department of the... agencies and Department of Defense components. This Notice amends the Notice published in the Federal... with the Defense Base Closure and Realignment Act of 1990, Public Law 101-510, as amended, and the 2005...

Mathematical Analogy and Metaphorical Insight

ERIC Educational Resources Information Center

Zwicky, Jan

2010-01-01

How are we to understand the power of certain literary metaphors? The author argues that the apprehension of good metaphors is importantly similar to the apprehension of fruitful mathematical analogies: both involve a structural realignment of vision. The author then explores consequences of this claim, drawing conceptually significant parallels…

An evaluation of the U.S. Highway 17 underpass in Chesapeake, Virginia, as a wildlife crossing.

DOT National Transportation Integrated Search

2010-01-01

In November 2005, the Virginia Department of Transportation (VDOT) realigned and widened more than 10 miles of U.S. Highway 17 in Chesapeake, Virginia, to accommodate the growing volume of traffic and increase safety. Through extensive coordination w...

Critical Viewing and Participatory Democracy.

ERIC Educational Resources Information Center

Cohen, Jodi R.

1994-01-01

Illustrates ways that the work of some communication scholars with resistant, oppositional, and critical audiences does not, however, endorse active public life. Attempts to realign the language of critical viewing with the goals of participatory democracy by suggesting qualities of critical viewing that are conducive to achieving and maintaining…

Bill Shakespeare's Blind Date.

ERIC Educational Resources Information Center

Hadley, Eric

2002-01-01

Argues for the realignment of Shakespeare with the popular forms which influence the social world of young children. Explores what teachers and performers need to learn and unlearn when telling Shakespeare's stories in the company of children. Considers the grounds of creativity for teachers when abandoning prescription in teaching Shakespeare.…

The New York City Neighborhood-Based Services Strategy

ERIC Educational Resources Information Center

Chahine, Zeinab; van Straaten, Justine; Williams-Isom, Anne

2005-01-01

The New York City Administration for Children's Services (ACS) instituted a neighborhood-based services system through the realignment of all foster care, preventive, and protective services along community district lines. ACS, with its community partners, also formed neighborhood-based networks to improve service coordination and collaboration…

32 CFR 179.1 - Purpose.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 1 2010-07-01 2010-07-01 false Purpose. 179.1 Section 179.1 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE... Munitions Response Site Prioritization Protocol (MRSPP) (hereinafter referred to as the “rule”) under the...

32 CFR 179.1 - Purpose.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 32 National Defense 1 2014-07-01 2014-07-01 false Purpose. 179.1 Section 179.1 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE... Munitions Response Site Prioritization Protocol (MRSPP) (hereinafter referred to as the “rule”) under the...

32 CFR 179.1 - Purpose.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 32 National Defense 1 2012-07-01 2012-07-01 false Purpose. 179.1 Section 179.1 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE... Munitions Response Site Prioritization Protocol (MRSPP) (hereinafter referred to as the “rule”) under the...

32 CFR 179.1 - Purpose.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 32 National Defense 1 2013-07-01 2013-07-01 false Purpose. 179.1 Section 179.1 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE... Munitions Response Site Prioritization Protocol (MRSPP) (hereinafter referred to as the “rule”) under the...

32 CFR 179.1 - Purpose.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 1 2011-07-01 2011-07-01 false Purpose. 179.1 Section 179.1 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE... Munitions Response Site Prioritization Protocol (MRSPP) (hereinafter referred to as the “rule”) under the...

Impact of PACS in hospital management

NASA Astrophysics Data System (ADS)

Hur, Gham; Cha, Soon-Joo; Kim, Yong H.; Hwang, Yoon J.; Kim, Soo Y.

2002-05-01

Since the low-cost, NT-based, full PACS was successfully implemented in a large-scale hospital at the end of 1999, many hospital administrators have rushed to purchase the system competitively. It is now a worldwide trend to implement the technology, but Korea has several unique environments for the fast spread of the full PACS. Since hospitals in Korea operate inpatient and outpatient clinics in the same building and use identical OCS, full integration of PACS with the OCS was relatively easy and highly efficient. The simple governing structures of the hospitals also made the decision-making process short and effective. In addition, the national health insurance reimbursement policy that started pay in the beginning of 2000 has also played a catalytic role for the swift propagation of PACS. The recent appearance of the affordable PACS gave hospital administrators the opportunity to learn and understand the role of digital imaging in the areas that are directly related to the efficiency and quality of medical services, as well as cost containment. Furthermore, PACS provided them with windows to the 'all-digital hospital,' which will lead them to realign policies in the management of the hospitals in order to compete successfully in the fast-changing world of health care.

Redesign and commissioning of sexual health services in England - a qualitative study.

PubMed

Walker, I F; Leigh-Hunt, N; Lee, A C K

2016-10-01

Responsibility for the commissioning of sexual and reproductive health (SRH) services transferred from the National Health Service to local authorities in England in 2013. This transfer prompted many local authorities to undertake new procurements of these SRH services. This study was undertaken to capture some of the lessons learnt in order to inform future commissioning and system redesign. A qualitative study was carried out involving semi-structured interviews. Interviews were conducted with 13 local authority sexual health commissioners in Yorkshire and the Humber from 11 interviews. Thematic analysis was used to identify themes from transcripts of the interviews with the 13 participants. Key themes identified were as follows: the challenge and complexity to those new to clinical commissioning; the prerequisites of robust infrastructural inputs to undertake the process, including technical expertise, a dependable project team, with clarity over the timescales and the budget; the requirement for good governance, stakeholder engagement and successful management of relationships with the latter; and the need to focus on the outcomes, aiming for value for money and improved system performance. Several key issues emerged from our study that significantly influenced the outcome of the redesign and commissioning process for sexual health services. An adapted model of the Donabedian evaluation framework was developed to provide a tool to inform future system redesign. Our model helps identify the key determinants for successful redesign in this context which is essential to both mitigate potential risks and maximize the likelihood of successful outcomes. Our model may have wider applications. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

36 CFR 294.23 - Road construction and reconstruction in Idaho Roadless Areas.

Code of Federal Regulations, 2010 CFR

2010-07-01

... be mitigated by road maintenance. Road realignment may occur under this subsection only if the road.... (e) Road maintenance. Maintenance of temporary and forest roads is permissible in Idaho Roadless... 36 Parks, Forests, and Public Property 2 2010-07-01 2010-07-01 false Road construction and...

Incorporation of National Universities in Japan

ERIC Educational Resources Information Center

Oba, Jun

2007-01-01

In April 2004, Japanese national universities were incorporated and became much more autonomous from the government in their operations. Their managerial structure was realigned--placing the president at the centre of the decision-making process, and with the participation of external persons--to be more responsive to the changing needs of…

Self-Aligning Sensor-Mounting Fixture

NASA Technical Reports Server (NTRS)

Gilbert, Jeffrey L.; Mills, Rhonda J.

1991-01-01

Optical welding sensors replaced without realignment. Mounting fixture for optical weld-penetration sensor enables accurate and repeatable alignment. Simple and easy to use. Assembled on welding torch, it holds sensor securely and keeps it pointed toward weld pool. Designed for use on gas/tungsten arc-welding torch, fixture replaces multipiece bracket.

A Qualitative Study of Superintendent Leadership Experiences during a Top-Down Organizational Change

ERIC Educational Resources Information Center

Bryant, Johane

2014-01-01

The purpose was to investigate common experiences of superintendents as they responded to realignment of leadership responsibilities during an organizational change initiated by mayoral control. To discover the shared essence of changes in leadership responsibilities experienced by superintendents, individuals "told their stories" to…

Leading with Dignity after Reassignment

ERIC Educational Resources Information Center

Lommen, Kathleen

2013-01-01

Refreshed from a leadership summit, the author is determined to share her story so that effective school leaders can also learn to thrive in spite of leadership changes that may burden their administrative teams, whether it is due to budget cuts, program realignment, organizational changes or just plain bullying behaviors. The author has…

A Walking Education Program for Patients with Osteoarthritis of the Knee: Theory and Intervention Strategies.

ERIC Educational Resources Information Center

Allegrante, John P.; And Others

1993-01-01

A walking program for osteoarthritis patients promoted adoption by guided practice, reinforcement, and stimulus control; facilitated compliance by behavioral contracting; maintained behavior change through generalization and self-control strategies; and prevented relapse by realignment of normative beliefs and planned relapse techniques. (SK)

32 CFR 174.16 - Real property containing explosive or chemical agent hazards.

Code of Federal Regulations, 2010 CFR

2010-07-01

... chemical agent hazards from past DoD military munitions-related or chemical warfare-related activities... 32 National Defense 1 2010-07-01 2010-07-01 false Real property containing explosive or chemical... REALIGNMENT Environmental Matters § 174.16 Real property containing explosive or chemical agent hazards. The...

75 FR 2541 - Environmental Impact Statements and Regulations; Availability of EPA Comments

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-15

..., 158th Fighter Wing Vermont Air National Guard Project, Proposed Realignment of National Guard Avenue and... the preparing agency. EIS No. 20090401, ERP No. F-IBR-K39118-CA, Delta-Mendota Canal/ California... Delta-Mendota Water Authority Project, Central Valley Project, Alameda and San Joaquin Counties, CA...

75 FR 52733 - Record of Decision (ROD) for Fort Bliss Army Growth and Force Structure Realignment

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-27

... alternative consists of actions in three different categories (stationing/training, land use changes, and... (Stationing Action Alternative 4); land use changes that allow fixed site bivouac areas, mission support... supports Army expansion, future stationing actions, and land use changes and training infrastructure...

75 FR 24930 - Fort Bliss (Texas) Army Growth and Force Structure Realignment Final Environmental Impact...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-06

... effects that would result from use of stationing and training capacity, land use changes, and training... 4 stationing action; Alternative 5 land use change; and Alternative 4 training infrastructure... stationing package. Alternative 5 land use changes allow fixed sites (e.g., military bivouac), mission...

Raising the Bar on Faculty Productivity: Realigning Performance Standards to Enhance Quality Trajectories

ERIC Educational Resources Information Center

Hardré, Patricia L.

2014-01-01

Many universities have observed needs and shared goals that include increasing faculty members' research productivity (in quantity or quality). Strategies for raising faculty performance include revising standards and supporting valued outcomes with rewards and incentives. One college at a research-extensive university received institutional…

The Role of Higher Education in Linking Arts, Culture, and Economic Development

ERIC Educational Resources Information Center

Steinkamp, Judith S.

2004-01-01

In the knowledge economy, colleges and universities are realigning academic initiatives to link more closely with regional needs. They are unique catalysts for forming community alliances to focus on issues of economic development, neighborhood revitalization, and cultural tourism. In partnership with business, municipalities, and cultural…

5. Aerial view of turnpike path running through center of ...

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

5. Aerial view of turnpike path running through center of photograph along row of trees. 1917 realignment visible along left edge of photograph along edge of forest. Modernized alignment resumes at top right of photograph. View looking north. - Orange Turnpike, Parallel to new Orange Turnpike, Monroe, Orange County, NY

75 FR 44805 - Central Utah Project Completion Act; Notice of Availability, Draft Environmental Assessment...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-29

... DEPARTMENT OF THE INTERIOR Central Utah Project Completion Act; Notice of Availability, Draft Environmental Assessment (Draft EA); Realignment of a Portion of the Utah Lake Drainage Basin Water Delivery System AGENCY: Office of the Assistant Secretary--Water and Science, Interior ACTION: Notice of...

Shadow Play

ERIC Educational Resources Information Center

Trundle, Kathy Cabe; Hilson, Margilee P.

2012-01-01

A bunny rabbit playfully hops across the wall. Then hands realign and fingers shift to make a hawk soar toward the ceiling. Most children have enjoyed the delightful experience of playing with shadow puppets. The authors build on this natural curiosity to help students link shadows to complex astronomical concepts such as seasons. The…

HR Shared Services and the Realignment of HR.

ERIC Educational Resources Information Center

Reilly, P.

This report examines how adopting the shared services model of human resources (HR) services delivery can help businesses achieve better alignment between their HR service and specific business needs. Chapter 1 provides background information on the research project underlying this report, which included the following data collection activities:…

Position Description Analysis: A Method for Describing Academic Roles and Functions.

ERIC Educational Resources Information Center

Renner, K. Edward; Skibbens, Ronald J.

1990-01-01

The Position Description Analysis method for assessing the discrepancy between status quo and specializations needed by institutions to meet new demands and expectations is presented using Dalhousie University (Nova Scotia) as a case study. Dramatic realignment of fields of specialization and change strategies accommodating the aging professoriate…

Ecology of the Computer Laboratory

ERIC Educational Resources Information Center

Folkestad, James E.; Banning, James

2008-01-01

Global communication, international workflow, and connected learning are converging to realign power, wealth, and work. As Friedman (2006) explained, many forces are coming together to cause a flattening or leveling effect of the world's workforce. This has allowed many skilled workers from emerging nations to enter the workplace and compete for…

77 FR 43106 - Tribal Consultation Sessions-Department of the Interior Information Technology Infrastructure...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-23

... the 2012 Information Technology transformation realignment proposal as well as on how Information Technology transformation should be implemented in the coming years. DATES: See the SUPPLEMENTARY [email protected] or by U.S. mail to: IT Transformation Comments, Office of the Chief Information...

Rising Stars: High School's Change Process Produces Higher Test Scores.

ERIC Educational Resources Information Center

McCown, Claire; Runnebaum, Robert

2001-01-01

Presents Bishop Ward High School (Kansas) as a case study that has seen great improvements in standardized testing results by changing its approach. States that realignment of curriculum, adjusting instructional strategies, and accommodating students with special needs are important aspects of raising assessment scores in high schools. (CJW)

32 CFR 179.4 - Policy.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 32 National Defense 1 2012-07-01 2012-07-01 false Policy. 179.4 Section 179.4 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE..., stakeholder interest) can affect the sequence in which munitions response actions at a specific MRS are funded...

32 CFR 179.4 - Policy.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 32 National Defense 1 2014-07-01 2014-07-01 false Policy. 179.4 Section 179.4 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE..., stakeholder interest) can affect the sequence in which munitions response actions at a specific MRS are funded...

32 CFR 179.4 - Policy.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 1 2011-07-01 2011-07-01 false Policy. 179.4 Section 179.4 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE..., stakeholder interest) can affect the sequence in which munitions response actions at a specific MRS are funded...

32 CFR 179.4 - Policy.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 32 National Defense 1 2013-07-01 2013-07-01 false Policy. 179.4 Section 179.4 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE..., stakeholder interest) can affect the sequence in which munitions response actions at a specific MRS are funded...

The Distributive Property in Grade 3?

ERIC Educational Resources Information Center

Benson, Christine C.; Wall, Jennifer J.; Malm, Cheryl

2013-01-01

The Common Core State Standards for Mathematics (CCSSM) call for an in depth, integrated look at elementary school mathematical concepts. Some topics have been realigned to support an integration of topics leading to conceptual understanding. For example, the third-grade standards call for relating the concept of area (geometry) to multiplication…

77 FR 43084 - Multiple Award Schedule (MAS) Program Continuous Open Season-Operational Change

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-23

... Award Schedule (MAS) Program Continuous Open Season- Operational Change AGENCY: Federal Acquisition... proposing this operational change to enhance the performance of and modernize the MAS program in three key program areas: Small business viability, operational efficiency, and cost control. The DBM will realign...

32 CFR 174.16 - Real property containing explosive or chemical agent hazards.

Code of Federal Regulations, 2014 CFR

2014-07-01

... chemical agent hazards from past DoD military munitions-related or chemical warfare-related activities... 32 National Defense 1 2014-07-01 2014-07-01 false Real property containing explosive or chemical... REALIGNMENT Environmental Matters § 174.16 Real property containing explosive or chemical agent hazards. The...

32 CFR 174.16 - Real property containing explosive or chemical agent hazards.

Code of Federal Regulations, 2012 CFR

2012-07-01

... chemical agent hazards from past DoD military munitions-related or chemical warfare-related activities... 32 National Defense 1 2012-07-01 2012-07-01 false Real property containing explosive or chemical... REALIGNMENT Environmental Matters § 174.16 Real property containing explosive or chemical agent hazards. The...

32 CFR 174.16 - Real property containing explosive or chemical agent hazards.

Code of Federal Regulations, 2013 CFR

2013-07-01

... chemical agent hazards from past DoD military munitions-related or chemical warfare-related activities... 32 National Defense 1 2013-07-01 2013-07-01 false Real property containing explosive or chemical... REALIGNMENT Environmental Matters § 174.16 Real property containing explosive or chemical agent hazards. The...

32 CFR 174.16 - Real property containing explosive or chemical agent hazards.

Code of Federal Regulations, 2011 CFR

2011-07-01

... chemical agent hazards from past DoD military munitions-related or chemical warfare-related activities... 32 National Defense 1 2011-07-01 2011-07-01 false Real property containing explosive or chemical... REALIGNMENT Environmental Matters § 174.16 Real property containing explosive or chemical agent hazards. The...

Promise and problems with supply chain management approaches to health care purchasing.

PubMed

Ford, Eric W; Scanlon, Dennis P

2007-01-01

Double-digit health care inflation, coupled with widespread reports of poor care quality and deadly medical errors, has caused private sector employers to reevaluate their health benefits purchasing strategies, with a focus on supply chain management approaches. In other industries, this strategy has proven to be an effective method for simultaneously reducing costs and increasing quality. This article describes four current applications of supply chain management network methodologies to health care systems and identifies potential ways to improve purchasers' return on investment. In particular, information exchanges, purchase decision, and payment agreement components of integrated supply chains are described. First, visual depictions of the health care supply chain are developed from a purchaser's perspective. Next, five nationwide programs designed to realign incentives and rewards across the health care supply chain are described. Although several nationwide efforts are gaining traction in the marketplace, at this time, no cost reduction and quality improvement program initiative appears to systematically align the entire health care supply chain from providers to purchasers, raising doubt about the ability of supply chain management network techniques to significantly impact the health care marketplace in the short run. Current individual efforts to coordinate the health care supply chain do not act on all of the actors necessary to improve outcomes, promote safety, and control costs. Nevertheless, there are indications that several of the individual efforts are coming together. If national efforts touching on all critical elements can coordinate with purchasers, then the health care supply chain's performance may improve significantly.

Assessing the Educational Data Movement. Technology, Education--Connections (TEC)

ERIC Educational Resources Information Center

Piety, Philip J.

2013-01-01

For better or worse, many educational decisions that were once handled on a personal level by teachers or administrators now increasingly rely upon data and information. To be successful in this era, educators need to understand this broad sociotechnical revolution and how it is realigning traditional roles and responsibilities. In this book, the…

Restructuring the University of Alaska Statewide System of Higher Education.

ERIC Educational Resources Information Center

Gaylord, Thomas A.; Rogers, Brian

The radical restructuring of Alaska's public higher education system brought on by the state's 1986 economic collapse is discussed. The plan called for a merger of 11 community colleges with three universities into three multi-campus institutions. It realigned statewide programs in vocational technical education, fisheries and ocean sciences,…

Valuing Higher Education

ERIC Educational Resources Information Center

Pillay, Gerald J.

2009-01-01

The question of the value of higher education is today set in the context of an unprecedented banking and financial crisis. In this context of fundamental change and financial realignment, it is important that we as members of the university remake our case for why the university deserves to be considered alongside all those other worthy causes…

1. West portal of Tunnel 23, contextual view to the ...

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

1. West portal of Tunnel 23, contextual view to the west-northwest, 380mm lens. Tunnel 22 pierces the toe of Lookout Point. Note that the tracks have been realigned toward the Willamette River to bypass Tunnel 23. - Southern Pacific Railroad Natron Cutoff, Tunnel 23, Milepost 584.5, Westfir, Lane County, OR

75 FR 8485 - Revocation of Class D and E Airspace; Brunswick, ME

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-25

...-0981; Airspace Docket No. 09-ANE-105] Revocation of Class D and E Airspace; Brunswick, ME AGENCY... and E Airspace at Brunswick NAS Airport, Brunswick, ME, as the airport has closed and the associated... Brunswick NAS Airport in Brunswick, ME has closed in compliance with the 2005 Base Realignment and Closure...

78 FR 7784 - Office of the Secretary; Office of the Assistant Secretary for Preparedness and Response...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-04

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary; Office of the Assistant Secretary... the Department of Health and Human Services (HHS) is being amended at Chapter AN, Office of the... June 21, 2010. This organizational change is to realign the Division of Emergency Care Coordination...

75 FR 1425 - Self-Regulatory Organizations; the Depository Trust Company; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-11

... Money Market Instruments. These changes are intended to realign the fees with DTC's corresponding... Position fee for issues with a large number of shares but low market value. These proposed fee revisions... Commission, by the Division of Trading and Markets, pursuant to delegated authority.\\9\\ Florence E. Harmon...

78 FR 63869 - Change of Using Agency for Restricted Areas R-2309 and R-2312, AZ

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-25

...-8783. SUPPLEMENTARY INFORMATION: Background As a result of the realignment of organizational... operational control occurs October 1, 2013. This action is an administrative name change only and does not... amends the descriptions of restricted areas R-2309 and R-2312 to reflect current organizational...

Microelectronics (Electronic Devices) Research, Development, Test, and Evaluation Laboratories with DoD

DTIC Science & Technology

1994-04-08

Range, New Mexico , the National Aeronautics and Space Administration Langley Research Center in Hampton, Virginia, and the Lewis Research Center in...SUBMITTED TO CONGRESS MARCH 1993 40 Appendix £. Excerpt from the Army’s Justification for DoD Base Realignment and Closure SEXt BYSASD iNLi i/Ba

Accounting Issues: An Essay Series Part I--Introduction to Accounting Theory and Cash

ERIC Educational Resources Information Center

Laux, Judy

2007-01-01

Recent accounting scandals challenge academics to refocus the educational process on the theoretical underpinnings of accounting. This is the first in a series of articles designed to facilitate this realignment. Intended as a supplement for the introductory accounting course, the essay series connects each of the primary accounting elements to…

Realigning the Focus of Plagiarism Detection Using "Plagiarismdetect.com"

ERIC Educational Resources Information Center

Sabapathy, Elangkeeran A/L; Rahim, Rozlan Abd; Jusoff, Kamaruzaman

2009-01-01

The purpose of this article is to examine the extent to which "plagiarismdetect.com," an internet help/tool to detect plagiarism helps academicians tackle the ever-growing problem of plagiarism. Concerned with term papers, essays and most of the time with full-blown research reports, a tool like "plagiarismdetect.com" may…

Integrating Comparative Research on Global Instructional Practices in Pre-Service Early Childhood Education Science Course Instruction

ERIC Educational Resources Information Center

Medlin, Dorene

2017-01-01

The purpose of this study was to determine the impact of internationalizing a curricular component of the class on preservice teachers. By realigning course objectives and including a content specific Albany State University internationalization initiative framework, the project evaluated the impact on preservice teacher knowledge of culturally…

Motivations to Switch: Refuting the Public Discourse on Athletic Conference Realignment

ERIC Educational Resources Information Center

Kramer, Dennis A., II

2016-01-01

Since their inception, intercollegiate athletic programs have spurred debates between academics and practitioners in terms of their importance and placement within the academic mission of higher education. This dialogue has escalated over the past 30 years, as the college sports industry has grown in size, scope, and complexity. As a result of…

Avoiding Practice Shock: Using Teacher Movies to Realign Pre-Service Teachers' Expectations of Teaching

ERIC Educational Resources Information Center

Delamarter, Jeremy

2015-01-01

Pre-service teachers often have unrealistic expectations of teaching. They often create an inspiration/content dichotomy in which they expect relational activities to trump content delivery. Unchecked, these misaligned expectations can lead to practice shock, the disorienting and sometimes traumatic identity crisis that often occurs during the…

Integrating Human Health and Environmental Health into the DPSIR Framework: A Tool to Identify Research Opportunities for Sustainable and Healthy Communities

EPA Science Inventory

The U.S. Environmental Protection Agency has recently realigned its research enterprise around the concept of sustainability. Scientists from across multiple disciplines have a role to play in contributing the information, methods, and tools to more fully understand the long-term...

Military Lives: Coaching Transitions

ERIC Educational Resources Information Center

Beech, Nick; Gold, Jeff; Beech, Susan

2017-01-01

Purpose: The purpose of this paper is to first consider how veterans use talk to shape interpretations of personal and social identity. Second, this paper seeks to gain an understanding of how veterans see themselves in a civilian world, their ability to re-conceptualise and realign their perspective on life to support their transition in to a…

Military Base Realignments and Closures: Process for Reusing Property for Homeless Assistance Needs Improvements

DTIC Science & Technology

2015-03-01

Reserve Base Willow Grove, Pennsylvania 2 Naval Support Activity New Orleans–East Bank, Louisiana 1 Onizuka Air Force Station, California 3...and white . Pricing and ordering information is posted on GAO’s website, http://www.gao.gov/ordering.htm. Place orders by calling (202) 512-6000

Orbital operation study. Volume 3: Basic vehicle summaries

NASA Technical Reports Server (NTRS)

Anderson, N. R.; Gianformaggio, A.

1972-01-01

The vehicle related data developed during the orbital operations study are described. The interfacing activity findings have been realigned into the four basic vehicle systems as follows: (1) earth orbital shuttle (EOS), (2) research and applications module (RAM), (3) space based, ground based, manned and unmanned tugs, and (4) modular space station (MSS).

Performance Assessments: How State Policy Can Advance Assessments for 21st Century Learning. White Paper

ERIC Educational Resources Information Center

Parsi, Ace; Darling-Hammond, Linda

2015-01-01

Employers, postsecondary institutions, and civic leaders are urging greater focus on 21st century skills essential for college, career, and civic success: problem solving, interpersonal skills, and collaboration, among others. In response to these demands, states across the country are working to realign policies--on learning standards,…

Gender in the Neoliberalised Global Academy: The Affective Economy of Women and Leadership in South Asia

ERIC Educational Resources Information Center

Morley, Louise; Crossouard, Barbara

2016-01-01

As higher education (HE) institutions globally become increasingly performative, competitive and corporatised in response to neoliberal rationalities, the exigencies of HE leadership are being realigned to accommodate its value system. This article draws on recent British Council-funded research, including 30 semi-structured interviews, to explore…

France’s New NATO Policy: Leveraging a Realignment of the Alliance?

DTIC Science & Technology

2009-01-01

things that others only think. Former Socialist foreign minister, Hubert Védrine, put it in particularly stark terms: Were France to become a...see Ronja Kempin and Marco Overhaus, “Kein grosser Sprung in der Entwicklung der ESVP: Lehren aus der französischen Ratpräsidentschaft” [“No great

State Outlook: Fiscal and Public Policy Issues Affecting Postsecondary Education

ERIC Educational Resources Information Center

American Association of State Colleges and Universities, 2010

2010-01-01

This publication provides a compilation of the issues affecting postsecondary education in America. The contents of this issue include: (1) Overview of Economic and Fiscal Policy Dynamics; (2) July 2010 Economic Snapshot; (3) State Economic Conditions and Budget Outlook; (4) State Budget Pressures; (5) State Budget Realignment Strategies; (6)…

Realigning Capital Portfolios: International Students' Educational Experiences in Higher Education

ERIC Educational Resources Information Center

Lin, Isadora Jung-Hsiu

2014-01-01

This paper reports on first year experiences of international students who use English as an additional language (EAL) in higher education in Australia. It examines how valued resources can foster a positive educational experience of these students from sociological perspectives. It draws data from an interview study, exploring narrative accounts…

77 FR 55896 - Notice of Release Effecting Federal Grant Assurance Obligations Due to Airport Layout Plan...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-11

... Grant Assurance Obligations Due to Airport Layout Plan Revision at Mather Airport, Sacramento, CA AGENCY... Mather Airport, Sacramento, California, which will provide for a release from the Grant Agreement... the closure of Mather Air Force Base pursuant to the Defense Base Closure and Realignment Act of 1988...

32 CFR Appendix A to Part 179 - Tables of the Munitions Response Site Prioritization Protocol

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 1 2010-07-01 2010-07-01 false Tables of the Munitions Response Site... OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE PRIORITIZATION PROTOCOL (MRSPP) Pt. 179, App. A Appendix A to Part 179—Tables of the Munitions Response Site Prioritization Protocol The tables...

32 CFR Appendix A to Part 179 - Tables of the Munitions Response Site Prioritization Protocol

Code of Federal Regulations, 2012 CFR

2012-07-01

... 32 National Defense 1 2012-07-01 2012-07-01 false Tables of the Munitions Response Site... OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE PRIORITIZATION PROTOCOL (MRSPP) Pt. 179, App. A Appendix A to Part 179—Tables of the Munitions Response Site Prioritization Protocol The tables...

32 CFR Appendix A to Part 179 - Tables of the Munitions Response Site Prioritization Protocol

Code of Federal Regulations, 2014 CFR

2014-07-01

... 32 National Defense 1 2014-07-01 2014-07-01 false Tables of the Munitions Response Site... OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE PRIORITIZATION PROTOCOL (MRSPP) Pt. 179, App. A Appendix A to Part 179—Tables of the Munitions Response Site Prioritization Protocol The tables...

32 CFR Appendix A to Part 179 - Tables of the Munitions Response Site Prioritization Protocol

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 1 2011-07-01 2011-07-01 false Tables of the Munitions Response Site... OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE PRIORITIZATION PROTOCOL (MRSPP) Pt. 179, App. A Appendix A to Part 179—Tables of the Munitions Response Site Prioritization Protocol The tables...

32 CFR Appendix A to Part 179 - Tables of the Munitions Response Site Prioritization Protocol

Code of Federal Regulations, 2013 CFR

2013-07-01

... 32 National Defense 1 2013-07-01 2013-07-01 false Tables of the Munitions Response Site... OF DEFENSE CLOSURES AND REALIGNMENT MUNITIONS RESPONSE SITE PRIORITIZATION PROTOCOL (MRSPP) Pt. 179, App. A Appendix A to Part 179—Tables of the Munitions Response Site Prioritization Protocol The tables...

Affiliated Practices and Aesthetic Interventions: Remaking Public Spaces in Cincinnati and Los Angeles

ERIC Educational Resources Information Center

Dutton, Thomas A.; Mann, Lian Hurst

2003-01-01

This article focuses on how architecture, and aesthetic interventions generally, might be transformed from hegemonic to counterhegemonic in order to realign political forces in the production of culture and social life. In a prior REMARX commentary for "Rethinking Marxism", the authors critiqued the concept of "the political"…

The psychology of primate cooperation and competition: a call for realigning research agendas

PubMed Central

Schmelz, Martin; Call, Josep

2016-01-01

Cooperation and competition are two key components of social life. Current research agendas investigating the psychological underpinnings of competition and cooperation in non-human primates are misaligned. The majority of work on competition has been done in the context of theory of mind and deception, while work on cooperation has mostly focused on collaboration and helping. The current impression that theory of mind is not necessarily implicated in cooperative activities and that helping could not be an integral part of competition might therefore be rather misleading. Furthermore, theory of mind research has mainly focused on cognitive aspects like the type of stimuli controlling responses, the nature of representation and how those representations are acquired, while collaboration and helping have focused primarily on motivational aspects like prosociality, common goals and a sense of justice and other-regarding concerns. We present the current state of these two bodies of research paying special attention to how they have developed and diverged over the years. We propose potential directions to realign the research agendas to investigate the psychological underpinnings of cooperation and competition in primates and other animals. PMID:26644603

Socrates: identification of genomic rearrangements in tumour genomes by re-aligning soft clipped reads

PubMed Central

Schröder, Jan; Hsu, Arthur; Boyle, Samantha E.; Macintyre, Geoff; Cmero, Marek; Tothill, Richard W.; Johnstone, Ricky W.; Shackleton, Mark; Papenfuss, Anthony T.

2014-01-01

Motivation: Methods for detecting somatic genome rearrangements in tumours using next-generation sequencing are vital in cancer genomics. Available algorithms use one or more sources of evidence, such as read depth, paired-end reads or split reads to predict structural variants. However, the problem remains challenging due to the significant computational burden and high false-positive or false-negative rates. Results: In this article, we present Socrates (SOft Clip re-alignment To idEntify Structural variants), a highly efficient and effective method for detecting genomic rearrangements in tumours that uses only split-read data. Socrates has single-nucleotide resolution, identifies micro-homologies and untemplated sequence at break points, has high sensitivity and high specificity and takes advantage of parallelism for efficient use of resources. We demonstrate using simulated and real data that Socrates performs well compared with a number of existing structural variant detection tools. Availability and implementation: Socrates is released as open source and available from http://bioinf.wehi.edu.au/socrates. Contact: papenfuss@wehi.edu.au Supplementary information: Supplementary data are available at Bioinformatics online. PMID:24389656

Self aligning electron beam gun having enhanced thermal and mechanical stability

DOEpatents

Scarpetti, Jr., Raymond D.; Parkison, Clarence D.; Switzer, Vernon A.; Lee, Young J.; Sawyer, William C.

1995-01-01

A compact, high power electron gun having enhanced thermal and mechanical stability which incorporates a mechanically coupled, self aligning structure for the anode and cathode. The enhanced stability, and reduced need for realignment of the cathode to the anode and downstream optics during operation are achieved by use of a common support structure for the cathode and anode which requires no adjustment screws or spacers. The electron gun of the present invention also incorporates a modular design for the cathode, in which the electron emitter, its support structure, and the hardware required to attach the emitter assembly to the rest of the gun are a single element. This modular design makes replacement of the emitter simpler and requires no realignment after a new emitter has been installed. Compactness and a reduction in the possibility of high voltage breakdown are achieved by shielding the "triple point" where the electrode, insulator, and vacuum meet. The use of electric discharge machining (EDM) for fabricating the emitter allows for the accurate machining of the emitter into intricate shapes without encountering the normal stresses developed by standard emitter fabrication techniques.

Dependence of Tropical Cyclone Intensification on the Latitude under Vertical Shear

NASA Astrophysics Data System (ADS)

Bi, Mingyu; Ge, Xuyang; Li, Tim

2018-02-01

The sensitivity of tropical cyclone (TC) intensification to the ambient rotation effect under vertical shear is investigated. The results show that the vortices develop more rapidly with intermediate planetary vorticity, which suggests an optimal latitude for the TC development in the presence of vertical shear. This is different from the previous studies in which no mean flow is considered. It is found that the ambient rotation has two main effects. On the one hand, the boundary layer imbalance is largely controlled by the Coriolis parameter. For TCs at lower latitudes, due to the weaker inertial instability, the boundary inflow is promptly established, which results in a stronger moisture convergence and thus greater diabatic heating in the inner core region. On the other hand, the Coriolis parameter modulates the vertical realignment of the vortex with a higher Coriolis parameter, favoring a quicker vertical realignment and thus a greater potential for TC development. The combination of these two effects results in an optimal latitude for TC intensification in the presence of a vertical shear investigated.

Ethnicity and nationality among Ethiopians in Canada's census data: a consideration of overlapping and divergent identities.

PubMed

Thompson, Daniel K

2018-01-01

This article addresses the intersection of 'homeland' politics and diaspora identities by assessing whether geopolitical changes in Ethiopia affect ethno-national identifications among Ethiopian-origin populations living abroad. Officials in Ethiopia's largest ethnically-defined states recently began working to improve diaspora-homeland relations, historically characterised by ethnically-mobilized support for opposition and insurgency. The emergence of an 'Ethiopian-Somali' identity indicated in recent research, previously regarded as a contradiction in terms, is the most striking of a series of realignments between ethnicity and nationality. Such realignments reflect new orientations towards the homeland that impact diaspora engagement in politics and development. While diaspora returnees constitute a visible presence in some formerly marginalized areas of Ethiopia-including the historically disputed Somali region-large-sample data on ethnicity and nationality from Canadian censuses suggest that diaspora outreach efforts to historically marginalized groups have not (yet) effected large-scale changes in ethno-national identity, and that ongoing tensions in Ethiopia's federal politics may have different impacts on the identities of different ethnic populations.

Community Environment Response Facilitation Act (CERFA) report, Cameron Station, Alexandria, VA. Final report

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

Not Available

This report presents the results of the Community Environmental Response Facilitation Act (CERFA) Investigation Conducted by Environmental Resources Management (ERM) at Cameron Station, A U.S. Government property selected for closure by the Base Realignment and Closure (BRAC) Commission. Under CERFA, Federal agencies are required to identify expeditiously real property that can be immediately reused and redeveloped. Satisfying this objective requires the identification of real property where no hazardous substances or petroleum products, regulated by the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), were stored for one year or more, known to have been released, or disposed. Cameron Station ismore » 169-acre site located in Alexandria, Virginia. Cameron Station was purchased by the Federal Government at the start of World War II. It has served primarily as a supply and administrative facility. The current mission is to provide support to the Commanding General of the Military District of Washington (MDW). Support functions of environmental significance include vehicle maintenance, print and paintshops, and photographic laboratories.« less

Integrating kidney transplantation into value-based care for people with renal failure.

PubMed

Hippen, Benjamin E; Maddux, Franklin W

2018-01-01

Healthcare reimbursement is increasingly tied to value instead of volume, with special attention paid to resource-intensive populations such as patients with renal disease. To this end, Medicare has sponsored pilot projects to encourage providers to develop care coordination and population health management strategies to provide quality care while reducing resource utilization. In this Personal Viewpoint essay, we argue in favor of expanding one such pilot project-the Comprehensive ESRD Care (CEC) initiative-to include patients with advanced chronic kidney disease and kidney transplant recipients. The implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) offers a time-sensitive incentive for transplant centers in particular to align with extant CECs. An "expanded" CEC model proffers opportunity for robust cooperation between general nephrology practices, dialysis providers, and transplant centers to develop care coordination strategies for all patients with renal disease, realign incentives for all clinical stakeholders to increase kidney transplantation rates, and reduce total costs of care. © 2017 The American Society of Transplantation and the American Society of Transplant Surgeons.

Voiding and sexual dysfunctions after pelvic fracture urethral injuries treated with either initial cystostomy and delayed urethroplasty or immediate primary urethral realignment.

PubMed

Aşci, R; Sarikaya, S; Büyükalpelli, R; Saylik, A; Yilmaz, A F; Yildiz, S

1999-08-01

The aim of this study is to evaluate the effects of the different immediate treatment modalities on the sexual and voiding functions in pelvic fracture urethral injuries. The records of 38 male patients with traumatic posterior urethral injuries were reviewed, 18 of whom were treated by initial suprapubic cystostomy and delayed repair (Group 1), and 20 by primary urethral realignment (Group 2). Types of pelvic fractures and urethral injuries were classified according to surgical and radiological findings. Long-term voiding functions were determined by the patient questionnaire, residual urine and uroflow. Sexual functions were also determined by the patient questionnaire and a penile duplex ultrasound study. Mean follow-ups of Groups 1 and 2 were 37 and 39 months, respectively. Membranous urethral disruption extending to the urogenital diaphragm was the most frequent urethral injury (type 3), with incidences of 66.7% and 77.7%, respectively. There were no statistically significant differences in mean age, incidence of pelvic fracture types and urethral injury types between groups (p > 0.05). After the immediate treatments, 16.7% and 55% of the patients regained normal urination, and stricture developed in 83.3% and 45% of the patients, respectively. In 44.4% of the patients in Group 1 and 10% in Group 2, urethral strictures required open urethroplasty (p < 0.05). Erectile impotence before urethroplasty in 17.6% and 20%, anejaculation after urethroplasty in 17.6% and 15% and incontinence in 5.6% and 10% of the patients were found in Groups 1 and 2, respectively (p > 0.05). However, 88.8% and 90% of patients eventually achieved normal urination with complete continence. Sexual and voiding dysfunction after pelvic fracture posterior urethral injury seem to be the result of the injury itself, not of the immediate treatment modalities. In urethral disruption injuries, primary urethral realignment seems more favourable than suprapubic cystostomy and delayed repair.

Internal Initiation of Influenza Virus Replication of Viral RNA and Complementary RNA in Vitro*

PubMed Central

Zhang, Shijian; Wang, Jinlan; Wang, Qiang; Toyoda, Tetsuya

2010-01-01

Influenza virus transcription is a prototype of primer-dependent initiation. Its replication mechanism is thought to be primer-independent. The internal initiation and realignment model for influenza virus genome replication has been recently proposed (Deng, T., Vreede, F. T., and Brownlee, G. G. (2006) J. Virol. 80, 2337–2348). We obtained new results, which led us to propose a novel model for the initiation of viral RNA (vRNA) replication. In our study, we analyzed the initiation mechanisms of influenza virus vRNA and complementary RNA (cRNA) synthesis in vitro, using purified RNA polymerase (RdRp) and 84-nt model RNA templates. We found that, for vRNA → cRNA →, RdRp initiated replication from the second nucleotide of the 3′-end. Therefore, host RNA-specific ribonucleotidyltransferases are required to add one nucleotide (purine residues are preferred) to the 3′-end of vRNA to make the complete copy of vRNA. This hypothesis was experimentally proven using poly(A) polymerase. For cRNA → vRNA, the dinucleotide primer AG was synthesized from UC (fourth and fifth from the 3′-end) by RdRp pausing at the sixth U of UUU and realigning at the 3′-end of cRNA template; then RdRp was able to read through the entire template RNA. The RdRp initiation complex was not stable until it had read through the UUU of cRNA and the UUUU of vRNA at their respective 3′-ends. This was because primers overlapping with the first U of the clusters did not initiate transcription efficiently, and the initiation product of v84+G (the v84 template with an extra G at its 3′-end), AGC, realigned to the 3′-end. PMID:20858902

Sources and sinks of microplastics in Canadian Lake Ontario nearshore, tributary and beach sediments.

PubMed

Ballent, Anika; Corcoran, Patricia L; Madden, Odile; Helm, Paul A; Longstaffe, Fred J

2016-09-15

Microplastics contamination of Lake Ontario sediments is investigated with the aim of identifying distribution patterns and hotspots in nearshore, tributary and beach depositional environments. Microplastics are concentrated in nearshore sediments in the vicinity of urban and industrial regions. In Humber Bay and Toronto Harbour microplastic concentrations were consistently >500 particles per kg dry sediment. Maximum concentrations of ~28,000 particles per kg dry sediment were determined in Etobicoke Creek. The microplastic particles were primarily fibres and fragments <2mm in size. Both low- and high-density plastics were identified using Raman spectroscopy. We provide a baseline for future monitoring and discuss potential sources of microplastics in terms of how and where to implement preventative measures to reduce the contaminant influx. Although the impacts of microplastics contamination on ecosystem health and functioning is uncertain, understanding, monitoring and preventing further microplastics contamination in Lake Ontario and the other Great Lakes is crucial. Copyright © 2016 Elsevier Ltd. All rights reserved.

Geographical trends in infant mortality: England and Wales, 1970-2006.

PubMed

Norman, Paul; Gregory, Ian; Dorling, Danny; Baker, Allan

2008-01-01

At national level in England and Wales, infant mortality rates fell rapidly from the early 1970s and into the 1980s. Subnational areas have also experienced a reduction in levels of infant mortality. While rates continued to fall to 2006, the rate of reduction has slowed. Although the Government Office Regions Yorkshire and The Humber, the North West and the West Midlands and the Office for National Statistics local authority types Cities and Services and London Cosmopolitan have experienced relatively large absolute reductions in infant mortality, their rates remained high compared with the national average. Within all regions and local authority types, a strong relationship was found between ward level deprivation and infant mortality rates. Nevertheless, levels of infant mortality declined over time even in the most deprived areas with a narrowing of absolute differences in rates between areas. Areas in which the level of deprivation eased have experienced greater than average reductions in levels of infant mortality.

8 Different approaches needed to manage ED demand among different age-groups.

PubMed

Rimmer, Melanie; Ablard, Suzanne; O'Keeffe, Colin; Mason, Suzanne

2017-12-01

A variety of interventions have been proposed to manage rising demand for Emergency and Urgent Care, described by an NHS England review as unsustainable in the long term. However it is unlikely that any suggested approach will be equally suitable for the diverse population of ED users.We aimed to understand the patterns of demand amongst different types of patients attending ED. We also sought to understand the intended and unintended effects of demand management initiatives. Our study combined insights from routine data, a survey of ED patients, and qualitative interviews with ED staff. This paper describes the results of our analysis of the interviews. We conducted semi-structured interviews with 25 ED and Urgent Care Centre staff across 7 hospital sites in Yorkshire and Humber between 25 April and 11 July 2016. The interview topic guide asked about 4 broad areas; job role, description of patients and their impact on demand, description of inappropriate attendance, and current/future initiatives to deal with rising demand. Interviews were transcribed verbatim and analysed using framework analysis. We analysed the results to identify groups of patients with different patterns of use of ED services. We also explored ED staff experiences of demand management initiatives, and their suggestions for future initiatives. Although we did not ask specifically about patients' age, our analysis revealed that ED staff categorised attenders as children and young people, working age people, and older people. These groups had different reasons for attendance, different routes to the ED, different rate of non-urgent attendance, and different issues driving demand. Staff also described variation in the time taken to treat patients of different ages, with the oldest and youngest patients described as requiring the most time.There was no consensus amongst staff about the effectiveness of initiatives for managing demand. A strikingly wide variety of initiatives were mentioned including patient education, co-location of other services with ED ('ED hubs'), and extending community-based services. ED staff attribute distinctly different patterns of ED attendance to patients of different age groups, including reasons for attending ED, the route to the ED, and the rate of non-urgent attendance. Given this variation, proposed demand management interventions are likely to impact differently on different age groups, and one solution is unlikely to be optimal for all ages. Therefore a number of different approaches will be needed to manage ED demand among different age groups. © 2017, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Connections, Partnerships, Opportunities, and Programs to Enhance Success for Military Students

ERIC Educational Resources Information Center

Ford, Deborah; Northrup, Pamela; Wiley, Lusharon

2009-01-01

Active-duty personnel, reservists, veterans, and their spouses or dependents represent 30% of the 10,000 students at the University of West Florida (UWF). With base realignment activities, a rise in the number of troops returning from deployments, and an increase in military-affiliated students on campus, the needs of veterans and their families…

Education for Sustainable Development in German Science Education: Past-Present-Future

ERIC Educational Resources Information Center

Bögeholz, Susanne; Böhm, Marko; Eggert, Sabina; Barkmann, Jan

2013-01-01

In this paper, we trace selected strands of the German path to Education for Sustainable Development (ESD). We start by addressing pre-ESD research, and move to the concept of "Gestaltungskompetenz," the core concept of German ESD. The concept had to be realigned as to become more compatible with international research on learning…

Inside Moves: As Technologies and Job Descriptions Change, Communications and Marketing Offices Opt for Strategic Realignment

ERIC Educational Resources Information Center

Scully, Maura King

2011-01-01

Realists recognize reorganizations for what they are: opportunities to do things better--to change business as usual to reflect best practices, new tools and technologies, and current challenges in the marketplace. At educational institutions, perhaps no area is as sensitive to those shifts as communications and marketing offices. The advances in…

Bakke, Weber, and Mr. Justice Stewart: Constitutional Theory and Affirmative Action.

ERIC Educational Resources Information Center

Broderick, Albert

1979-01-01

Recent Federal Supreme Court decisions on nondiscrimination in federally funded programs are noted in a discussion of two issues: (1) Does the court have an accepted methodology? and (2) Has there been a realignment on crucial legal aspects of race relations? (Journal availability: Wm. W. Gaunt & Sons, 3011 Gulf Drive, Holmes Beach, FL 33510,…

Free Spaces, Collective Identity and Political Consciousness: Student Activism and Repression on West Java, Indonesia, 1920-1979

ERIC Educational Resources Information Center

Sapiie, Stephanie

2012-01-01

Whereas previous studies of the Indonesian student movement have been limited to studies of single episodes of activism of student protests, this work focuses on the narratives, and repertoires that, together with crucial external events of political and economic realignments created both pressures and opportunities that produced contentious…

75 FR 61556 - Notice of Opportunity To Participate, Criteria Requirements and Application Procedure for...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-05

... realigned under the Title 10 U.S.C. Sec. 2687 (announcement of closures of large Department of Defense... pursuant to 10 U.S.C. 2687 as excess property (bases announced for closure by Department of Defense (DOD... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration [Docket No. FAA-2011-22842] Notice of...

Teaching as Regulation and Dealing with Complexity

ERIC Educational Resources Information Center

Boshuizen, H. P. A.

2016-01-01

At an abstract level, teaching a class can be perceived as one big regulation problem. For an optimal result, teachers must continuously (re)align their goals and sub-goals, and need to get timely and valid information on how they are doing in reaching these goals. This discussion describes the specific difficulties due to the time characteristics…

Stop Postponing the Rest of Your Life. [Fourth Edition.

ERIC Educational Resources Information Center

Stevens, Paul

This book is a practical guide on how to realign one's career by careful, systematic analysis of what is not satisfying and what needs to be changed. It assists individuals in learning who they really are today, where they are going, and how to identify realistic work alternatives. Part 1 on achieving career satisfaction consists of three…

Realigning Resources for District Success: Duval County Public Schools Final Report

ERIC Educational Resources Information Center

Travers, Jonathan; Ferris, Kristen

2011-01-01

Duval County Public Schools (DCPS) is poised to take action today that will lead to serving all students more effectively. Although the challenges are significant, including deep budget cuts, the district made the strategic choice to look thoroughly at how resources are currently allocated and now has a foundation for making decisions that will…

A Grand Bargain for Education Reform: New Rewards and Supports for New Accountability

ERIC Educational Resources Information Center

Hershberg, Theodore, Ed.; Robertson-Kraft, Claire, Ed.

2009-01-01

This book offers an ambitious new system for evaluating, compensating, and providing professional development for school teachers and administrators. In this realigned system, new forms of accountability are introduced, but they go hand in hand with new rewards and access to enhanced forms of professional development to help educators succeed in…

Re-Aligning Research into Teacher Education for CALL and Bringing It into the Mainstream

ERIC Educational Resources Information Center

Motteram, Gary

2014-01-01

This paper explores three research projects conducted by the writer and others with a view to demonstrating the importance of effective theory and methodology in the analysis of teaching situations where Computer Assisted Language Learning (CALL), teacher practice and teacher education meet. It argues that there is a tendency in the field of…

78 FR 63867 - Change of Using Agency for Restricted Areas R-5115, NM, and R-6316, R-6317, and R-6318, TX

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-25

... realignment of organizational responsibilities between federal agencies, U.S. Customs and Border Protection..., R-6317, and R-6318 in Texas. The transfer of using agency operational control occurs October 1, 2013...-6316, R- 6317, and R-6318 to reflect current organizational responsibilities. Environmental Review The...

76 FR 4988 - Intent To Prepare an Environmental Impact Statement for a Potomac Yard Metrorail Station in...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-27

... located along a short segment of realigned track between the George Washington Memorial Parkway and the... located. The permanent, long-term effects to the region could include, but are not limited to effects to... transit travel speeds. This results in relatively long transit travel times to access the area. The...

77 FR 72820 - Hot-Rolled Flat-Rolled Carbon-Quality Steel Products From the Russian Federation; 2010-2011...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-06

... Ministry of Russia'') initialed a draft revision to the Agreement which realigns the reference prices... 30, 2012, the Department and The Economy Ministry of Russia signed the final revision to the... date, the Department revoked Russia's status as a non-market-economy country under section 771(18)(B...

Eliciting the Institutional Myth: Exploring the Ethos of 'The University' in Germany and England

ERIC Educational Resources Information Center

Budd, Richard

2018-01-01

This paper is situated in relation to a critical mass of largely censorious commentary around global policy trends purportedly undermining, or even realigning, universities' 'traditional' ethos, but where the student perspective on this appears to have been largely ignored. Drawing on interviews with German and English undergraduates, it applies…

Sciences Teacher Education Curriculum Re-Alignment: "Science Education Lecturers' Perspectives of Knowledge Integration at South African Universities"

ERIC Educational Resources Information Center

Booi, Kwanele; Khuzwayo, Mamsie Ethel

2018-01-01

A qualitative case study was conducted at six purposively sampled universities; out of a population of approximately 23 universities. This sampling strategy was based on selecting some universities that became Universities of Technology during the process of merging Higher Education Institutions (HEIs) while other universities kept their identity;…

The Historical Evolution of Engineering Degrees: Competing Stakeholders, Contestation over Ideas, and Coherence across National Borders

ERIC Educational Resources Information Center

Case, Jennifer M.

2017-01-01

Recent times have seen significant realignment of engineering degrees globally, most notably in the Washington Accord, a system of mutual recognition of accreditation across much of the Anglophone world and beyond, and the Bologna Process, impacting significantly on the form of engineering degrees in Europe. This article, tracing the historical…

75 FR 78978 - Record of Decision for the 158th Fighter Wing's Proposed Realignment of National Guard Avenue and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-17

... resources and personnel). The decision was based on matters discussed in the Final Environmental Impact... from the public and regulatory agencies, and other relevant factors. The Final EIS was made available... NEPA of 1969 (42 USC. 4321, et seq.) and the Air Force's Environmental Impact Analysis Process (EIAP...

78 FR 26380 - Proposal To Replace the Existing Movable I-5 Bridge Across the Columbia River With a Fixed Multi...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-06

..., which requires agencies to coordinate and expedite the permitting and environmental review process for... by CRC to realign the federal channel to accommodate the proposed project. A ship simulation will be... provides information on how to participate in the process. The process includes an opportunity to submit...

Emerging HRD Issues: A Conceptual Framework for Corporate University in the Context of Chinese Organizations

ERIC Educational Resources Information Center

Li, Jie; Alagaraja, Meera

2007-01-01

The authors suggest a conceptual framework for developing CU's in the Chinese organizational context. We reviewed literature on existing conceptual frameworks and chose the CU wheel as proposed by Prince and Stewart. Four core processes identified in the CU wheel were realigned and readjusted in developing our framework of Corporate University in…

Dance Education Matters: Rebuilding Postsecondary Dance Education for Twenty-First Century Relevance and Resonance

ERIC Educational Resources Information Center

Risner, Doug

2010-01-01

Postsecondary dance education is at a crucial juncture in its history in academe. Emerging from women's physical education programs in the 1930s, the profession's realignment with the arts broadly and arts-based education specifically has been characterized by ambitious goals and steady growth through the 1990s. However, a number of critical…

Forest science in the South - 2006

Treesearch

Southern Research Station USDA Forest Service

2007-01-01

Welcome to the Southern Research Station's 2006 Forest Science in the South. Our summary highlights key accomplishments and activities from this past fiscal year, October 1, 2005, through September 30, 2006.This was a dynamic year for the Station! We recently realigned our 28 research work units (RWUs) into 15 RWUs grouped under five science areas –...

75 FR 19977 - Office of the Assistant Secretary for Planning and Evaluation; Statement of Organization...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-16

... reorganization is to realign the functions of ASPE's Office of Science and Data Policy to reflect the current... and Data Policy (AEJ),'' in its entirety and replace with the following: E. The Office of Science and Data Policy (AEJ) The Office of Science and Data Policy (SDP) is responsible for policy development...

Pre-University Prepared Students: A Programme for Facilitating the Transition from Secondary to Tertiary Education

ERIC Educational Resources Information Center

McPhail, Ruth

2015-01-01

The expectations of first-year students are becoming more widely researched and understood. How to realign perceptions and prepare students for the transition from secondary school to tertiary education is less well considered. This paper presents an account of a pre-university preparation programme embedded in the senior years of secondary…

Fort Holabird Defense Investigative Service (DIS), Base Realignment and Closure (BRAC) Cleanup Plan (BCP), Version II

DTIC Science & Technology

1998-12-01

3-16 3.4.7 Category 7: Areas Not Evaluated or Require Additional Evaluation .................... 3-16...Alternatives Evaluation Process for DIS Disposal and Reuse, Fort Holabird, Maryland ........ 2-6 Figure 3-1. Environmental Restoration Early Action...Requirement AREE ............... Area Requiring Environmental Evaluation AST .................. Above-ground Storage Tank BCP .................. BRAC

76 FR 17841 - Record of Decision (ROD) for the Realignment, Growth, and Stationing of Army Aviation Assets

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-31

... Carson, PCMS, and YTC as well as significant but mitigable impacts to water resources at YTC. At PCMS... Assets'' and has made the decision to proceed with the implementation of Alternative 3 (preferred... from other locations and will gain approximately 1,400 new Soldiers and 44 helicopters. Implementation...

Environmental Assessment for the Routine and Recurring Realignment of Units and Personnel at Edwards Air Force Base, California

DTIC Science & Technology

2014-09-01

atmosphere. The following gases are considered the major greenhouse gases of concern: carbon dioxide, methane, nitrous oxide, and fluorinated gases...create a lead hazard. The U.S. EPA has established that paint, varnish , shellac, or other coatings on surfaces that contain more than 5,000 ppm of lead

Realigning Resources for District Success: Duval County Public Schools Final Report. Executive Summary

ERIC Educational Resources Information Center

Travers, Jonathan; Ferris, Kristen

2011-01-01

Duval County Public Schools (DCPS) is poised to take action today that will lead to serving all students more effectively. Although the challenges are significant, including deep budget cuts, the district made the strategic choice to look thoroughly at how resources are currently allocated and now has a foundation for making decisions that will…

Assistance to Local Educational Agencies for Defense Dependents' Education ("Update"), February 2014

ERIC Educational Resources Information Center

Department of Defense Education Activity, 2014

2014-01-01

Section 574 of the John Warner National Defense Authorization Act for Fiscal Year 2007, as amended, requires the Secretary of Defense to identify the projected changes in military dependent students by installation as a result of force structure changes, relocation of military units, or the closure or realignment of installations under base…

75 FR 6095 - Revision of Area Navigation (RNAV) Route Q-108; Florida

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-08

...-0885; Airspace Docket No. 09-ASO-17] Revision of Area Navigation (RNAV) Route Q-108; Florida AGENCY... an error in the legal description for RNAV route Q-108 that was published in the Federal Register on... Area Navigation (RNAV) Route Q-108 in northern Florida by realigning the route structure. In the legal...

The provincial health office as performance manager: change in the local healthcare system after Thailand's universal coverage reforms.

PubMed

Intaranongpai, Siranee; Hughes, David; Leethongdee, Songkramchai

2012-01-01

This paper examines the implementation of Thailand's universal coverage healthcare reforms in a rural province, using data from field studies undertaken in 2003-2005 and 2008-2011. We focus on the strand of policy that aimed to develop primary care by allocating funds to contracting units for primary care (CUPs) responsible for managing local service networks. The two studies document a striking change in the balance of power in the local healthcare system over the 8-year period. Initially, the newly formed CUPs gained influence as 'power followed the money', and the provincial health offices (PHOs), which had commanded the service units, were left with a weaker co-ordination role. However, the situation changed as a new insurance purchaser, the National Health Security Office, took financial control and established regional outposts. National Health Security Office outposts worked with PHOs to develop rationalised management tools-strategic plans, targets, KPIs and benchmarking-that installed the PHOs as performance managers of local healthcare systems. New lines of accountability and changed budgetary systems reduced the power of the CUPs to control resource allocation and patterns of services within CUP networks. Whereas some CUPs fought to retain limited autonomy, the PHO has been able to regain much of its former control. We suggest that implementation theory needs to take a long view to capture the complexity of a major reform initiative and argue for an analysis that recognises the key role of policy networks and advocacy coalitions that span national and local levels and realign over time. Copyright © 2012 John Wiley & Sons, Ltd.

Championing mental health at work: emerging practice from innovative projects in the UK.

PubMed

Robinson, Mark; Tilford, Sylvia; Branney, Peter; Kinsella, Karina

2014-09-01

This paper examines the value of participatory approaches within interventions aimed at promoting mental health and wellbeing in the workplace. Specifically the paper explores data from the thematic evaluation of the Mental Health and Employment project strand within the Altogether Better programme being implemented in England in the Yorkshire and Humber region, which was funded through the BIG Lottery and aimed to empower people across the region to lead better lives. The evaluation combined a systematic evidence review with semi-structured interviews across mental health and employment projects. Drawing on both evaluation elements, the paper examines the potential of workplace-based 'business champions' to facilitate organizational culture change within enterprises within a deprived regional socio-economic environment. First, the paper identifies key policy drivers for interventions around mental health and employment, summarizes evidence review findings and describes the range of activities within three projects. The role of the 'business champion' emerged as crucial to these interventions and therefore, secondly, the paper examines how champions' potential to make a difference depends on the work settings and their existing roles, skills and motivation. In particular, champions can proactively coordinate project strands, embed the project, encourage participation, raise awareness, encourage changes to work procedures and strengthen networks and partnerships. The paper explores how these processes can facilitate changes in organizational culture. Challenges of implementation are identified, including achieving leverage with senior management, handover of ownership to fellow employees, assessing impact and sustainability. Finally, implications for policy and practice are discussed, and conclusions drawn concerning the roles of champions within different workplace environments. © The Author (2013). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

The institutionalization of River Basin Management as politics of scale - Insights from Mongolia

NASA Astrophysics Data System (ADS)

Houdret, Annabelle; Dombrowsky, Ines; Horlemann, Lena

2014-11-01

River Basin Management (RBM) as an approach to sustainable water use has become the dominant model of water governance. Its introduction, however, entails a fundamental realignment and rescaling of water-sector institutions along hydrological boundaries. Creating such a new governance scale is inherently political, and is being described as politics of scale. This paper analyzes how the politics of scale play out in the institutionalization of RBM in Mongolia. It furthermore scrutinizes the role of the broader political decentralization process in the introduction of RBM, an issue that has so far received little attention. Finally, it assesses whether the river basin is an adequate water management scale in Mongolia. This article finds that institutionalizing RBM in Mongolia is indeed a highly political negotiation process that does not only concern the choice of the governance scale, but also its detailed institutional design. It furthermore reveals that Mongolia's incomplete political decentralization process has for a long time negatively impacted the decentralization of water-related tasks and the implementation of RBM. However, the 2011 Budget Law and the 2012 Water Law provide for a fiscal strengthening of local governments and clearer sharing of responsibilities among the various different institutions involved in water management. Nevertheless, only if the 2012 Water Law is complemented by adequate by-laws - and if the newly created river basin institutions are adequately equipped - can RBM be effectively put into practice. This article confirms the usefulness of a politics-of-scale approach to understand scalar practices and changes in water management. However, the article also argues for a broadening of the analytical perspective to take the interdependencies between changes in water governance and other political processes, such as decentralization, into account.

Healthier central England or North-South divide? Analysis of national survey data on smoking and high-risk drinking.

PubMed

Beard, Emma; Brown, Jamie; West, Robert; Angus, Colin; Kaner, Eileen; Michie, Susan

2017-03-01

This paper compares patterns of smoking and high-risk alcohol use across regions in England, and assesses the impact on these of adjusting for sociodemographic characteristics. Population survey of 53 922 adults in England aged 16+ taking part in the Alcohol and Smoking Toolkit Studies. Participants answered questions regarding their socioeconomic status (SES), gender, age, ethnicity, Government Office Region, smoking status and completed the Alcohol Use Disorders Identification Test (AUDIT). High-risk drinkers were defined as those with a score of 8 or more (7 or more for women) on the AUDIT. In unadjusted analyses, relative to the South West, those in the North of England were more likely to smoke, while those from the East of England, South East and London were less likely. After adjustment for sociodemographics, smoking prevalence was no higher in North East (RR 0.97, p>0.05), North West (RR 0.98, p>0.05) or Yorkshire and the Humber (RR 1.03, p>0.05) but was less common in the East and West Midlands (RR 0.86, p<0.001; RR 0.91, p<0.05), East of England (RR 0.86, p<0.001), South East (RR 0.92, p<0.05) and London (RR 0.85, p<0.001). High-risk drinking was more common in the North but was less common in the Midlands, London and East of England. Adjustment for sociodemographics had little effect. There was a higher prevalence in the North East (RR 1.67, p<0.001), North West (RR 1.42, p<0.001) and Yorkshire and the Humber (RR 1.35, p<0.001); lower prevalence in the East Midlands (RR 0.69, p<0.001), West Midlands (RR 0.77, p<0.001), East of England (RR 0.72, p<0.001) and London (RR 0.71, p<0.001); and a similar prevalence in the South East (RR 1.10, p>0.05) CONCLUSIONS: In adjusted analyses, smoking and high-risk drinking appear less common in 'central England' than in the rest of the country. Regional differences in smoking, but not those in high-risk drinking, appear to be explained to some extent by sociodemographic disparities. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

The league of extraordinary generalists: a qualitative study of professional identity and perceptions of role of GPs working on a national after hours helpline in Australia.

PubMed

McKenzie, Rosemary; Williamson, Michelle

2016-04-22

Telephone triage and advice services (TTAS) have become commonplace in western health care systems particularly as an aid to patient access and demand management in the after hours period. In 2011 an after hours general practitioner (GP) helpline was established as a supplementary service to existing 24-h nurse-TTAS in Australia. Callers to the service in the after hours period who are triaged by a nurse as needing to see a GP immediately or within 24 h may speak with a GP on the line to obtain further assessment and advice. While much research has been undertaken on the roles of nurses in TTAS and the professional identities and attitudes to new technology of community-based GPs, little is known of the perceptions of role and identity of GPs providing after hours advice on primary care helplines. This qualitative study explored the perceptions of professional identity and role, motivations and contributions to the health system of GPs employed on the Australian afterhours GP helpline in 2011-2013. The study took a phenomenographic approach seeking to understand the essence of being a telephone GP, probing professional identity while also exploring role tensions. Twelve GPs, or 15% of the helpline GP workforce participated in the qualitative study. The GPs experienced both personal and professional benefits and believed they were strengthening patient care and the Australian health system. However the role required a re-alignment of practice that challenged professional autonomy, the doctor-patient relationship and commitment to continuity of care. Some GPs made this role realignment more readily than others and were well suited to the helpline role. There was a strong collegial bond amongst the helpline GPs which facilitated the maintenance of professional autonomy. Telephone GP assessment and advice does not demonstrate the same breadth as face-to-face practice and provides little opportunity for continuity of care, but this has not prevented those performing the role from identifying as a new form of generalist. The establishment of an after hours GP helpline in Australia has seen the emergence of a new generalist primary care identity as telehealth innovators.

Waiting Lists for Radiation Therapy: A Case Study

PubMed Central

2001-01-01

Background Why waiting lists arise and how to address them remains unclear, and an improved understanding of these waiting list "dynamics" could lead to better management. The purpose of this study is to understand how the current shortage in radiation therapy in Ontario developed; the implications of prolonged waits; who is held accountable for managing such delays; and short, intermediate, and long-term solutions. Methods A case study of the radiation therapy shortage in 1998-99 at Princess Margaret Hospital, Toronto, Ontario, Canada. Relevant documents were collected; semi-structured, face-to-face interviews with ten administrators, health care workers, and patients were conducted, audio-taped and transcribed; and relevant meetings were observed. Results The radiation therapy shortage arose from a complex interplay of factors including: rising cancer incidence rates; broadening indications for radiation therapy; human resources management issues; government funding decisions; and responsiveness to previous planning recommendations. Implications of delays include poorer cancer control rates; patient suffering; and strained doctor-patient relationships. An incompatible relationship exists between moral responsibility, borne by government, and legal liability, borne by physicians. Short-term solutions include re-referral to centers with available resources; long-term solutions include training and recruiting health care workers, improving workload standards, increasing compensation, and making changes to the funding formula. Conclusion Human resource planning plays a critical role in the causes and solutions of waiting lists. Waiting lists have harsh implications for patients. Accountability relationships require realignment. PMID:11319944

Automatic targeting of plasma spray gun

DOEpatents

Abbatiello, Leonard A.; Neal, Richard E.

1978-01-01

A means for monitoring the material portion in the flame of a plasma spray gun during spraying operations is provided. A collimated detector, sensitive to certain wavelengths of light emission, is used to locate the centroid of the material with each pass of the gun. The response from the detector is then relayed to the gun controller to be used to automatically realign the gun.

76 FR 44579 - Notice of Availability of Environmental Assessment for Strike Fighter Realignment at Naval Air...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-26

... Engineering Command, Southwest; Attn: Code EV21.AK; 1220 Pacific Highway, Building 1, 5th Floor; San Diego, CA... available for public review at the following Web site: http://www.cnic.navy.mil/cnrsw . In addition, paper... language informational materials will be made available on the Web site: http://www.cnic.navy.mil/cnrsw and...

Power up Your Planning: A Well-Defined Theory of Action Leads to Systemwide Change

ERIC Educational Resources Information Center

Williams, Sharon; Cloninger, Karen

2018-01-01

Even though the West Linn-Wilsonville School District in Tualatin, Oregon was posting good results at all levels, when a new superintendent arrived, one of his first initiatives was to re-align progress from goals to a coherent system of professional development that would lead everyone to feel confident and competent in their work to reach all…

The Availability of Judicial Review Regarding Military Base Closures and Realignments

DTIC Science & Technology

2005-06-30

held that the President is not subject to the APA, due to separation of powers principles.37 Base Closure Act Claims The Dalton Court distinguished...that the 1988 Base Closure Act violated the non-delegation doctrine and the separation of powers doctrine.53 However, the Base Closure Act has not yet been held unconstitutional by any federal appellate courts.

20 CFR 671.110 - What are major economic dislocations or other events which may qualify for a national emergency...

Code of Federal Regulations, 2010 CFR

2010-04-01

... single site of employment; (c) Closures and realignments of military installations; (d) Multiple layoffs... individuals in a community; (e) Emergencies or natural disasters, as defined in paragraphs (1) and (2) respectively, of section 102 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C...

Exploring Inquiry in the Third Space: Case Studies of a Year in an Urban Teacher-Residency Program

ERIC Educational Resources Information Center

Klein, Emily J.; Taylor, Monica; Onore, Cynthia; Strom, Kathryn; Abrams, Linda

2016-01-01

Using case studies, we describe what happens from novice to apprentice when preservice teachers learn to teach in an urban teacher-residency (UTR) program with a focus on inquiry. Our UTR operates within a "third space" in teacher education, seeking to realign traditional power relationships and to create an alternate arena where the…

75 FR 55313 - Final Environmental Impact Statement (FEIS) for Grow the Army Actions at Fort Lewis and the...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-10

... decisions in the 2007 Army Growth and Force Structure Realignment Programmatic EIS (also referred to as the... of Public Works, Attention: IMWE-LEW-PWE (Mr. Paul T. Steucke, Jr.), Building 2012, Liggett Avenue..., Yakima Training Center, and McChord Air Force Base were designated a joint base and renamed ``Joint Base...

Defense Industrial Base (DIB): Munitions Realignment for 2020

DTIC Science & Technology

2013-03-01

munitions DIB by companies like Coca Cola , Quaker Oats, and Eastman Kodak. As industrial mobilization quickly increased, the requirements decreased...Association of Colleges and Schools, 3624 Market Street, Philadelphia, PA 19104, (215) 662-5606. The Commission on Higher Education is an institutional...Colleges and Schools, 3624 Market Street, Philadelphia, PA 19104, (215) 662-5606. The Commission on Higher Education is an institutional accrediting

78 FR 38618 - Proposed Establishment of the Eagle Peak Mendocino County Viticultural Area and Realignments of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-27

... comment form for this document as posted within Docket No. TTB-2013-0004 at `` Regulations.gov ,'' the... ridge of the California Coast Range. The steep peaks of the Laughlin Range form the northern portion of... Franciscan Complex and early Tertiary micro-fossils of 65 to 1.5 million years old. Shale is older Franciscan...

Value of Forecaster in the Loop

DTIC Science & Technology

2014-09-01

forecast system IFR instrument flight rules IMC instrument meteorological conditions LAMP Localized Aviation Model Output Statistics Program METOC...obtaining valuable experience. Additional factors have impacted the Navy weather forecast process. There has been a the realignment of the meteorology...forecasts that are assessed, it may be a relatively small number that have direct impact on the decision-making process. Whether the value is minimal or

Report on the Program and Contract Infrastructure Technical Requirements Development for the Guam Realignment Program

DTIC Science & Technology

2012-02-08

Office GRN Guam Road Network GWA Guam Waterworks Authority ICG Interagency Coordination Group JFY Japanese Fiscal Year JRM Joint...PAC) (Pacific) NCTS Naval Computer and Telecommunications Station NEPA National Environmental Policy Act NPDES National Pollutant Discharge...Elimination System OPNAV Operational Navy UFC Unified Facilities Criteria U.S. United States USC United States Code USDA United States

Nanotechnology and the Developing World: Lab-on-Chip Technology for Health and Environmental Applications

ERIC Educational Resources Information Center

Mehta, Michael D.

2008-01-01

This article argues that advances in nanotechnology in general, and lab-on-chip technology in particular, have the potential to benefit the developing world in its quest to control risks to human health and the environment. Based on the "risk society" thesis of Ulrich Beck, it is argued that the developed world must realign its science and…

Help Wanted: Realigning Journalism Education to Meet the Needs of Top U.S. News Companies

ERIC Educational Resources Information Center

Wenger, Deb Halpern; Owens, Lynn C.; Cain, Jason

2018-01-01

Journalism programs working to stay current with industry practice often struggle to do so without forgoing traditional journalism skills and attributes. This longitudinal study involves content analysis of more than 1,800 jobs posted in either 2010 or 2015 by companies listed among the top 10 newspaper and broadcast journalism companies in the…

77 FR 16849 - Notice of Realignment/Merger of Five Regional Audit Offices: Boston, MA Will Merge With New York...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-22

... of Five Regional Audit Offices: Boston, MA Will Merge With New York, NY; and the Gulf Coast Region... result from the reorganization; (3) a discussion of the impact on the local economy; and (4) an estimate... Department (such as the establishment of new or combination of existing organization units within a field...

A National Study of the Validity and Utility of the Comprehensive Assessment of School Environment (CASE) Survey

ERIC Educational Resources Information Center

McGuffey, Amy R.

2016-01-01

A healthy school climate is necessary for improvement. The purpose of this study was to evaluate the construct validity and usability of the Comprehensive Assessment of School Environment (CASE) as it was purportedly realigned to the three dimensions of the Breaking Ranks Framework developed by the National Association of Secondary School…

75 FR 23747 - Notice of Availability (NOA) of the Draft Environmental Impact Statement for the Disposal and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-04

... Public Hearings AGENCY: Department of the Navy, DoD. ACTION: Notice. SUMMARY: Pursuant to Section 102(2... per Public Law 101-510, the Defense Base Closure and Realignment Act of 1990, as amended in 2005. Public hearings will be held to provide information and receive oral and written comments on the Draft...

Changing the game; some thoughts on future healthcare demands, technology, nursing and interprofessional education.

PubMed

Garrett, Bernard M

2012-07-01

This editorial discusses the conclusions of a number of high-profile reports on the future of healthcare provision, and healthcare professional education. The need for the realignment of service provision, regulation, interdisciplinary healthcare and supporting education is discussed in the context of rapid technological and social change. Copyright © 2012 Elsevier Ltd. All rights reserved.

Forest science in the South - 2007

Treesearch

Southern Research Station USDA Forest Service

2007-01-01

Welcome to the 2007 Forest Science in the South. As in the past few years, this summary of research highlights is accompanied by a DVD that provides more detail on specific accomplishments and products, each of which has a link for ordering online or downloading as a full-text publication. I am pleased to say that we have completed the realignment of our...

Perceptions of Community College Adult Basic Education Faculty regarding Faculty Professional Development in Alabama Community Colleges

ERIC Educational Resources Information Center

Taylor, Thomas J., Jr.

2009-01-01

Faculty professional development is an integral part of the overall mission of the Adult Basic Education programs that are operated under the auspices of the Alabama Community College System. Since their realignment within the ACCS in 2004, there has been a continual process underway to increase professional development activities at both the…

A happy conclusion to the SALT image quality saga

NASA Astrophysics Data System (ADS)

Crause, Lisa A.; O'Donoghue, Darragh E.; O'Connor, James E.; Strumpfer, Francois; Strydom, Ockert J.; Sass, Craig; du Plessis, Charl A.; Wiid, Eben; Love, Jonathan; Brink, Janus D.; Wilkinson, Martin; Coetzee, Chris

2012-09-01

Images obtained with the Southern African Large Telescope (SALT) during its commissioning phase showed degradation due to a large focus gradient and a variety of other optical aberrations. An extensive forensic investigation eventually traced the problem to the mechanical interface between the telescope and the secondary optics that form the Spherical Aberration Corrector (SAC). The SAC was brought down from the telescope in 2009 April, the problematic interface was replaced and the four corrector mirrors were optically tested and re-aligned. The surface figures of the SAC mirrors were confirmed to be within specification and a full system test following the re-alignment process yielded a RMS wavefront error of just 0.15 waves. The SAC was re-installed on the tracker in 2010 August and aligned with respect to the payload and primary mirror. Subsequent on-sky tests produced alarming results which were due to spurious signals being sent to the tracker by the auto-collimator, the instrument responsible for controlling the attitude of the SAC with respect to the primary mirror. Once this minor issue was resolved, we obtained uniform 1.1 arcsecond star images over the full 10 arcminute field of view of the telescope.

Self aligning electron beam gun having enhanced thermal and mechanical stability

DOEpatents

Scarpetti, R.D. Jr.; Parkison, C.D.; Switzer, V.A.; Lee, Y.J.; Sawyer, W.C.

1995-05-16

A compact, high power electron gun is disclosed having enhanced thermal and mechanical stability which incorporates a mechanically coupled, self aligning structure for the anode and cathode. The enhanced stability, and reduced need for realignment of the cathode to the anode and downstream optics during operation are achieved by use of a common support structure for the cathode and anode which requires no adjustment screws or spacers. The electron gun of the present invention also incorporates a modular design for the cathode, in which the electron emitter, its support structure, and the hardware required to attach the emitter assembly to the rest of the gun are a single element. This modular design makes replacement of the emitter simpler and requires no realignment after a new emitter has been installed. Compactness and a reduction in the possibility of high voltage breakdown are achieved by shielding the ``triple point`` where the electrode, insulator, and vacuum meet. The use of electric discharge machining (EDM) for fabricating the emitter allows for the accurate machining of the emitter into intricate shapes without encountering the normal stresses developed by standard emitter fabrication techniques. 12 Figs.

Unpaired 5' ppp-nucleotides, as found in arenavirus double-stranded RNA panhandles, are not recognized by RIG-I.

PubMed

Marq, Jean-Baptiste; Kolakofsky, Daniel; Garcin, Dominique

2010-06-11

Arenavirus and bunyavirus RNA genomes are unusual in that they are found in circular nucleocapsids, presumably due to the annealing of their complementary terminal sequences. Moreover, arenavirus genome synthesis initiates with GTP at position +2 of the template rather than at the precise 3' end (position +1). After formation of a dinucleotide, 5' pppGpC(OH) is then realigned on the template before this primer is extended. The net result of this "prime and realign" mechanism of genome initiation is that 5' pppG is found as an unpaired 5' nucleotide when the complementary genome ends anneal to form a double-stranded (dsRNA) panhandle. Using 5' pppRNA made in vitro and purified so that all dsRNA side products are absent, we have determined that both this 5' nucleotide overhang, as well as mismatches within the dsRNA (as found in some arenavirus genomes), clearly reduce the ability of these model dsRNAs to induce interferon upon transfection into cells. The presence of this unpaired 5' ppp-nucleotide is thus another way that some viruses appear to use to avoid detection by cytoplasmic pattern recognition receptors.

Morphogenesis of univentricular hearts.

PubMed Central

Anderson, R H; Becker, A E; Wilkinson, J L; Gerlis, L M

1976-01-01

Two main theories exist for the explanation of univentricular hearts. One states that the bulboventricular septum becomes realigned to form the interventricular septum, and that univentricular hearts are a consequence of failure of this realignment. The other states that bulboventricular and interventricular septa are different structures, and that the univentricular heart results from failure of formation of the posterior interventricular septum. Four hearts are described in which both the posterior septum and an anterior bulboventricular septum are present. In each heart, therefore, the right ventricular sinus is separated both from the left ventricular sinus and from a discrete outlet chamber which supports the pulmonary artery. It is argued that these findings militate strongly against theories proposing reorientation of the bulboventricular septum to form the definitive interventricular septum. They support strongly the concept that the definitive right ventricle is formed in part from the bulbus and in part from the primitive ventricle. On the basis of these findings, it is suggested that the distinctive feature of the univentricular heart is absence of the posterior septum. Such hearts can properly be termed 'primitive ventricle'. It is also suggested that hearts with atretic or straddling valves should be included within this category. Images PMID:1275986

Examination of first and second order thermodynamic realignments of metals and metal-alloys, with application of DMTA equipment

NASA Astrophysics Data System (ADS)

Gábor, Béres; Zsolt, Dugár; Dávid, Kis; Pál, Hansághy

2015-04-01

The researcher work pushes the borders of the application of a high efficiency equipment, in the matter of metals. With this equipment, which already testified in the compound industry, a flasher query of some metal-related technological parameters could be easily available. Towards the searching, we shaped different compound copper-alloy samples, in different states, and accordingly we monitored the realignments. Following the shaping, the DMTA detected such microscopic transformations (as we expected), according to heating rate, whereby we could determine the specialities of the transformations. In order to monitor the effect of the work hardening, we applied two different shaping grade: 50% and 75%. The heat treatment already took place in the DMTA, using 3 K/min heating rate. The specimens were loaded by inflection in the 2-point bending support with constant frequency and amplitude. Our current object was the monitoring of the recrystallization, and the investigation of the influential factors of this process, but other transitions were also regarded. Those measurements’ results, that the DMTA presented, had been compared with DSC and hardness analysis, whereby we try to conclude to the utility of DMTA, in matter of metal alloys.

Digital Dimension Disruption: A National Security Enterprise Response

DTIC Science & Technology

2017-12-21

societal institutions, methods of business, and fundamental ideas about national security. This realignment will, of necessity, change the frameworks...humans did calculations and searched for information. In the past quarter century, human use of computers has changed fundamentally , but com- mon...the nature of data is, itself, undergoing a fundamental change. The terms “bespoke data” (from the British term for cus- tom-tailored) and “by

Environmental Impact Analysis Process. Environmental Impact Statement for Realignment of Beale Air Force Base

DTIC Science & Technology

1990-04-01

CONTACTED .......... 6-2 APPENDIX A.- Average Daily Air Emissions Inventory for Yuba County .............................. A-1 APPENDIX B...Civilian Wage and Salary Employment, Yuba City Metropolitan Statistical Area, 1987 (Yuba and Sutter Counties , CA) ................... 3-46 vii LIST OF...Beale AFB Students Enrolled in Yuba and Sutter County Public Schools, FY 1989-90, by Assistance Category and School Capacity ................... 3-50 4

Realigning Resources for District Transformation: Using American Recovery and Reinvestment Act Funds to Advance a Strategic Education Reform Agenda

ERIC Educational Resources Information Center

Education Resource Strategies, 2009

2009-01-01

School districts and states have begun to receive education funds doled out from the American Recovery and Reinvestment Act, or ARRA, and many have a simple plan for the money--prevent teacher layoffs and restore current programs that were heading for the chopping block. This plan aligns with the legislation's intent to address the acute financial…

Joint Technical Architecture for Robotic Systems (JTARS)-Final Report

NASA Technical Reports Server (NTRS)

Bradley, Arthur T.; Holloway, Sidney E., III

2006-01-01

This document represents the final report for the Joint Technical Architecture for Robotic Systems (JTARS) project, funded by the Office of Exploration as part of the Intramural Call for Proposals of 2005. The project was prematurely terminated, without review, as part of an agency-wide realignment towards the development of a Crew Exploration Vehicle (CEV) and meeting the near-term goals of lunar exploration.

2005 Defense Base Closure and Realignment Commission Report. Volume 2

DTIC Science & Technology

2005-01-01

known as the Superfund, is the legal framework for the identification, restoration, and transfer of contaminated property. In 1986, CERCLA was revised...place and operating pursuant to an approved remedial design. This allows the transfer prior to complete remediation of contamination , (source: 2005...uncontaminated parcels at closing bases while long-term cleanup of contaminated parcels continues, (source: 2005 BRAC Commission) CERTIFIED DATA P.L

The United States and China in Power Transition

DTIC Science & Technology

2011-12-01

of inter- national relations? As China’s economic , political, cultural, and military influences continue to grow globally, what kind of a ...increase of national power in a big nation (in terms of its territorial and demographic sizes) as a result of its genuine and rapid economic ...the world has known has been a consequence of the ter- ritorial, economic , and diplomatic realignments that have followed such hegemonic

An Archaeological Reconnaissance Survey of the Proposed Channel Realignment Area at Big Stone-Whetstone Flood Control Project, Big Stone and Lac Qui Parle Counties, Minnesota.

DTIC Science & Technology

1980-08-01

terms of local collections. Charles Hanson: Mr. Hanson is a local collector who has a sizeable prehistoric collection from the island in Artichoke Lake... Artichoke Lake is located approximately 17 miles northeast of Ortonville and does not pertain to this project. He did indicate that he has done some

Report on 2005 Defense Base Closure and Realignment Implementation

DTIC Science & Technology

2011-09-01

been agreed to by the redevelopment authority? Yes Description of redevelopment plan: Education Conveyance to Texarkana College. Quantity of...1993 1998 2008 1995 2014 2014 2002 2016 2010 2011 2012 20252013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2024...1996 2001 2008 2008 1990 2008 2008 2008 2010 2011 2012 20252013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2024

Posterior urethral stricture repair following trauma and pelvic fracture.

PubMed

Rios, Emilio; Martinez-Piñeiro, Luis; Álvarez-Maestro, Mario

2014-01-01

Posterior urethral injuries typically arise in the context of a pelvic fracture.The correct and appropriate initial treatment of associated urethral rupture is critical to the proper healing of the injury. In this paper, we provide a comprehensive review of the literature with special emphasis on the various treatments available: open or endoscopic primary realignment, immediate or delayed urethroplasty after suprapubic cystostomy, and delayed optical urethrotomy.

Army Base Realignment Methodology. Volume II.

DTIC Science & Technology

1981-08-01

deficien- cies because they were reconstructed after the fact. c. The Craig action was very similar to the Fort Wolters closure. It was completed ...7 / provided cross-checks on the Fort Wolters After Action Report and substantiated the completion of equipment shipments and proposed construction...DATES AND MILESTONES OF USAMPS RELOCATIONA / Event Date CSJF completed --USAMPS relocation to Fort Devens not justified 22 July 1971 Criminal

Final Environmental Assessment to Implement the Defense Base Closure and Realignment Commission Recommendations for Shaw Air Force Base, South Carolina

DTIC Science & Technology

2007-07-01

corresponding years. Year 2005 through 2009: VOCE = .016 * Trips NOxE = .015 * Trips PM10E = .0022 * Trips COE = .262 * Trips Year 2010 and beyond: VOCE ... VOCE * DPYII/2000 Nox (tons/yr) = NOxE * DPYII/2000 PM10(tons/yr) = PM10E * DPYII/2000 CO (tons/yr) = COE * DPYII/2000 Where: Commercial